The personal conceited proportion of medical insurance of Shenyang lowers 5 Second-class in hospital the expenses are expected to rise

The personal conceited proportion of medical insurance of Shenyang lowers 5 Second-class in hospital the expenses are expected to rise
The personal conceited proportion of medical insurance of Shenyang lowers 5 Second-class in hospital the expenses are expected to rise
On April 11, announced the fixed expenses of medical organization of worker's basic medical insurance of the second half of 2009 in the medical insurance centre of Shenyang, and announced the fixed medical insurance expense situation of resident's medical insurance for the first time. Time expense be compared in hospital with will it be first half 2009 the intersection of worker and the intersection of medical insurance and fixed hospital, after half a year, same fixed hospital with one number time expense generally expected to rise in hospital, " the the intersection of medical insurance and individual conceited proportion under range " With " personal conceited proportion of all expenses that it is taken that it is not the medical insurance expenses " Drop to some extent. In addition, the same number, the expenses of difference of going to a doctor in different hospitals are very different. Change: The announcement content increases 2 kinds of common diseases newly This announcement, worker's medical insurance involves 25 items of number, the number announced than last time has increased by two items, including hard compound of liver combines disease and glaucoma operation. Meanwhile, the number of fixed hospital of the medical insurance of the residents that announce for the first time is 5 items, including pneumonia, acute brain block up, diabetes, acute appendicitis operation and cataract operation. City the intersection of medical insurance and centre explain the intersection of worker and the intersection of medical insurance and the intersection of fixed hospital and the intersection of expenses and every half a year once of announcement, the medical insurance of the residents starting since 2007 in Shenyang, in hospital the expenses for first announcement. "Choose the number that is announced each time, concentrate on common disease and acute disease of higher in hospital of more number of people morbidity. Generally speaking, what common disease is chosen is all that the number exceed one hundred persons' in hospital in a hospital in half a year, the minimum one will exceed 20 persons too, will have certain representativeness. " The fund of the medical insurance centre of the city is appropriated to the relevant person in charge in the place to reveal. Can be seen at the intersection of announcement and content, resident medical insurance with the intersection of worker and medical insurance time in hospital expense to be the same in the same number, same hospital, and resident's medical insurance is relatively on the low side. What reason is this? Appropriate to the relevant person in charge in the place according to the fund to explain, the characteristic of persons who effect an insurance of resident's medical insurance is to concentrate for the old man or child, and the crowd range participating in worker's medical insurance is large, there is more serious disease proportion. Give an example: Cure pneumonia in the second half year " General " More than 2000 yuan expensive After half a year, worker the intersection of medical insurance and fixed hospital time expenses rise generally in hospital, " the the intersection of medical insurance and individual conceited proportion under range " With " personal conceited proportion of all expenses that it is taken that it is not the medical insurance expenses " Drop to some extent. Take pneumonia as examples, will it be first half 2009, Chinese Medical Sciences University attach to hold Beijing hospital treatment time in hospital expenses are 10837 yuan, in the the intersection of medical insurance and range personal conceited proportion, take all expenses the intersection of medical insurance and expenses individual conceited proportion 30.82%, 13.08% respectively; The second half of 2009, time to treat disease last 12972 yuans, medical insurance proportions conceiteds personal in range for 25.36% expenses in hospital, it is medical insurance expenses last all expenses the proportions conceiteds personals is for 10.57%. "Medical insurance it pays proportions for itself to be and whether the intersection of medical insurance and expenses take all the intersection of expenses and personal conceited the intersection of proportion and two high value these in the range, explain persons who effect an insurance need money of cost the more. These two data dropped last the second half year, it is obvious, Shenyang increased in the input of the medical insurance fund year by year, in addition the relevant department strengthens management too, control medical organizations to be too much and use the medicine not including the medical insurance catalogue and means of making a diagnosis. " The fund of the medical insurance centre of the city is appropriated to the relevant person in charge in the place to explain. Compare: Different hospitals cure acute cerebral hemorrhage and differ by 20,000 yuan at most The same number, go to a doctor in different hospitals the expenses differ greatly. Take ordinary pneumonia as examples, time in hospital expenses are at most 12972 yuan in go to a doctor by tertiary hospital, and couldn't be lower 5075 yuan, differ by 7897 yuan. And relatively heavy case a little, such as acute cerebral hemorrhage, a most expensive one time in hospital expenses are 32451 yuan, have 9258 yuan only the most low, differ by more than 20,000 yuan. As to such with a wide gap disparity, the relevant person in charge in the medical insurance centre of Shenyang explains, even the same kind of disease, different because of factors such as the hospital's own grade, medical apparatus, medical level,etc., the level that will be in hospital naturally the expenses is different. Meanwhile, patient different condition have, cause times of high or low prices difference to in hospital expense too. "Show every expenses of fixed hospital while being common while being fixed every year, to seek medical advice, have piece consult for person who let, effect an insurance, also in order to lead the masses ofly to effect an insurance personnel accomplish rational consumption. " The medical insurance briefs on, effect an insurance a patient should choose the appropriate hospital to seek medical advice according to one's own situation centre. Some patients who suffer from common diseases such as pneumonia, hypertension, diabetes, while only needing daily rehabilitation, must crowd to the large hospital to go to a doctor.


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