Can children's charge for clinical operation or price increase be included in the reimbursement range?
Shun Net - Ji'nan times
18 days, the National Health Planning Commission and other six departments said, for children's clinical diagnosis of biopsy and exploration The medical service items, which reflect the characteristics and value of the technical services of the pediatrics medical personnel, should be higher than the standard of medical service charge for adult medical service and include the coverage of medical insurance according to the provisions.
a stone stirs up a thousand layers of waves. In this regard, some parents said that in the outpatient department of Pediatrics, medical insurance is not reimbursed, only hospitalized can be reported, which means that the child is more expensive after the doctor? Also a pediatrician said that the cost of diagnosis and treatment, the cost of surgery is welcome, but the cure is not the cure.
the actual pediatrician needed a greater risk of operation
19 morning, the outpatient department of the Shandong children's Hospital, the infusion area and the waiting area were filled with people. In front of the infusion table, the parents of the children were in a long queue, and the nurses had one after another for the children. It's been a long time. It's not our turn yet. Ms. Liu, a resident of the hospital, told the reporter that her child had been coughing recently and had been transferred to the hospital for a few days at a small hospital. According to the introduction, every pediatric sitting doctor receives seventy or eighty people a day, and the workload can be imagined.
reporter saw that in the process of pediatrician prescribing, the computer system would always jump out, please enter the dialog box of children's weight. In this regard, the doctor told reporters that unlike adults prescribing drugs, each child's dose varies according to body weight and dose. Therefore, when they prescribe medicine, they should have an abacus in their heart, and accurately calculate the dose that children should take.
is not only the trouble of opening medicine, pediatrics is called.Amp; lsquo dumb.Amp; rsquo, children can not express their illness, more need doctors have profound experience and patience, more time than to adult medical treatment. A pediatrician who didn't want to be named was introduced.
not only in the out-patient clinic, usually to the operation of the child also need to take greater risk, because the child's condition is characterized by rapid change, dangerous condition. Moreover, compared with adults, organs are more delicate. For example, arteries and veins are much thinner than adults, so it is more difficult and risky.
the embarrassing domestic paediatric medical technology service charge was reduced to
but compared with high risk and high intensity work, the pediatrician's income was not ideal and was in the deficit section. Who wants to work in pediatrics, the most productive work and the least money. Adults in other departments have outpatient medical insurance, and the price range of prescriptions is larger. The children do not have out-patient medical insurance, parents of children are their own money, slightly expensive drugs, parents have opinions. The medicine is less and the examination is less, so in general I will be less than 1000 yuan less than other department doctors, and sometimes there is no bonus, not to mention the medicine and the examination. The other pediatrician at the third hospital said.
income is not directly proportional to income, resulting in a lack of pediatricians for a long time. The pediatrician told reporters that the cost of drugs was low, so the income of pediatricians abroad was mainly charged by medical technology services. In China, medical technology service charges have been artificially depressed. For example, the Department of pediatric inpatient rounds, a professor, a doctor and a resident doctor to check out a patient's house, as the adult charge, only receive 3 yuan per day in Hongkong, the rounds of adult patients are 1000 Hong Kong dollars, paediatric patients receive 1300 Hong Kong dollars. And in China, the cost of surgery or examination is a standard for adults. According to the current national conditions, the pediatric diagnosis of one or two a hospital has been raised to 20-30 yuan, and 30-50 yuan for the pediatric diagnosis of the third one is the bottom line of the pediatrician.
can the children's outpatient clinic call for reimbursement of
in addition, the voice of patients to raise prices can not be ignored. Reporters learned that at present, in the outpatient department of Pediatrics, no matter how much the cost of medical insurance is not reimbursed. Only hospitalization will be reimbursed, the starting line is 1000 yuan, excluding self service expenses, and the reimbursement ratio is 55%. Doctors really work hard to raise money for doctors. It should also be a policy bias for the state and hospitals, instead of transferring costs to patients. Mr. Huang said.
no matter in the outpatient or in the hospital, the burden of treatment for the public should be aggravated by
the first situation
the burden of the examination fee rising outpatient is aggravated by
Xiao Ming because of the cold fever to the outpatient department of Pediatrics, the blood routine examination in the outpatient is high, and the medicine infusion treatment needs to be treated in the door consultation. Under the existing medical insurance policy, Xiao Ming is unable to reimburse for the inspection fee, medicine fee and treatment fee in the clinic on the clinic. If the inspection fee and the cost of diagnosis and treatment are rising, it is bound to increase the burden of medical treatment.
second cases,
operation or invasive exploration, self payment will also increase
if surgery or invasive exploration in Xiaoming is included in the medical insurance project, the cost after the price rise is also reimbursed, but the increase in the total amount of hospitalization will also bring about the increase in the rate of reimbursement. The increase in the cost of the patient's self payment. Therefore, there is a public appeal that we hope that while the price increases, the medical insurance policy can be adjusted accordingly, and the burden of patients should not be aggravated.