Tighten and save money this string

Tighten and save money this string
Tighten and save money this string
Staff reporter hole make quick the intersection of reporter and king continue the intersection of honour and the intersection of spring and ice Deng Liu On February 29 afternoon, in the consulting room of the expert of dept. of orthopedics of PLA general hospital, the son that the straight tape of old man Liu from north of Shanxi Province suffers from comminuted fracture sees the doctor. Old man Liu expect every check expenses hospital very nearly the same with native place unexpectedly: The magnetic resonance is flat to sweep more than 900 yuan, electric picture of more than 500 yuan of skin, has cost more than 1400 yuan altogether, is diagnosed clearly on the same day. Old man Liu says cheerfully: "Spend on the crucial point money at last. " Elder sister Han waiting in this courtyard of departments of cardiovascular surgery says, have suffered from variceally by oneself, hearts also can't bring some more money to see the doctor while thinking of such a big hospital! I had never expected, the doctor only let her make the intravenous ultrasonic inspection of a piece of lower extremities, cost 170 yuan altogether. These patients do not know, in order to let them say sincerely " this money worth " ,PLA general hospital proposed solving 6 actions of the expensive problem at the end of last year and saw the doctor: Mutually recognize the inspection result, valuable to check, examine, check on, pay attention to, use medicine reasonable and cheap implementing drug use ask responsibility make and consumptive material use in the know to agree, pursue number expense checked and calculated. Can use " the millet add rifles " Do not use " The antiaircraft gun " Perhaps some formulations in these 6 actions are unfresh, but PLA general hospital medical Zhang SiBing, division chief of place says, there are a lot of factors of the expensive problem to cause the masses and see the doctor, only according to link of the hospital, should make sure to let patients take a fancy to the disease, live in House of Lords as soon as possible first, through shortening the average expenses that the sun reduced the patient in hospital. Meanwhile, will link the patient's demand closely, do a good job of making a diagnosis rationally, catch repeatedly in checking rationally, using medicine rationally, using the consumptive material rationally etc.. This is not only a behaviour question, but also a medical ethics and atmosphere question, in these respects, the hospital has potentiality to further excavate forever, this job is novel forever too. This Yu QiLin, head of the outpatient department of institute, thinks, these 6 actions, perhaps the patient that medical knowledge is seldom grasped can not see, can't touch, it is even very much difficult to quantize in concrete operation, but an important one is, they have defined a idea for the doctor: Tighten forever to think about this string for the patient, the job is more busily to think about it too, can use " the millet add rifles " The problem solved is not used " The antiaircraft gun " . Yu QiLin says, in order to let the doctor make sure to consider for the patient everywhere better, the intersection of PLA and doctor's income and using medicine, checking expense and breaking off relations general hospital, encourage the doctor to see more patients. It is checked and examined and checked on the system for example valuable, require the doctor according to the rational medical standard, can with check to need the full-length instrument, check right away event generally, it is being above 75% that the positive rate of the large-scale instrument and equipment of this institute has been controlled all the time. Outside the consulting room of the anus enteric department's happy chief physician Wu of general hospital of PLA, arranged 40 patients in the afternoon, the time that he can give to each patient probably has 5 minutes only. Wu Xin says: "It is we, through cultivating the ability to appear for many years for the healing solution of the most valid bottom price of patient selection within shortest time, I have never heard patients complain because of expense at least. " This institute digests the firewood monarch of the head of the department of internal medicine and often runs into patients to hold the inspection result of other hospital to go to a doctor. He says: "So long as the result can be believed, time is effective, I will approve of result of these inspections. Gi medicine involves using treatment of the consumptive material many, a lot of medicines have foreign production only, the price is more expensive, we try every possible means to save money for the patient on injection from injecting, the low priced injection trying hard to submit an expense account with the medical insurance, so alone we can save about 800 yuan for the patient in a piece of injection. " It is difficult to examine the efforts on the issue that be examined and solved and seen the doctor to PLA general hospital expensively, Shenzhen the most of the thoughts and feelings is still an impatient. Live in hepatobiliary auntie Wang of medical ward taking fruiting, she because liver cirrhosis is admitted to hospital when being annual. Auntie Wang studying medicine and coming from says: "Doctor let whom me make check, should make really, medicines that use to can it spends a cheap one to be needn't your too, if use expensive medicine, all obtain my consent. Admitted to hospital this time to cost more than 30,000 yuan, mainly because medicines were only imported, it hardens materials that treats to be and lump-sum to spend not domestic with needle, spend very much normal money the, I know what's what. " In paying in single number, though the medical insurance of Beijing confirms one and gives birth to the price normally it is 1950 yuan, but PLA general hospital is through making great efforts to bring this price down to 1600 yuan, this can save 240,000 yuan for the patient every year alone. In order to let 6 measures be really fulfilled, PLA general hospital is examining upper and lower time. In the words of hospital leaders: It is difficult to operate we want to do, the more it is difficult to examine us to want to examine. For guarantee, use medicine rationally, save the intersection of medicines and resource, PLA the intersection of general hospital and the intersection of crude drugs and write " solve, see the doctor the intersection of administration and your the intersection of problem and serial manual ", direct every subject concretely and use medicine. Such as acute upper airway infection, have defined it diagnoses the basis in the manual, have listed a gleam of, Line two medicine, has written the remarks exactly. For example, the antibacterial medicine stops medicine indication: The body temperature, blood, like can stop medicines normal 3 days - 4 days latering; The simple virus is infected and does not need to treat with antibiotic, but the elderly, the low one of immunity are extremely apt to amalgamate bacterial infection, so can prevent from employing antibiotic conventionally. This courtyard of crude drugs places still list the first 5 antibiotic administration rationality analysis reports about the hospital regularly. Not only lists the names of 5 medicines, face the unreasonable application phenomenon in bed after analyzing these medicines in the report carefully, list the department of the existing problem, and put forward the concrete measure of rectification and improvement. Get rid of, deduct lose ultra the intersection of dosage and the intersection of administration and department, check and rate particularly, crude drugs hold, use medicine lecture rationally regularly also, and written and directed against daily antibiotic usage, pocket book of consumption and bad reaction, play to every clinical department. In order to examine the execution results of 6 actions, this institute has made the conventional tertiary inspection system: The department checks oneself; Clinical department, clinic make up medical quality examination group, case, check the group, check regularly specially; Organ's department organizes the old expert to spot check. As to the inspection result, comment on, notify, department and individual going wrong should be called the roll to criticize per month every week. Will it be 18 - 22 February, institute this stress the intersection of Vice President and Chen of medical treatment, like, lead the hospital 5 inspection groups by XiaoHong, packs of the intersection of political commissar and Zhen He mainly, take site inspection, checks on the net, such ways as the telephone is verified in the capacity of patient, go on person who draw in the net check to the whole the intersection of institute and every, list concrete problem and responsible unit name directly that find check, have made the concrete measure which solves the problem. For example, the question: Some departments check the laboratory test report before not drawing the skill in time after the patient is admitted to hospital, in hospital the realization of the goal on day equally before influencing the skill. Measure: Strengthen inspection, supervise the department to do well Work. Accountability unit: Each clinical department. Short commentary relieve diagnose the illness, need conscious action see the doctor your cause to be complicated while being expensive, want, relieve, can accomplish only according to strength of hospital definitely completely. But if there is not the exerting oneself and leaving, taking action from me of concrete every hospital engaged in medical activity, only expect this question to disappear with the completion of the system naturally simply, I'm afraid it is not all right. Practice of PLA general hospital proves, should relieve this difficult problem, the medical organization should proceed from oneself reality, proceed from the patient's demand and exploit potentialities, really fulfill the idea of regarding patient as the centre. Relieve and see the doctor the expensive really very difficult quantization of measure, but can imperceptibly influence, moist all things on earth silently for the idea that the patient thinks about. So long as the medical organization can overcome various nearsightedness behaviors, so long as every medical worker has consciousness that everything is for patient, making the efforts in power, we can be while making great efforts to lighten illness for the patient, also lighten their financial burden. And this, not merely the large such a hospital of PLA general hospital can accomplish, every hospital only wants to do, should be able to accomplish too.


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