50 hospitals in the whole country launch the pilot project

50 hospitals in the whole country launch the pilot project Procedure of making a diagnosis that the 112th common disease is set up
From next January, some diseases that citizens go to 7 pilot hospitals of Beijing such as the People's Hospital of Peking University to go to a doctor, hospital take previous sets of normal clinical therapeutic method for patient, make a diagnosis behavior have strict standard using medicine, attending to. The patient is right to make a diagnosis the expenses will be clearer, clearer too.

Yesterday, Ministry of Public Health issued " managed the pilot work scheme in the clinical route ", drafted it in two years, set up 112 kinds of diseases (number) in 50 hospital pilot projects of a larger scale of the whole country Clinical therapeutic norm.

12 provinces and cities launch the pilot project of making a diagnosis

" clinical route " ,For every number, make a set of modes of making a diagnosis which specialists in general cases must follow. Enter hospital, get check, surgery, treat even accept, attend to and leave hospital, have regulations to abide by from patient like this, have reduced the random of making a diagnosis, even can reduce the hospitalization cost for the patient. The expert says, this way will be " paid according to number " for the medical insurance organization Wipe out hospitalization cost rationally, establish the foundation.


50 pilot hospitals selected at least nationwide this time, distributed in 12 provinces (market) such as Beijing, Liaoning, Jilin, Shanghai, Jiangsu, Shandong, Henan, Guangdong, Sichuan, Guizhou, Yunnan, Gansu .

Contain 112 common frequently-occurring disease kinds

Every pilot hospital will bear the clinical route managements of 22 specialities, 112 pieces of number separately. The reporter sees, these specialities include common disease, frequently-occurring disease and some costly projects of making a diagnosis such as cardiovascular vessel, gynaecology, pediatrics.

From next January to October of 2011, every pilot project provincial health authority and pilot hospital will enter the implementing stage of the pilot project formally. Ministry of Public Health requires, the general hospital chooses two specialities at least as the pilot speciality, the section hospital confirms the pilot speciality according to the specialized department characteristic.

7 hospitals enter the pilot project this time in Beijing. Ministry of Public Health says, the assigned pilot hospital planned number of the scheme is the lowest limit, each appoint to combine the actual conditions of this area under one's jurisdiction in the pilot province, increase the quantity of pilot hospital appropriately.

-The expert understands

" can reduce the unreasonable checking and treatment "

Directors of people in Peking University Wang Shan

Yesterday, director of people in Peking University Wang Shan said, the People's Hospital has already tried to find out the clinical routes of 24 kinds of diseases at present, plan to be regarded as pilot number.

Wang Shan introduces, the clinical route standards and keys of these diseases, the majority comes from the clinic for many years and summarizes the experience, and consulted therapeutic standard and data to the same number in the world.

Advantage

Standardize medical treatment then controls the expenses

" clinical route and (medical treatment) The expenses do not have direct relation " ,China fir Wang explain clinical formulation of route, can standardize the doctor's behavior of making a diagnosis, reduce unreasonable check and is treatedding, should add, improve the necessary links of making a diagnosis at the same time, so as to ensure medical quality, improve the hygiene economics result of making a diagnosis, benefit patient finally.

If explain from reducing on the aspect of unnecessary procedure, Wang Shan says, the implementation of management of clinical route, can raise medical efficiency, control the hospitalization cost rationally, the medical treatment which lightens the patient spends bearing. After all, " the medical expenditure is closely related to medical care " ,But China fir Wang think, can't understand, implement, treat route to be sure to reduce medical treatment, cost while being clinical briefly, " its original idea is a medical behavior of the norm, ensure medical quality, and then control the hospitalization cost rationally " .

Prospect

Or will become it according to the foundation of charging of disease

Wang Shan reveals, the People's Hospital of Peking University has already been entrusted by Ministry of Health at present, has drawn up plans and launched the reform that medical treatment pays the mode, namely pilot medical care presses and diagnoses a group of prepaid fee (DRGs) . The core of reform to change, charge according to medical project at present, transfer to, make a diagnosis while being global according to disease the situation charges, namely need to regard treating the route in normal clinic as the foundation.

In fact, as far back as from 2004 to 2007, the subject that it was " according to DRGs paying and clinical route application study in Beijing area hospital " that the association of BJ Hospital has organized starting, proved by the expert panel in 3 years, employ the guide to clinical routes of number formulation of 12 common diseases such as acute appendicitis, uterus skin tumour, senile cataract,etc..

Difficult point

It is realized that short-term and difficult with disease and price

But the hospital administrator says frankly, because the competence of making a diagnosis of technical equipment, doctor between every hospital is not the same at present, the distribution of medical resources is unbalanced, in short term, require the hospitals of different classes of different areas with the clinical route, the medical care provided for the same kind of disease patient, the expenses collected are totally unanimous, also unrealistic.

Staff reporter Wei MingYan

-Chaining

7 hospitals of pilot project of Beijing

The People's Hospital of Peking University

Third hospital in Peking University

Beijing Xuanwu Hospital

Beijing Chaoyang hospital

Stomatological hospital of Peking University

In addition there are tertiary general hospitals and one respectively of tertiary section hospital.

-Explanation of nouns

Clinical route

Go to a doctor: Make a diagnosis according to the chapter

The expenses: The detail can be checked

The clinical route is for every number, make a set of modes of making a diagnosis which specialists in general cases must follow.

The clinical route aims at one that is obtained through the fact that the clinician practises, and proves through the expert " With high efficiency, high-quality " Medical for service mode,it is universally acknowledged for one of advanced service modes medical.

[Give an example ]

Go to a doctor: Make a diagnosis according to the chapter

The expenses: The detail can be checked

A common number, such as acute appendicitis, according to patient's age, gender and disease, make different schemes of making a diagnosis, stipulate how much the scheme needs to make a diagnosis each one meanwhile in each disease.

When the patient goes to a doctor, doctors can follow the patient's ages and diseases, contrasting the route employs the guide to make a diagnosis, in this way the patient can see too what kind of treatment oneself will go on in detail, including what kind check, odd day operation,etc. does it do several day.

Meanwhile, each kind of different schemes of making a diagnosis, all recorded the detailed hospitalization cost, the patient can know clearly, how much does oneself cost to finish and treat entirely. (reporter Wu Peng)

50 hospitals in the whole country launch the pilot project Procedure of making a diagnosis that the 112th common disease is set up