Check AIDS before some hospital skills in Jiangsu The departments of public health of Price Bureau stick to one's own version
This newspaper was once reported " some hospital operation patients were charged venereal disease, AIDS to examine the fee unexpectedly " on June 15, save Price Bureau and is exposed more than 50 items of medical and health and served the illegal charging act, " every family is problematic " in 20 large hospitals checked ,Expenses that it has wills that among them discover in checking to collect hepatitis B, the third liver, venereal disease and AIDS to the patient in need of operation. Hereafter, doctors telegraphed this newspaper to say, checked the routine inspection before already listing in the skill in AIDS from the safe angle of medical treatment, cannot be regarded as arbitrary charge. Then check AIDS and hepatitis B before the skill, can be regarded as arbitrary charge on earth? Dispute on the intersection of cause and Price Bureau, think, check AIDS make impatient of operation, charge into AIDS, examine the fee in violation of rules and regulations in front of the skill, the patient who points fracture unexpectedly still charges the vaginal secretion and examines the fee, the hospital concludes the commission agreement of the cash with enterprises privately after calling for bid At the news conference on June 14, the inspection Deputy Bureau Director of branch office Lin Jing of province Price Bureau carries on the phased circular to the situation of medical and health service price thorough examination of the whole province: So far, the national development and reform committee has already spotted check Nanjing market drum-tower hospital, Jiangsu Province tumour hospital and Suzhou university and attached to the first hospital on schedule. What province Price Bureau organized is checked inside the province, check 20 large hospitals first in April - June, find 8 big classes, haphazard charging act of more than 50 illegality tentatively. "This inspection of ours has found a lot of questions, some hospitals are to the impatient especially patient in need of operation, examine and collect and examine the fee hepatitis B, third liver, venereal disease and AIDS. Some hospital cut patient of fixation collect the vaginal secretion and examine the fee even reset, treating the intersection of hand and the intersection of palm and the intersection of phalanx and fracture! " Hospital: Any creates the inspection, all infect possibility The surgical expert of hospital of a the first, second and third tells reporters, check AIDS before the skill, it is for the patient who avoids cross infection HIV at first, are different from the ordinary patient to the arrangement which he makes a diagnosis and treatment of apparatus, article and metabolite used. In principle, the HIV-positive person can't live in the same room with the ordinary patient, will arrange to infect the operating room specially too at the time of the operation. Medical equipment which the patient who carries HIV, hepatitis B, third liver virus used, want, use single the intersection of disinfection and bag, besides general disinfection procedure should sterilize many times, and carry on the test of the relevant index. "Any creates checking and operation, all have possibility that is infected, even do the gastroscope, have tooth pulled out, it is possible to infect. " This expert says. Except to the patient, the medical personnel needs to carry on the essential shelter too, the surgeon contacts the patient's blood directly, will increase by the probability infected. "Generally wear a layer of gloves, should wear two layers to AIDS person's operation, the special protective clothing will be worn, wear and protect the glasses. " In addition, the hidden danger which may bring in blood transfusion, in case the patient will find afterwards that has been infected with AIDS or hepatitis B, how does that judge whether are caused by transfusing blood? This expert says, the hospital evades the risk too to a great extent, the medical dispute is implemented" the burden of proof is inverted " at present ,If the patient indicts the hospital, the hospital should prove that have no fault oneself. If the hospital has not done such a inspection before operation, Japan's future trouble person has been infected with AIDS or hepatitis B, come back, let hospital say, infect of operation, hospital speak clearly at all. The proportion of surgical blood transfusion is still very high now, for example most openheart surgery must transfuse blood, one ordinary the intersection of openheart surgery and the intersection of blood transfusion and quantity in 800 ml about usually. But likewise, measure AIDS as to the skill, a lot of patients or relatives are often difficult to understand. Especially children, need to carry on the inspection of HIV before operation, this let a lot of parents feel inconceivable. Explain to this expert, even if the child, it causes HIV to infect to probably spread vertically through mother and baby, and child's operation has the above-mentioned risk too, so it is regardless of age to do this and check. The department of public health of the province: Check diseases such as AIDS,etc. did not violate legal provisions the wealth Tao HongBin, vice section chief of of the rule of department of public health of the province says before the skill, stipulated charging item and paying price at " price of the medical service item of Jiangsu Province " in 2005, AIDS list in it too, which kind of treatment any situation need, adopt or check, should follow the medical law. Skill former doctor need, understand the intersection of patient and health, so AIDS, hepatitis B,etc. must consult. The intersection of province and department of public health cure the intersection of policy and ShaoDong Li, division chief of, say hospital checking AIDS, hepatitis B,etc. did not violate the medical norm in front of the skill too. Reporter know Ministry of Public Health release according to on will it be June 1 2000 <
|
No comments:
Post a Comment