Investigate secretly and find: The hospital at county level of Henan charges messily Three major fields overcharge

Investigate secretly and find: The hospital at county level of Henan charges messily Three major fields overcharge
Henan channel reports the big network of waterways - great river newspaper to report on June 30: From 2005, our province checks unhealthy tendencies and malpractices in the department through the special administration of checking unhealthy tendencies and malpractices for 4 years in succession and appraises the decent practice of the hospital in a democratic way, the whole province is in charge of hospital and every city " No.1 " The hospital is basically checked once, arbitrary charge of the medical service field is obviously contained, masses " seeing the doctor expensively, difficult to see the doctor, can not afford to take medicines, scorn disease for " Question a certain degree relieve.
Manage the achievement in order to consolidate, on 10 - 19 of June, the provincial government checks unhealthy tendencies and malpractices to run and is in charge of hospital, hospital and county (market) at city level to some provinces in our province The medical service charge situation of the hospital has been paid a return visit and investigated secretly, find most provinces are in charge of the hospital and phenomenon of arbitrary charge of hospital at city level's getting very great improvement, have at city level hospital, county arrived to check originally ' Market) Still there is phenomenon of arbitrary charge in various degree in the hospital. Provincial government check unhealthy tendencies and malpractices run, urge relevant city, county ' Market) Check unhealthy tendencies and malpractices and do it to checking a few hospital relevant persons liable who go wrong deal with strictly, and require that contrasts the question and checks oneself correcting in all health care units in the whole province. The provincial government checks unhealthy tendencies and malpractices and runs and this newspaper will pay a return visit or investigate secretly again after July, will deal with relevant persons in charge unit in medical treatment refusing to rectify and improve or practise fraud strictly.
Investigate the basic norm of hospitals of province and city of the medical service charge secretly
Will it be 10 - 19 June, provincial government check unhealthy tendencies and malpractices run until some provinces checked in charge of the hospital and all city " No.1 " since the 2005 The medical service charge of the hospital has been paid a return visit and investigated with the medicines price situation secretly, to some counties at the same time ' Market) The medical service charge situation of the hospital is investigated secretly and checked. Yesterday, the provincial government checks unhealthy tendencies and malpractices and runs the central hospital of Xinxiang correctly, the medical service charge of 11 hospitals such as the county people's hospital of the People's Hospital, Yongcheng, the People's Hospital, Gongyi, Luoning is notified with the medicines price situation, and require the health care unit of the whole province and regard existing problem or good model of 11 hospitals as the mirror, check oneself correcting, contrast one's own existing problem to study, rectify and improve conscientiously.
Check to find, through the checking and rectifying and improving of 4 years, most provinces are in charge of the hospital and phenomenon of arbitrary charge of hospital at city level's getting effective administration, the charging act gets the norm. The ones that are in charge of hospital and every city in the province " No.1 " The obvious arbitrary charge of the hospital is contained effectively, the proportion of arbitrary charge drops by 0 up till now from side to side from 10% before 4 years. 1% about, severely afflicated area of arbitrary charge such as serious the intersection of disease and guard, operation, blood transfusion, test, color sonography, gastrocopy,etc. several years ago, already basic norm now.
Check to find, the province is in charge of the hospital and every city " No.1 " Excessively checking, excessively treating the containment that the question gets a certain degree too of the hospital. In recent years, our province check unhealthy tendencies and malpractices department check, excessively treat excessively, whether write a prescription, prescribe expensive medicine, open and deduct a percentage excessively only, tie to salary, bonus, welfare, the average expenses for medicine, medical fee of the impatient are not geared to actual circumstances the question of increasing too fast etc. as the key content of appraising through discussion and checking compared with last year, the province is in charge of hospital and every city " No.1 " Hospitals take measures one after another, check, standardize and use medicine, standardize and treat in norm, the masses seek medical advice the sharply increased momentum of the expenses is contained in a certain degree.
The medical treatment of hospital at county level charges and exists like a certain degree arbitrarily
It is messy like having very much loud change to be at county level the intersection of hospital and medical service charge relatively a few years ago, some medical behaviors of hospital are comparatively standardized. Check 11 the intersection of hospital and discovery, the intersection of city and the People's Hospital, clever the intersection of treasure and the intersection of city and first the intersection of blood transfusion and the intersection of behavior and norm very much of the People's Hospital, state of Yu, this time; The intersection of Qi and county people's hospital, clever the intersection of treasure and the intersection of city and first the People's Hospital the intersection of gastrocopy and norm very much; Qi county people's hospital, efficacious treasure city first the People's Hospital, a clinical department of city first the People's Hospital charge to comparatively standardize; Qi county people's hospital, efficacious treasure city first the People's Hospital, county people's hospital of Luoning, the People's Hospital, Gongyi, medicines in the People's Hospital, Yongcheng concentrate on bidding and purchasing the norm; Qi county people's hospital, clever treasure city first the People's Hospital, items of the intersection of city and first the People's Hospital cure skill, check more normally.
However, the arbitrary charge of the medical service field still exists to a certain extent, especially the question of claiming for charge at random, has not rectified and improved in some hospitals at county level in place yet, such as transfusing blood, radiating, endoscope, Ultrasonography B, color exceeding, testing, electrocardiogram,etc. cure the skill and check department and disposable consumptive material and charge in violation of rules and regulations. And direct against the question of the arbitrary charge, the provincial government checks unhealthy tendencies and malpractices and runs the explicit order to require every medical unit's contrast in the whole province to rectify and improve, but a few hospitals have not rectified and improved in place.
A messy a alike one Cure the skill and check the arbitrary charge of the field " The sending area of the height "
Some patients go to see doctor, need to carry on a series of curing the skill inspection. And cure the skill and check the field, it is a few high taking place area of arbitrary charge of hospital at county levels at present.
Had checked the province and had been in charge of hospital and every city since 2005 " No.1 " At the hospital, the arbitrary charge of the endoscopy room, especially gastrocopy, the situation of claiming for charge at random is more serious. General phenomenon whether whom doctor open it checks single clear doctor's orders to be whether stomach, duodenum check most, doctor's mirror while carrying on gastrocopy of inspection of endoscopy room passes the esophagus, go on, check, charge to esophagus by the way, overcharge, check the fee of 85 yuan by an oesophagoscope. Now, this kind of situation is in some counties (market) The hospital still exists.
The intersection of Luoning and county people's hospital, the intersection of city and the intersection of the People's Hospital and endoscopy room, state of Yu, doctor doctor's order leave stomach, duodenum (one check event) on position clearly ,But the endoscopy room collects the oesophagoscope + stomach, duodenum mirror and checks the fee of 120~140 yuan. " pass by from now on and leave and buy money from the way " Charging act no, let's follow the doctor's advice, it is logic in robber at a few county ( Market) The hospital still exists.
In addition, some the intersection of counties and cities and hospital that is check, have, have, charge according to add the colored picture and text, print the fee situation generally. Xinxiang the intersection of city and central hospital each overcharge, print 30 of fee, Gongyi the intersection of city and the People's Hospital, the intersection of Luoning and the intersection of county people's hospital,etc. and each one charge fee of 15 yuan of colour print. There is no doctor's order adding or set to charge colored Ultrasonography B and print the fee of 15 yuan of picture and 5 yuan in other hospitals.
It is the high taking place area of the arbitrary charge too that the X-ray is radiated and checked. According to the regulation of charging, shoot a picture in a film in if CR photo, county (market) The expenses standard of the hospital is 45 yuan. Take a picture 4 picture at one film, other 3 add 3 times expose the fee (expose and add 2 yuan each time) many times . However, some hospitals shoot 4 pictures in a film, should charge 51 yuan, but collect 180 yuan of patient according to 4 films.
For example, the county people's hospital CR photo of Luoning checks, every persons are charging 70 yuan (include checking 45 yuan for each one of fee, film fee of 25 yuan) ,A position ' Inclining the location) Share, total 90 yuan by a piece of film ' Include checking 45 yuan for each one of fee, film fee of 45 yuan) . Straight the intersection of location and the intersection of chip and each, CR of institute, this overcharge 25 yuan, a position is inclining the location slice and overcharging 43 yuan. From will it be June - will it be May 2009 2008, only the inspection, Luoning county people's hospital overcharge nearly 400,000 yuan.
Messy and alike two The disposable medical consumptive material claims for charge at random " The severely afflicated area "
Only the expensive disposable medical consumptive material of small quantity can charge. The disposable medical consumptive material claims for charge at random, have hospital " severely afflicated areas " of arbitrary charge .
This inspection to 11 hospitals, except that Qi county people's hospital, disposable consumptive material of a city first the People's Hospital have not charged in violation of rules and regulations, there is situation of collecting the lump-sum consumptive material expenses in violation of rules and regulations in various degree in other 9 hospitals, the most serious with central hospital, the People's Hospital, Yongcheng, flat general hospital of coal group of Xinxiang. Embody a concentrated expression of and collect the emulsion glove in violation of rules and regulations, disposable cleaners and polishes, disposable transfusion system, the medical use applies and sticks to, operating room material, Heparin cap, child manages oxygen intake, the whole sack, the disposable anaesthesia punctures the bag, at one time prepare against the leather knife, sew up bag, bellyband, lump-sum aspirator in charge of, lengthen three direct links, the intersection of artery and pump in charge of, three unite three direct links, the intersection of Third Ring Road and syringe, the intersection of infusion and the intersection of three direct links,etc. and first at one time The central hospital of Xinxiang collects 2,740,000 yuan of disposable consumptive material in violation of rules and regulations, collects the disposable medical consumptive material 136 in violation of rules and regulations in the People's Hospital, Yongcheng. 40,000 yuan.
Messy and alike three The blood transfusion dept. and testing department's arbitrary charge " The overflowing area "
The blood screening test lab is unreasonable to bale checking to overcharge, the blood transfusion dept. decomposes and charges, these are in the provincial hospital and every city " No.1 " Question that hospital rectify and improve already, now in county (city) Hospitals generally exist.
Gongyi the intersection of city and the intersection of the People's Hospital and the intersection of bag and erythrocyte, 2U/ of blood transfusion dept., hang liquid first blood transfusion, collect ABO blood group to determine 16 yuan, RH blood group appraise 18 yuan, the card type patient sifts checking 52 yuan, irregular antibody of blood donor sift and look into 28 yuan, match the fee of 70 yuan of blood, store the fee of 6 yuan of blood with antibody, total 190 yuan. According to the stipulations of expenses standard, each bag of erythrocytes hangs the first blood transfusion of liquid to collect ABO blood group to determine 16 yuan, RH blood group appraise 18 yuan, blood donors sift checking 28 yuan belongs to and decomposes repeated arbitrary charge, the irregular antibody sifts checking 80 yuan is checked and charged for not there is not doctor's ordering with irregular antibody, from will it be June - will it be May 2009 2008, this institute blood transfusion dept. claim for charge at random 22. 320,000 yuan, sift and check that there is no doctor's order to check and charge 28 with irregular antibody. 80,000 yuan.
Central hospital of Xinxiang, it is flat for the intersection of coal and the intersection of group and general hospital and the intersection of Jiyuan and city, the intersection of Yongcheng and city, the intersection of Luoning and the intersection of county people's hospital and blood transfusion dept. to store irregular antibody in sift, consult, have the doctor's order check arbitrary charge in various degree.
What the clinical laboratory is checked to is that the specific hospital has no doctor's order to check and charge, unreasonable to bale and checks and charges, it is too much, with too big amount of money to bale quantity end item, collect biochemistry checking or blood routine examination and smoke blood vessel,etc. in violation of rules and regulations. Especially HIV sift check, exist routine inspection set to harvest emergency call and check the situation of charging. According to the standard, the hospital HIV routine inspection at county level should collect 17 yuan to should collect 15 yuan, hospital at city level, but some hospitals have situation of overcharging.
Experience one Manage the medical arbitrary charge inspection of the hospital " Double days "
Since 2005, the provincial government checks unhealthy tendencies and malpractices to run and is in charge of the hospital and every city " No.1 " to the province The hospital basically checks once, is checked the check inspection of the hospital at present, rectify and improve actively, the medical service charge gets the norm, the health care industry has become people's satisfactory hygiene industry gradually.
However, the hospital situation not checked is totally different, the most typical one is the central hospital of Xinxiang, the amount of money of arbitrary charge has accounted for 40% of the total value of arbitrary charge of 11 hospitals.
In the provincial government checks unhealthy tendencies and malpractices and runs the inspection in 2005 - 2008, the central hospital of Xinxiang reformed system as the private hospital, have not checked to it. Now, the hospital resumes again " publically " Properties, the province checks unhealthy tendencies and malpractices to do and check it, it is more problematical to find.
Besides collecting and checking the fee, in addition add the colored picture and text and print the fee of 30 yuan in this courtyard of endoscopy rooms, here costs a charge, in order to claim for charge at random. Examine skill, charge 21 separately while being living, belong to, decompose, charge repeatedly. According to the data that this department offers: It is about 200 persons to print the average work load in the moon in colored picture and text of this department, living examining the average work load in the skill moon is about 240 persons, from June of 2008 to 12 months of May of 2009, the arbitrary charge of this department totals 130,000 yuan.
This institute the intersection of routine inspection and clinic, HIV of blood screening test lab, charge 30, and province charge the regulation of original version, the hospital HIV routine inspection expenses standard at city level is 17 yuan. June to will it be May 2009, 2008, this institute HIV sift, check, claim for charge at random Damien 31. 20,000 yuan.
In addition, there is no doctor's order to check and charge 145 in this courtyard of bloods screening test lab. 80,000 yuan, blood transfusion dept. has no doctor's order to check and charge 44. 880,000 yuan, collect lump-sum medical consumptive material and check fee in violation of rules and regulations and total 274 in violation of rules and regulations. 730,000 yuan, check 13 arbitrary charge which find the clinical department, the amount of money of arbitrary charge in violation of rules and regulations reaches more than 5 million yuan, accounts for 11 of the whole province 40% which check the total value of arbitrary charge of the hospital.
11 hospitals checked this time, medicines purchased outside the medicines centralized purchasing catalogue of the whole province without authorization count 74 product rules, purchase the amount of money 211. 60,000 yuan. Mark and purchase especially flat coal group general hospital, Xinxiang central hospital outside.
The flat general hospital of coal group marks and purchases the total bid of more than 1,180,000 yuan of 16 product rules outside, is accounted for and marked 21% and 56% purchasing the product rule and amount of money outside by 11 hospitals checking separately. The central hospital of Xinxiang marks and purchases 13 varieties outside, total bid is 20. 10,000 yuan, accounts for 18% and 9 separately. 5% .
Experience two Deal with person liable strictly view their competent to pay a return visit again
Some provinces that pay a return visit this time are in charge of hospital and every city " No.1 " Why seldom the medical arbitrary charge situation recurs in the hospital? In charge of hospital and every city with the province " No.1 " The director's words are said: First, the hospital rectifies and improves and does not hit the discount. Second, it is too heavy to punish. "The hospital overcharges several ten thousand yuan, but punish in turn as the president, this is not very worthwhile. "
To the question that 11 hospitals checked this time exist, the provincial government checks unhealthy tendencies and malpractices and runs and urges relevant cities, counties (market) Check unhealthy tendencies and malpractices and do and contrast relevant regulations, deal with the relevant personnel strictly. The fund for claiming for charge at random, the hospital should return a patient. Really can't return, the hospital should turn over the finance, and is used in the public service.
Provincial government check unhealthy tendencies and malpractices run, emphasize every hospital want, check unhealthy tendencies and malpractices, run the report to provincial government the intersection of rectification and improvement and situation. All relevant medical units should contrast the existing problem of these hospitals too, rectify and improve actively.
Watch one's words and deeds, the more important thing is it is all right for the view. The provincial government checks unhealthy tendencies and malpractices and runs and this newspaper will make up and pay a return visit to investigate the group secretly after January, pay a return visit to each hospital or spotting check secret investigation. If or
|