Medical reform solves a big "pain point" in medical services, let doctors eat by technology

This time, the price reform of medical services focused on improving the price of medical services that reflect the value of medical staff's technical services, such as diagnosis and treatment, surgery, rehabilitation, and nursing. It can be said that the "seven inches" were found. Let the medical staff rely on technology instead of rebate to eat, take the sun to pay for a decent life, there is no impulse to open a large examination and a large prescription to the patient, at least in the doctor's ring can alleviate the "medication with medicine" Happening.

The National Multi-ministerial Committee recently issued the "Opinions on Advancing the Reform of Medical Service Prices" to comprehensively promote the reform of medical service prices. The Xinhua News Agency mentioned an example in the relevant report. Ms. Liu, a citizen of Taiyuan, Shanxi Province, recently performed a partial adrenalectomy. The reporter saw on the hospitalization expenses list that the cost of partial unilateral adrenalectomy was 1,200 yuan, and the price of the two hemostatic materials used in the operation was as high as 512.6 yuan and 618.2 yuan respectively.

The sum of the prices of the two hemostatic materials is close to the cost of one operation, and there is no more explanation for the price distortion of medical institutions than this. If you look at the doctor directly from the surgery, the impression will be even more profound. A hospital dean once gave an example: to do a gastric cancer operation, generally requires 3 doctors, 2 nurses and 2 anesthesiologists, which lasted about 3 hours, and the surgery cost was only a few hundred dollars. Therefore, if the income from surgery is used, the medical staff may not even reach the minimum wage. If there is no higher level of material treatment, how to reflect the value of medical personnel and protect the professional dignity of medical staff, why is the industry attractive? If a doctor is not good at seeing a doctor, and only if he has to open a large examination and a large prescription, how can he get the respect of the patient, and how can the doctor-patient relationship be not nervous? Therefore, this is almost a "pain point" for medical problems.

This time, the price reform of medical services focused on improving the price of medical services that reflect the value of medical staff's technical services, such as diagnosis and treatment, surgery, rehabilitation, and nursing. It can be said that the "seven inches" were found. Let the medical staff rely on technology instead of rebate to eat, take the sun to pay for a decent life, there is no impulse to open a large examination and a large prescription to the patient, at least in the doctor's ring can alleviate the "medication with medicine" Happening. The same effort, patients can get more and better medical services, rather than taking more and more expensive drugs, is also a good thing.

However, the price of medical services is distorted by the “frozen three feet” and it is not easy to shake the iceberg. Price reform is actually a process of redistribution of interests. In the pool of benefits of medical care, medical institutions, the masses, medical insurance, and finance are the main interests. Among these four options, the overall burden of the masses cannot be increased. This is the bottom line of reform; the medical insurance fund and public finances must be based on affordability and cannot suddenly increase supply; more adjustments may be carried out within the medical institutions. What I am worried about is that the income of medical staff is high, will it move to the cakes of other medical institutions? Will they accept this change calmly? The income of medical institutions is tilted toward medical staff, will it affect other aspects of investment, such as medical device updates?

The reform of medical service prices is a big chess game. It has both the compensation for historical debts and the laying of future tracks. It is not difficult. In the early days of the reform, we must pay more attention to it, inject more living water, reduce the resistance of reform, and slowly push the car onto the track.

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