Control the medical fee to increase and start from bit too fast
"Chen Zhu, minister of Ministry of Public Health, specially emphasizes in the report that will control the medical expenses to increase too fast this year, I think this is a light spot. At present, the sharply increased momentum of the medical fee must be contained as soon as possible. " Yesterday afternoon, in the national hygiene working conference was discussed in groups, the bright speech of chief of Shaanxi Province department of public health Liu Shao attracted the sympathetic response of the representative participating in the conference. Much hygiene heads of department and bureau say, accusing of the fee needs making a concrete analysis of, suit the remedy to the case, " the hygiene system should do the thing that oneself should be done well " .
It influences reforming the effect that the expenses increase too fast
"Because a retired provincial cadre's little grandson has a fever to go to the children's hospital to see the doctor, will come down in one day, has not cost more than 10,000 yuan in hospital yet! " Not long ago, when the special topic of the Standing Committee of the National People's Congress inquired the situation report of the medical reform of the State Council, a committee member speaks frankly the medical expenses to increase too fast. This scene has shaken many compatriots through the TV lens.
Chief of Shandong department of public health Bao WenHui says with deep feeling, in fact expensive problem to seeing the doctor during these years, country issue a lot of measure, diagnose the illness individual account for than obviously drop in the all-inclusive cost, but does not lower enough yet. "Obviously, the medical expenses increase too fast, not only damage patient's interests, influence people's impression of medical reform even more. "
"One go hospital diagnose the illness, need 300 medical fee, suppose medical insurance can wipe out 80%, oneself want, bear 60, if wipe out proportion, raise get 85%, oneself need, bear 45 only, individual is very obvious when paying and reducing. But once medical fee increase too fast, rise get 350, wipe out proportion, raise to 85%, individual should still bear more than 50 yuan. " Chief of Hebei department of public health Xin Yang build for example saying, " wipe out proportion, raise by 5 percentage points jointly while being agricultural while being new, need government's very great input. Such big input, perhaps the great prescription of the only quilt has been offsetted quietly. "
Control " the unreasonable and non- natural one " Increase
Yang Xin builds thinking, controls the medical expenses to increase too fast, needs to hold two keys, first, should analyze the reason why the expenses increase, which are rational, which are unreasonable; Second, the expense increasing degree is reasonable, whether exceed social economic development level, people's holding capacity,etc.. The ones that need controlling are " The too fast, unreasonable, non- natural expenses increase " . Lead to the fact the factor that the medical expenses increase is numerous, some are " normal, natural " ,Just as minister Chen Zhu said in the report, including economic development, technological progress, aging population and consumer price index (CPI) Increase etc.; , great prescription that some abnormal, for example unreasonable use medicine is unreasonable check etc.. So, must take many kinds of means to control and increase and suit the remedy to the case.
Someone says, happen in the expenses of the medical organization at present, the urban hospitals and hospitals at county level probably account for more than 80%, community health Center and health clinics in towns and townships only account for more than 10%. Chief of Heilongjiang Province department of public health Zhao honest and tolerant to say medical insurance raise high the intersection of grade and hospital, wipe out proportion constantly, cause a lot of patients to go to the large hospital to see the doctor, bring the growth of the medical expenses.
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