Beijing municipal public hospital care costs to rise up to 10 times

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(Free-Press-Release.com) November 10, 2010 --

Beijing Municipal Health Bureau to municipal government presentation care price adjustment programmes to tertiary hospital, for example, the current one, two, three-level nursing charging 9 Yuan/day, $/day, 7 5 Yuan/day, it is proposed to adjust the standard of 90 Yuan/day, 70 Yuan/day, 50/day. Recently, the "Beijing municipal public hospital care costs to rise up to 10 times the" message, once again raises public awareness of the new reform of buzz. Many people on this discontent that reform should not be "more expensive" instead, increase people's doctor. According to reports, in 2009, the Beijing Municipal Health Bureau, Department of Finance on 8 hospitals in Beijing for a public hospital medical cost accounting. Current nursing charges, curation, and other standards are too low, has become a public hospital one of the causes of losses, resulting in reduced medical staff enthusiasm, the nurse shortage, configured and eventually led to the phenomenon of the poor quality of care. Experts believe that "new reform present the problem is that the system not straighten out, there is no implementation of financial subsidies, 600 million medical personnel working enthusiasm not mobilized. It was November 9, the China economic weekly.

In response to two or three years later, new health reform programme was launched in January of last year. People expect a new round of medical system reform can solve "costlier", but a year later, not only did not wait for drugs and medical services price reduction, but heard the Beijing public hospitals "nursing feini rose 10 times" message, this cannot but disappointing. However, the Beijing Municipal Health Bureau raised the price of the programme is well-supported, because they had been on medical costs and drew the present accounting for the care, treatment and other "standard too low" conclusions. Because charges low, resulting in insufficient care nurses configuration service quality is poor, even affected the normal operation of a public hospital. As such, should not only care fee increases, medical expenses should rise. Although the Beijing Municipal Health Bureau, said that "this fee will be possible through Medicare's solution, without increasing the burden on patients. "However, Medicare money and where to is finally not or wool sheep."

Sure some people ask: accounting from those costs have not "water" sections of the cost is reasonable this is really a problem. But the others according to the procedure of investigation and accounting, they may even be able to come up with specific data, you have depending on the said accounting cost of unreasonable, in fact, the cost of the goods or services are difficult to accurately check out, the market has not asked the cost of the goods or services, but only through the market mechanism to find out about the prices. However, the medical market competition is not sufficient, the market price discovery function almost lost, therefore, no one said it was not clear what is a reasonable price.

If the Government cash subsidies to public hospitals, "standard too low" may not occur, at least not a rose is 10 times. However, the financial subsidies are not implemented. According to the experts of a conservative estimate, only Beijing tertiary hospital a year requires more than 36 billion in subsidies, and a number of secondary hospital. The current Government health inputs too little, you really should increase investment, but also to mobilize Government cannot bear. Here, surely someone will take the Shenmu County in Shaanxi Province "universal free health care" as a ratio. In fact, it is difficult to Shenmu County. On the one hand, Shenmu County is not really free people; on the other hand, Shenmu County revenue more; more importantly, the sacred tree of medical standards will not be too high, the real big disease may not be in the County of hospital treatment, but to the provinces and even the big hospitals in Beijing. If Beijing also implement universal free health care that is unthinkable.

What is the best way to introduce social capital and encourage the creation of private hospital, give full play to the market mechanism. There is sufficient competition, coupled with a strict supervision, unreasonable cost is dissoluble in addition, it will gradually medical price tends to be more reasonable. At the same time, the Government or from an unsustainable burden. Of course, the Government needs to do some public hospital, but they only offer basic medical services, protect patients basic medical needs. In these public hospitals, charges should be very low, even for free. If the patient is a serious disease, or high-quality care needs, you should go to market.