From April this year, Guangxi carried out inspection of medical and health services, prices, uncovered a total of 558 cases of illegal price, the amount of alleged illegal price $ 340 million, has more than 300 million economic sanctions. Inspectors found that medical and health services mainly in the nine aspects of these problems exist because the medical fee policies, and there are all kinds, plus there are a number of medical institutions, income generation, the idea due to increased unit effectiveness.
Nine health issue fee deposit
According to reports, these nine questions are:
Recurring charges.
Price regulations, all surgical equipment and consumables needed in conventional pricing has been included in the cost of surgery, are not separately priced; Also in the \"excluded content\", \"description\" in the clear can be subject to the special price of foreign medical supplies and materials such as the name of the project, other projects are not included in the charges and materials are not allowed. Can be part of the medical units still charge these fees.
Expand the range of charges.
Part of the medical institutions to collect all newborn babies born in the radiation emergency treatment fees, infant and child health medical examinations, neonatal scale inspection, health counseling and other expenses; health advisory fees charged to patients, health education and disease costs, daily living skills assessment and Conductive Education training and other expenses.
Self-reliance project fees.
Such as CT scans of patients to receive the image recording fee, CT laser sheet fee; to collect disposable plastic potty patients, health kits, hygiene sets of cups, the patient identification card, the cost of materials (network maintenance) and other items.
Implementation has not reduced the price of medical services.
Autonomous Price Bureau has lowered subcutaneous injection, intradermal injection, intravenous injection, venous blood, venous blood and other parts of the price of medical services, but some medical institutions according to the former standard charges.
Price higher than the government set prices.
Some medical institutions outside government pricing, raising the standard charge to the patient. Such as patient check-pregnant women receive fetal electrocardiogram costs 22.2 yuan / times, the required standard of 20 yuan / times; community patients, B-routine examination requirements of 24 yuan / part time, it has charged 30 yuan / parts; of patients receive safe catheter was 35.1 yuan / branch, the provisions of 25.32 yuan / support.
Service charges are not only less service.
Some hospital patients to receive \"special treatment by endoscopy,\" \"special treatment by colonoscopy\", X-ray computed tomography (CT) scan (three-dimensional reconstruction) and conventional susceptibility testing and other expenses, but did not provide to patients medical services; on the occasion of hospital emergency patients received consultation fees, but did not actually carry out inter-hospital consultation; on routine ECG of patients do not charge for services rendered in accordance with the provisions of additional ECG leads fees.
Exceeds the rate of price increase fees charged for medical supplies.
Autonomous individual medical institution violates the relevant provisions of the Price Bureau, collected over a one-time price increase rate of medical materials fee.
Inflated the number of arbitrary charges in disguise.
Individual health care institutions in order to avoid inspection, a more subtle and sophisticated means more charges in disguise, in order to reduce medical waste material, to make up for economic losses as an excuse to hospital, in a one-time supplies, medicines, blood products, etc. make a big fuss, making a one-time consumables sales number greater than supply; blood products sales volume greater than the number of databases; drug sales amount greater than the number of libraries.
Management of medical units of the charges are still irregularities in the office.
According to reports, price departments at all levels of medical institutions in recent years, although the specification of continuous rectification, the hospital in charge of publicity, price tag has been more standardized, but upon inspection there are still shortcomings, such as some medical institutions publicity hospital drug prices contents of a single card, coverage is small, prices are not up to date, so that these patients can not fully understand the relevant information on the price charged.
Four main reasons why so difficult to regulate health services charges
Check the price of health services every year, every year some of the problems even check every year. In this regard, the inspectors believe that the main effect by the four main reasons why so difficult to regulate medical and health services fees.
Inspectors analysis, primarily because of some sense of medical and health institutions system, some unit leaders on the management fee not pay enough attention, lack of full price management personnel, or personnel without professional training fees, resulting in individual health care institutions and medical services for pharmaceuticals price policy not know much about, not through understanding.
Followed by medical and health institutions is lagging behind prices management. Medical technology is changing rapidly, making the new health care project is gradually increasing. However, due to poor management of the hospital, did not apply in time to report new medical projects, but projects with reference to other medical charges.
The third reason is the lack of financial allocations, the hospital medical institutions to enhance the software and hardware level and improve employee benefits, only the price issue, through to prescription, over-inspection, light ill treatment, with the high price of drugs and treatment and other means more charges in disguise, leading to high medical costs borne by patients, the burden is too heavy, although improving the economic efficiency of this unit, but also caused tension between patient, doctor-patient conflicts increase.
The fourth reason is because health care institutions driven by profit.