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10万医生被监控,过度用药将受严格处罚!

2018-01-27 佚名 赛柏蓝

全国第一次,一个省二级及以上医院的医生,将被监控!人数或超过10万。

全国第一次,一个省二级及以上医院的医生,将被监控!人数或超过10万。

湖北设“天网”,监控423家医院

日前,据楚天都市报报道,湖北卫计委党组书记张晋,在接受采访时透露,从今年3月份起,湖北将在全省所有二级及以上医院,对医生开处方过程进行动态监管。

湖北卫计委资料库显示,今年将被监控的有302家二级医院和121家三级医院。根据国家统计局2015年发布的年度统计报告,全国有执业医师和执业助理医师282万人;湖北作为全国医疗强省之一,以平均值估算此次涉及的医生,可能超过10万人。

这个系统如鹰眼,似“天网”,裸露医生秘密、照亮灰色地带。

医生过度用药,最严处罚

监控系统,将全省二级及以上医院,所有开处方的电脑联网。

如果医生过度检查、过度用药,不需要拍片的开拍片,不需要做B超的开B超等,监控系统会根据病情录入情况智能分析,自动弹窗提示医生科学用药,如果医生一意孤行,系统将分析识别并上报。

一旦医生存在过度医疗行为,轻则警告,重则处分,甚至吊销执照。张晋表示,这个系统将在2018年3月起在湖北省推广,年底之前,所有的二级及以上医院都要覆盖。

2018控费,敲击每位医药人

坦率说,不合理的医疗费用增长,的确是该控制下了。我国药品浪费触目惊心,尽管缺乏权威数据统计,但2013年的一项网络调查显示,我国每年家庭浪费的药品价值超过100亿元。

如果再算上打了可用可不用的针剂,开了可查不可查的检查,医保被浪费的资金,肯定是天文数字;社会被挥霍的财富,惊心动魄。

种种迹象表明,2018年控费的绳索越拉越紧了。2017年底出现大量医院停药、停耗材的现象,或许会有人判断这只是阶段性的突发状况,但几日前,河南突然抛出48份辅助用药目录,就将这种推测完全击碎。

医疗技术服务回归本真

最近,不少省份都相继出台了现代医院管理制度,要求“公立医院绩效工资总量与技术服务收入、质量管理、费用控制和服务绩效等挂钩,与药品、耗材、检查检验收入脱钩。”

药品、耗材零差价,医保支付方式改革,公立医院薪酬制度分配改革等等,国家一系列连贯动作都在昭示一个信号:医疗行业将被去除华丽外衣,回归医疗服务本真价值。

以前哪个医生开贵药多、使用贵耗材多谁就收入高的时代一去不复返,医生唯一的收入支点是技术,只有重视疗效,提高医疗技术服务内涵质量的医生,才是医院优秀的医生,才是新时代仰仗的医生。

因此,提高自身技术,注重医德品质,才是未来医生该努力的方向。在未来逐渐严格的监管制度下,医疗行业的灰色行为将会无所遁形。

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  1. [GetPortalCommentsPageByObjectIdResponse(id=283929, encodeId=9ae828392954, content=非常好的文章.学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=102, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo7LIiaRZTzJ3SEfiauCzTMPW7YvPPYLNJBXG9oh6Al1icq2VQQkIHWxqXehcicTS62YKJVBhxeth3wggw/0, createdBy=7ce01621306, createdName=天涯183, createdTime=Wed Jan 31 20:27:00 CST 2018, time=2018-01-31, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=283928, encodeId=d4a2283928c9, content=非常好的文章.学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=108, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo7LIiaRZTzJ3SEfiauCzTMPW7YvPPYLNJBXG9oh6Al1icq2VQQkIHWxqXehcicTS62YKJVBhxeth3wggw/0, createdBy=7ce01621306, createdName=天涯183, createdTime=Wed Jan 31 20:26:50 CST 2018, time=2018-01-31, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=283625, encodeId=dc9828362517, content=学习..谢谢分享., beContent=null, objectType=article, channel=null, level=null, likeNumber=106, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/xkvRjYnJzzRJ2R0y7VhicibvkjPWHjIMmu4ZpKnE9cWAu4lVicS3uDUCfF4M4JWvrkrYfpb2KehPV0Ee29tPqyPEebBUibiaKhnvD/0, createdBy=f8412001184, createdName=惠映实验室, createdTime=Tue Jan 30 22:09:08 CST 2018, time=2018-01-30, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=282964, encodeId=425728296474, content=henhao, beContent=null, objectType=article, channel=null, level=null, likeNumber=2, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mStl88fu4NcXNhUvfhzd2VdicMnaLeK2Im5gKx4Ucxd8Bwu6S7RG0uILBFQx5HTW2bU4VricDYlQqN20ibASSMYAeGrZrrTpy2Q/0, createdBy=b0041939716, createdName=hhh678, createdTime=Sun Jan 28 20:01:28 CST 2018, time=2018-01-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=282925, encodeId=9c432829257b, content=学习.谢谢分享., beContent=null, objectType=article, channel=null, level=null, likeNumber=125, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/xkvRjYnJzzRJ2R0y7VhicibvkjPWHjIMmu4ZpKnE9cWAu4lVicS3uDUCfF4M4JWvrkrYfpb2KehPV0Ee29tPqyPEebBUibiaKhnvD/0, createdBy=f8412001184, createdName=惠映实验室, createdTime=Sun Jan 28 17:08:01 CST 2018, time=2018-01-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=282650, encodeId=a52b282650da, content=henhao, beContent=null, objectType=article, channel=null, level=null, likeNumber=74, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mStl88fu4NcXNhUvfhzd2VdicMnaLeK2Im5gKx4Ucxd8Bwu6S7RG0uILBFQx5HTW2bU4VricDYlQqN20ibASSMYAeGrZrrTpy2Q/0, createdBy=353a2047758, createdName=137****9095, createdTime=Sat Jan 27 20:52:18 CST 2018, time=2018-01-27, status=1, ipAttribution=)]
    2018-01-31 天涯183

    非常好的文章.学习了

    0

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    2018-01-31 天涯183

    非常好的文章.学习了

    0

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    2018-01-30 惠映实验室

    学习..谢谢分享.

    0

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    2018-01-28 hhh678

    henhao

    0

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    2018-01-28 惠映实验室

    学习.谢谢分享.

    0

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    2018-01-27 137****9095

    henhao

    0

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