Health: "after the first treatment pays" system need to support

Liao Haijin (civil servants)

Source: health

        June, the shandong province county and under medical institutions began to implement "diagnosis and treatment before they are paid service mode. Reporters recently to shandong linyi, rizhao county, the survey found under the universal health care system, grassroots medical institutions for the county and below pattern is not difficult. Patients with "paid" after diagnosis first test is credit, if patients ran away? In the interview, reporter discovery, place in this mode, no patients with a fee. (on November 26, the People's Daily)

        Should admit, "a doctor" difficulty and high cost is a big problem in today's society, long criticized by the public. The ministry of health, according to a survey of China's residents about half sick don't go to a doctor, 29.6% of residents should be admitted to the hospital and not in hospital, its the main reason is nothing more than "difficulty and high cost of treatment. Currently introduced in some place "diagnosis and treatment before they are paid" medical model, to a certain extent, can effectively alleviate the present situation of the medical treatment, not only broke the previous diagnosis and treatment "after" first pay walls, make people enjoy the benefits of health reform, is the trust and respect for patients, improved the patients go to a doctor 'feeling, harmonious doctor-patient relationship, and embodies the public welfare of public hospitals, helps to establish credibility system.

        Mode for a long time, most of the hospital diagnosis and treatment is basically "after pay the deposit for diagnosis and treatment", this model is the basis of most patients will have own or bear most of the cost, and if don't pay the deposit first, excessively high medical costs enough to let patients to flee the impulsive. Therefore, hospital admission deposit is "first person after the gentleman," purpose is to prevent escape.

        Actually, "after the first treatment pays" model of diagnosis and treatment of produce is no accident, but in the case of medical system reform has made substantial progress. For now, the national basic medical insurance coverage rate has exceeded 95%, and medical care, reimbursement of new farming in the grass-roots hospital reimbursement proportion is higher. Besides now many places has achieved real-time reimbursement, patients need to take a large part. In this case, for the purpose to improve the quality of services or attract patients appeared "payment after the first diagnosis," mode of diagnosis and treatment, is logical.

        Furthermore, after the first doctor pay successfully introduced the first is that the local relative perfect health care system. It is because of the high new farming coverage and medical insurance for urban residents and town worker medical insurance coverage, especially higher reimbursement ratio, to make the vast majority of patients do not look down on disease, also let hospital fled fee and do not worry about individual patients in hospital "losses". It should be said, the perfect health care system is the foundation for lift to see the doctor before they pay policy, otherwise, will not be paid after come true to see a doctor first.

        Objectively said, "after the first treatment and pays" model in the past few practice, on the one hand is the social moral landslide, individual patient malicious escape fee to produce medical institutions asappears mentality; On the other hand is the imperfection of the state relief and aid measures, to the poor medical aid is unable to take all responsibility. If only medical duty and government responsibility out, you couldn't solve the hospital cost risk, also cannot arouse their enthusiasm.

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