Healthday: public hospital medical bills are as low as possible

Source: healthday

        In the public hospital be in hospital, each patient's average medical costs for $7101.8 charge of be in hospital declined, but outpatient fee risen slightly, rose 0.3% year-on-year. 12 and the department of health announced this year the country level 2 and above public hospital of cost control, the result show that public hospital outpatient service and be in hospital costs for 4 years in every year rose 5%, after the first drop in five years. But because of the price, medical treatment service price and other factors, the second half of this year could still rising medical costs. (October 13, "the Beijing morning paper")

        Level 2 and above public hospital in medical costs continue to rise after four years, the first drop in five years, for those who feel a doctor your problems and even seriously ill, often also dare not to hospital for patients, it is encouraging news. But, sure someone will question this from official of statistics and public feelings with discrepancies, think of public hospital fees low enough, and then give some yourself or know to public hospital to refute the experience of public hospital medical expenses of the decline of the conclusion. Because all hospital fees standard is uneven, therefore, to use some individual patients experience a public hospital medical treatment to judge the overall medical expenses increased drop situation actually is not reality.

        But, the public hospital medical service project fee standards and drug prices actually is completely open, also very convenient to view. The public can be found, although public hospital medical treatment charge all project standard is differ, but many medical service project price for years, or even more than 10 years but not done adjust, or adjustment of the little of the situation is the same. This is perhaps the severe inflation in the present situation, cause secondary and above public hospital medical expenses of the decline of the main reason for the first time. So, through the administrative price fixing methods to control level 2 and above public hospital rising medical costs is feasible? You know, in the second class above public hospital operating costs, the government investment accounts for only about 10%, or even less. If not in time to get financial allowance, medical expenses will be affected down public hospital survival and development.

        A few days ago, the media have reported of a heart surgery necessary drugs, fish is a serious shortage of pure protein. This drug shortage caused serious consequences, many hospitals have all put off or suspended the such heart surgery, and those to be surgery patients with heart disease of life and health is also threatened by... People are starting to ask, why are used to help the drug will be out of stock? Originally, because the price of the drug in more than ten years not adjusted, has the production of medicine enterprise qualification of this medicine production not only to be unprofitable, but will also bring losses. So, in order to reduce and avoid losses, medicine enterprises can even the drug production production. In fact, some medicine for low pricing and medicine enterprises of production, the production is not alone, but a very common phenomenon. Just, fish of lean protein to this medicine because there is no other alternative medicine, it is heart disease surgery necessary medicine, its break goods are a threat to the life safety of patients, so they caused the media and the public interest.

        In fact, the medical service project price long-term not done adjust, the medical staff of labor value be underestimated badly, and twisted, medical industry to the negative effects of certain drugs than low prices also is opened. As is known to all, the medical service fee standards formulated by the health administration department, commodity price departments for approval, public hospital itself on medical service rate is no pricing. However, many in the medical project fee standards or not adjusted for more than ten years, or the human cost of medical personnel seriously underestimated. For example, the registration fee, the operations of the domestic it is too low, usually a chief physician of the registration fee is only a few yuan, a difficult surgery its operation is just a few hundred dollars. No wonder the domestic doctor will often bemoan its own technology, knowledge is not valuable. In this case, many in the medical institutions have no ability to provide natural doctor fair compensation and other treatment.

        And, apparently, the medical service and drug pricing mechanism stiff, pricing not reasonable and can't really make patients benefit. For example, drug pricing is too low, it will inevitably be low-cost drugs disappear. The medical service fee standards is too low will appears unavoidably to raise medical hospital medicine, medical personnel working enthusiasm setback, excellent medical talents such as many loss not normal phenomenon. The rigid, not reasonable medical service, drug pricing mechanism if not timely correcting, will eventually result in benefits also is not guaranteed. In the final analysis, although medical service and drug has some particularity, but they will is a commodity, also has the goods of common attributes, nature is to abide by the law of value of the goods. Therefore, its price is not decide as low as possible.

        Visible, just through the administrative price means to control public hospital medical expenses growth is it won't work. To effectively will public hospital medical bills growth control in reasonable level, and a set of labor value can reflect the medical staff of the rational and effective medical service and drug pricing mechanism, is a priority. Of course, the implementation of the premise condition is the government to level 2 and above practically strengthen public hospital investment, improve the public to enjoy medical treatment safeguard, effectively reduce patients of the medical conceit ratio.

        ZhangHaiTong (doctor)