Serve the proposal of the price about straightening medical services

National Medical Report

(ask for an opinion to stalk of grain)Brief of a case: In Feburary 2000 of transmit of general office of the State Council " the directive opinion that about town medicine sanitation system reforms " (the following abbreviation " directive opinion " ) to medical services price reform puts forward to make clear a requirement: "Inside gross control extent, consider the factor such as allowance of medical services cost, finance and income of medicines and chemical reagents integratedly, adjust unreasonable medical services to serve the price, reflect the technical service value of medical personnel. Add or adjust diagnosis and services cost, nurse cost, registration fee; Raise operation expenses, bed cost to wait appropriately; Reduce cost of exorbitant equipment supervision of large medical services; Relax to need medical services to serve the price especially moderately. " in July 2000, according to town medicine sanitation system reforms unified deploy and requirement, classics the State Council agrees, print and distribute of state committee of planning, Ministry of Public Health " the opinion that serves price government about reforming medical services " , the file puts forward: The state committee of planning serves content of Wu of project name kimono jointly with medical services of standard of Ministry of Public Health, make medical services cost calculate method. According to file requirement, 2001, former state committee of planning, Ministry of Public Health and management board of medicine of national traditional Chinese medical science combine print and distribute " standard of project of price of service of countrywide medical services (try out) " (the following abbreviation " project standard " ) , return print and distribute " apportion of cost of project of medical services calculates method (try out) " . In September 2007, to be perfected further " project standard " , 3 ministries and commissions combined formulate print and distribute again " standard of project of price of service of medical services of < whole nation > be added newly and edit project (2007 edition) " , add an item newly 204, did 147 place to edit to original project, at present project of price of service of countrywide medical services adds up to 4170. Outside dividing Beijing, ferry, Shanghai and Tibet, began 2001, each district according to the requirement, undertook project standard and full employment of price one‘s style of work as well as one‘s moral quality in succession. Through standard and adjust, preliminary straightened medical services to serve price system, medical servicesd price action to receive a standard, medical fee structure got optimizing, medical expenses got keep within limits with the impetus that grows too quickly. But as a result of long-term since price of service of our country medical services is executed low collect fees policy, price of medical services and value are serious and screwy, technical service price (if make a diagnosis and give services cost, nurse cost, registration fee, operation expenses, bed cost) wait for on the low side. After 2001, each district although according to " directive opinion " spirit, adopt project standard, adjusted the medical services with unreasonable part to serve project value, but because get price level, society,the element such as report is affected, the adjustment of price of medical services was not achieved far " directive opinion " in " reflect value of service of medical personnel technology " target. As the elapse of time, the contradiction that system of price of medical services accumulates is increasing, the problem of on the low side of price of service of technology of medical services still very outstanding. Hospital of Beijing the Temple of Heaven is mirrorred, at present average rate is art of Beijing head the right hand side 1500, 2000 yuan, and an operation needs 1.5 3 doctors, anesthetist and 2 nurses at least, average job 4, 5 hours. In addition, still need the hundreds of material that control to on 1000 yuan therefore to use up wait for charge. According to Shaanxi the province is calculated, every bed day nurses cost 26 yuan, and collect fees it is 10 yuan only. Beijing, Shandong nurses collect fees lower, mix 3 yuan for 7 yuan respectively. Because call in hard cost, each medical establishment works to nursing take degree seriously to drop generally, prediction of a person‘s luck in a given year of most hospital paramedic, nurse integrated quality drops, medical services issue adds. Examine investigates cost case also is similar, according to Shaanxi the province is calculated, examine of be in hospital of every bed day checks cost to be 33 yuan, and collect fees it is 8 yuan only. Technical service price is low the loss that causes medical establishment to serve a field in medical services can rely on medicines and chemical reagents, examination and check only check income will make up for, patient cost raises ceaselessly, the economy with normal medical establishment moved to also be affected badly.
Proposal: 1, straighten medical services to serve price system as soon as possible, adjust diagnosis and services cost, nurse the technical service value such as cost, operation expenses, bed cost is serious the project value of on the low side, reflect the technical service value of medical personnel, perfect medical establishment compensates a mechanism, health of safeguard medical establishment runs. And the regression of price of medical services, also can be solve " raise cure with medicine " , the issue with advanced masses strong report creates medical price void condition. 2, supervise and urge did not carry out " standard of project of price of service of countrywide medical services (try out) " province adjusts the price as soon as possible, with countrywide synchronism.