Double the nursing fee price adjustment of 761 medical services in Shenzhen

Source: medical services 2017-12-15 medical network December 15 news from December 20, Shenzhen will increase the price of 761 medical services such as consulting fees in 70 public hospitals in the city, mainly reflecting the value of technical services for medical personnel The reform of respecting the value of medical labor is coming! Shenzhen has greatly increased the price of consulting, surgery, nursing and other services that reflect the value of medical labor!
Recently, according to the medical community, Shenzhen Development and Reform Commission, Shenzhen health and Family Planning Commission and Shenzhen human resources and Social Security Bureau jointly issued the notice on carrying out the second phase of price adjustment of medical services in Shenzhen public hospitals From December 20, Shenzhen will increase the price of 761 medical services, including medical fees, in 70 public hospitals in the city, mainly reflecting the value of technical services for medical personnel According to reports, it mainly includes 7 items of diagnosis, 3 items of nursing, 517 items of surgery and 234 items of traditional Chinese medicine, with a total amount of 813 million yuan increased Taking the consulting fee as an example, the price adjustment has greatly adjusted the consulting fee of senior doctors, among which the outpatient consulting fee of chief doctors in the first class (the third class a hospital) has increased from 22 yuan to 50 yuan, up 127%! So what is the price of diagnosis and nursing in Shenzhen after this adjustment? It is worth mentioning that the common outpatient consultation fee of 25 yuan in Shenzhen, like Sanming, will be borne by the medical insurance In addition, the consultation fee of senior doctors will be greatly increased, which may play a guiding role in patients' medical behaviors In terms of nursing cost, Shenzhen's growth rate is 100%! It is understood that the current standard of nursing fee in Shenzhen was formulated 10 years ago, which has not been adjusted and the price is seriously low, resulting in serious loss of nursing staff and difficulty in talent introduction Ding Xiaorong, director of Shenzhen society of nursing, said, "before the adjustment of level III nursing, the charge standard was only 3 yuan per day, but the service content was very hard, including patrolling once every three to four hours, observing and understanding the general situation of patients, measuring body temperature, pulse, breathing, and doing a good job in health education and discharge guidance The payment did not match the charge completely." Although the nursing price has doubled after the price adjustment, compared with other cities, the nursing cost in Shenzhen is still not high Take the first-class nursing fee of the third grade a hospital as an example It is 24 yuan in Shenzhen, 36 yuan in Dongguan, and 70 to 90 yuan in Jiangsu In terms of the price of surgery, doctors are pleased with the price increase of 7 consulting and 517 surgery projects
Bao Shiyun, director of hepatobiliary surgery of Shenzhen People's Hospital, said, "like hepatobiliary surgery, portosystemic vein disconnection is a very risky operation in our department The operation includes megasplenectomy, pericardial vascular disconnection and pyloroplasty It takes about 4 to 5 hours for an operation to prepare, operate and recover from the operating room to the ward, which requires 3 doctors and 2 nurses And 1 to 2 anesthesiologists However, the current operation fee standard is 2000 yuan According to the hospital performance calculation, the operating doctor's one hour income is less than 40 yuan To increase the three or four levels of operation price is a affirmation of the value of medical personnel's labor service " According to the evaluation of the administrative department of health, after the price adjustment of the second stage of medical services in Shenzhen, the income of public hospitals in Shenzhen will increase, with the increase of 3.18%, 4.39% and 3.62% respectively in the third, second and first level hospitals Greatly improve the price of medical technology services such as surgery, diagnosis and so on! According to the doctor's circle, under the general trend of canceling the abnormal health system of "supporting doctors with drugs", the price adjustment of medical technology and labor services in Shenzhen is spreading to the whole country Not only that, many provinces and cities across the country have issued the reform plan of medical service price adjustment, and Hubei has announced that the medical service price will be revised once every six months According to the analysis of the insiders, frequent price adjustment of medical services nationwide will become the new normal, and the price of medical services reflecting the value of medical labor is entering the rising channel and will continue to increase But not all places are as bold as Beijing, Shenzhen and Fujian Sanming In view of the situation that some places are wriggling and looking forward to the future when raising the price of medical technology services, some people in the industry have analyzed that some places are worried about the speed of improvement too fast and that the patients and the society cannot accept it However, according to the doctor's circle, when Japan cancelled the policy of "keeping doctors by medicine", the price of doctors' diagnosis money in 1974 increased by as much as eight times in a year In China, Sanming, Fujian Province, increased the price of medical sexual services by a large margin in a row, and there was no trouble It can be seen that reform requires courage on the one hand and wisdom on the other In this regard, the insiders call for the reform to dry the rebate of drugs and consumables as soon as possible, and to raise the price of medical technology services as much as Shenzhen, Beijing and other places as soon as possible There should be no discount in respect of the labor value of doctors, so as to truly let doctors and nurses get the high income and social respect they should have through technology Return of medical labor value: Liberating doctors is good! For a long time, the labor of Chinese doctors is not valuable, and the equipment, drugs and consumables of large hospitals are only valuable, which leads to doctors' helpless dependence on public hospitals for survival Because, once left the public hospital, not only no patients do not say, their own labor is not valuable In the view of the insiders, with the continuous rise of medical labor price in public hospitals, although doctors do not immediately get direct benefits, but only indirect benefits are also very considerable On the one hand, the era when the diagnosis money is not worth a bowl of noodles is over After doctors' labor is valuable, it will objectively help to promote the society and patients' respect for doctors' labor Doctors no longer need to make a living mainly by selling medicine In addition, after doctors' labor is valuable, it lays a foundation for doctors to practice more and more freely Whether they practice part-time or freely, the market will pay doctors labor remuneration at the price of respecting doctors' labor value It can be seen that in the whole chess game of medical reform, a significant increase in the price of medical services is a very critical step One hair can move the whole body!