Times of an ancient name for China (Chinatimes.net.cn) the reporter states Beijing report
Do a hundreds of yuan gastroscope, clamp of among them one-time vivid check is as high as 168 yuan actually! Recently, because lady of Beijing citizen king is abdominal unwell in Beijing University some hospital did a gastroscope to check, through checking discovery gastric mucous membrane has partial loss, the doctor suggests to take partial vivid check to undertake pathology is checked, for this, on pay cost sheet many one " clamp of one-time vivid check is Bostonian, monovalent 168.3 yuan " .
The check clamp of an one-time work 168.3 yuan, the what sample that it grows after all? Ms. Wang wants to look after all, nevertheless, doctor the demand that Ms. Wang rejected in order to become medical treatment for rubbish.
According to reporter understanding, clamp of one-time vivid check is belonged to medical bad news material, it is the one part of medical apparatus and instruments, exceed with CT, B, the uses equipment photograph such as nuclear magnetic resonance is compared, bad news material is running stores, using up everyday, need to be thrown for a long time.
"Cent of vivid check clamp is mixed for clamp of one-time vivid check but answer pincers of used the check that heat up work, clamp of one-time vivid check should be use below the condition that imposes those who get a patient to agree, after all, a lot of one-time medical bad news material did not bring into cure to protect, compare answer cost of the material that use waste time is higher also. But, in recent years, the attention that cure changes is in mostly mainly do away with ' raise cure with medicine ' above, so, medicine does not increase price, partial hospital nods profit move to medical on bad news material, increased thereby medical the use of bad news material, with come to this enlarge medical treatment income ' denominator ' , so that medical excessive of bad news material is used become ' go regular ' . " the personage inside the job that approachs medical treatment structure is accepted " times of an ancient name for China " when the reporter is interviewed, express, clamp of one-time vivid check is belonged to common medical bad news material, pacemaker, bracket, bone board these prices at every turn by tens of thousands the abuse that is worth bad news material high and excessive examination should be the key that medical treatment superintends more.
Ever data makes clear, in wholesome material, material of high cost cost is occupied than be being achieved normally 559% , some is as high as 80% even.
Bad news material is occupied than be as high as 80% for a time
Cure changes to decide governmental dominant the earliest from 2006, establish a mechanism, want to build the system of medical treatment sanitation that covers the whole people, want to make medical treatment wholesome return to commonweal sex, this concept at that time is lead. But specific carry out rise walk with difficulty.
The reporter passes disposal data discovery, 2006, total cost of our country sanitation is nine hundred and eighty-four billion three hundred and thirty-four million yuan among them, governmental sanitation defray one hundred and seventy-seven billion eight hundred and eighty-six million yuan, individual sanitation defray four hundred and eighty-five billion three hundred and fifty-six million yuan. And this was occupied 2017, total cost of our country sanitation five thousand one hundred and fifty-nine billion eight hundred and eighty million yuan, among them, governmental sanitation defray one thousand five hundred and fifty-one billion seven hundred and thirty million yuan, the wholesome total expense 2018 was close to 6 trillion yuan more.
Ten years, the government was to increase capital to throw really, wholesome total cost also rose our country 6 times, of individual sanitation defray occupy comparing also is year after year drop, but, the acquisition of common people feels still not strong, see a doctor difficult, see a doctor expensive the social problem that still is a widespread presence. Among them, the scale on the high side that sale of medicines and chemical reagents takes wholesome total charge formed our country directly " it is difficult to see a doctor, see a doctor expensive " dense disease.
According to reporter understanding, "Raise cure with medicine " it is the hospital raises fund all the time one of main channel of mode, expenses for medicine is occupied than often can achieving the 40%-70% of hospital income, the expenses for medicine of hospital of area of and other places of Beijing, Shanghai is occupied than taller even.
Till September 2017 bottom, all and public hospital cancels the whole nation addition of medicines and chemical reagents, from this, policy of 60 old addition of medicines and chemical reagents are executed to exit historical arena in our country. Subsequently, increase finance allowance, adjust medical treatment to serve the price to become make up for losing of hospital policy sex two main channel. The development that changes each policy as our country cure is advanced, be aimed at medicines and chemical reagents, from public hospital concentration is purchased current " two tickets are made " , arrive again 0 poor rate, medicine occupies terminal to accuse than fathering, the standard is reasonable wait for act with medicine cogent be born, drug expense fast growth gets apparent keep within limits.
However, the trend that compares be issued to lower levels is occupied to fall in medicine of a lot of and public hospital, accompanying the Qi Sheng estimating value of project of of all kinds inspectability however, cause medical treatment to serve expense growth is rapidder, material of the bad news in service revenue of 100 yuan of medical treatment is occupied do not fall higher than residing, and the original intention that this violated cure to change apparently.
"We are one-sided only is broken besides raise cure with medicine, public without change our country hospital wants the system mechanism of assume sole responsibility for its profits or losses, together with government is lower and lower to the finance investment of the hospital, for this, reducing medicine to occupy carry out medicines and chemical reagents than reaching the whole nation after 0 addition policy, need of hospital losing part fills from other way come back, among them, promotion bad news is occupied comparing is ' gratifying will be inexpressible the measure of ' . " afore-mentioned personages express, after doing away with a medicinal material to raise cure, many hospitals were immersed in through excessive examination, raise bad news material to take the situation than raising cure, in wholesome material, material of high cost cost is occupied than be being achieved normally 559% , some is as high as 80% even.
Ever had media coverage, a factory price is less than 3000 yuan bracket, arrived on patient body be about to sell 10 thousand money the left and right sides, have the support of some of entrance, can sell even more than 20000. Arrive from manufacturer patient, the price broke up 3 times to decuple.
Besides bracket, still have more exaggerated. Nanjing ever had appeared day price screw, what use in an orthopaedics operation is medical screw, market price has more than 60 money only, but the quote of manufacturer is as high as more than 1500 actually, it is more than 20 times of market price.
Price of material of medical treatment bad news cannot " accused "
In medicines and chemical reagents 0 addition are carried out in the round hind, the price chaos elephant of medical apparatus and instruments begins to highlight, medical the target that bad news material became monitoring of next focal point.
In July 2017, 9 ministries and commissions combine dispatch, the decision spreads out inside countrywide limits special in the light of medical the associated punish of bad news material acts. At that time, former state defends a committee of planning to ever asked each medical establishment needs to take waste time than (medical bad news material the per cent in income of 100 yuan of medical treatment) control is in 20% , it is OK that aim is a hospital " use less expensive use only right " .
But actually, different hospital bad news is occupied comparing is different. Hospital level is higher, the operation that have is more complex, use bad news material is opposite also high end, bad news is occupied than general taller also, and the cure that lesser hospital often assumes common disease, more is low cost is used up. The bad news of each section office is occupied comparing also is different. For instance general surgical department can be achieved 25% the left and right sides, ear-nose-throat is in 78% , diabetic hospital is small; Division of orthopaedics, hemal surgery, rachis, old blood vessel, proportion is very high.
"One knife is cut " is as a result, when annual bottom, more public hospital is passed medical material of operation bad news is restricted to use, affected patient treatment.
Original, public hospital falls to finish bad news task, can purchase through concentration on one hand, chop the method such as channel of valence, cut supplier to reduce bad news material to purchase the value to the supplier directly, also can strengthen control on the other hand medical the use management of bad news material, for this, see to ranking inspection team allows when assessment end of the year " beautiful number " , partial hospital carries share of out of service even medical bad news material " assault charges fee " formal control bad news is occupied compare fall cost index.
Come so, bad news is occupied comparing is to fall, also reduced patient burden, reduced cure to keep expenditure, there is no lack of good original intention, but affected medical treatment order, not be be apt to apparently treat lift.
Be in then in March 2018, in national Wei Jian appoint combine 5 ministries and commissions to release " do away with the announcement that deepens public hospital to be reformed integratedly continuously with achievement of medical filling medical service about consolidating " in clear, refine index charging fee decompose every hospital, do not do " one knife is cut " . Occupy compared computational formula according to bad news, differ besides different hospital index, price of bad news material and hospital income structure also are bad news takes one of compared payoff, this and the act that in recent years the country asks lumber market collects bad news to depreciate and raise medical treatment service revenue are photograph echo. In the meantime, placed the key domain that cure deepens to change after was being reached 2018 and crucial link, put forward clearly among them, should carry out high cost stage by stage medical purchase and sale of bad news material " two tickets are made " .
Medical bad news material " two tickets are made " it is to show by medical apparatus and instruments manufacturing company opens bill to management enterprise, management enterprise opens bill to medical establishment.
Besides, nearly 20 provinces such as Fujian, Anhui, Tianjin, Beijing, Shandong, Ningxia, Guizhou, Hubei, Guangdong, Jiangxi, Jiangsu, Guangxi, Hunan, Liaoning, Sichuan, Xinjiang (municipality directly under the Central Government) announce to cancel medical addition of bad news material. Among them, fujian, Tianjin, Guangdong, Sichuan, Xinjiang, Liaoning already was started in the round cancel medical addition of bad news material, anhui, Shandong, Hubei, Jiangxi also has partial area and hospital to begin to carry out cancel medical addition of bad news material, beijing will be reformed at this will be being carried out since the middle ten days of a month in June 2019.
"In fact, material of medical treatment bad news is abused, the price is high the key that is processing, but not be those who say all prices are high is OK regard as unreasonable and one knife is cut, after all of material of medical treatment bad news choose, with medical treatment technology and service closely related. " afore-mentioned personages express, medical bad news material cannot be passed " charge fee " accused, the rational regression of this kind of price still should rely on the market finally to compete, in the meantime, what material of the bad news in enhancing processes of pair of hospital medical treatment uses is daily supervise.
