Attend to the fee standard to adjust

Attend to the fee standard to adjust
Attend to the fee standard to adjust
Staff reporter Sun Meng Implementing high-quality nursing, the patient is undoubtedly benefited. But keep the original expenses standard not changing, should guarantee the high-quality sustainable development attended to is obviously very difficult. How could the price adjustment of care let each side accept, it is a very complicated important problem. First grade attends to the fee and does not support the hairdresser's to wash hair once and take tertiary hospital of Beijing as examples, according to the current expenses standard, even if what nurses have already accomplished to the patient is looked after in the whole journey, it is only 9 yuan, 7 yuan, 5 yuan that one, two which the hospital can charge, third grade attend to the fee; Anhui after readjusting the price, corresponding number is 40 yuan, 30 yuan, 20 yuan. At present, the patient employs one and is partial to workers to need between 70 yuan and 120 yuan every day by oneself, it is said this price is " still rising " . While the reporter interviews, more than one nurse is discontended with the thing that the reporter has expressed to charge the low one to attending to. This kind behaves discontentedly fiercerly on the net. Forum that the reporter is famous from some is relevant sees a message while sticking: "First grade attends to the fee of 9 yuan, how much to go to the hairdresser's to wash stature? Housekeeping waiter hour such as each too not only this number? " Many medical organizations call upon, the nursing fee standard made 10 years ago should be adjusted as soon as possible. But the intersection of Ministry of Public Health and the intersection of hygiene and development study Li, reform of central hospital and research room of management, it defends flat professors and colleagues to be yellow and 2 red, find while already finishing attending to the investigation of Jiangsu Province, Anhui Province that the fee readjusts the price, the hospital holds to readjusting the price very prudently. Yellow two red to say in Anhui, to change, charge to be very much urgent hospital, "unless it attend to it readjust the price fee it is one by one been come ward, which finish ward,please watch hygiene responsible institution, dare to adjust through ' confirmed ' the hospital " . Then, can the ward after these readjust the price be equilibrated on the business accounting? Have calculated an account for the reporter in two yellow red adjustment standards that attended to the fee with Anhui Province: One patient in hospital, need, increase, attend to fee by 250 probably 10 day, one 40 inpatient area of bed can increase the income of 30,000 yuan. And the hospital is in order to reach the high-quality care standard, need to increase 4 nurses and 2 hospital attendants at least, can only compensate the increased manpower cost to charge to attend to. A lot of change the hospital charged, say, attend to and charge and only remedy and increase the cost served newly already, the hospital has not utilized nursing fee adjusted to earn money. Reporter interview 8 patient at random in Beijing, 6 live in " attend to the demonstration ward while being good " Patient getting more right to if you can't attend to by fee, readjust the price to express " Can accept " , " it is all right to understand " . Come to BJ Union Hospital to live in from Daqing of Heilongjiang Province " The demonstration ward " Zhao Ms. say: "I, in none of understanding of Beijing, the one that is afraid very much before coming. But not really expected the nurse here is so good. My activity of finishing the operation is inconvenient, 2 nurses, through asking a moment later what I had to need. I am so fat, they support me and stand up to go to toilet each time, it is very pleasant to speak too. They work too hard, it is right that this kind of service raises the price. " It is more identical to attending to the expectation that raises the price that the price hangs a hospital administrator upside down with the cost seriously. They say, present paying price and cost are hung upside down seriously. Beijing Municipal Health Bureau statistics show, at present, the cost that the first grade of Beijing attends to costs 96 yuan each day, and the present charge is only 9 yuan. One know expert managed and run to attend to very well, tell reporters, attending to the cost includes cost and manpower cost of consumptive material. Take intravenous infusion as examples, charge for 2 yuan each time while being current, and according to calculating, its cost is about 18.93 yuan, among them the labor cost is about 12.74 yuan, consumables cost is about 6.19 yuan. "A lot of research reveals, it is not enough to pay the material cost consumed in the course of attending to that the present grade attends to the expenses standard, and should attend to the intersection of cost and the intersection of rate and relatively loud manpower cost, often ignore. " Moreover, in order to guarantee the high-quality level to attend to, the hospital has invested a large number of manpower and material resources more extraly. "In all input, manpower is the major part. " Vice President of Dalian central hospital Qi ZhiMing says, this institute especially pays attention to the high-quality nursery work, specially combine one's own situation to calculate the necessary manpower, financial resources and material resources. According to calculate, want, meet requirements for work, this institute pilot bed of ward protect, up to 10.46 needing. For this reason, this institute specially employs over 200 nurses again, gain 50,000 yuan to calculate every year according to each nurse, only the costs of manpower reaches 10 million yuan. This kind of statement has proved in many ways in the reporter interviewed. Except manpower, some instruments and consumptive material need to increase input, for example rubberized fabric, cotton ball, washing hair machine,etc.. In addition replenish and night shift premium,etc. a sum of big expenditure too to the intersection of first line and bonus, special hillock of increase that nurse slope. Until Li defend, it seems while being flat, the reasonable compensation to the medical organization is essential. If compensate it uncompletely, hospital administrator or limiting nurse's number strictly in order to lower costs, or the hospital remedies and attends to in way to twist of writing a prescription more, checking more etc. " The deficit " . Meanwhile, the undercompensation will cause the brain drain, attend to quality to reduce. The Vice President who a large-scale tertiary hospital executive attended to tells reporters, already twenty or thirty nurses have left this year from the hospital, " this number is more than former years " ,Especially, some are " after 90 " Nurse want hospital and see whether it is these contents working,can't walk directly. Reporter learn attend to project implement, while being high-quality, loss rate of nurse " slightly raise up " than former years many this year such as hospital in interview ,The main influence factor is " The work is too hard, is not respected " . WeiPing Li say undoubtedly in in a period of time to come can influence our country attend to development of undertaking the contradiction. Individual and medical insurance it takes on expenses to be in the the intersection of outlet and reality together, adjust, attend to expense make " effect " Regional still very few. Not long ago, the news that Beijing attended to the fee and planned to readjust the price was fried burning hot, but reporters learnt through interviewing, at present, departments such as this municipal development and reform committees and prices,etc. have not improved the plan of the nursing expenses yet. And Jiangsu, Hebei, Fujian,etc. province that have already raised the price just take " First step of long march of ten thousand li " ,Only Anhui Province has already included this sum of expenses in the medical insurance in the range of submitting an expense account. Is it so difficult why attend to price adjustment? WeiPing Li analyze, think, lack, pay attention to, price different to break through bottleneck in the course to invisible the intersection of labor service and value. She says, " it is costly not to see manpower " In fact not merely exist in the Ministry of Health, this is because our country is still in the transformation period of society, want, solve the problem, need whole society advance the step. "Moreover, price adjustment must pass coordination and hearing of several departments. At present, ordinary people's rise of the price is very sensitive. " Li WeiPing says, in fact, Call upon, attend to fee, it readjusts the price to be in a more cost-effective manner now " The best opportunity " . However, with the implementation serving, the essential service charge is raised, reduce the medicine price at the same time, also just mend the drawback of medicine with medicine for torsion. Li WeiPing says, high-quality attending to is for letting compatriots get more thoughtful medical care, the service cost produced by this should be undertaken together by individual and medical insurance. As the medical insurance is paid efforts for and strengthened, thus it is a correct route to reduce a patient to pay the rate for itself progressively. "Consider raising the basic medical insurance and new agricultural fund-raising standard shut of urban residents and compensating the proportion, will let more people benefit on greater intensity like this. " Yellow two is red says, while appraising a patient's medical financial burden in the world, and not merely pay close attention to the direct hospitalization cost. For example, the medical safety unit of France is while assessing patient's medical financial burden, still consider and delay work factors such as the fee, accompanying and attending to fee, patient nutrition fee and transportation expenses,etc., and give corresponding compensation. If according to this computing technology, the high-quality care makes the patient rely on relatives or engage and protect engineering again, even attend to the fee and readjust the price, can lighten the patient's burden really.


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