The wooden medical reform of the spirit perspects a doctor and exceeds 230 yuan and will be frozen the right of writing a prescription treating the expenses every day in the first anniversary

The wooden medical reform of the spirit perspects a doctor and exceeds 230 yuan and will be frozen the right of writing a prescription treating the expenses every day in the first anniversary
The wooden medical reform of the spirit perspects a doctor and exceeds 230 yuan and will be frozen the right of writing a prescription treating the expenses every day in the first anniversary
The system design of the wooden medical reform of the spirit is controlling through the strict expense index, to restrain a doctor and behavior of the hospital, restrain these services once occupying the upper hand in the relationship between doctors and patients because there are position and medical professional knowledge of seller's market from offering the side, in order to prevent public resources from being abused. The wooden medical reform of the spirit will come down in one year, we discover it is a more rational result, whether what kind of result or will appear to operate for a long time this may be what we need to follow continuously next but one year later. Strict the intersection of system to assess and expenses exceed standard, fine high 120,000 the intersection of county and hospital wooden county most loud as spirit most, also the only public hospital of family, the service amount of bearing the about 1/3 of whole free medical care. According to the data which the county hospital provide for our publication, in 2008, this institute will accept 9064 impatients for medical treatment, and 2009, the service that what is 12,000 people enjoyed free medical care altogether is in hospital. The operation in 2008 is 1996, but in 2009, this figure rises to more than 3370, bear the oncology department of critical patient's operation mainly, " from March to December, having opened more than 350 operations, portfolio doubled compared with last year " . The head of the department of tumour builds young tiger to say to reporters. Since March of 2010, god's wooden county has issued 3 adjustment files controlling the index about free hospitalization cost, summarize, come, say, divide layer to be thin, control tight. The expenses presumed last year control the index to grading once synthetically every half a year, score in 55- 94 points, will receive the penalty of different grades, it is at most 120,000 yuan. Under 55 fen, will give a caution to, if continue exceeding standard, will be out. Fixed hospital which participates in free medical care treats equally without discrimination, the new rule, according to the scale of every hospital, one year their own the intersection of operation and expenses, wipe out per person total value, day, medicines account for total the intersection of expenses for medicine and proportion, check the positive rate to divide into 6 grades in hospital last year, verify each examination index per month, over one percentage point fines 2000 yuan. Also listed 10 items and checked and rated the standard to the management of the hospital at the same time, for example bring contents such as medicine,etc. timidly excessly while hanging to the sick bed, light patient in hospital, leaving hospital, each situation in violation of rules and regulations is converted into 0.5- 2, grade once synthetically every half a year, score in 55- 94 points, will all receive the ticket of different grades, it is at most 120,000 yuan. Under 55 fen, will give a caution to, do the inspection at the whole people's free medical care scheduling meeting, if continue exceeding standard, will be out. Control the public and financial fund to be abused and remain the most important task of god's wooden medical reform. Spirit wooden the intersection of county and medical insurance for 2008 it wipes out amount of money to be just 80 million more than, the intersection of free medical care and one year implement, the whole county submit an expense account 149 million totally already, to it wipes out colonies to be agricultural resident among them 93.83%. Life treats the fee and exceeds 230 yuan per day will " shut down " in doing accounts of the doctor In the new specification in 2010, all of the county hospital checks and rates the index and ranks the first grade, per person in hospital 4600, have 600 more than other hospital, in hospital day too than other large one day such as fixed hospital at most. But this does not mean administrator and doctors of the county hospital are more relaxed. Have infectious disease departments as an only home of county, have the ability to make hearts and get involved and treat, represented the hospital of the highest medical level at county level in Shaanxi Province, 4 expenses exceeded standard in checking and rating last year, rank the last but one in fixed hospital, per person expense up to 5200 yuan in hospital, it is 600 yuan higher even than the new quota standard. So county form increasingly strict to control degree inside inside the hospital this year. From writing the case history to write a prescription, attending physician Wang JianGuo and colleagues of he are both restrained by various details, most important among them, the validity spends the economic indicator every day the most too. The county hospital has presumed the ceiling of each patient's cost of every day for each department. Such as ceiling of internal medicine department being 198 yuan, it is the new problem that all doctors should face to do accounts. For control the intersection of expenses for medicine and index, " whether write a prescription it is one one box box that turn on all, several odd even sometimes turn on " . The ceiling of pediatrics is 98 yuan. And what because the oncology department which Wang JianGuo belongs to accepts for medical treatment are mostly critical patients, have obtained 230 yuan of ceiling in the hospital department. These figures are not the assume presentable looks. There is a black computer opposite to Wang JianGuo's desk, the system in the computer links with other departments such as the dispensary of the hospital, the doctors should make the doctor's order for the patient through it every day, drives medicines, then the nurse goes to the dispensary to get it filled directly. This was originally a kind of modernized system which simplified the cost of medical manpower, also undertakes to function as free medical care doorkeeper now - -Expenses over 230s therapeutics to give if doctor one day on patient, computer will stop the right of writing a prescriptions of doctors automatic. "Just the same as the mobile phone owed the fee, have been shut down automatically. " Wang JianGuo says to reporters. Wang JianGuo has already been " shut down " 3 days. The patient who greatly spat blood because it is that because excessive he has met and managed one to drink arises. Quota of expenses collected together on light patient that the king has founded the state that patient has not merely used up this massive haemorrhage, also let the average go beyond the index of 230 yuan per day greatly. Wang JianGuo is suspended therapeutic right falling in the normal procedure by the computer, the account of patient that sets up in the computer is frozen, he can only continue enforcing doctor's right through a kind of system which is named the public window. It is the new problem that all doctors should face to do accounts. For control the intersection of expenses for medicine and index, " whether write a prescription it is one one box box that turn on all, several odd even sometimes turn on " . The rosy clouds of high brilliance of the rising sun of two hospitals of heads of the department of internal medicine are said to reporters. It is powerless to have. Some new supervision strength is put into. In October of 2009, Supervisory Bureau will add into line of defence of free medical care, by a department head - -Li Jie is responsible for this job. Li Jie has been done by one the old supervisor examining the work 16 ages. Li Jie really demonstrates a professional quality of old discipline inspection. He leads the control group under, tough and well-known with the style. "We require impatients to try not to play the bed now, stay in the hospital in 24 hours. And must tape well can prove 4 certificate of identity at any time - -Depopulation, treating the card, ID card jointly, participating in the clause receipt of the medical insurance, lack of one and won't do. " The rosy clouds of high brilliance of the rising sun are said to reporters. In this year, secretary of county Party committee Guo BaoCheng is undoubtedly still the greatest motive force of free medical care. Zhang Bo tells reporters, when the expenses that are made control the index to be broken through again and again by the hospital, also it is leader that have the final say, " park, lose it by fixed position " . In November of 2009, ranking first, 5 index all Daxing hospital that exceeded standard of expense violation continuously stops losing the fixed qualification. The extended supervision network discipline inspection supervisor strengthens the line of defence We appear Require impatient stay in hospital 24 hour, and must tape well can prove 4 certificate of identity at any time - -Depopulation, treating the card, ID card jointly, participating in the clause receipt of the medical insurance, lack of one and won't do. " In the system design that the wooden medical reform of the spirit is initial, how is it common to take precautions against? Try one and shine and scratch lemons to invade Zhyuan's brother �� Chu me and patch up and bring up You ����'s loose spoon to reject crisply and distantly in deep blue? Line of defence of the avenue; First, checking oneself during patient's treatment of hospital, the second is the verification when the hospital treats the department jointly to submit an expense account, third county treat, do in each long 1- 2 inspectors who stayed of fixed hospital jointly, the fourth is responsible for controlling totally " Recover and do " ,This department increasing to 6 people at present will participate in spotting check too. But the spirit is wooden implemented the whole year for the whole people's free medical care since March 1 of 2009 in the county, have wiped out 37,100 patients altogether and is in hospital. Face 37,100 case histories needing to verify, the supervision networks of the wooden county of the spirit show more ideal medical reform of the result and solve the problem and wait to observe god's wooden medical reform and come down in one year, we discover it is a more rational result, but one year later or what kind of result is presented to stand up to operate for a long time? This may be what we need to follow continuously next. The private hospital of the wooden county of the spirit makes a reservation with the identity assuming sole responsibility for its profits or losses, participate in the offering of a public service with the county hospital together, accept the restriction of government's limit standard together. This seems it is not a totally fair starting point, and enough to become some private hospitals and doctor " cause for gossip " in violation of rules and regulations . But whether the puzzle of the medical reform has already been analysed and explained in the supernatural wood, or a question waited to observe. And at the same time, who is the most appropriate supplier of free medical care, the government inclines even more to be " more easy to control " Public hospital. What is meant future to wooden medical reform of spirit of these changes? No matter Zhang Bo as administrator, or Zhang XiuLan as researcher, it is very difficult to judge. Zhang XiuLan says to reporters: "The wooden medical reform of the spirit will come down in one year, we discover it is a more rational result, but one year later or what kind of result is presented to stand up to operate for a long time? This may be what we need to follow continuously next. " According to gt of news pegging of " Sanlian Life Weekly Magazine "; gt; gt; The wooden mode of the spirit had 400,000 people's supernatural wood of Shaanxi to implement " free medical care " in the whole county in an all-round way from March 1 last year . The spirit wooden secretary of county Party committee Guo BaoCheng in Shaanxi Province is to implementation " The whole people's free medical care " The greatest thoughts and feelings have been since more than one year: The people's livelihood is the investment with high repayment. Even calculate " The economic account " ,Government even " Have made a fortune " . It was the doctor accepting covert payment that only suffered a loss. So long as hold common people in the heart, no matter governments or officers, will not suffer a loss. Spirit wooden mode and idea of the wooden reformer of spirit have already been approved. Vice Chief of Guangdong Province department of public health Liao XinBo has said: " Guangdong can totally duplicate god's wooden medical reform mode, implement the whole people's free medical care " .


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