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河南新农合推进“按病种付费”--亲稳舆论引导监测室
2012-11-05
据中国之声《央广新闻》报道,近日,河南省新农合“按病种付费方式”新增20种常见病。参合农民看病像“包桌吃饭”,费用有最高限额,不再担心医生开高价药,乱涨手术费。
According to the sound of China[Wide central news]reports,recently,Henan new farming together"Press disease to payment"Add 20 kinds of common diseases.Ginseng adds up to farmers as a doctor"Bag desk dinner",Cost has the highest limit,No longer worry about the doctor prescribed medicine price,Disorderly rise operation.
长期以来医院一直执行的是按项目付费制度,医疗机构的收入与其提供的服务项目数相关,这就让过度医疗服务和诱导需求来增加收入有了有可乘之机,那么按单病种限价收费就是针对患者所患的疾病由医生专门为其制定一个最简洁、最有效的治疗方案,对患者所接受所有检查用药、治疗、手术耗材都按照严格标准来收费,在此基础上对整体收费实行最高限价,就像包桌吃饭一样省事省时而且不用送红包。以孕妇顺产为例,实行按病种付费后,经新农合报销统一只需个人交纳780元,挤干医疗费用的虚高的水分老百姓自然就获得了实惠。
For a long time the hospital has been execution is item pay system,The income of medical institutions and provide services related to the number,This let excessive medical services and induced demand to increase income have a symphony,Then according to the single disease limit fee is according to the patients suffering from the disease by a doctor for its special formulated a the most concise/The most effective treatment,For patients accepted all inspection medication/treatment/Surgery consumables are strictly in accordance with the standard rate,On the basis of the overall charge the highest price,Like bag desk dinner save trouble save time and not give a red envelope.To pregnant women eutocia as an example,After the press disease to pay,The new agriculture close to submit an expense account only unity that the individual pays 780 yuan,Squeeze dry medical expenses of the virtual high moisture people naturally obtained benefits.
由于按病种付费的价格是河南省卫生厅通过临床路径、价格监测和费用监管等程序评定后上报省物价部门审定公布,每个病种的费用包括从患者入院到出院整个住院过程中发生的各种治疗费用包括检查费、化验费、床位费、护理费等等严禁医院将定额范围内费用通过门诊取样、门诊检查、外购处方、分拣名目等方式来排除在定额范围之外,变相增加患者的自费费用,这样一来就管住了那些随意开药、开检查单子的医生了,河南省从去年4月1日起以持续进行了64个病种,101个外科术室按病种付费试点,本月2日又新公布了20个病种,23个术室以外的外科手段为主的按病种付费治疗方式,并且将在明年的1月1日在全省县级公立医院全面铺开。(记者张颖凡)
Due to the press disease to pay the price is henan province health department through the clinical pathway/Price monitoring and cost supervision procedure qualification examination report after provincial price department announced,The cost of each diseases ranging from patients to the hospital to discharge the whole hospital during various treatment costs including the inspection fee/test/algorithm/Nurse, etc. It is strictly prohibited to hospital will be within the scope of fixed cost through the outpatient service sampling/Clinic examination/Outsourcing prescription/Sorting items, and other ways to eliminate in the quota beyond,Increase in patients with cost at one's own expenses,So they held the random prescribe/Open check list of the doctor,From last year in henan province on April 1, 64 with continuous diseases,101 surgical operation room press disease to pay pilot,This month 2 days and new released 20 diseases,23 operation room outside of the surgical means mainly pay according to disease treatment,And will be in the next year on January 1 at or above the county level in the public hospital spread to open completely.(Reporter ZhangYingFan)
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