Prices for good service People benefit from medical with dignity

Time: 2017-04-12

Source: China's traditional Chinese medicine

Author: Huang Bei Liu Su Chen meter wisdom

On April 8, the state administration of traditional Chinese medicine department of qing-bin meng (third left), deputy director of Beijing municipal administration of traditional Chinese medicine YuZhen (second from left) before a row to wangjing hospital supervision reform. Our reporter Liu Su/taken

On April 7, Beijing medical workers a sleepless night.

On April 8, Beijing medical comprehensive reform, the curtain went up separately. China academy of traditional Chinese medicine hospital gate in 30 seconds system switch, 0 0 am 49 seconds, the emergency department for patients with Mr. Liu the hospital reform on the New Deal after the first booking form.

The reform in the New Deal, to set up the medical service, medical service price and cancel the drug addition simultaneous three things, from the system design aimed at medical institutions, to reduce profit profit on drugs, standardize medical service.

Reform the New Deal implementation in 3 days, the patient's medical experience? To see the doctor of traditional Chinese medicine will increase the burden of? Significantly enhance hospital income will there be? In traditional Chinese medicine industry will produce what kind of impact? Reporter to solve these problems, many hospitals carried on the thorough investigation visit.

Hospital income structure changes

Registered difficult has been one of the \"tank\" to the patient, healthcare reform after the registration fee to become things of the past. The reform in the cancellation of drug addition, the registration fee, fee based on the new set up medical service, medical service fees according to the hierarchy of medical institutions and experts of 20 ~ 100 yuan fee, because medicare fixed expenses, patients in the general outpatient clinic, in level 3 only pay 10 yuan, medical institutions in the secondary medical institutions pay 2 yuan, in the primary and the following medical institutions only 1 yuan.

The reform of traditional Chinese medicine (TCM) for 96 service project price have been adjusted, including ordinary acupuncture changed from each $4 to $26; Moxa roll moxibustion treatment changed from $4 to $30; Ordinary cupping therapy changed from every time 3 yuan RMB 18, commonly used mostly non-drug therapy of traditional Chinese medicine was incorporated into the pricing and coverage.

And at the grassroots medical institutions are more cost-effective price. \"New ordinary outpatient medical service, health care cost 1 yuan, after I had 60, 1 dollar also forgave.\" On April 8 in the morning, the aunt in fangzhuang community health service center regions, said the doctor of traditional Chinese medicine outpatient service outpatient service also increased the weekend, a doctor time was more flexible, community commonly used medicines have, later need not to need to run large hospital drugs.

Fengtai for medicare patients over 60 years of age are exempt from the general hospital outpatient medical service of the community self-paid part, this part of the patients don't have to pay directly to the doctor.

\"This reform, we adjust fee charged with 'price, quality, and the bat' as the main line, formulated and issued standard medical services of traditional Chinese medicine, proprietary Chinese medicine, Chinese medicine yinpian clinical applications, improve the service and improving the measures of the basic services of traditional Chinese medicine of traditional Chinese medicine and other relevant supporting documents.\" Beijing municipal administration of traditional Chinese medicine TuZhiTao said that the New Deal to strengthen comprehensive regulation and control unreasonable medical expenses increased, the overall improve the services of traditional Chinese medicine, to enhance the people of the acquisition, the hospital income structure will produce change, promote the sustainable development of the cause of Chinese medicine.

After that speculation after New Deal execution hospital income will increase greatly. In fact, many hospitals, head of the medical department, told reporters after the reform of traditional Chinese medicine hospital income structure have great changes, the total amount of basic stability, stable even in the fall.

To the traditional Chinese medicine person playing a shot in the arm

Reflects the technology of TCM service value and play to the characteristics of traditional Chinese medicine of TCM hospital, was regarded as the health the most important significance of the development of TCM industry.

This year will graduate from Shanghai university of traditional Chinese medicine injection push professional classmate liu told reporters that his classmates in his job when the choice, the hospital is no longer a choice, some even prefer to health care institutions when the massage.

Huazhong university of science and technology, medical and health undertakings development, according to a report released last year, the character of the traditional Chinese medicine in our country has not been fully play, most of the traditional Chinese vigorously introduce project equipment, the introduction of surgery, doctors began, from the perspective of the western medicine biphasic geared to the needs of patients, characteristic advantage of traditional Chinese medicine face challenges.

\"Cheap service charge of traditional Chinese medicine, causing prices to deviate from the value and economic laws, dampened the enthusiasm of the doctor of traditional Chinese medicine, caused the industry talent westernization is the adverse impact of the loss and even hinder the development of traditional Chinese medicine hospital.\" Chinese folk medicine research and development of traditional Chinese medicine association, Chen no yoga in an interview with reporters, said the pricing can preliminarily reflect the technology labor value of TCM, transfer the hospital and the doctor of traditional Chinese medicine of traditional Chinese medicine services enthusiasm, make the characteristic of traditional Chinese medicine therapy can survived in TCM hospital, strengthen the characteristics of traditional Chinese medicine hospital of traditional Chinese medicine, TCM are a shot in the arm.

\"The adjustment of traditional Chinese medicine service price, is endowed with the doctor of traditional Chinese medicine value and dignity.\" Beijing acupuncture combined Chinese and western medicine hospital doctor Liu Pan work tells a reporter, \"we used to charge is low, can give a person a kind of illusion, low-tech unconsciously let us short half in front of western medicine, now finally can stand erect, and confident!\"

Adjust the service price of traditional Chinese medicine, not only is a doctor and also got the support of the vast majority of patients and understanding. \"Acupuncture and massage service charge relative to the doctor of traditional Chinese medicine techniques such as value is really low, pricing is reasonable.\" Is hospital of China academy of traditional Chinese medicine acupuncture and moxibustion acupuncture treatment of aunt Chen told reporters. Acupuncture treatment in ophthalmology hospital of ms Ann feel the same way, the acupuncture and moxibustion for mark-up on her accept scope.

\"We're more than a decade cold window study hard, and in normal hospital received standardized training, the last service fee is not as good as in the treatment of foot bath town of common technician.\" Acupuncture Dong Feng hospital doctors said, the doctor of traditional Chinese medicine service value is too low, technology value is not reflected, is always a pain in the neck of the doctor of traditional Chinese medicine. Some services of traditional Chinese medicine is far lower than similar project pricing, society and even below cost, including the Chinese massage technique. Cervical massage therapy technology, for example, the seemingly simple but have a higher risk, with high technical content, service content is higher, but in front of the reform, a massage therapy on cervical spondylosis is only 25 yuan, beauty salon and other social institutions was much higher than similar health service pricing. Again such as acupuncture, Beijing after acupuncture pricing at the lowest level in the country, the adjusted price of acupuncture and moxibustion program in the country is still not high. Previously, shenzhen, changchun for a number of traditional Chinese medicine medical service prices have been adjusted, changchun normal acupuncture needle five points is 15 yuan, increase a point charge 3 yuan each.

Spend less money more transparent

Reform on the eve of the Beijing hospitals MenZhenLiang a sharp growth, worry that this may be related to patients after reform is associated with increased health care costs. In fact, after the reform patients generally reflect had significantly lower drug prices and check the cost, its overall cost also reduced.

Won't have too big growth of spending, \"patients and should be dropped. This is mainly influenced by large check cost down, cancel the drug addition superimposed effect of the factors such as the.\" Beijing first combine traditional Chinese and western medicine hospital, vice President of Yang Shunli told reporters.

Journalists access to information found that after the traditional Chinese medicine services charge rules are forming in 1999, and in the next 18 years, Beijing's social and economic and medical consumption and national income has changed, the hospital of artificial and consumables such as operating costs have increased significantly, 4 yuan a acupuncture is cannot cover the cost. So most hospitals will by charging cooperate with other non drug therapy, such as electric acupuncture, cupping, improve curative effect, pay, more part of the hospital to set up the \"package\", mandatory fees, derivative mess.

Ms wu is cervical spondylosis of the old and the sick, and she said to the reporter, after she a famous 3 armour hospital treatment when they met in the situation of the \"package\" charge. \"The other day I neck uncomfortable, just want to do a traction to relieve the pain, but the hospital gave me a package, there are tow, 4 items of physical import, cupping and massage service, charge together.\" Such a way to charge for ms wu was very confused.

Non-drug therapy of traditional Chinese medicine fees become more sunshine, transparent. Pricing rules for acupuncture, massage and other services for the Chinese medicine is more meticulous division, is divided into the common acupuncture, acupuncture service special gimmick, clip ridge needle acupuncture therapy 29 small projects, and general electric acupuncture therapy, special technique of acupuncture, special acupoint acupuncture will not stack with common acupuncture treatment fees. The project name, fee standards, and connotation of the project will be reflected in the charge list.

To regulate traditional Chinese medicine health care services, proprietary Chinese medicine, Chinese medicine yinpian clinical application, strictly control the cost growth and non-drug therapy using frequency, the Beijing municipal administration of traditional Chinese medicine issued documents require medical institutions to establish a system for the authorization of non-drug therapy in clinical application, the implementation of dynamic monitoring, extraordinary warning on non-drug therapy, non-drug therapy application into the city health monitoring indicator, hospitals in file spirit developed on the basis of the detailed rules for the implementation. A doctor revealed he's in hospital for a single treatment, acupuncture in not more than three non-drug therapy projects, the massage is adopted less than 2 non-drug therapy projects.

Some doctors, pricing measures really can largely reduce the burden of patients, but will also be tying the doctor's hands. \"Such as acupuncture when I do, do with four or more items together can reach the effect, some patients with a variety of disease at the same time need more than two kinds of proprietary Chinese medicine treatment, hope to be able to add a bit of flexibility in pricing in principle\". Strict pricing measures have also been according to the actual circumstance of nearly two days of hospital work for fine-tuning. As of press time, the doctor says he has been informed of the latest according to patients' diseases and complexity, the doctor can appropriate increase in proprietary Chinese medicine prescription on the number of varieties, more than three patients with disease, proprietary Chinese medicine species can relax appropriately, but not more than 5 kinds.

According to TuZhiTao, currently in Beijing hospital health care work continues to advance, the desired effect of the quality cost has preliminarily revealed. Reform the New Deal can solve the problem of \"difficulty and high cost of the doctor\", promote the development of Chinese medicine, make reform efforts to benefit the people, let's wait and see. (our reporter Huang Bei Liu Su Chen meter intelligence)