Don't get sick at the end of the year! Doctors complained that hospitals do not want to accept patients, saying that they need to tighten the control of consumables.
Don't get sick at the end of the year?At the end of 2017, in Zhihu and medical self-media, doctors in many places complained that hospitals were rushing to meet the target at the end of the year, restricting the use of medical consumables, and were even reluctant to accept patients for hospitalization and minimizing surgeries.
The issue of medical insurance fee control has caused the medical circle to chicken and dog jumping year after year, this internal complaints in late 2017 fermented because of the strict control of consumables was implemented into the document issued:
A notice dated mid-November in a hospital in Sichuan Province, listing the limited use of consumables, including "hemostatic materials (only retain the lowest price of two kinds) "" precision infusion set (only allowed oncology, traditional Chinese medicine use) "and so on; Guizhou, a tertiary hospital, burns department only allows the use of the two cheapest dressings, can not use the supplies are not used; Guangdong in December also issued a new notice to increase the excessive use of medical supplies to investigate and deal with.
As the circle of friends clamor, this is really quite scary, sutures are restricted, the future of cesarean section is not to leave a big centipede scar? At the end of the year, the hospital surgery volume is reduced, is a small disease must be delayed into a big disease to give treatment? Although it saves the country's health insurance costs, but for patients, this is clearly more of a curse than a blessing.
The deeper panic is that health insurance is not the bottom of the barrel? The dire situation of the nation's health insurance was repeatedly mentioned and predicted by experts several years ago. A recent calculation by Tsinghua University's Center for the Study of Healthcare Governance shows that if left unchecked, China's total healthcare costs will grow from the current $3 trillion to $273 trillion in 2040, with a gap in the basic health insurance fund appearing in 2024.
But it's not 2024 after all, Xinhua quoted data from the official website of the Ministry of Human Resources and Social Security to dispel rumors that from January to October 2017, the health insurance fund's income was 1,451.07 billion yuan, and the fund's expenditures were 1104.77 billion yuan. All provinces of the health insurance fund have a balance, of which 26 provinces have a cumulative balance of more than 5 billion yuan, of which 22 provinces have more than 10 billion yuan.
Medicare is not bad money, why should medical consumables under such a cruel hand? This is reminiscent of a recent news story, an old cadre, hospitalized in the custody of the room, which in a particular day, gauze was used 84 packages, and ice packs 1,100 times in 80 days.
Also concerned about corruption in the field of medical consumables. before 2010, hospital job crime cases mainly occurred in the purchase and sale of drugs. From 2013, Guangzhou Yuexiu District People's Procuratorate found that there is a trend of shift from the drug segment to medical consumables.
The lack of supervision of the use of medical consumables in hospitals is an important reason for the high incidence of corruption in the field of consumables. In Guangzhou, the procurement of medical consumables, still practicing a separate tender procurement, compared with the centralized procurement of drugs, this area of corruption space is greater.
Data from the National Health Planning Commission's 2016 annual national financial report showed that public hospitals consumed 29.08 yuan of sanitary materials for 100 yuan of medical revenue (excluding drug revenue). And the goal of the Health Planning Commission is that by the end of 2017, 100 yuan of medical income (excluding drug income) in urban public hospitals, the consumption of sanitary materials down to less than 20 yuan.