On July 25, the xiangtan discipline inspection commission visited the local health and family planning commission and asked a number of questions. Hospital revenue collection, kickbacks are more subtle...
On July 24, the xiangtan discipline commission issued a feedback on the inspection of the party committee of the municipal commission of health and family planning (hereinafter referred to as feedback). In May 8, 2017, xiangtan city disciplinary committee issued a number of questions on the political inspection of xiangtan city health and family planning commission on June 23, 2017.
▍ drug purchase specification
What is the first line of implementation in the course of the current reform? This "feedback" from the xiangtan discipline commission has made a real presentation of the current situation of local areas.
Some members of the group have a strong sense of fear of health reform, and the power to change jobs is not strong. In addition to formally canceling the drug addition, there are few substantive reform measures in the city of the pilot cities of the fourth batch of public hospitals. Hospital drugs, consumables, reagents, large equipment procurement procedures are not standardized.
The phenomenon that the small number of private medical institutions has induced treatment, false propaganda and exaggerated treatment effect, aggravates the complaint that the masses are costly to the doctor, the reimbursement is difficult, the doctor-patient dispute has occurred. Medical information is wrong, patients generally lack sufficient trust in hospitals, and it is also extremely easy to produce medical problems.
▍ not rational drug use is still there, the hospital is still profitable
The "four unreasonable" questions remain. A drug after zero rate, "unreasonable inspection, not reasonable, unreasonable drug treatment, unreasonable fees" and other issues still, for the people "see a doctor" difficulty and high cost of lack of reasonable guidance and scientific supervision.
The public hospitals, in terms of revenue measurement, have a clear tendency to profit from public hospitals. The hospital encourages "overmedical" and aggravates the burden of patients.
▍ accepting kickbacks phenomenon is not completely eliminate, form is more subtle
Using individual medical personnel practice to seek improper interests, accept medicines, medical equipment, medical health materials production and operation enterprises or sales personnel, and in the name of a variety of forms to give rebate, paid or to participate in the arrangement, organization, recreational activities, and form is more subtle.
In the process of reform, which is the process of sweeping the old, there will inevitably be some old problems in the old mode, such as the hospital creation and accepting kickbacks mentioned in this article. In fact, these problems are not terrible, being detected by the survey, which means that the following rectification will follow up.
The old model may still struggle and go back, but it's hard to stop the new ones rolling in. |
