Yangcheng evening news: medical insurance rating for not superstitious index

Sources: the yangcheng evening news

        Medical insurance rating for not superstitious index newspapers, guangzhou a doctor's mother for rheumatic heart disease from sichuan to guangzhou a large hospital after getting better and be healed, and according to the doctor, hospital and the hospital requirements within three days, and disease, and ultimately disease death. Doctor doubt hospital because "medical insurance rating" forced mother discharge lead to the death, the hospital is insisted that it is the patient to hospital discharge standard to let its discharge. The medical disputes despite the yes no song, the "medical insurance rating", the problem caused by that is once again attracted public attention.

        What is "medical insurance rating"? A hospital is a year all ginseng protect people hospital cost average. Such as a hospital treated 10000 patients in hospital medical insurance, medical treatment of the total is 100 million yuan, so the hospital each patient quota is 10000 yuan. Medical insurance rating system is intended to control hospital possible abuse, health care, only to the total amount of the hospital requirements, no specific to each person's amount. But in the implementation process, to prevent hospital, often will exceed the total medical insurance rating as each health care the patient's cost limit, asked the doctor to control charge of be in hospital, length of hospital stay and even health care of patients number were in some patients in hospital medical insurance difficulties, or after admission in medicine, treatment suffered "second-class citizens" treatment.

        The provisions of the department of medical insurance can't say makes no sense -- medical insurance funds are all ginseng to keep people, health care providers, of course, to have the obligation to public funds "night watchman". But, the hospital is facing the reality of the difficult and not be affectedly unconventional -- health care providers to excess part does not grant to pay, pad money buying and selling long not sure. "A catch died, a put is disorderly", "policy, distorted policy-implementation it is our characteristics. In order to ensure the total health care not overweight, the hospital will index decomposition to the department, carry out to a personal; The doctor in order to guarantee their patients do not excess, may let the cost will be overweight patients discharged halfway, and then to the hospital; In order to "digest" critically ill patients with high overweight cost, may draw the several this without the hospital patients to the hospital medical insurance to average cost; If the total medical insurance has been overweight, even with all sorts of reason shuffle health care the patient... In theory, if can do medical insurance payment "one to one" personalized service, actual cost payment, all problems can be solved, but the present conditions of the supervision difficulty make it difficult to implement. Some time ago to public opinion of hot debate "explore single disease pay", "clinical path" means, with the aim of the standardization of the cost of treatment to change controlled, it is good idea. But don't forget a little, the system is not everything. Too superstitious system, simple turn to index, often make medical problems "press block float gourd ladle". Patients with individuation, decided to the medical process and charging system is difficult to absolutely standardization. Of course, we will try to jam system vulnerability, but excessive suspicion and prevent, will increase the cost of social unnecessarily. In fact, each of the medical staff of the basic professional ethics and integrity, is the medical process smooth implementation ultimate security. As food producers, if his heart to the iron can't eat things added to the food, it is really scout. However, the defects of medical insurance rating, should not let the interests of patients become victim. (the author is swordsman assisted-suicide debate has been fueled)