It is pushed open in an all-round way next year that the clinical route reforms

It is pushed open in an all-round way next year that the clinical route reforms
How cure, have regulations to abide by each disease, number in hospital, treat the fee to reduce, the patient needn't worry about the excessive inspection On November 16, the reporter learns from the department of public health of the province, at the beginning of this year, after 4 pilot hospitals and clinical route reforms of pilot hospital pilot project of department of public health of 8 provinces of Ministry of Public Health, in hospital on days and treat the expenses to drop obviously, has received better social benefit. Our province would popularize the management of clinical route in the tertiary hospital and conditional second hospital from next year. Pilot project of going ahead of the rest of this year of 12 hospitals in our province It is reported, in mid-January of this year, Ministry of Public Health stipulates clinical route of 73 hospitals pilot project of 14 provinces in the whole country, the our province one Nanchang university first, second affiliated hospital,province healthcare hospital for women children and last the People's Hospital pilot project listed in in the four hospital. Subsequently, our province is in the children's hospital in the province, chest hospital in the province, fourth affiliated hospital in Nanchang university, first affiliated hospital of south medical college of Jiangxi, Nanchang the intersection of city and first hospital, Jiujiang the intersection of city and first the People's Hospital, Jing De-zhen city first the People's Hospital and the intersection of city and the intersection of the People's Hospital and 8 hospitals, state of Jiangxi, pursue the pilot project. The department of public health of the province requires every city of setting up area to confirm one's own pilot hospital at the same time, one fans out from point to area clinical route reform is pushed open at this point. Why pursue the clinical route reform? According to authoritative figure, from 1978 to the present, ordinary people see the doctor the expenses increase by 200 times. Ordinary people diagnose the illness afraid most now: "Will the doctor give me an excessive inspection? " Implement clinical route make a diagnosis behind the mode, doctor check excessively and unreasonable hospitalization cost control strictly, and overcome these drawbacks to a certain extent. The clinical route reform pilot project of our province has been since February of 2010 beginning, the pilot range is the clinical route of 112 pieces of number of 22 specialities that Ministry of Public Health made, every pilot hospital is chosen a speciality and 2 pieces of number at least as the pilot speciality, the section hospital fixes according to the specialized department characteristic. The clinical route management mode pilot project of our province is pushed open to cut open the palace and produce the cost of hospitalization and can be reduced by 31.6% this years, a lot of patient behaviors of making a diagnosis such as reflecting and in hospital, operation,etc. are more transparent, bear and are lightened too. Enclose the hospital in prosperous sophomore period, the department of general surgery is appointed as the national pilot department of clinical route, the cardiovascular dept.(internal medicine) is a pilot department of the hospital. The whole institute of pilot work of clinical route spreads out from May 1 this year, this hospital draws lessons from or makes the clinical route of 39 pieces of number together. So far, finish 843 cases of clinical route together, enter foot-path rate 91.43%. Average in hospital the sun drops by 2.29 days, the average hospitalization cost drops by 520 yuan. According to the data that Ministry of Public Health announced a few days ago, a lot of diseases were after implement management of clinical route, average in hospital the sun is shortened, the expenses are obviously reduced in hospital. Take senile cataract as examples, is in hospital being dropped to 4.95 days all over the world by 5.74 on average, is in hospital on average the expenses are dropped to 6827.1 yuan by 7063.7 yuan, have dropped by 236.6 yuan. Expenses drop most obvious hospital among them, decreasing amplitude can up to 33.4%, planned to cut open palace produce average expense can be lowered by 31.6% in hospital. The expert says, take appendicitis operation as examples, does not set up nuclear magnetic resonance to check the project in the clinical route for example, if the doctor wants the patient to do the nuclear magnetic resonance, must mark out the reason in the form of making a diagnosis of patient's clinical route, so that the medical quality administrative department will verify in the future. Permitted doctor no " Read according to the copy " Whether will influence the question of doctor's subjective initiative to the clinical route, yesterday, the relevant person in charge of department of public health of the province said: "Clinical route it manages main purposes to be to standardize doctor, make a diagnosis behavior, improve at the basic level medical worker, cure the disease competence, but will not limit patient's healing solution very much. " Permitted doctor no " Read according to the copy " ,But should explain the reason and request for agreement to patient relative. Medical matters JianLin Li, section chief of department, say doctor can go on making a variation to the clinical route according to one's own the intersection of state and concrete condition of patient. Even the same kind of disease, old man, young people are certainly different in treating, even the old man who treats the same kind of disease, there are ones that amalgamate other diseases such as hypertension, diabetes. In saving a statistical report form of the People's Hospital, from March 1 this year to October 17, the making a variation rate of clinical route which treats cerebral hemorrhage is 74%. "Making a variation rate larger disease, it is very difficult for the expenses to drop, but the route should all have the concurrence of the patient family members to make a variation. " The medical matters section chief Xu Zhidans of this institute say. Xu Zhidan says, mainly there are three following respect reasons to the case of making a variation of clinical route appears, first, patient and his relative do not cooperate, refuse to enter the clinical route; Second, some check time specially to need to line up to make an appointment; Third, there is less single number while diagnosing, it is more and apt to make a variation to amalgamate other diseases. On November 16, the relevant persons in charge of department of public health of the province reveal, Ministry of Public Health will start the pilot work of clinical route in 2009, has already issued the clinical route of 112 pieces of number at present, the hospital that has already launched pilot work of clinical route in the whole country has already exceeded more than 200, through preparing and fermenting these years, the above- second -class hospital where our province pursued this pilot project actually has already exceeded 70%, lay a solid foundation for pursuing and standardizing making a diagnosis in an all-round way in our province.

|