aos 2008-3-13 14:38
主题:医院收费标准不应由价格部门制订
<p class="MsoNormal" align="center" style="MARGIN: 0cm 0cm 0pt; TEXT-ALIGN: center;"><b><span style="FONT-SIZE: 16pt; FONT-FAMILY: 宋体; mso-bidi-font-size: 12.0pt; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">主题:医院收费标准不应由价格部门制订</span></b><b><span lang="EN-US" style="FONT-SIZE: 16pt; mso-bidi-font-size: 12.0pt;"><p></p></span></b></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 24pt; LINE-HEIGHT: 150%; mso-char-indent-count: 2.0; mso-char-indent-size: 12.0pt;"><span lang="EN-US" style="FONT-SIZE: 12pt;"><font face="Times New Roman"> <p></p></font></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 21pt; LINE-HEIGHT: 150%; mso-char-indent-count: 2.0; mso-char-indent-size: 10.5pt;"><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman";">我省<b>价格部门有个医院收费标准</b>,规定病人输液时每瓶输液化药收费</span><span lang="EN-US"><font face="Times New Roman">1</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman";">元,包括材料费与手续费,目前化药用材料有二:一是新上市的化药专用材料加药器,二是原先用的化药替代材料注射器,加药器成本</span><span lang="EN-US"><font face="Times New Roman">2</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman";">元多</span><span lang="EN-US"><font face="Times New Roman">/</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman";">支,注射器为</span><span lang="EN-US"><font face="Times New Roman">1</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman";">元多</span><span lang="EN-US"><font face="Times New Roman">/</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman";">支,医务人员为了不赔钱,也为遵守相应价格文件,违背患者愿购买的要求,违心地选用注射器进行不规范化药,并给予多次重复使用,结果:</span><span lang="EN-US"><font face="Times New Roman">1</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman";">.注射器密封性差,手会接触针芯,污染药液,造成乙肝传染等。</span><span lang="EN-US"><font face="Times New Roman">2</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman";">.有毒药物经针芯接触,危害医务人员身体。等等使医院医疗质量受影响,医院与患者受损害,<b>影响了我国医疗事业的发展</b>。</span></p><p class="MsoBodyTextIndent" style="MARGIN: 0cm 0cm 0pt; LINE-HEIGHT: 150%;"><span style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体; mso-bidi-font-size: 12.0pt; mso-ascii-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman";">价格原是由价值决定,医疗价格决定于医疗价值,决定于医疗质量,医疗价格的具体内容包括医疗项目平均成本、税金、利润,最了解这些内容的是医院,不是价格部门,价格部门不应越俎代庖,<b>医疗收费应由医院根据要求自已定价</b>,医院为项目有好价格,会努力改进医疗中存在的缺点,提高医疗质量,<b>这会促进我国医疗事业的发展</b>。</span><span lang="EN-US" style="FONT-SIZE: 10.5pt; mso-bidi-font-size: 12.0pt;"><p></p></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 21.75pt; LINE-HEIGHT: 150%;"><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman";">当然,医院自已定价也会导致出现价格偏离价值的现象,由于医院在某一地域内具唯一性,加上医院在某些病方面的专长,决定医院有地域垄断性,垄断会产生垄断价格,医院制订医疗收费标准因此有垄断价格成分,使价格脱离价值,出现乱收费等现象。</span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 21.75pt; LINE-HEIGHT: 150%;"><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman";">必须制止这种现象,这时需要价格部门,价格部门先应为垄断行业的各收费项目制订一个接近价值的参数,并针对具体医院项目平均成本、税金、利润,确定其可允许偏离参数的值,将它们与医院具体收费标准比较(不要管项目名称的变动,只注重项目内容),所得差数即为具体医院乱收费的款数,纠正这种差数,价格即稳定。</span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 21.75pt; LINE-HEIGHT: 150%;"><b><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman";">价格部门职责是稳定价格,不是固定价格</span></b><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman";">,更不应重制订价格,轻监督、纠正,应加强对价格监督及与时纠正,只有加强监督及与时纠正,才能稳定价格。</span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 21.75pt; LINE-HEIGHT: 150%;"><b><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman";">物价局应改名为物价监督局!</span><span lang="EN-US"><p></p></span></b></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 21.75pt; LINE-HEIGHT: 150%;"><span lang="EN-US"><font face="Times New Roman"><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span></font></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 294pt; LINE-HEIGHT: 150%; mso-char-indent-count: 28.0; mso-char-indent-size: 10.5pt;"><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman";">王建友</span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 241.5pt; LINE-HEIGHT: 150%; mso-char-indent-count: 23.0; mso-char-indent-size: 10.5pt;"><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman";">单位:奥斯新技术研究所</span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 21.75pt; LINE-HEIGHT: 150%;"><span lang="EN-US"><span style="mso-spacerun: yes;"><font face="Times New Roman"> </font></span></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 21.75pt; LINE-HEIGHT: 150%;"><span lang="EN-US" style="FONT-SIZE: 12pt;"><font face="Times New Roman"> <p></p></font></span></p>