河南将在县级公立医院全面推行新农合按病种付费制度 Henan will be at or above the county level in public hospital the full implementation of the new farmers joint press disease to pay system

　　从明年1月1日起，河南将在全省所有县级公立医院全面推行新农合按病种付费制度，首批将启动20个病种的按病种付费工作，以减轻群众就医费用负担。

From January 1,Henan province in all public hospital at or above the county level the full implementation of the new farmers joint press disease to pay system,The first will start twenty diseases press disease to paid work,In order to reduce the burden of medical treatment cost.

　　河南省卫生厅相关负责人说，目前，卫生厅已经发布了82个病种123个术式的临床路径指南和诊疗规范。但各地情况不同，医院收治病人的轻重不同，因此新农合管理机构和县级医院要在路径优化的基础上，结合前3年同病种花费的医疗费用，合理确定本县的病种执行价格。

Henan province health department related person in charge said,At present,Health department has issued 82 diseases 123 operation guide clinical path and diagnosis and treatment to specification.But each district is different,The weight of the hospital patients were different,So the new agriculture joint management institutions at or above the county level in the hospital and on the basis of path optimization,Combining with the disease before 3 years spent medical costs,Reasonable determination of the county executive price diseases.

　　据介绍，自2011年5月1日起，河南省在30家试点医院开展了新农合住院患者按病种付费工作，治疗病种达到62个，治疗方式达到101个。

According to introducing,Since on May 1st, 2011,Henan province in 30 pilot hospitals in the new agriculture close hospitalized patients with press disease to pay work,Treatment of diseases of 62,Treatment of 101.

　　河南省卫生厅提供的数据显示，截至目前，30家试点医院共收治新农合按病种付费住院患者近5万例，次均住院费用比同病种按项目付费降低10%，药占比下降到16%，目录外药品费用所占比例下降3个百分点，有效地控制了医药费用的不合理增长，明显减轻了人民群众的就医费用负担。

Henan province health department to provide the data display,So far,30 pilot hospitals were farmers were new combined press disease to pay nearly 50000 cases of hospitalized patients,Second all hospital cost with disease than item pay reduced by 10%,For medicine than dropped to 16%,List the proportion of drug cost dropped by 3%,Effectively control the medical cost is not reasonable growth,Obviously reduced people's medical expense burden.

　　该负责人说，实施按病种付费后，医院主动控制医疗成本的意识增强了，试点医院普遍把临床路径变成电子化的菜单医嘱，超出范围的医嘱显示特别颜色，医生必须在病程记录上写明原因，并接受新农合的重点监管。这一措施约束了医生的行为，有效减轻了过度医疗的现象。(记者 刘金辉)

This person in charge said,According to the disease after implementation of pay,Active control hospital medical costs to enhance the consciousness,The pilot hospital common clinical pathway into electronic menu doctor's advice,Beyond the range of medical advice show special color,The doctor must be in the course of the reason on record,And accept the new agriculture, the emphasis on the supervision on the.This measure constraint the doctor's behavior,Effective reduce excessive medical phenomenon.(Reporter LiuJinHui)