Divide into groups in the fourth quater and try in Beijing in disease diagnosis Can control the medical fee of the patient

Divide into groups in the fourth quater and try in Beijing in disease diagnosis Can control the medical fee of the patient
News of Business is 9 days, Deng XiaoHong, Deputy Bureau Director of Municipal Health Bureau, says, the fourth quater of this year, the system of the prepaid fee is expected to begin to try in some hospitals to divide into groups in disease diagnosis cooperated together by many departments, with patient's expenditure of hospitalization cost of this control.
Divide into groups and is abbreviated as DRGs, mean after consulting patient's age, main disease diagnosis, amalgamating disease in disease diagnosis from U.S.A., divide into groups and treat according to treating complexity and expenses of disease.


To put it briefly, a simple heart disease patient and a patient suffering from asthma and heart disease at the same time are probably assigned in two different groups, carry on different treatments.
After implementing the system of the prepaid fee of dividing into groups of the disease diagnosis, personnel are after the hospital is in hospital that effect an insurance, so long as include in the disease group after making a definite diagnosis of, the expenses are fixed at once that in hospital. If the expenses have surplus, include in the hospital income; If exceed standard, the hospital makes up. An insider says, this system will control the excessive service of the hospital effectively, expensive phenomenon of preventing the patient from seeing the doctor at the same time.
In fact, Beijing Municipal Health Bureau and people protect the intersection of office and relevant director, say the beginning of this year, will try to make a diagnosis to pay the system in some hospitals newly in this in the second half year. To trying " Postpone " To the reason of the fourth quater, Deng XiaoHong says, this job needs a plurality of committees to run office cooperation to finish, people assuare the office is responsible for the prepaid fee of a patient, the health bureau is responsible for gathering all patients' relevant data, the Bureau of Finance is in charge of the fund to replenish the system, but the development and reform committee will make the price. At present, as many as ten thousand kinds of diseases have already been divided into more than 600 disease diagnosis relevant classification groups.
For a long time, the medical care of our country is paying according to the project, there are over 4000 charging items altogether. And the new medical reform scheme is proposed, norm public hospital charging item and standard, research explores the charge method reform of paying according to number etc.. Ministry of Public Health has begun too recently to frequently mention that can control the single number paying and clinical route of the hospitalization cost too, one of the three tasks which the annual public hospital reforms includes " make the clinical route directed against 50 kinds of main diseasesing nowadays, popularize in the national hospital " .
" whether disease diagnosis divide into groups " Seeming to be and superior to these two kinds of modes of making a diagnosis, Deng XiaoHong says: "Only consider the simplicity of a kind of disease in single number, so long as you have this disease, whether there is syndrome, make a diagnosis and give treatment with this kind of disease, this has presented phenomenon that cost loses. But DRGs amalgamate disease, age factor, include, can cure, cure the disease people in a comprehensive way. "
But the relevant expert says, DRGs may have can not reduce the medical fee getting instant result while just beginning to implement. For example, it costs 5000 yuan to make a appendicitis operation, but if infect and need to add several hundred yuan, the patient may think this has compared with expenses before implementing of the system reduced a lot of, but it stablizes whole hospitalization cost at a level, can achieve the purpose of overall control in the long run. To hospital, the range that the expenses rose has already been limited, need more rational checking and treating, the management that more finely melts, shorten and is in hospital day equally.
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