The municipal Party committee in Shanghai of Jiu San Society proposes setting up the dynamic hospitalization cost and controlling the system

The municipal Party committee in Shanghai of Jiu San Society proposes setting up the dynamic hospitalization cost and controlling the system
Cable of January 12 of www.chinanews.com Shanghai (Jing Li Jia is good that reporter lets) " the difficulty and high cost of getting medical treatment " Been condemned all the time, at the 11 Session of the fifth meeting of Shanghai Municipal CPPCC held during this period, the committee of Shanghai of Jiu San Society, through to the tertiary unreasonable cause analysis that increases of hospitalization cost of medical organization in Shanghai, propose setting up the dynamic hospitalization cost and controlling the system progressively, is strengthening the management inside the hospital constantly at the same time, in order to relieve this question. The investigation of the municipal Party committee in Shanghai of Jiu San Society reveals, from 2007 to 2010, the tertiary medical organization (regard surveying and studying in 23 medical organizations as the example) of Shanghai The medical all-inclusive cost increases fast, among them emergency call hospitalization cost of the door and hospitalization cost in hospital increase continuously, the increasing degree of the hospitalization cost is obviously higher than the increasing degree of medical care quantity. In the structure of the hospitalization cost, the fee of operation and testing the fee proportion to raise gradually. The expense composition that in hospital, the top three of the proportion is successively fee of material, expenses for medicine and operation fee, among them the fee of material rises fastest. The material of dept. of orthopedics is kept to take all the time above more 60% than within three years. Through the investigation, the municipal Party committee in Shanghai of Jiu San Society thinks, the subject problem that the tertiary medical organization of Shanghai exists is at present, hospitalization cost increasing degree too fast occupying supreme proportion, fee of material occupy most high in the intersection of all-inclusive cost and structure in hospital than in the intersection of door and the intersection of emergency call and the intersection of all-inclusive cost and structure by expenses for medicine. Trace it to its cause, mainly public medical organization leads the adjustment of the policy to adopt and increase the countermeasure of the consumption of medicines in the face of the addition of medicines, by increasing and obtaining the price differential of medicines with quantity, thus make the proportion of the expenses for medicine not lower rising instead. In addition, new technology and new material are while improving the disease diagnosis and treating competence, also promoted the rise of the hospitalization cost to a certain extent. It is in small scale to add a little more medical apparatus and produce the enterprise in circulation more, produce, the links of circulating through many stages of some medical apparatus, asking exorbitant charges, lead to the fact the price is empty and high, thus has aggravated the patient's burden. The data analysis shows, the increasing degree of the tertiary hospitalization cost of medical organization of Shanghai is obviously higher than the increasing degree of medical care quantity at present, also higher than the economic growth level of the same period. The unreasonable growth of the hospitalization cost is to cause the masses " It is expensive to see the doctor " Main reason of the question. The one that particularly merited attention is, while surveying and studying, the municipal Party committee in Shanghai of Jiu San Society finds, the cost of manpower is on the low more side than the high proportion in the expense structure of relevant service item, the inherent structure of the medical service price is unreasonable, the medical worker labour value has not fully reflected in the present medical care pricing system, unable true cost which reflect medical care of the technological service charge of medical organization, the inherent structure of the medical service price is unreasonable, have already become and hindered the medical worker from giving play to and working the important factor of enthusiasm. The medical organization, in order to keep managing, is inclined to " raising medicine with medicine " It come it remedy it is medical deposit revenue and expenditure in gap,thus not last rises fast of hospitalization cost. As to this, the municipal Party committee in Shanghai of Jiu San Society proposes, must control the unreasonable growth of the good hospitalization cost, set up dynamic hospitalization cost progressively and control the system, control the hospitalization cost situation of the medical organization regularly, on the basis of controlling the price of medicines, further strengthen the control to the consumption of medicines, especially norm, management medical organization and the doctor's behavior of using medicine. Propose announcing medical treatment structural hospitalization cost, information such as expenses, number expenses once to the society regularly, strengthen the supervision of health authority and the society. Meanwhile, the government should ensure the public fund demand of every expenses of medical organization, tertiary medical organization of practical compensation " The policy-related losses " With offering the cost of a service of the public health, the government should also strengthen to the supervision injecting capital into, guarantee the governmental input is fulfilled. In order to relieve conscientiously " The difficulty and high cost of getting medical treatment " ,The municipal Party committee in Shanghai of Jiu San Society still proposes adjusting the medical service price rationally, strengthening the management inside the hospital constantly, wait for days to start with from controlling the expenses in hospital and shortening the skill, through optimizing the service procedure, is optimizing the structure of expense constantly, lighten patient's burden.

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