Standardization will popularize next year if standardization treats the mode Patient's expenses lower 30%

Standardization will popularize next year if standardization treats the mode Patient's expenses lower 30%
Standardization will popularize next year if standardization treats the mode Patient's expenses lower 30%
The reporter held and knew from the clinical route training class of surgery of Ministry of Public Health on class' ceremony yesterday, this city will popularize the clinical route management style in the tertiary hospital and conditional second hospital next year. This means the patient can receive the standardized mode treatment in hospital in the future, treating the expenses can drop by 30%. Patient: Can see and make a diagnosis in the clinical route of catalogue what changes the mode will bring to seek medical advice to the patient to make a diagnosis while seeing the doctor in hospital? Very big introduction to the ginger of surgical group leader of teaching and research room of the People's Hospital of Peking University, in the past after the patient lived in the ward, two and one feel about in the dark, there is not bottom in the heart, do not know oneself will be in hospital for a few days, will accept during that time what treatment. And after implementing the clinical route, the patient can see the doctor is as the catalogue detail of making a diagnosis of what oneself makes while living in the hospital - -Clinical route patient edition, clear above days it is in hospital to enumerate a patient out, what kind service of making a diagnosis will be accepted every day, content detailed to which day operation, take out stitches some day and which day leave hospital etc.. The patient is steady and sure in the heart, more willing to cooperate with doctor's treatment too. It is introduced, the clinical route carries on the detailed regulation to every step in patient's treatment, not only guarantee can prevent excessive medical treatment from aggravating the financial burden a patient can get the effective treatment but also. In May of this year, the People's Hospital is entrusted by Ministry of Public Health and launched the electronization of clinical route to manage the project construction pilot work of demonstration. Up till now, 9303 cases enter the clinical route to manage, involve 1034 diagnosis names together altogether, have already made up to 521 clinical routes at present. The expenses: The decreasing amplitude of the average cost of hospitalization can exceed 30% of the statistic to reveal, from 1978 to the present, ordinary people saw the doctor and spent to increase by 200 times. It was that the doctor will give me an excessive inspection that ordinary people saw the doctor and worried about most now. Implement clinical route make a diagnosis after the mode, doctor check excessively and unreasonable hospitalization cost control strictly. Jiang KeWei says, takes appendicitis operation as examples, does not set up nuclear magnetic resonance to check the project in the clinical route, "if the doctor wants the patient to do the nuclear magnetic resonance, must mark out the reason in the form of making a diagnosis of patient's clinical route, so that the medical quality administrative department will be traced back to in the future. Ministry of Public Health counts, a lot of diseases are after implementing management of clinical route, average in hospital the sun is shortened, the expenses are obviously reduced in hospital. Such as senile cataract, are in hospital being dropped to 4.95 days all over the world by 5.74 on average, is in hospital on average the expenses are dropped to 6827.1 yuan by 7063.7 yuan, have dropped by 236.6 yuan. Among them the expenses drop the most obvious hospital, decreasing amplitude can be up to 33.4%. Planned to cut open the palace and produce averagely in hospital the expenses can be reduced by 31.6%. Clinical route: Can make a variation according to concrete condition to it is introduced, it is the behavior of standardizing a doctor to make a diagnosis to manage the main purpose in the clinical route, but will not fix patient's healing solution in a dead frame. The doctor can make a variation to the clinical route according to the patient's concrete condition of one's own state. Jiang KeWei says, even the same kind of disease, old man, young people are certainly different in treating, even the old man who treats the same kind of disease, there are ones that amalgamate other diseases such as hypertension, diabetes. So allow the doctor to make a variation to patient's clinical route, but should make specification to the content of making a variation, so that department manage and track the medical matters. It is reported, the clinical route making a variation rate can reach as high as 75%. Municipal Health Bureau: Reduce antibiotic to be unreasonable to use reporter know from Municipal Health Bureau, there are 11 hospitals in all in Beijing at present ' Tertiary 9, 2 for Second Grade) Manage pilot work in the clinical route participating in Ministry of Public Health. By August 31, 2010, 11 pilot hospitals in Beijing will have in all 19 specialized 80 pieces of number and 4664 cases that have been finished managing in the clinical route. In order to strengthen the drug use management of the pilot number of every route, some pharmacists of pilot hospital deepen the first line of clinical department and guide a doctor and use medicine, it is used that the ones that reduce antibiotic are unreasonable. Such as directing against the situation differing by nearly 30% of using proportion of antibiotic of COPD the strategic hinterland of China, every unit strengthens the control over key link of clinical route voluntarily, especially is chosen, able to bear quality control such as nature monitoring in antibiotic, have caused the attention of clinical department and quality administrative department. Deng XiaoHong, Deputy Bureau Director of Municipal Health Bureau, showed yesterday, according to the requirement of Ministry of Public Health next year, popularize the clinical route to manage in the tertiary hospital and conditional second hospital of the whole city. Ministry of Public Health: In popularize clinical the intersection of route and Ministry of Public Health, cure the intersection of policy and the intersection of department and medical division chief Jiao YaHui, say while being national next year, Ministry of Public Health start the pilot work of clinical route in 2009, so far, have already issued the clinical route of 112 pieces of number. According to estimating tentatively, the hospital that has already launched pilot work of clinical route in the whole country has already exceeded more than 200. She says, before the end of this year, Ministry of Public Health will issue the clinical routes of more than 100 pieces of number, will popularize the management of clinical route in the national tertiary hospital and conditional second hospital next year. (Zhao XinPei)


|