Palate, break public hospital profit mechanism, the hard stuff 
 
 
The 2015-04-03 
 
 
Source: xinhua daily telegraph 

    a daily review
 
    Only the breaking mechanism of public hospital profit as a self revolution, to let the people took out a set of generally accepted and sincerely welcome the healthcare reform
 
    Health reform again chew reform of public hospitals this "crack". Central comprehensively deepen reform leading group on the 11th meeting examined and approved the "about city public hospital comprehensive reform pilot guidance", clear to adhere to the basic orientation of public hospital public welfare, break public hospital profit mechanism, establish maintenance public welfare, to mobilize enthusiasm, ensuring the sustainable operation mechanism.
 
    Since march this year, many local healthcare reform (2014 edition), has entered the stage of formal implementation, from media reports, around the new healthcare reform have in common, the largest on drugs "zero price difference", namely the hospital to prescribe medicines and ex-factory price, the same for the removal of hospital by public criticism over a long period of time "medicine for the medical" undoubtedly play a decisive role, zhuhai in guangdong and other places will not only drugs "zero price difference," scope also extended to all kinds of medical consumables. But at the same time, the new health care reform general sharply raised the inspecting, care, treatment, operation, such as the price of the project, highlighting the characteristics of the "eat their technology". From the theory of accounting, such reform main line not only increased the economic burden of patients, but overall charge reduced.
 
    Taking chongqing as an example, according to chongqing city health development planning commission to provide financial data and 2012 six categories of projects to measure income structure data, large equipment inspection, inspection and other two kinds of income proportion is 37.88%, average 25% reduction in price, the city medical institutions will reduce medical service income 709 million yuan. The rest of the four types of project income is 62.12%, after the price increase will increase the medical service income 707 million yuan. Total revenue increase or decrease in balance is RMB 1.71 million. This can be seen, the overall inspecting, care, treatment, operation, such as project charge decreases instead, plus drugs "zero price difference", brought by the new health care to patients with material benefit is obvious.
 
    But that it is "theory" of data, in medical practice and actual feeling of patients, the cost compared with the past has increased sharply even growth was obvious, also in chongqing new healthcare reform, for example, average hospitalized patients in addition to enjoy zero price difference on drug addition, the rest including beds, nursing, patient rounds, diagnosis and treatment, all kinds of laboratory tests, such as the scope of "price", to the actual economic burden of patients increased more than drug benefit brought by the "zero price difference", not only that, but for the ordinary outpatients, 2 yuan once the registration fee to interrogation of may in the past a lot of headaches brain hot disease, the patient had to pay a "fee" is several times higher than in the past. And the new health care plan for some special long-term sick patients to increase the economic burden is more apparent, this is chongqing new healthcare reform in the implementation of 7 days after dialysis patients collective protests and the main reason of the "suspended".
 
    Can, healthcare reform will do the trick to bring real benefits to patients, patients with the most say, if the leader of the reform is to "reform" to stand in the Angle of the hospital, will inevitably be some limitations. Some data measured on the surface is the hospital "cheated", but actually the hospital is the biggest beneficiaries, it's like some merchants with discount or "cash", in essence is a "trap" for the patient. Not only that, after a substantial increase in the registration fee, the fee, "in line 3 hours 3 minutes to go to a doctor" phenomenon is not reversed, the guangdong zhuhai to a regulation, even asked the doctor visits in patients with no less than 6 minutes. Obviously, the purpose of reform is to solve the difficulty and high cost of treatment of the people, according to the deep change of team spirit of the meeting, reform of public hospitals is to "break public hospital profit mechanism", only to break that profit-seeking mechanism throughout the public hospitals, patients may feel reform brought about by the real benefits.
 
    Health reform is a worldwide problem, very few can copy the successful experience, unavoidable appear some problems in implementation, apparently including chongqing, many parts of the new health reform, problems are not out in wisdom and "technical". On the contrary, in the absence of "breaking mechanism of public hospital profit" under the premise of all wisdom and "technique" is "profit" around the hospital next to set up one by one for patients "discount" trap. Only the breaking mechanism of public hospital profit as a self revolution, to let the people took out a set of generally accepted and sincerely welcome the healthcare reform.