On April 14, Shanghai added 3,200 new locally confirmed cases and 19,872 local asymptomatic infected people, which is undoubtedly the most severe anti-epidemic situation we have faced since Wuhan was cleared.
Nucleic acid testing price dropped to "freezing point"
On April 13, Shanghai, where the epidemic was the most severe, reduced the price of nucleic acid testing to the "freezing point", and the single sample test of nucleic acid testing only cost 28 yuan, which can be said that 28 yuan can not even eat a decent lunch in Shanghai.
At the beginning of this month, in the notice of the "Notice on Reducing the Price and Cost of Nucleic Acid Testing for The New Coronavirus Nucleic Acid" issued by the Office of the State Medical Security Bureau and the Medical Treatment Group of the Joint Prevention and Control Mechanism of the State Council in Response to the Novel Coronavirus Pneumonia Epidemic: The government guidance price for the nucleic acid testing of the new coronavirus in public medical institutions was clearly reduced, and the provinces should reduce the single test to no more than 28 yuan per person, and the multi-person mixed test should be uniformly reduced to no more than 8 yuan per person.
Another notable point in the notice is:
The medical insurance departments of each province refer to the existing procurement prices of the national hanging network, and before April 30, through the organization and implementation of centralized procurement, bidding on the network, participating in inter-provincial alliance procurement, regional price comparison and other methods, so that public medical institutions can reduce the cost of amplification reagents, extraction reagents, sampling instruments and other material consumption required for new crown nucleic acid detection to less than 50% of the price of a single single inspection.
The cost of material consumption is reduced to less than 50% of the price of a single person, which means that the cost of material consumption should be firmly controlled within 14 yuan!
In other words, other costs are also controlled within 14 yuan, of which 14 yuan, what is the value of labor costs?
How is the price set and why is it lowered?
For the price of nucleic acid testing, the most important thing is naturally: cost.
At the beginning of 2020, before the outbreak of the new crown epidemic, nucleic acid testing was a "niche" testing project with high technical content that could only be carried out in a few large hospitals and third-party laboratories, and some hospitals did not meet the requirements of nucleic acid testing.
In order to meet the needs of large-scale nucleic acid testing, the construction and transformation of laboratories, the procurement of instruments and equipment, etc. have become the primary tasks of hospitals. According to an interview with Health Times, Director Li Yirong, director of the Department of Medical Laboratory of Zhongnan Hospital of Wuhan University, said: "At present, the cost of nucleic acid testing includes labor costs, testing costs such as instrument reagent consumables and hospital management costs, of which nucleic acid detection reagents are one of the main costs. ”
Through the inquiry of the centralized procurement platform of pharmaceutical equipment in Shandong Province, the current quotations of the new crown virus nucleic acid detection kits of various enterprises are mostly about 5 yuan and 7 yuan. That is to say, one of the main costs of nucleic acid testing - the price of nucleic acid detection kits has reached the "freezing point".
At present, the upfront cost of most hospitals to purchase equipment and renovate laboratories has gradually amortized the cost after round after round of large-scale nucleic acid testing.
Therefore, the main costs affecting the pricing of nucleic acid testing at present come from three aspects: first, all kinds of consumables whose prices have reached the "freezing point" because of the purchase of the network; second, the maintenance costs of laboratory equipment, as well as water and electricity expenses; the third is the labor cost behind nucleic acid testing.
Where do the neglected labor costs start?
It is undeniable that the price of nucleic acid testing continues to fall, which greatly reduces the economic burden of the people, but in this way, the labor cost of inspectors is easy to be compressed, the work can not be returned accordingly, if coupled with the increase in work intensity, long-term high load operation, it is easy to appear burnout, so the price reduction of nucleic acid testing will undoubtedly greatly dampen the enthusiasm of inspectors.
CCTV network on December 16 last year on the reasons for the price of nucleic acid testing fell again and again: the National Medical Insurance Bureau on the one hand reduced the price of nucleic acid testing consumables, on the other hand, reduced the labor cost in medical services, and the nucleic acid testing instruments after a wider range of applications also reduced the cost accordingly.
At present, the nucleic acid testing market actually implements a "dual-track system", the official price limit is only for public medical requirements, third-party testing agencies as a powerful supplement to the current domestic nucleic acid testing market, they have the right to self-pricing, so third-party testing institutions can also provide door-to-door service, rapid reporting and other value-added services to make a profit, the treatment of inspectors will be relatively better, then what about the staff of public institutions?
In some public health facilities, labor costs do not increase significantly, even in the event of a surge in workload. Some subsidies are usually given, or internal performance distribution is tilted. However, due to the impact of the epidemic, the operation of medical institutions in recent years has not been optimistic, and the performance that can be distributed is limited, so there has been an embarrassing situation of a surge in workload and a decrease in the income of medical staff.
This means that more and more efforts have not been rewarded accordingly - the work of inspectors is still not understood by the public, the certification of front-line personnel has nothing to do with most inspectors, and even subsidies are missing.
Airtight protective clothing, laboratories still lit up in the early hours of the morning... Our efforts really shouldn't be ignored!
Listen to the voice of the examiner
The following are all messages of the inspector in the WeChat background, we excerpted it, just so that more people can see the voice of the examiner...
His body was sore, his feet were swollen, his hands were thumb tenosynovitis, not to mention the strangles on his face, and continuous combat was commonplace. Sitting and falling asleep talking... The child can't accompany it, and the mobile phone is tired and doesn't want to see it. We do everything silently.
Inspection is not put on the instrument can be, the quality control before the inspection, the analysis of the results after the inspection, are all done by the inspector himself, the inspector is really not so easy!
I've been working for more than a year and a half to put myself on the verge of depression, three levels of protection, negative pressure environment, plus endless ups and downs of the epidemic. Shoulder pain Neck pain Waist pain Wrist pain repeated rotation pain can not get better, ointment has become a common medicine at home. Every day, I can only tell myself to insist on it, and then insist on it.
My hands are relatively large, wearing three layers of gloves are particularly tight, the operation is very inconvenient, one day after working for more than ten hours, I found that the index finger has been twisted and deformed, it turned out that the tension of the gloves deformed it.
The township health center collects nucleic acid, the system records itself, the sample is collected by itself, the form is registered by itself, and I am alone in the whole process. Most of the nucleic acid collectors are people who come back from working in other places for the New Year, and their heads are buzzing every day after work, and they are dreaming of collecting nucleic acid for others.
In the past two years, the inspector has paid too much. The examiner not only sacrificed his rest time, but also gave up his own guarantee of health, and even neglected to care for his family. Our colleagues always joke that every inspector has a strong "left-behind child" in his home.
In the past, the testers were a group that could not be illuminated by the spotlight, they were the "deminers" of the new crown virus, and the hard work and efforts of the testers to fight the epidemic during the epidemic were gradually being seen by more people. In fact, singing praises or praises is not what the tester wants, and what the tester hopes most is that the epidemic can pass quickly, and he can remove the heavy protective clothing and take a good rest. I believe that the efforts of every inspector will not be in vain!
Cover source: Xinhua News Agency
Part of the content source: Medical laboratory salon
Editor: Ren Mileage Reviewer: Xiao Ran
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