The folk rhyme reflects the expensive current situation that common people see the doctor The excessively medical phenomenon waits to manage

The folk rhyme reflects the expensive current situation that common people see the doctor The excessively medical phenomenon waits to manage
The folk rhyme reflects the expensive current situation that common people see the doctor The excessively medical phenomenon waits to manage
The beginning of this year, " whether the intersection of Chinese and annual per person infuse 8 " first News,it is excessive without being opened iceberg of medical treatment corner,last thinking of the whole society. What is called excessive medical treatment, mean the doctor violates medical norm and ethics criterion, break away from the actual demand of the condition, implement the medical behavior not appropriate, unstandard, immoral, including excessively checking, excessively treating, excessively using medicine etc.. In recent years, our country's excessively medical phenomenon remains incessant after repeated prohibition, has not merely wasted medical resources, have aggravated common people's burden, and influenced the image of the health care trade. How is the excessively medical current situation? Where is the excessively medical crux? How to manage excessive medical treatment? From today, this edition will put out " dissect excessive medical treatment " Series of reports, question the truth of the matter, the scheme seeking to be solved, would like to ask readers to pay close attention to. "Can't afford to grow, cut open 5000 for of belly; The disease does not arise, 10 times of profit of expenses for medicine arise. " A sentence of folk rhymes spreading on the net, have reflected the expensive current situation that ordinary people see the doctor truly. Ministry of Public Health statistics show, the all-inclusive cost of hygiene of our country was 865,900 million yuan in 2005, it will be 1,960 billion yuan in 2010, increased by 13.6% every year among 5 years, far exceeded the growth rate of GDP. Among them, there is rational growth that factors such as price rise, technological progress,etc. bring, also there is unreasonable growth that excessive medical treatment causes. The expert points out, excessive medical treatment is like a " bottomless pit " ,Have engulfed limited medical resources, has brought the heavy financial burden to country, society and patient, have offsetted the medical insurance and increased the material benefit brought to common people virtually. People have died, medicine still piles up like a mountain. The doctor knows a patient is the later period of cancer perfectly well, has not treated value at all, is still writing a prescription desperately "After father passed away, I threw three whole braided bags of medicines away. People have all died, medicine still piles up like a mountain, and all medicines at one's own expense. " The foreign sincere new energy company clerk Xu Jing of China of the north in Beijing says in details. Jing Xu the intersection of the War to Resist U.S.Aggression and Aid Korea and soldier in detailed father, live Beijing Chaoyang District little to imprison nearby, work in a state-run carrier before retiring. In June of 2008, old man's physical examination will be found the later period of lung cancer, it has been already unable to perform the operation. In order to treat convenient, he has chosen a tertiary western chinese hospital of home gate. Over one o'clock, old man come in and go out institute 10 over successively, until the fact that September of 2009 pass away. The total of medical fee is more than 500,000 yuan here, the medical insurance submitted an expense account and bound the line it was 170,000 yuan at that time, the others are all at one's own expense. In hospital, detailed to accompany father everyday nearly Jing Xu, witness the whole course of treatment. Just when being in hospital, father could eat and drink, but the infusion that the doctor always gave ceaselessly. The old man gets up since the morning, keep failing until at night. While infusing, will be having an injection constantly, will have seven or eight injection in one day sometimes. "Have you seen the honeycomb briquette? My father's buttocks is more rotten than the honeycomb briquette, it is all pinpricks to be close and numerous, there are thousands of totally, I can not bear to look. " Xu Jing says in details. What furthermore made him gloomy is, in hospital each time, the doctors should all write a prescription for the old man, but the old man can not drink at all, bring in and pour out. For this reason, relatives require the doctor to stop boiling decoction of medicinal ingredients again many times, but nobody shows interest in at all. Later, old man's condition became more serious, but he refused hospital treatment firmly, because of his more and more repugnant doctor, want flower to wrong money again either. Xu Jing says in details: "The doctor knows a patient is the later period of cancer, is still writing a prescription desperately, and the majority is expensive medicine at one's own expense perfectly well, really make people bitterly disappointed! " A doctor of hospital of some famous the first, second and third of Beijing tells reporters, the tumour patient is " severely afflicated area " excessively treated . A lot of patients do not die of cancer, but die from and excessively treat. For example, to the first stage of lung cancer patient, survival rate can be up to 90% in 5 after the surgery treatment. The generally acknowledged conclusion is in the world, this kind of patient's postoperative chemotherapy is not benefited. However, treatments in our country are all " assembly line types " ,most patient last " chemotherapy " " . There is an old Sir more than 70 years old, actually it was early lung cancer, only needed to do an operation, costs two 30,000 yuan, can basically survive for a long time. However, after the doctor finishes the operation, give him to the chemotherapy department habitually. After the chemotherapy done by four courses of treatment, patient's immunity drops suddenly, lung cancer recured immediately, and shift the brain, then has done one one hundred sheets of operations of garmma(��), the result has caused more broad tumour to shift. Not only cost more than 300,000 yuan but also set foot on and does not belong to the way in because the excessively treating of the doctor, the old gentleman. The typical case of patient of these cancers, the iceberg corner of just excessive medical treatment. In recent years, " expenses for medicine of the sky-high price " The incident happens repeatedly, has damaged the doctor's image greatly, has aggravated the contradictions of doctors and patients. Study to reveal, shut to the key target becoming excessive medical treatment with the patient at one's own expense newly and agriculturally. Excessive medical treatment has not only aggravated and seen the doctor expensively but also bring the enormous hidden danger to the patient's health Not long ago, fourth army medical university west the intersection of Beijing and hospital and one seminar of Xi'an Communications University publish one research results " in hospital comparative study of expense with the intersection of medical insurance and patient ". Study to reveal, shut to the key target becoming excessive medical treatment with the patient at one's own expense newly and agriculturally. Seminar this the patient carry on statistical analysis in hospital to some January - September of 2009 of general hospital such as the first, second and third, the patient is divided into four groups: Resident's medical insurance, worker's medical insurance, shutting, at one's own expense newly and agriculturally. The result reveals: In hospital the intersection of day and respect is new shut while being agricultural, at one's own expense patient than resident, long patient, medical insurance of worker, have; In hospital the intersection of expenses and in per person, shut while being agricultural while being new, at one's own expense patient higher than resident, patient, medical insurance of worker, obviously, the former is nearly 1.5 times of the latter; Shut while being agricultural while being new and at one's own expense the intersection of patient and overwhelming majority accept, check specially, resident, patient, medical insurance of worker, only half has accepted special inspection; Accept, at the special treatment with expenses of medicines, shut while being agricultural while being new, at one's own expense patient higher than resident, patient, medical insurance of worker, obviously too. It means, the weaker the engagement of the medical insurance organization is, the more serious the excessive medical treatment of the hospital is. Excessive medical treatment has not only aggravated and seen the doctor expensively but also bring the enormous hidden danger to the patient's health. Antibiotic is abused, it is the outstanding behaviours of excessive medical treatment. Ministry of Public Health statistics show, 68.9% of the impatients in our country use the antibacterial medicine, 37.0% of the patients jointly use the antibacterial medicine; 100 patients consume the antibacterial medicine of one of 80.1 people in one day on average, it is more than one time of the global average which World Health Organization releases. In recent years, the intensity, prescription average amount of money, total consumption of antibacterial drug use of the impatient of our country soar year by year, these prove doctor from the side to increase the patient's for medicine quantitying and frequency. Antibiotic is abused, has caused " able to bear the medicine fungus superly " directly Appearance. Check another characteristic that is excessive medical treatment excessively. Moustache of director of the centre of heart of the People's Hospital of Peking University Big to say now many the intersection of doctor and the intersection of inquiries test and three half, just let patients make CT, radiography, nuclear magnetism at once. In fact,these ones that check is with high costs, wound is large,it return but? The jasmine Mian is carried off again Nurse the intersection of Man and the intersection of Yan and my darling, 8 � of hand hay cutter, beautiful to cash great blue the intersection of Ling and the intersection of Fei and heavy stone used as an anchor change rare fragrant ���, Xi of ��, squat Feng string �C T should be more than 70% to check the positive rate all all � have, but a lot of hospitals have not reached. Abuse the heart support, it is a typical case of excessive medical treatment. At present, the support consumption of heart of our country has increased more than 60,000 every year for 3 years in succession. In Singapore, need, set patient of support free, can only wipe out 3 at most, if exceed this quantity, the doctor needs to state the reason. However, unexpectedly the patient that there is our country has been put more than 10 heart supports, is known as " great wall of steel " . As to the coronary heart disease patient, the proportion of the operation is 7 that puts the support and puts up a bridge in the world: 1 to 8: 1,And our country is up to 12: 1,A lot of persons who shouldn't put the support have been put the support. Because the demarcation line of excessive medical treatment is fuzzy, very difficult to be asserted strictly, doctor's total energy interprets excessive medical treatment as the rational behavior, it is a technological question behind any social phenomenon to belong to the ethical question, there is a complicated economic relation. On the interests roller chain of excessive medical treatment, the hospitals and doctors are all the stakeholders concerned. The market Gao Hongbo, vice head of district of Jiangbei District of Chongqing points out, a lot of public directors owe excessive medical treatment to the finance to put into insufficiently now. Indeed, in the gross income of the public hospital, the financial allocations only account for about 10%. However, a lot of people has ignored a bit, medical insurance funds are government's important ways to subsidize the hospital. So, the financial undercompensation should never become the excuse that the hospital chase the profit. Gao Hongbo thinks, in recent years, the hospital has already become " sudden huge profits trade " like real estate . For example, the annual income among hospital of a the first, second and third of Chongqing and 5 years rises to 2 billion yuan from 500 million yuan, these are actually all patients " The money earned by hard toil " . Because the government implements the public hospital " Accept it propping up, assuming sole responsibility for its profits or losses by oneself " Policy,there are many without being created income on hospital,the less many in bonus. So, a lot of presidents are only thinking how to let the hospital make money more, and does not care how to let the patient spend less money. Now, a lot of hospital carry on the new round of to expand, back its a hidden one different to inhibit from to chase profit to be excited. Red Cross, Chongqing director He JianGuo says, it is doctor's leading consumption that medical treatment is consumed, but not the patient's initiative consumption. In with seriously asymmetric information cases, a lot of doctors utilize prescription right, making invalid and even harmful demand constantly, regard patient as the target of making profit. The doctor, through using high value medicines, heart support, artificial joint to collect commission in a large amount, have already become the one common to all " Sneak the rule " . Its number is big, have far gone beyond the doctor's " sunshine income " . It is pointed out that the member of the CPPCC National Committee Dong Xie is good, a domestic heart support, producer price is only 3000 yuan, can become 27,000 yuan after reaching the hospital; A heart support imported, only 6000 yuan of CIF, become 38,000 yuan after reaching the hospital. The sudden huge profits of heart support exceed and traffic in narcotics, the public's thing different to accept that this one makes. Its " high profit " Just because of " Worth " ,But the reason " The cost of circulation " It is really too high, need " contributing " in the form of commission In hospital and doctors. Under the enticement of the sudden huge profits, a lot of doctors get commissions like being addicted to drug, it is very difficult to give up voluntarily. According to insider, a physician of the hospital of the first, second and third, according to the prescription right that burns in the hand, get the medicines commission of as many as ten thousand yuan per month, it is very ordinary thing. A retired doctor of one hospital has put forward to hospital leader, so long as let him pay a home visit, he needn't take one fen salary, because he knows, so long as have the right to write out a prescription, can get commission. Though our country prohibits excessive medical treatment by official order, the demarcation line of excessive medical treatment is fuzzy, very difficult to be asserted strictly, doctor's total energy interprets excessive medical treatment as the rational behavior, it is a technological question to belong to the ethical question. For example, even a doctor substitutes regular medicine with commission medicine of high price on purpose, it also can well use it is personal have a partiality for experience, administration, even " The patient requires " Wait for the reason to reply and query and check. A law circle personage says worriedly, utilize prescription right to take commission, number is larger, should be with the punishment of determining a crime of the non- national staff member's bribery crime. However, if has caught all these doctors, how many doctors diagnose the illness can have left? Professor of Peking University China Center for Economic Research Li Ling thinks, the goal of the public hospital is to obtain the greatest health to produce with the minimum cost, but not pursue profits to maximize. Should realize this goal, it is not enough to only put into by increasing finance, the more important thing is to change the incentive mechanism, from means of payment, examine, assess of various fields to carry on reform, make hospital and doctor in order to healthy and controlling the hospitalization cost for the goal to raise the people voluntarily.


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