Synchronize medical cost reduction and improvement of diagnosis and treatment quality to benefit patients

2024-12-09

Recently, there has been a lot of news related to medical insurance. A few days ago, the national medical insurance personal account cross provincial mutual assistance work was launched. In 31 pooling areas of 9 provinces, the money in personal accounts can not only be used by relatives within the province, but also by relatives outside the province. In addition, another reform closely related to medical treatment is also being promoted. The National Healthcare Security Administration has successively released 17 batches of guidelines for medical service price approval. How can this reform bring benefits to patients? The direct purpose of this series of measures is to significantly reduce the burden of medical expenses once again. For example, the medical insurance personal accounts of migrant workers across provinces often have "surplus money", while their family members at home have insufficient balance. In the past, family members could not use the "surplus money" to diagnose the cause at home, which increased the burden of expenses. After achieving cross provincial mutual assistance, this problem was resolved. Mutual recognition of inspection and testing results is expected to become the norm, and inspection and testing costs are expected to be significantly reduced. The price proposal guide focuses on "expensive and commonly used" projects, seizing the "bull's nose" of high medical prices. The cost reduction effects of these measures are worth looking forward to. But it should be noted that while reducing fees, we also need to improve the quality of diagnosis and treatment. The "soul bargaining" in medical insurance negotiations emphasizes that price reduction does not compromise quality; Mutual recognition of inspection results to ensure that the quality meets the standards of mutual recognition; If there is a "diving price" in oral implantation, it is necessary to prevent the phenomenon of "decreasing unit price and supplementing quantity", and even the occurrence of good teeth being pulled out. The quality of medical care is related to life and health, and there is no room for compromise. Therefore, while promoting cost reduction measures, it is particularly important to prevent sacrificing quality. In fact, reducing medical costs and improving the quality of diagnosis and treatment are not contradictory, but can also promote each other. For example, by combining fees with similar items, although the cost burden is significantly reduced, projects that truly play a role can obtain more funds and improve quality with financial security. Corresponding to the high fees for inspection and consumables, the medical technology operation and nursing service fees are too low. Only by reducing the abnormally high costs can we achieve the goal of "changing cages and birds". Not only can medical technology and nursing services receive the expected returns, but there is also room to add items such as "door-to-door service fees", "home bed construction fees", and "palliative care"; The addition of the "Family Accompanying Delivery" service project has made healthcare more humane. Through price adjustments, although the "cage" of fees has been reduced, it can accommodate more high-quality services. The "abacus" for saving money on medical treatment requires both subtraction and addition. In addition to the service projects added in response to the aging of society, multiple intelligent and information-based medical projects have been included, which is another major focus of the new medical service pricing guidelines. Especially, the application of intelligent and information technologies such as AI assisted diagnosis and the uploading of examination and testing results to the cloud in the medical field, while improving the quality of diagnosis and treatment and the convenience of medical treatment, its role in reducing medical costs should not be underestimated. The "abacus" of saving money on medical treatment requires careful calculation. Implementing medical fee reduction measures cannot be solely aimed at reducing fees. Improving the quality of diagnosis and treatment, enhancing the medical experience, and improving the convenience of medical treatment are the common goals pursued by all medical reform measures. Only by adhering to the premise of "improving quality and reducing fees" can patients bear a smaller cost burden, obtain better quality services, comprehensively improve medical insurance benefits, and enhance healthcare and people's livelihoods. (New Society)

Edit:Chen Jie    Responsible editor:Li Ling

Source:Beijing Youth Daily

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