Jiangxi - register and examine and check that injecting and amalgamating the expenses standard will issue

Jiangxi - register and examine and check that injecting and amalgamating the expenses standard will issue
Jiangxi - register and examine and check that injecting and amalgamating the expenses standard will issue
" generally make a diagnosis and take " The commune hospital charges 10 yuan each time in the floor hospital at the basic level of our province, the health station charges 6 yuan to shut the pool of clinic to pay the method and solicit the opinion newly and agriculturally with the medical compensation mechanism of health organ in the basic unit completely progressively, the situation of raising medicine with medicine is becoming flexible, reflect what a problem which become extremely urgent of forming a complete set expenses such as the medicine thing service charge of doctor's labour value,etc. are. Require the intersection of basic unit and medical the intersection of health organ and existing registration fee, examine, check fee, inject fee, merge " make a diagnosis fee generally " into while being relevant according to the State Council . The near future, province Price Bureau and the intersection of province and department of public health,etc. issue " make a diagnosis fee generally " Expenses standard. Why collect and generally make a diagnosis the fee? What does it mean to the patient and medical organization at the basic level? On October 29, reporters interviewed to these questions. " generally make a diagnosis and take " The fee system will be a reform measure that the country issues for changing and raising and curing the system, lightening masses' burden with medicine that the standard will be issued and generally made a diagnosis in the near future. 29, province the intersection of department of public health and the intersection of related departments and person in charge introduce, " make a diagnosis fee generally " Cancelling 15% medicines addition, medicines to implement according to the medical health organ of basic unit of sale of a price differential. According to explanation of Ministry of Public Health, " make a diagnosis fee generally " It is not a newly-increased project, it is to the village clinic of medical health organ of the basic unit and integrated management, adjustment of community health station charging item, current registration fee, examine, check fee, inject fee (including intravenous the intersection of infusion and fee, include the intersection of medicines and fee) And the medicine thing service cost is amalgamated together. In order to cooperate " Generally make a diagnosis and take " Implementation,province Price Bureau, province department of public health the near future issue by " last fee together generally " Expenses standard, the concrete standard is: 10 yuan of health clinics in towns and townships and the community health Center / time (point doctor's order once) ,6 yuan of village clinics and community health stations of integrated management / time. Reporter notice after the will it be June this year, every province begin, implement " make a diagnosis fee generally " one after another ,High charge is basically all in 8 to 10 yuan the most, price at 8 yuan in a few provinces, individual pays some for itself in 1 to 2.5 yuan. , can understand at the basic level medical organization how compensate and ordinary patient diagnose the illness, need how much does it pay roughly? According to the draft, our province join, shut personnel in commune hospital or " make a diagnosis fee generally " that health station go to a doctor jointly while being agricultural while being new Will be compensated: Compensate 8 yuan / time in health clinics in towns and townships and the community health Center newly and agriculturally jointly, individual pays 2 yuan / time for itself; Compensate 5 yuan / time in village clinic and community health station of integrated management newly and agriculturally jointly, individual pays 1 yuan / time for itself. In addition, join and shut the medical health organs of basic unit of health clinics in towns and townships,etc. that personnel are implementing the national basic medicine system and in hospital newly and agriculturally jointly, the medicine thing service charge, according to joining and shutting 15% that personnel used the total amount of basic medicine, serve and change the mechanism through buying, continue being shut the fund to compensate newly and agriculturally. As to urban residents, " generally make a diagnosis and take " Will include in basic medical insurance ordinary clinic hospitalization cost pool and particular number clinic hospitalization cost and subsidize and pay the range, residents are drawing the part, will not exceed 2 yuan either each time. Where is 10 yuan of pricing of our province according to coming from? What it will be our province " Generally make a diagnosis and take " Fix for 10 yuan? On the 30th, a person in charge of Nanchang Municipal Health Bureau tells reporters, registration fee of most health organs at the basic level of our province is about 0.8 yuans at present, the fee is 2.5 yuan, having injection is 1.6 yuan, it is 6 yuan that infusion injects 1 bottle of fee to examine checking. If make a bottle of bits, the all-inclusive cost that medical organization of community go to a doctor once of once is 9.3 yuan (0.8 yuan and +2.5 yuan and +6 yuan) that the patient goes . Shine this estimation, the registration fee of even ordinary clinic, case history one are inclusive, including having an injection, infusion (including the disposable transfusion system, do not include medicines) The expenses inclusive, bale the fee of 10 yuan in order to generally make a diagnosis. This 10 yuan, be submitted an expense account 8 yuan by medical insurance, individual pays 2 yuan. This person in charge analyzes: "In this case, the expenses of patient's expenditure are about 2 yuan, should see the doctor the expenses will drop to some extent. " But the chapter tribute district of city of Jiangxi state liberates Deputy Director of residential district community health Center Cai YuFang and says, occupy the people, poorer life have partly, their registration fee only charges 0.5 yuan, it only charges 4.8 yuan each time too each time to have an intravenous drip, the second bottle does not add the expenses, examine checking the fee is seldom collected even more. Community health organ afraid clinic quantity drop, seem, collect, make a diagnosis fee until at the basic level medical organization should good news generally: Because of selling a price differential of medicines, business incomes such as public service funds that the income of the community centre mainly relies on the government to set aside to and checking, testing,etc.. If each patient charge, make a diagnosis fee generally by 10, can increase the intersection of community and income of service organization, can relatively lighten the financial burden of the government at the same time. But in the interview, the director of community health Center of Chaoyang continent of West Lake district says yellow plum pearl anxiously, patient get used to the intersection of medical care and low price already, turn on, charge, make a diagnosis behind the fee generally, some people would rather go large hospital directly perhaps, lead to the fact clinic quantity drop. The 29th, sociology Deputy Director of research institute Deng Hong of social academy of sciences of province says, except institutionalized control, there should be many kinds of flexible policies and measures in our province, ensure lightening patient's burden conscientiously, for example can consider for the flexible pricing right of health organ at the basic level, one the intersection of visit and two or more training collect, make a diagnosis fee, reduce or remit, succour target, make a diagnosis fee,etc. generally by one only, this will help to generally make a diagnosis the fee system can be implemented smoothly. (reporter Zhang XuHong)


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