The patient dislikes more unwilling to hand in The hospital says few and calls and loses directly

The patient dislikes more unwilling to hand in The hospital says few and calls and loses directly
The patient dislikes more unwilling to hand in The hospital says few and calls and loses directly
Recently, Jiangsu Province puts out and improves 24 concrete measures of medical care, including improving the clinic and serving, improving the medical care of first aid, improves and serves, strengthens medical ethics and atmosphere and decent practice and builds, improves five parts of contents of service mode in hospital. The service of improving and in hospital, attend to the fee question to extremely introduce and fix one's eyes on about the hospital. The reporter knows, because of factors such as the price cost,etc., many hospitals all hope to raise and attend to the cost, but the vast medical insurance patient is unsatisfied with attending to the fee-collection standard of the fee at present, how about are balanced doctors and patients' both sides attending to the difference that is taking? Attending to the fee includes the category in worker's medical insurance and submits an expense account and becomes the focus that all circles pay close attention to. A The patient is dissatisfied price once is too high to " pay life to accompany and attend to the fee now that the hospital attends to the quality, give, in hospital, get serious disease own economy nervous, and then gratuitous to pay more such first sum of money, really too much to bear! " Recently, the citizens of Nanjing thank the gentleman for reflecting to reporter, from last month, if you want to live in the treatment of hematology of the People's Hospital of Jiangsu Province, it is if you can't pay, last deposit life of 2000 yuans per month not to must get by nurse station,otherwise will not admission procedure. To this situation, thank the gentleman and attend to and charge to hospital and the service quality is unsatisfied with. He says, it is actually nurse's own work that life attends to the work done in fact, but want the patient to pay dues. Standard 90 one day such as first grade, second 60 one day, tertiary 30 one day. Itself, patient of blood, suffer from serious disease, economic pressure very large, but hospital charge, attend to fee, increase the patient bear virtually by force. The reporter investigates to know, at present because a lot of hospitals can not reach the requirement of patient relative while attending to quality, patient relative high salary engage partial to Engineer to solve the realistic problem often. "Frequently, some trifle things can not all call the nurse, we can only try every possible means to solve by oneself. " Nanjing citizen Ms. Wu is in hospital because of the old father, in discontended with the thing that the hospital attend to quality cases, it please partial to workers that there is no alternative, cost 3000 yuan in one month, if the patient is in hospital for two months, relative's financial burden is really not small. Ms. Wu tell reporter whether partial to worker, nervous hand have at present, to partial to Engineer in with low salary cases, continue demanding to rise the salary, if things go on like this, the money that please protect the worker will catch up with the medical fee soon. B It is only an specific case that the school is hurt and wronged to demand to raise the price to cover the deficit and thanked the gentleman, representative of Ms.s Wu, but reflect really in fact it is that a lot of patients attend to the standard to the hospital and attend to all sorts of worry of quality at present. The one corresponding to it is, many hospital personages have a hurt and wronged stomach too. At Jiangsu two Conferences held a few days ago, member of the CPPCC National Committee in Jiangsu Province, Vice President of the People's Hospital of province, doctoral supervisor Wang Shui proposes raising the nurse's nursing fee. Wang Shui thinks, attend to not only require stronger professional lines, technology, also there is a high-level sense of responsibility. But for a long time, attend to the fee all the time in extremely low state, pay and differ greatly with the work of the nursing staff. It is reported, at present, every bed is 7.8 yuan, 4.7 yuan and 2.3 yuan respectively every day that first grade of tertiary hospital, second, third grade attend to, standard after this was raised in 2005. While operating specifically compared with actual cost, there is disparity greatly. The tertiary hospital attends to the price in hospital, can only compensate 10% of the actual cost on average. According to the requirement of Ministry of Public Health, public ward berth and nurse's proportion of the hospital should be 1: 0.4,Though this standard is far lower than an international 1 current: 1,But many hospitals are not up to standard of yet. It is serious and insufficient for nurse to allocate, under the overloading state, work, can only maintain low operation of standard (have an injection and send medicines) ,The work in the scope of offical duty can't be put in place. The relevant personage claims, because it is cheap to charge, cause a lot of hospitals in order to save the cost, can only use one's head on personnel's cost, work out or make up the number with nursing staff not up to standard by compressing the nurse, attending to quality and dropping has become that does not fight for the fact. With attending to the decline of quality, make patient and its relative discontent again, think that it is too low to attend to the cost performance of the fee, is not worth raising the price at all. Reciprocate so, form a strange circle of vicious circle. C Raise the price and include in the medical insurance and go on to the question that the hospital attends to quality and paying price at present at the same time, the method of Beijing and other places is to attend to the fee to raise, introduces the market mechanism and promotes and attends to quality. The Ministry of Health of Jiangsu Province says, according to trend at present, it is the trend of the times to adjust prices, but how to change still in studying. The basic principle is, the implementation of service, control the rising range strictly, and hope to be the reform is combined together to charge with the whole medical treatment. Wang Shui thinks in the motion, the grade attends to and should include to charge in the medical insurance, while respecting nursing staff's value, reduce the patient's burden to the greatest extent. At present, " not accompanying attending to " that is implemented in some hospital pilot projects of Jiangsu The charging item still specially needs to serve and is put on record in the price department, has not been approved by medical insurance department, the nursing fee risen is that the patient pays the bill by oneself. Shui Wang propose, want, realize care price at rationally, enable good care deepen moving forward lastingly at loud aspect, the grade attends to and charges to include in the medical insurance to submit an expense account in the range imperatively. The reporter learns from municipal human resources and social security office in Nanjing, attend to resources to consume relatively more to the old man lying in bed for a long time, the situation of the medical fee with less proportion, consider this part of colonies have not fully enjoyed the material benefit of the medical insurance, so, it is necessary to include these old men's medical attendance fee in the pool of medical insurance. Investigating on this question at present, the preliminary idea is, are being paid according to the expenses of dozens of yuan of a berth of one day by the medical insurance fund, should fully consider the endurance of the medical insurance fund, as well as lightens and effects an insurance conscientiously the old man's individual bear. The statistical data reveal, the old man over the Nanjing city 60 is up to 1,070,000 people at present, accounts for 16.5% of the total population of the household register of the whole city. That is to say, every 6 Nanjing philtrum on average, one is old man. The arrival of the senilization society, " 421" Family structure, it is old that common disease morbidity increase year by year,be let doctors and nurseses old not become by one of more outstanding social concerns. D Expert propose, set up, attend to the intersection of insurance and system until the medical organization attends to the situation that the fee collects at present for a long time, the relevant medical insurance expert provides the scheme too. Professor Lin ZhiFen, social security expert of university of finance and economics of Nanjing, thinks, the government department should strengthen the public input to that medical treatment ensured the respect, ensure the medical insurance demand that the broad masses of the people increase day by day conscientiously, the government department should be while bearing responsibility of public service too at the same time, strengthen marketization, socialized guarantee management level, solve at present multi-channelly, multi-wayly some medical treatment ensures the situation uncompletely. The relevant expert says, should use the successful experience of the western developed country for reference, on the basis of above-mentioned solution, try to set up and attend to the insurance system for a long time. According to the developed country The experience, combine the national conditions of our country, solve the old man of the present middle-aged and old patient and attend to the fee problem, this needs to set up an old person and looks after service system for a long time, comprising: Build and support parents in the service organization appropriately, the government should continue increasing input in this respect, should encourage social forces to set up and support parents in the service organization at the same time, can lose to ensure the old man can receive the care with normal speciality; Set up and attend to the insurance system for a long time. It is reported, France, Germany and Japan use the mode of the social insurance to be set up and cared for and served the social insurance for a long time, U.S.A. uses the mode of the business insurance to be set up and cared for the business insurance for a long time, and the government bears some expenses among them. Author: Wang Qi


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