The clinical route standard pursues the blockage tightly and severely The doctor proposes the number dilatation of the range

The clinical route standard pursues the blockage tightly and severely The doctor proposes the number dilatation of the range
As a part of operating mechanism reform inside the public hospital, the clinical route is in (Jinan) Some hospitals in the provincial capital have already lasted one to two years. Recently, the reporter visits several hospitals, the doctor tells reporters, because the clinical route standard is too strict, most a certain disease patients are unable to use " The standard " Treat. And whom some standard presume check project too much, think, protect hospital and doctor really, but for patient, have spent more money. 4 people in 10 people Accord with right away getting fine standard " doctor diagnose the illness before, lean to on personal behavior a bit, totally cure the disease according to one's own mode of thinking, there are clinical routes now, the country has made various standards well, we must come according to the standard strictly. " It is in his eyes that surgical associate professor of treatment Liu GuoQin of intestines and stomach of central hospital of Jinan summarizes with a word " The clinical route " . But there are actually few people really using it. It is reported, about more than 2000 people in the whole Jinan have used the clinical route to treat, this figure is not high. This it includes clinical number of route in to be number relevant, in Jinan, this city central hospital include to have 52 disease clinical route in, there are 20 kinds of Jinan city fourth the People's Hospital. In addition, there are really too few patients really according with clinical route treatment. The central hospital pediatrics attending physician Li Feng of Jinan tells reporters, include at mycoplasma pneumonia of child of this institute in management of clinical route, "four or five are very good that 10 pieces of mycoplasma pneumonia can be entered. " The purpose of letting the patient spend less money implementing the clinical route in the country is for standardizing doctor's treatment to help doctors and patients to communicate, help doctors and patients to communicate, reduce and spend. While interviewing, the reporter knows, the patients implementing management of clinical route all spend less money more or less. "In January - September of this year, 120 expenses using the clinical route to treat of our academy are compared and does not enter the route, the per capita expenses can probably lower 1000 yuan. " The central hospital pediatrics attending physician Li Feng of Jinan says. The pediatrics director Xing Li of the People's Hospital of Jinan city fourth tells reporters too, using clinical route treatment, can generally save 10%-15% on the expenses. "The expenses are basically controlled within 3000 yuan. " Live in the hospital about the clinical route patient, such as his disease accords with a certain clinical route to manage, the general doctors will all be admitted to hospital him the first day give him a form: Inspection, treatment, medicines kind of use that are done in a few days, every day that this form indicates a patient very clearly to need to be in hospital, operation to it uses general anesthesias to be still office rough, etc. This " street map " Make the patient clear to doctor's behavior, even there is a understanding to the expenses on the whole, the hospital kids patients. The doctor proposes the range number of clinical route needs dilatation While interviewing, the doctor tells reporters, the implementation of the clinical route is really that the norm treats, reduces a patient and spends better measure, but the new discovery investigated with epidemiology, and clinical feeling, they propose expanding one number patient of clinical route and implementing the range, and expand the number number. The reporter knows, the implementation range of the clinical route of pneumonia of mycoplasma is a crowd 5-18 years old at present. "In the past, really the child over 5 suffers from much pneumonia of mycoplasma, but the epidemiology investigation during these years has revealed recently, the child some about a year old, it was many that three -year-old two caught mycoplasma. " Xing Li tells reporters, in fact in one year, the patient of bronchus pneumonia of pediatrics can account for 70%-80%, propose bringing bronchus pneumonia into number of clinical route too. Some are checked very much " Strict" Can set up " The economic scheme " "Some patients of our's economic ability is not strong, some are checked, we think that it is unnecessary to check so much, or must use the magnetic resonance. " Some doctor said. Yu AnZhong is trying hard to save money for the patient in consideration too. "Acute the intersection of heart and involvement of stem treat, within clinical route require 24 hour, check one myocardium mark every 4 hours, check for 5-6 times continuously at least. It is more than 200 yuan that this checks once and charges, come down on more than 1000 yuan five or six times. Our method is, if this patient has steady condition, we will check myocardium mark once while coming to the courtyard, checked once again 24 hours later, just more than 400 yuan, saved seven or eight hundred. " But he says, if the patient has unstable condition, will fluctuate relatively largely, there will be much number of times checked. (reporter Yang Fang)

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