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业界称先看病后付费实施时机成熟 障碍来自医院--亲稳舆论引导监测室
2013-03-04

  

“先看病后付费”遇“最美误读” "To see the doctor before they are paid"In case"The most beautiful misunderstanding"

  

卫生部否认全面推广 欠费少、无欠费成发源地官方“卖点” The ministry of health denied owe less comprehensive promotion/No overdue bills into a cradle of official"The selling point"

  在山东试点两年多后,“先看病后付费”诊疗服务模式再次引起全国关注。该制度将在全国推行的消息,经央视新闻报道后,舆论鼎沸。尽管卫生部随后否认了这一传闻,但2月下旬以来,有关“先看病后付费”的话题依旧得到了社会的持续热切关注。3月1日,新华网发布消息称,调查显示“先看病后付费”将和“雾霾治理”“网络反腐”等一起成为今年两会的焦点话题。作为此项模式的发源地,目前山东省共有2119家医疗机构开展了“先看病后付费”服务,232万人次受益。共有675人次拖欠住院治疗费342万元,欠费人次占比万分之2.9,17地市中仅济宁、泰安、临沂3地无患者欠费。如何做到并做好“没钱也能先治病”,仍是摆在病患、医院、政府主管部门面前的待解难题。

In the shandong pilot after more than two years,"To see the doctor before they are paid"Medical services model again aroused nationwide concern.The system will be in the country,After CCTV news report,Public opinion is buzzing.Despite the ministry subsequently denied the rumours,But since late February,About the"To see the doctor before they are paid"Subject still got social earnest attention.On March 1,,Xinhua said in a news release,According to the survey"To see the doctor before they are paid"Will and"The fog haze governance""Network anti-corruption"Such as become a topic of the two sessions this year together.As the birthplace of the model,At present a total of 2119 medical institutions in shandong province was conducted"To see the doctor before they are paid"service,2.32 million people benefited.A total of 675 person-times defaults in hospital treatment 3.42 million yuan,Owe the passengers accounted for 2.9 per,17 cities in jining/taian/Linyi owe fee without 3 patients.How to do and do"No money can also cure first",Is still in the patients/The hospital/Stay in front of the government department in charge of solving problems.

  60岁老人登《新闻联播》“王丕(镇)的刘炳艳上电视了,还是中央台的《新闻联播》哩。”事情虽然已过去十多天,但在济宁金乡王丕镇街头,人们仍面带自豪,谈论着当地第一个“上了中央台”的农村老人。

60 years old,[News broadcast]"The king of PI(The town)The LiuBingYan on TV,Or the CCTV[News broadcast]mile."Things although has in the past more than ten days,But in jining jinxiang Wang Pizhen street,People still beaming with pride,Talking about local first"On the CCTV"The rural elderly.

  事情因一场急病而起。

Happens due to a sudden illness.

  1月24日,已是腊月十三,在家开始忙年的济宁金乡王丕镇60岁的农民刘炳艳,腹痛难忍。当晚七点多,他在儿子的陪伴下,来到金乡县人民医院,经诊断为急性阑尾炎,需马上住院手术。

On January 24,,Is December 13,At home began to busy in jining jinxiang Wang Pizhen LiuBingYan 60 farmers,Abdominal pain unbearable.At 7 o 'clock that night more than,He was accompanied by her son,Arrived in jinxiang county people's hospital,The diagnosis of acute appendicitis,Need surgery in hospital at once.

  虽然没带够住院的5000元费用,但金乡县人民医院“先看病后付费”的政策,还是让原本以为必须交够钱才能住院手术的老刘顺利进行了手术。1月31日下午,补交诊疗费用后,术后痊愈的刘炳艳出院回家。

Although didn't bring enough cost of $5000 in the hospital,But jinxiang county people's hospital"To see the doctor before they are paid"Of the policy,Or let the thought must make enough money to liu smoothly the surgery in hospital.January 31 in the afternoon,To pay medical fees,Postoperative recovery of LiuBingYan discharged.

  在住院期间,有电视台记者来到病房,将镜头随机对准了还躺在病床上的老刘,冲着镜头说话的时候,头发花白的老刘或许还在嘀咕:“咱就是一个普通农村人,还能真上电视?”春节过完后,并未在电视上看见自己,老刘慢慢淡忘了此事。

During the stay in hospital,There is TV reporter came to the ward,Aim the camera at random the liu also lie on the bed,At the camera when talking,Grizzled old liu may also in a whisper:"I is an ordinary rural people,Can also be true on television?"After the Spring Festival,Did not see themselves on TV,Liu slowly forgotten the incident.

  2月19日晚,熟悉的《新闻联播》前奏曲后,刘炳艳终于在电视里看到了自己:他被作为“先看病后付费”模式的受益者,出现在当晚的新闻报道中。

On February 19th night,Be familiar with the[News broadcast]After the prelude,LiuBingYan finally saw themselves in the TV:He was as"To see the doctor before they are paid"Model of the beneficiaries,In the evening news reported.

  在济宁市卫生局网站的显著位置,也关注了刘炳艳被央视报道的消息。其网站信息显示:“19日央视《新闻联播》 头条‘贯彻十八大————开局新举措’栏目,将镜头对准了济宁市金乡县普通农民刘炳艳。”

In a prominent location in jining city health bureau website,Also focus on LiuBingYan reported by CCTV news.According to its website:"19 CCTV[News broadcast] The headlines‘Implement the eighteenth big -- - start to the new measures’column,Aim the camera the jining jinxiang LiuBingYan ordinary farmers."

  济宁市卫生局网站在报道此事时,还复制了这则央视新闻的部分内容。“在过去,大病或者急病的患者需要住院,往往都要先交几千元甚至上万元的押金,但患者一时半会儿又凑不齐钱,无法及时住院接受治疗,可能错过最佳治疗时机。而现在他们只要和医院签一份《住院治疗费用结算协议书》就可以了。出院的时候,患者只需要支付个人医保报销以外的部分,其余的都由医保部门直接支付给医院。”

Jining city health bureau website in reporting on this matter,Also copy the part of CCTV news."In the past,A serious illness or sudden illness of patients need to be hospitalized,Tend to pay several thousand yuan or even hundreds of thousands of yuan for the deposit,But the patient for a while and not his money,Not timely receiving treatment in hospital,May miss the best treatment opportunity.And now they just sign a and hospital[Hospitalization expense settlement agreement]It is ok to.When discharged from hospital,Patients only need to pay the part beyond personal reimbursement,The rest were paid directly by the health department of the hospital."

  “最美误读”当天晚上,刘炳艳“上电视了”在当地引起了小范围的轰动;而这则关于“先看病后付费”的《新闻联播》头条新闻,却引起了全国范围内的舆论争议。

"The most beautiful misunderstanding"In the evening,LiuBingYan"On TV"Caused a small stir in the local;And this is about"To see the doctor before they are paid"the[News broadcast]The headlines,Has caused a nationwide controversy.

  在19日当天的央视新闻报道中,介绍这项始于山东济宁的医改新政,已经成功在全国21个省份开展试点,按照试点规定,享受“先看病后付费”政策的患者包括:参加医保、新农合的病人,无姓名、无陪护人、无地址的“三无”病人,以及病情急重急需抢救的病人等。试点成功后,将逐步在全国公立医院全面推行。

In the 19th day of CCTV news report,Introduce New Deal began in the shandong jining medical reform,Has been successful in 21 provinces across the country to carry out the pilot,According to the regulations of the pilot,enjoy"To see the doctor before they are paid"Including policies of patients:To participate in health care/New farming in patients,Without a name/No person escort/No address of"3 without"The patient,And the patient was in ill need rescue.After the success of the pilot,The implementation will gradually public hospitals across the country.

  很快各大新闻网站在醒目位置挂出了这样一则新闻:据央视报道,卫生部将于今年全面推行“先看病后付费”制度。

Soon each big news site in the eye-catching place of the raised such a news:CCTV reported,Ministry of health in fully implementing this year"To see the doctor before they are paid"system.

  正当人们为这个医疗新举措叫好时,卫生部很快对“全国推行”一事进行辟谣,并明确表态“今年肯定不可能”。

As people to the medical new initiatives,The ministry of health to soon"The implementation of"The rumours,And made it clear"This year must be impossible".

  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,希望这种模式能很好地推广,事实证明也是有可推广和可操作性的,但是也还有一些问题需要解决。

The ministry of health department medical management everywhere long hui had an interview with the xinhua news agency said,Hope this model can well popularized,Facts prove that there is a scalable and operability,But there are also some problems to be solved.

  这位女处长表示,“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。”

The female director said,"To carry out the first payment model pilot after diagnosis",Are written to the ministry of health's annual work again just 2013 points.As for when can achieve,She said:"Unable to provide schedule,This year must be impossible."

  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 advocacy in conditional area to carry out the pilot,but,"To see the doctor before they are paid"In the short term can't promote throughout the country,The ministry of health has never been put forward, too"Fully implementing"The requirements of the."Our social credit system is not perfect enough,The provinces also different reform focus on the current."JiaoYaHui said,"Diagnosis and treatment before they are paid"Mode can only be gradual/pilot,Don't push hard.

  针对此事,新华网于20日推出了调查“‘先看病后付费’,你期待吗?”调查结果显示,截至2月21日13时,共有5550名网友参与了此次调查。其中,有90.9%的网友(共计5045票)认为“先看病后付费”制度是巨大的利好消息,非常期待。大多数网友在表态期待、得知是一场“误会”后,仍然坚持认为这是央视的“最美误读”。

For this matter,Xinhua launched a survey on May 20"‘To see the doctor before they are paid’,Are you looking forward to it?"According to the survey,As of 21 February 13,A total of 5550 netizens participated in the survey.Among them,90.9% of Internet users(A total of 5045 votes)think"To see the doctor before they are paid"System is a great good news,Really looking forward to.Most netizens commented in anticipation/That is a"misunderstanding"after,Still insists that this is CCTV's"The most beautiful misunderstanding".



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