See the doctor and reduce and line up how is the pilot result?

See the doctor and reduce and line up, how is the pilot result?
See the doctor and reduce and line up, how is the pilot result?
Staff reporter Sun Gang takes care of the large hospital of swimming leaderette overstaffedly, it is difficult to ask on the first of Specialist Clinic; Line up many times, waits for two or three hours in the hospital, the real one makes a diagnosis and gives treatment time only has several minutes; The quantity that the chronic patient's prescription often has a few days only, have to come and go many times Combined the scheme of medical reform of Shanghai that will be issued soon, Municipal Health Bureau announced a few days ago, will implement the multiple measures of Huimin in the near future, will comprising: Popularize " a station type is paid " ,Reduce and line up; The chronic disease patient increases the prescription amount, avoid rushing about; Packs of high professional title above doctor must turn on two quite a while clinic, relieve " watch difficult expert " every week . This newspaper puts out the report continuously from today, focus on the promotion situations of these Huimin actions, and ask citizens and the expert to propose how to further accelerate the reform from system mechanism, let the scheme of Huimin be produced long-efficiencily. Welcome the letter from reader to participate in discussing: kjb@jfdaily.com. Register, wait, check, pay, get it filled, according to the common visit procedure, line up in each link of seeking medical advice. According to the data of related departments, explain to the urban member of a nationality and go to a doctor in the hospital of the first, second and third, should arrange team 3.4 times on average; The medical college subsidiary Yan Chai Hospital of Shanghai Communications University has counted, it takes 25 minutes the patient on average for, wait for taking 89 minutes, and the time of going to a doctor is just 6 minutes, that is to say, the patient dawdles in lining up in most of the time of the hospital, there is very little effective medical time. How to reduce and line up? Medical organizations such as the Traditional Chinese hospital of Shanghai,etc. begin to explore " A station type " Pay, still some hospitals try to launch " to see the doctor first, and then pay " . How is the pilot result, reporters have investigated live. " a station type " Arranging for 50 fewer minute, in the Traditional Chinese hospital of Shanghai located in river Middle Road of Zhi, 8 " self-service machines " are put in the clinic hall . View from the point of coming in Baoshan County Mr. Zhong of diabetes, originally think following and lining up to register in the past, the young lady of the guiding doctor introduces voluntarily: "It is convenient with the self-service machine to save trouble again, there is no harm in trying. " Under the guidance of guiding doctor, Mr. Zhong has brushed the medical insurance card on the self-service plane, the instrument reveals the remaining sum of Carney of the medical insurance has already been run out, has pointed out and supplemented 100 yuan with money. He deposits the money half-believing,half-doubtingly, the self-service machine is " vomited" immediately Publish the registration card, and reveal that deducts the registration fee of 8 yuan. Mr. Zhong see the doctor, check, wait for make up a prescription, coming from the helping machine pay by credit card upstairs subsequently, have deducted and checked fee, expenses for medicine right away. Charging the evidence holding, Mr. Zhong fetches to medicine smoothly, he sighs over with feeling: "It is really convenient, check the team paid to avoid at least. " Sun Hong, secretary of hospital, introduces, hospital and bank develop " register the system of charging by oneself " cooperatively ,The amount of money that the patient supplements with money each time is no less than 100 yuan, store to the medical insurance Carney automatically, all pay the project to bale, the last settlement. This kind like on " The mobile phone wallet " If you can't supplement with money, serve,is it large to try by over the past half year and line up on average patient, time reduce 50 minute. With more and more patient selection " Help oneself " ,Lining up to register time shortens to in 15 minutes too. " first try water " Doctors and patients have worried and many it is reported, many hospitals of Shanghai have already begun to negotiate with the bank, adopt medical insurance card, medicine to unite card and even silver and unite the card etc., launch " a station type " Chargeable service. Except " prepay " ,Large subsidiary dragon's hospital of China of Chinese medicine of Shanghai,etc. returns the pilot project " First see the doctor, and then pay " ,Pay off once such as registering, checking, expenses for medicine until making up a prescription; Straight progressively one of Rui Jin hospital " And then pair is made " From specially needing the inpatient area to extend to the ordinary clinic; Some community health Centers of districts such as Changning, Xu Hui,etc. have started the similar service too. The reporter knows, as trying water for the first time, the patients all face the problem of a change habit. Many old patients are used to the cash transaction, " scratch on the card payly " the money Worried. And the patient thought that prepaid it exactly " Pay deposits " ,Afraid the hospital takes this opportunity to overcharge, arbitrary charge. Citizens Mr. Suns say, the remaining sum of seeing the doctor each time has Carney, the other hospitals can't use, fetch with fetching, making us, entangled with very. The hospital has a trouble too. Dragon the intersection of China and SiBo Zhang, Vice President of hospital, say a few patient needn't make up a prescription, finish, check, go away after taking the report, " escape from the fee " The number has already had several tens of thousands of yuan so far. Rui Jin hospital pays after some departments tried, escapes from the fee proportion about 3% too. The fee is scared to quite prepay the amount of money and is fixed on sort of. Six hospitals of doors of market are urgent does to director Tao MinFang and says, institute checks comprehensive Western medicine more, and the medical insurance of different age patients pays section for itself differently, it is more difficult to preserve a current advance amount. In addition, a station type pays and has very high expectations for informationization. The persons in charge of many hospitals say, the hospital should not only invest a huge sum of money to transform the original system, and will consider paying the danger of breaking down systematically. " escape from the fee " Losses are too " The reform cost " "' a station type ' pays and reduces and pays the number of times, line up to have certain function in reducing theoretically, but not completely enough. " Institute Professor Ma Jin says, can draw lessons from the ways of paying of medical organizations of some foreign areas the public health of Shanghai Communications University, the patient does not pay in the hospital directly, but the insurance company mails the bill afterwards, paying links can be all saved. Hinder " a station type " The ones that popularize " The sincere difficult problem " Also easy to solve. The expert says, the whole city of medical insurance card connects, if owe the fee, can deduct while seeking medical advice next time directly. Vice President of Rui Jin hospital Yuan KeJian says, though " escape from the fee " Having let the hospital suffer losses, but the one that has brought the order of seeking medical advice is convenient, the public hospital should bear this kind of " reform cost " . Jin Ma say " if some people owe fee to be numerous, through check and verify, afford really too, prove they belong to the disadvantaged groups, the government has responsibility ' hold the bottom '. " The expert still emphasizes, " a station type " It is still limited to the medical insurance patient in this city to pay, exceed half the hospitals to some patient proportions at one's own expense of other places, it is not obvious to reduce the function of lining up. In addition, except pay links, wait and line up to be a patient in the major part of invalid time of the hospital, popularize and make an appointment as soon as possible the system is to reduce the key of lining up too. If after the urological department of Yan Chai Hospital implements the system of making an appointment, the patient invalid time in the hospital has been shortened by 79%, and made a diagnosis time rose to 11 minutesed. City 9 Tian ZhuoPing, Vice President of hospital, say, in the substandard province and city of Hunan, prepays and makes an appointment and combines together, the patient's medical insurance can supplement expert's number with money and hang on the bank ATM plane when being blocked. Shanghai can further study effective experience, " a station type " Do better.


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