“先看病后付费”无疑是一种有利于民生的惠民举措,而对于这样一种惠民举措,显然越早实施就越能发挥其惠民效用,让民众尽早从中得到实惠与好处

"After the first doctor pay"It is undoubtedly a conducive to the livelihood of the people we move,For such a we move,Obviously the sooner the implementation can we play its utility,Let people get benefits and benefits as soon as possible

　　近日,有报道称卫生部今年将全面推行“先看病后付费”。2月19日,卫生部明确回应:“先诊疗后付费”涉及社会征信体系、医保基金运行安全等多部门协调问题,很难作为行政命令“一刀切”推行,全国推广尚没有时间表。卫生部也从未提出过“全面推行”的要求(2月20日《新京报》)。

recently,Reports say the full implementation of the ministry of health this year"After the first doctor pay".On February 19,,The ministry of health clear response:"For the first diagnosis and treatment"In the social credit system/The safe operation of the medical insurance fund and so on department coordination problems,It is difficult to as an administrative order"One size fits all"implementation,The promotion is no timetable.The department of health has never raised"The full implementation of the"requirements(2 months and days[The Beijing news]).

　　一直以来,各地患者都是先自行付费看病,然后再到医保机构按规定报销医药费。由于部分病人医疗费用较高且家庭经济条件又不是很好,这就导致其家庭需为筹集巨额经费先行支付医药费用发愁,并因此而给这些病人及时就医带来一定的障碍。另外,病人先付费看病然后到医保机构报销也需耗费病人或其家人不少的时间与精力。如果能全面推行“先看病后付费”,也就有利于避免部分患者及其家人为筹集经费先行支付医疗费发愁,同时医院与医保机构对接付费也可为患者或其家人节省不少报销的时间与精力。正因如此,卫生部称“先看病后付费”全面推行尚无时间表,难免令人失望。

Has been,All patients were first to pay the doctor,And then to the medical insurance agency presses a regulation to medical reimbursement.Due to the high cost of medical treatment of the patient and family economic conditions and is not very good,This will lead to the family need to raise funds for a first pay medical bills worry,And so to the patients timely seek medical advice to bring some obstacles.In addition,The patient to see a doctor and then to pay medical insurance agencies to submit an expense account also need to take the patient or his family a lot of time and energy.If the full implementation"After the first doctor pay",Also to avoid part of the patients and their family members to raise money for medical bills worry first,At the same time, hospital and health care institutions butt pay for patients or their family members to submit an expense account save a lot of time and energy.Because of this,The ministry of health says"After the first doctor pay"The full implementation of the there is no timetable,Is disappointing.

　　卫生部相关负责人表示,我国的社会征信体系还不够完善,若是没有医保的患者恶意逃费,医院不能获得医保补偿,也无法向患者追讨医疗费用。此外,各地医保结算尚未实现全国联网,异地就医的患者往往还是要自己先掏钱交费,再回到原籍报销。其实,尽管我国当前社会征信体系尚不够完善,但是在实行“先看病后付费”情形下,患者就医前需出示具有认证的医保卡与身份证等证件,所以只要医院严格审核把关,没有医保的患者恶意逃费并不容易得逞。另据报道,广州市从2009年底起就开始与广东省内外建立异地医保即时结算关系,目前已与省内外6个省、市实现了异地就医即时结算。而像广州这样的异地就医即时结算制度,显然可以在更大范围内推行。所以,各地医保结算尚未实现联网,亦不应成为全面推行“先看病后付费”的障碍。

The relevant person in charge of the ministry of health says,China's social credit system is still not perfect,If it were not so health care of the patients malicious escape fee,The hospital can't get medical insurance compensation,To the patient cannot require medical costs.In addition,Medical insurance settlement has not yet realize all the networking,Different treatment patients often still want oneself to pay fee,Back to home to submit an expense account.In fact,Although China's current social credit system is not perfect,But in practice"After the first doctor pay"case,Patients go to a doctor should produce before with the authentication of medical insurance card and id card or other papers,So as long as the hospital audit strictly checks,No health care of the patients malicious escape fee is not easy to succeed.It is reported that,Guangzhou from the end of 2009, beginning with the guangdong province inside and outside to establish different health instant settlement relationship,Inside and outside the province has 6 provinces/City to realize the different medical immediate settlement.And like guangzhou such different medical instant settlement system,Clearly in wider range implementation.so,All medical insurance settlement has not yet realize networking,Also should not be the full implementation"After the first doctor pay"obstacles.

　　而从当前部分医疗机构试点“先看病后付费”情况来看,虽然也发生了一些逃费现象,但是总体上比例并不算大。据报道,从去年6月20日起实施“先诊疗后付费”的深圳市第四人民医院,截至2013年2月19日,逃费共计6万元,仅占“先诊疗后付费”总金额的0.15%。当然,最好的情况是完全杜绝逃费现象出现,而对于这一点,只要有关方面有效完善制度就可以做到。所以,有关方面不应因为部分试点医院出现个别小额逃费现象就让全面推行“先看病后付费”因为没有时间表而变得遥遥无期。

And from the part of the medical institutions pilot"After the first doctor pay"situation,Although there have been some fled fee phenomenon,But on the whole scale isn't big.According to the report,Since last June and implementation date"For the first diagnosis and treatment"The fourth people's hospital of shenzhen,By February 19, 2013,Flee fee adds up to 60000 yuan,Accounted for only"For the first diagnosis and treatment"0.15% of the total amount.Of course,The best situation is completely prevent escape fee phenomenon to appear,For this point,As long as the effective perfect system can do.so,The pilot should not because of the hospital a few small fled fee phenomenon let the full implementation"After the first doctor pay"Because there is no timetable and become a life.

　　“先看病后付费”无疑是一种有利于民生的惠民举措,而对于这样一种惠民举措,显然越早实施就越能发挥其惠民效用,让民众尽早从中得到实惠与好处。所以,有关方面不应因为当前部分条件尚不完全成熟便延迟全面推行该项制度,而应从尽早让民众获得实惠与便利出发,尽快在完善相关制度的同时,全面推行“先看病后付费”制度,让该项惠民举措尽快惠及于民。

"After the first doctor pay"It is undoubtedly a conducive to the livelihood of the people we move,For such a we move,Obviously the sooner the implementation can we play its utility,Let people get benefits and benefits as soon as possible.so,The should not because the current conditions of part is not completely mature and delay the full implementation of the system,As soon as possible and we should let people get on benefits and convenience,As soon as possible in the perfect relevant system at the same time,The full implementation of the"After the first doctor pay"system,We make the move to as soon as possible to people.

　相关链接　　 Relevant link

　　央视“最美误读” CCTV"Misread the"

　　2月19日上午,央视《中国新闻》与央视网均带来利好新闻:据卫生部消息,今年中国将全面推行先看病后付费制度,原来看病自己先垫付,现在是医院垫付,病人看完病只交自己的那部分,其余由医保支付给医院。目前全国已有20多个省份正在进行先行试点。

On the morning of February 19,,CCTV[China news]And CCTV network are brought good news: according to the ministry of health news,This year China will see a doctor for the full implementation of the first system,For the doctor to be paid,Now is the hospital disbursements,The patient finish see disease only pay the part,The rest of the medical insurance payment to the hospital.At present the country had been more than twenty provinces are first pilot.

　　正当人们都在为这个医疗新举措叫好时,19日晚些时候,卫生部医政司医疗管理处处长焦雅辉接受新华社记者专访时称,“开展先诊疗后付费模式试点”,只是2013年再次被写入卫生部年度工作要点。至于何时才能全面实现,她表示:“无法给出时间表,今年肯定是不可能的。”

While people are for the medical new measures when gave,In the late 19th,The ministry of health YiZhengSi medical management everywhere telephoto, bright accept interview xinhua news agency said,"To carry out diagnosis and treatment for the first pilot model",But in 2013 the ministry of health was again write annual work points.As for when to achieve,She says:"Can't give a timetable,This is certainly not possible."

　　她说,卫生部倡导在有条件地区开展试点,但是“先看病后付费”短期内无法在全国推广,卫生部也从未提出过“全面推行”的要求。“我们的社会征信体系还不够完善,各省份当前医改重点也不同。”焦雅辉表示,“先诊疗后付费”模式只能逐步推进、试点先行,不能硬推。

She said,The ministry of health advocate in the conditional region pilot,but"After the first doctor pay"In the short term can't spread in the whole nation,The department of health has never raised"The full implementation of the"requirements."Our social credit system is still not perfect,The key provinces reform is different also."JiaoYaHui said,"For the first diagnosis and treatment"Model can only be promoted step by step/pilot,Can't push hard.

　　然而大多数网友对“先看病后付费”的制度却是赞不绝口,在得知是一场“误会”后,仍然坚持认为这是央视“最美误读”。(魏文彪)

However, most of users"After the first doctor pay"The system is full of praise,That is in a field"misunderstanding"after,Still insists that this is CCTV"Misread the".(WeiWenBiao)