High-quality diagnosis and treatment capabilities are the key to controlling medical costs.

For example, Xu Qiu, who treats diseases or performs surgery, can avoid unnecessary examinations, and it is basically done in one step and rarely requires repeated medical treatment. Therefore, the data of the patients under Xu Qiu must be extremely good-looking.ωωw..net

If the average national medical expenses are 5,000 yuan, Xu Qiu's patients may be less than 1,000 yuan on average.

Another requirement: detailed fund spending data.

This is the key to the DRGS grouping medical expenses. How to group and price each disease must be carried out under big data.

But Daxia still did not do well in this regard.

Until last year, the penetration rate of electronic medical records was less than 50%. Under the domestic medical database, even half of the statistical data could not be obtained. In addition, the medical records that have been included in the management also had problems such as inaccurate diagnosis and treatment data and irregular medical records coding, so it is almost impossible to accurately calculate the clinical cost...

If you have poor diagnosis and treatment capabilities and inaccurate cost estimates, forcibly promoting drgs will only be a bad debt.

Previously, the patients and the Health Insurance Bureau suffered.

Now the unlucky guy has become a patient and a hospital.

"I also understand that the forced implementation of DRGS will intensify the conflict of interest between the hospital and the relevant parties of the Medical Insurance Bureau, but this is the general trend and I can't do anything about it." Fu Qing sighed.

After a pause, he said: "And, it may be different from what you imagined, and top hospitals may not necessarily make money!

"Jinghai People's Hospital is a DRGS pilot hospital in Baiyun Province. In the first half of the year, their brain surgery department lost more than 20 million yuan, and one department has more than 20 million yuan..."

Xu Qiu's face turned solemn.

Jinghai People's Hospital is the first stop of his academic lecture on brain surgery. The hospital's brain surgery department ranks first in the province and is also well-known in the south.

As the ace department, did you lose money?!

Fu Qing explained: "The director of the Department of Brain Surgery at Jinghai People's Hospital is too aware of the fact that he insists on using the most reasonable treatment methods and refuses to choose low-priced equipment, drugs, etc. to reduce costs.

"Their department has the best brain surgery medical resources in the province, so it took a turn for the medical insurance fund and lost tens of millions in half a year. Last month, he was transferred to the post and the chief director was replaced."

Letting a doctor only do what the doctor should do seems nonsense, but it is difficult to achieve it.

In addition to authoritative guidelines, effective diagnosis and treatment methods, the patient's own comprehensive situation, there is another important factor - the guidance and norms of clinicians by laymen.

Now that the system has undergone tremendous changes, Jinghai People's Hospital still does its own way and will definitely be criticized.

Xu Qiu pondered: "The current situation is that medical institutions have to rely on top to bottom to meet the requirements of DrGS?"

Fu Qing shook his head: "It's not so exaggerated, but in the past, we considered treatment methods first, followed by costs. Now we may have to put costs first, and then choose the diagnosis and treatment method within a reasonable price range."

Xu Qiu himself was not worried.

Since the patient was admitted to the hospital, he accurately chose the examination method, avoiding many seemingly reasonable but meaningless examinations, and he has already started to save money. The industry can control the cost of diagnosis and treatment to a lower level than Xu Qiu, and there are not many people.

However, other doctors cannot do it in the near future.

The original intention of drgs must be good. The ultimate goal is to control medical insurance costs, hospitals save costs, and patients save money, but when it is truly implemented at the grassroots level, the best outcome is that major hospitals suffer losses, doctors' benefits are reduced, and medical insurance cannot take a step back and find various reasons to subsidize doctors and hospitals to ensure that doctors have a meal.

In order to subsidize household income, more doctors can only rely on part-time jobs to maintain their previous income, such as conducting Internet consultations on certain platforms, or even going to Didi directly after get off work, delivering food, etc.

As for the worse ending, it was the collapse of the hospital. The doctor found that every time a patient was charged, he would have to be deducted dozens or even hundreds of bonuses. Everyone began to shirk responsibility. At this time, the Health Commission issued a document to prohibit the refusal of diagnosis. In the end, the doctor found that he could not fight, so he directly changed his career and ran away after getting a practicing physician certificate. The entire medical system was shaky.

"Is there a solution?" Xu Qiu asked.

Fu Qing thought for a long time and said, "It's considered that the general policy of drgs cannot be moved, but each province has a certain degree of autonomy and can make appropriate modifications under the framework of drgs according to local conditions."

There are more than 30 provinces in China, but there are hundreds of versions of DRGS, and some provinces are different from urban areas.

Fu Qing said: "However, there is no suitable version of the local drgs in the country. The medical level of our Baiyun Province is not outstanding, and there is no precedent for reference on it, so we can only learn from Tiandu's experience."

Drgs, which are now promoted in Baiyun Province, are derived from the Tiandu version, and are used in the same system as top hospitals such as Union and Fuwai.

Xu Qiu thought for a moment and said, "In Tiandu, whether it is medical level or electronic data perfection, they are very different from Baiyun Province. Theirs may not be suitable for us..."

Fu Qing was waiting for this sentence. He looked at Xu Qiu with bright eyes: "Are you interested in formulating a version for Baiyun Province?"

Xu Qiu did not refuse.

If the existing Drgs are implemented, if he has him in Linhai First Hospital, he will definitely be able to hold on, but other hospitals in the province, and even many ordinary third-tier universities in the country, may face greater losses.

The top three are also not immune, and they are likely to run hard with huge losses of hundreds of millions per year.

Today's Daxia needs a medical system that is more suitable for the level of medical development and regional characteristics to solve the problems between medical insurance, hospitals and patients.

"Okay, I will try my best." Xu Qiu agreed.

Now he has to fight against liver peace, develop new drugs, and prepare for next year's World Competition. There may be a head change technique that needs to be studied... He has so many responsibilities, so it doesn't matter if he has another one.

Numbness.

...

After leaving Fu Qing's residence, Xu Qiu contacted Shen Hua.

Tiandu.

Shen Hua's movements were exactly the same as Xu Qiu. When she heard the ringtone, she took out her cell phone slowly, then straightened her arm, leaned back, and looked at the caller ID on the screen from afar.

"It's Dr. Xu Qiu." The assistant reminded.

Shen Hua felt like he had been electrocuted. She quickly clicked and her voice was very excited: "Hey, Xu Qiu!"

Since the world's first complete craniocerebral separation surgery was initiated at the beginning of the year, Xu Qiu has neglected the brain surgery department.

Kjavi disease, which belongs to the Neurology Department, does not count.
Chapter completed!