The medical reform pilot Jimo of Qingdao pushes away and lifts newly

The medical reform pilot Jimo of Qingdao pushes away and lifts newly
The medical reform pilot Jimo of Qingdao pushes away and lifts newly
The clinic expenses prepay and make total value, according to the situation of every medical organization, shut the administrative department to confirm newly and agriculturally that compensates the all-inclusive cost every year, does not overspend and mend, the balance is retained for use; Implement time in hospital expenses restrain from and single number prepay by norm, go beyond " the red line " Namely is punished. From today, the medical reform pilot Jimo of our city will pursue and shut the reform of means of payment newly and agriculturally, turn hospital into, control hospitalization cost to be unreasonable to increase for diagnose the illness, save money for citizen voluntarily passively. It says, the reform of means of payment is for solving the problem of excessive medical treatment that Jimo shuts to Qiao XuHui, director of administrative center, newly and agriculturally, let every medical organization check rationally, treat rationally for the patient. "With before hospital is passively been at the request of Ministry of Health been accuse of by fee,patient how much spend, shut the departments to all give and submit an expense account newly and agriculturally in proportion, the hospital has no enthusiasm to accuse of the fee. " It is introduced, shutting the reform of means of payment newly and agriculturally will control the initiative of the hospitalization cost to the hospital this time. According to the scheme, in means of payment of the clinic, Jimo will join and shut to number of people, clinic person, expense index of clinic once according to all health clinics in towns and townships, and accord with the health care demand and increase the factor and estimate out every town clinic of commune hospital and compensate total value, it is overspended and does not mend that the fund undertakes to do a job until it is completed and gives every commune hospital use to compensate the clinic, implement ", the surplus are retained for use, examine regularly, reduce in violation of rules and regulations " . In in hospital at the means of payment, on one hand, the intersection of disease and table and number of peasant obey the location according to the past three years such as the whole city, will diagnose that relatively clear, therapeutic method is relatively unanimous, the treatment difference is not big, it is similar that in hospital days, complication little clinical curative effect and 20 medical the intersection of expenses and lower common disease include in the single number limit and pay and manage as to sure the intersection of 20 and high medical expenses. The patient treats the expenses and goes beyond, is undertaken by the hospital; As to other impatients, pay by norm in hospital, regard the pool fund can use number the base figure to in hospital in 2010ing as, realize the medical organizations at all levels with inflation figured in when prerequisite of the expense zero growth rate once that in hospital in year, confirm one, the intersection of Second Grade and every fixed the intersection of medical organization and will it be the whole year 2011 year times of index of expense and compensate the expense index. The fixed medical organization compensates the expenditure in hospital to exceed total value to prepay standard time, the excess part is undertaken by the fixed medical organization; The funding arrangement of the surplus is used in medical organization to develop. It is introduced, in order to avoid the medical organization in order to save the expenses " scamp work " in the medical behavior ,Jimo city shut every month such as administrative center according to the single number person and pay persons according to forming the newspaper standard to settle with fixed medical organization once by norm by norm while being agricultural while being new, balanced once of quarter, settle account in year-end equilibrium. While settling account, in hospital to the fixed medical organization time the expenses, proportion it is conceited, changing the place of examination rate in hospital, average day such as bed, medicine than, medicine rate of utilizations basic and person growth rate control seven index in hospital. Every fixed medical organization must reach at the same time " Seven is accused of " The index requires, could calculate according to the regulation, otherwise reduce according to the regulation. "Through implementing the reform of means of payment in an all-round way, the goal of this year is, realize clinic time expenses receive effective control, time in hospital the intersection of expense and zero growth rate, the intersection of expenses and actual compensation in hospital than improve get 60% more than, compensate than more than 70% in the the intersection of policy and range current year with inflation figured in. " Deputy Bureau Director of Jimo Municipal Health Bureau mao heaven train, say. (Sun QingWei)


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