The case storehouse of health bureau of Beijing prevents serious

The case storehouse of health bureau of Beijing prevents serious disease from curing small Take precautions against that reduces the quality of making a diagnosis
It is reported, pay, control to make a diagnosis expense hospital according to number, but will influence the quality of making a diagnosis? For example the hospital is through exchanging number, decomposing the behavior in hospital,etc. and reducing to serve.
After somebody is afraid that pays according to number, the hospital will compress and make a diagnosis to serve sedulously, cure serious disease into a small disease.

As to this, Deputy Bureau Director of Beijing Municipal Health Bureau XiaoHong Deng introduce, hygiene system 2002 begin, set up database according to the intersection of case and the intersection of home and information right away. For example, the serious disease proportion before this hospital is 20%, but drop now, then the Ministry of Health will control at any time according to system information, so as to take precautions against the situation of quality of making a diagnosis of reducing appearing.

The human resources and Zhang Da, vice floormanager of social security office, in Beijing send the introduction, according to international practice, the situation of quality that may really influence making a diagnosis. Zhang Da sends and says, every pilot hospital will make the clinical route in trying group's disease, and submit to the health authorities of Beijing and confirm. The fixed service agreement of the medical insurance will supplement the item paid according to number too, will define duty and rights and interests. Require the hospital to rigorously enforce the medical service act of the norm, guarantee medical security and quality. Carry out a patient and is admitted to hospitalled and leaves hospital the standard and routine of making a diagnosis strictly, fill in the home of case according to the relevant requirement strictly, report the information of making a diagnosis accurately; Can't reject, the critical patient of prevarication. As violating medical routine and relevant regulations of medical insurance in the fixed hospital, hospitalization cost medical insurance funds taken place will be refused to pay, and will notify, deal with strictly the trade according to relevant regulations.

Case

The People's Hospital

More than 190 items of medical care can be monitored and assessed

As one of the first batch of pilot hospitals, the People's Hospital of Peking University will begin to prepare to pay the work according to number in pilot project in 2009. This Wang Shan, president of institute, introduced yesterday, paid and brought restricting and incentive mechanism to hospital according to number, also impel the doctor to avoid excessive medical treatment.

For example appendicitis, has suffered from appendicitis with the first eight ninety -year-old old men, a lot of hospitals are unwilling to accept for medical treatment, because according to current the intersection of individual event and way of paying, the number can only wipe out 3 or 4 thousand, but the elderly make appendicitis operation there may be a lot of complications, the real cost is twice even triple of submitting an expense account. After paying according to number, this kind of situation has been included in the number of Senior One's rank, it will be high a lot of that it pays standards by norm, certainly the hospital will not refuse to accept for medical treatment, and will welcome such a patient to cure the disease.

Wang Shan says, pays according to number, the doctor's prescription, doctor's order are all registered in a system, should fill in the reason of making a variation in change, and examine strictly, more than 190 items of medical care can monitor the assessment. With the intersection of hospital and promotion that performance examine, the intersection of hospital and benefit and the intersection of doctor and income and medical the intersection of medicines and expense break off relations already progressively.

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According to the change what does number have to pay?

Municipal human resources and Zhang Da, vice floormanager of social security office, send the introduction, the single number before this is paid, disease chosen is relatively simple, the treatment to complicated disease is relatively simple, such as appendicitis, cataract,etc., Beijing has implemented 19 kinds together at present; Pay, divide, enter, arrive all disease different groups go on and manage nearly according to the intersection of number and grouping, it is overall to cover, more scientific.

How does the project at one's own expense settle account?

Deputy Bureau Director of Beijing Municipal Health Bureau Deng XiaoHong introduces, if really there is a condition, citizens can choose to serve outside the medical insurance range while seeking medical advice, for example choose the better sick bed, choose more expensive medicine,etc., but there are relevant agreements with the hospital, I can bear, these expenses beyond the scope of medical insurance need to take care of oneself.

"We do not encourage citizen's excessive medical treatment. " Deng XiaoHong says frankly, medical treatment ensures only ensuring basic medical treatment, disease groups classified, medical care that offer can guarantee basic medical treatment in citizen. In the past these years, hospital or suffer from side, may have excessive inertia of medical treatment, this kind of idea needs changing slowly too.

Will the quota standard be adjusted?

Zhang Da sends the introduction, pays the management that will be adopted and melted dynamically according to number, the standard of its quota must be all one's life, will follow factors in many aspects such as the endurance of development of medical market of Beijing and medical insurance fund, change fixedly or irregularly. Zhang Da sends and reminds, citizens can telegraph 12333 consultation hot lines of social insurance office of manpower of Beijing, understand relevant policy.


The case storehouse of health bureau of Beijing prevents serious disease from curing small Take precautions against that reduces the quality of making a diagnosis