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More transparent payment for medical treatment, reform of me
Faced with the confusion of ordinary people seeking medical treatment, the National Healthcare Security Administration is providing answers through the reform of medical service prices, such as "Please pay a few hundred yuan a day for a caregiver, what should I do if I can't bear it?" "Brain computer interface sounds very powerful, can ordinary people afford it.
According to the National Healthcare Security Administration, a total of 39 batches of guidelines for the establishment of medical service pricing projects have been issued nationwide. From door-to-door service fees and guidance prices for free care, to the addition of pediatric pricing projects and brain computer interface pricing, a more transparent and considerate set of pricing rules is being implemented.
Children's medical treatment with more reasonable fees——
The difficulty and risk of diagnosis and treatment for children are often higher than those for adults. In response to the characteristics of pediatric medical services, the project guidelines for ultrasound examination and gynecology have newly established price items such as fetal ultrasound examination, fetal systematic screening, labor analgesia, neonatal care, premature infant care, etc., guiding hospitals to optimize the allocation of pediatric and obstetric resources.
In surgical projects, some traditional Chinese medicine projects, as well as projects with high difficulty in pediatric examination and treatment such as ophthalmology and respiratory system, the project guidelines clearly implement the policy of additional fees for children.
This is conducive to maintaining the enthusiasm of pediatric medical staff, "said Jia Chengguang, Vice President of Beijing Children's Hospital affiliated with Capital Medical University. The adjusted medical expenses have been included in the scope of medical insurance payment and will not increase the burden on patients seeking medical treatment.
For visually impaired and hearing-impaired children, the project guidelines have established relevant projects to strive for more children to enjoy fair and accessible medical services. For example, the ophthalmology project guidelines establish a pricing program for visual function training, which facilitates visually impaired children such as hyperopia, amblyopia, and strabismus to improve their visual function through professional visual stimulation and practice.
Aging friendly reform, more worry free medical treatment——
The guidelines for project initiation uniformly add a package of aging price items such as escort free care, Internet reexamination, and remote monitoring, so that the elderly can go to hospital less and feel more comfortable.
For example, in order to avoid accompanying care, the price for one to many free accompanying care in various regions is generally between 100 yuan and 180 yuan per day. For example, Heilongjiang Province implements government guided pricing management for unaccompanied care services, with a minimum of 100 yuan per person per day for one to three basic services.
Compared with the socialized nursing fees of over 300 yuan per day in the market, unaccompanied care services reduce patients' medical costs, "said Zhang Xiaoran, director of the Price Procurement Department of Heilongjiang Provincial Medical Insurance Bureau. Nursing staff will be more professional, which also makes patients more comfortable and their families more at ease.
Service delivered to your doorstep, less hassle in seeking medical treatment——
With the increasing demand for home healthcare, there are more and more medical services that medical personnel can provide on-site.
In response to this, the comprehensive examination project guidelines have added a door-to-door service fee. Grassroots medical institutions can combine their own capabilities to provide nursing, traditional Chinese medicine, rehabilitation training and other services for chronic disease, postoperative recovery period patients, and end-stage patients, better leveraging their advantages as "health gatekeepers".
Liu Xinxin, director of Fangzhuang Community Health Service Center in Fengtai District, Beijing, introduced that after the addition of home services, the center will provide home visits, nursing, and rehabilitation guidance to over 800 elderly, disabled, and bedridden patients in its jurisdiction by 2025, an increase of 46% compared to the previous year.
Clear charging policies encourage medical institutions to actively expand their on-site service scope, "said Han Huidong, director of the Price Procurement Department of Guangdong Provincial Medical Insurance Bureau. This can also effectively reduce the burden of some special patients traveling to and from hospitals and queuing for medical treatment.
Assist in the application of innovative technologies——
As of now, the project proposal guidelines have added about 180 price items related to new technologies and products, covering brain computer interfaces, surgical robots, remote surgery, etc.
Taking brain computer interfaces as an example, the project proposal guidelines establish pricing items for invasive and non-invasive brain computer interfaces. At present, most provinces have established government guidance prices for brain computer interface related pricing projects, with invasive brain computer interface insertion fees ranging from 6000 to 6600 yuan per session, and non-invasive brain computer interface adaptation fees ranging from around 960 yuan.
The reform of high-end medical technologies such as proton radiotherapy, heavy ion radiotherapy, and boron neutron capture therapy not only supports innovation, but also takes into account the patient's affordability. At present, the government guided full course cost for proton radiotherapy is around 170000 yuan, while the government guided full course cost for heavy ion radiotherapy is within 200000 yuan.
The standardized pricing project system provides a guarantee for sustainable innovation of enterprises, allowing them to obtain reasonable returns in a compliant market environment. Huang Yongsheng, Director of Market Access Department of Shenzhen Xianjian Technology Co., Ltd., believes that this benign development pattern is conducive to forming a positive cycle from value to innovation.
From children to the elderly, from primary healthcare services to new technologies and products, behind every price item, there is a response to the real needs of the people, giving patients more peace of mind when seeking medical treatment.
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