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Text: Qingmei said entertainment
Editor|Qingmei said entertainment
DRG Fee Reform: An "Abacus War" Between Hospitals and Patients
Speaking of this DRG payment reform, it is really a headache for many hospitals!
To put it simply, DRG is a medical insurance payment method of "grouping according to disease diagnosis", which classifies inpatients with similar diseases and similar resource consumption into a group, and then the medical insurance sets a payment standard for this group of patients.
Speaking of the original intention of this reform, it is actually to control medical costs and make the use of medical insurance funds more reasonable and fair.
In the past, hospitals charged by project, and they had to charge money for a check-up and prescription of medicine, so the medical costs were naturally high.
And DRG just wants hospitals to stop "asking for sky-high prices" when treating patients, and have to have a degree, within the standards set by medical insurance.
Since the implementation of the DRG payment reform, the effect of medical cost control is still quite obvious.
Many hospitals have begun to think about how to treat patients well while spending less money. In this way, the burden on patients is lighter, and the medical insurance fund can be used for a longer time.
But this reform is not without its side effects. Hospitals now have to treat patients within DRG standards, which is not a small pressure!
In order to control costs, some hospitals have begun to reduce services, refuse patients, reduce beds, and so on. In this way, the hospital's income will be less, and the economic pressure will naturally be greater.
It's even worse for the doctors! Now they not only have to see patients, but they also have to settle accounts for patients.
If the cost of treatment exceeds the DRG standard, the hospital will have to pay for the excess.
In order to save money, the hospital has to spread this part of the cost to the doctors, deducting their salaries and bonuses. This really makes the doctors "dumb to eat coptis, and they can't say anything about their suffering"!
The reason why hospitals are reluctant to accept complex patients is because the treatment costs of these patients are often relatively high, and it is easy to exceed the DRG standard.
If the hospital accepts these patients, it will have to pay for the excess costs.
Therefore, some hospitals have begun to "pick and choose", and are only willing to accept patients with low treatment costs and simple conditions.
This DRG payment reform, although it can control medical costs and make the use of medical insurance funds more reasonable and fair; But it also brings a lot of pressure and challenges to hospitals and doctors!
Netizen comments
After the implementation of the DRG, the patients are not satisfied, the doctors are not satisfied, and only the Health Insurance Bureau is satisfied.
The money from medical insurance is enough to feed Chinese doctors, and if free medical care is implemented, there will be no doctor-patient conflict at all.
Whether it exceeds the standard or not, only the hospital and the medical insurance bureau know,
epilogue
Since the implementation of the DRG payment reform, it has achieved remarkable results, with the average length of stay of patients reduced, and the cost of medical treatment has also been reduced, which has undoubtedly brought tangible benefits to patients. However, this reform has also made some hospitals feel pressure, and even the phenomenon of "hospitals not working" has appeared.
Hospitals, as providers of medical services, face multiple challenges in the face of reform. On the one hand, the DRG payment system requires hospitals to control medical costs and improve medical efficiency on the premise of ensuring medical quality.
This undoubtedly puts forward higher requirements for the fine management level of the hospital. On the other hand, hospitals also need to respond to the increasing medical needs of patients and the changing healthcare market environment.
It is these challenges that drive the hospital to constantly seek innovation and development. By optimizing internal management, improving the quality of medical services, and strengthening medical technology innovation, hospitals can gradually adapt to the changes brought about by the DRG payment reform and achieve sustainable development.
At the same time, the government and all sectors of society should also give more understanding and support to hospitals to jointly promote the healthy development of medical services.