Health care owe the dispute or to make notes on grading diagnosis and treatment

The 2016-05-20

Source: health

- more than transport west -

In hospital registration certificate has been drawn to the doctor, the disease also have got the preliminary diagnosis, but the hospital refused to the demand of patients hospitalized. Including xiangya 2nd hospital refuse in changsha city of hunan province, the provincial hospital of medicare patients reported that recently by the industry, both inside and outside. Appear the cause of the dispute, whether it is "in changsha city health care hospital in arrears huge medicare settlement", or "in changsha city health bureau after the new policy has not yet been signed with the provincial hospital reimbursement agreement", point to is the benefits of medical insurance payment reform. In a heated discussion either/or, if on the other hand, may have greater gains.

Owe the event first exposed the current health care management of extensive and random. Deregulation of the forecast is insufficient, beforehand, after the event handling procrastination, health care and the contradiction between large hospitals can be converted to doctor-patient against, for the moment is not optimistic the doctor-patient relationship, also let the public health sector management question. Payment reform is a good way to solve the problem, of course, but from the perspective of the feedback of large hospital, the doubts of the current program, the future can thoroughly solve the problem is still in doubt.

Observe owe the public opinion of events, participants worry about later can't go to large hospital, affect personal benefits or life and health; Health care management more and more concerns to the big hospital patient, can lead to fund in the bottom; After the big hospitals don't want to see, to heal the wounded and rescue the dying under "official overdue bills." Three appeal seems to be difficult to coordinate to meet at the same time, but if local classification system, establish effective may alleviate this contradiction.

Under the effective pattern of hierarchical diagnosis and treatment, the big hospital exit from the common disease, frequently-occurring disease diagnosis and treatment of patients, focusing on complicated severe local and surrounding areas, the high quality resources in the most need of patients. Big hospitals are no longer "one-size-fits-all", a large number of patients into municipal hospitals and medical and health institutions at the grassroots level can make room for medium-sized hospital, drive the common development at the local level. And medicare patients first option at the grassroots level, if had a serious illness, can be smoothly go to large hospital, lying on the ground from the concerns of the sick not cure. If patients insist on common disease also want to a big hospital make a diagnosis and give treatment, can choose at his own expense. The formation of this pattern, can be in a certain extent, reduce the pressure on health care, but also to safeguard the rights and interests of the parties.

Such a classification system of diagnosis and treatment of course need overall planning, government need to health administrative departments to coordinate large, medium and small medical institutions counterpoint, improve the ability, but also needs to medical insurance management department to make good use of "leverage", actively promote. If you want to the existing route "patch", to deal with the problem of the immediate past, unavoidably caused by pattern is too small, short-sighted "triple-lose situation." Of course, attempts to have the courage under pressure. Because of the implementation of the classification diagnosis and treatment, will move to the various stakeholders of cheese, not easy.