Release date: June 2009 12
On June 5438+00, the Ministry of Health issued the Guide to the Construction and Management of Emergency Department (Trial) (hereinafter referred to as the Guide). It is clear in the guide that for critically ill patients, the emergency department should treat them in accordance with the principle of "timely treatment first, then advance the expenses" to ensure timely and effective emergency treatment.
The guidelines clearly point out that the emergency department should complete the emergency diagnosis and treatment work within the specified time according to the requirements of the emergency medical work system and diagnosis and treatment norms. The first diagnosis responsibility system shall be implemented in emergency department, and emergency patients shall not be refused or shirked for any reason; Patients with critical emergencies should be treated according to the principle of "timely treatment first, then payment" to ensure timely and effective emergency treatment. At the same time, the emergency department should formulate and strictly implement triage procedures and triage principles, triage patients according to their disease risks, and immediately rescue patients who may be life-threatening.
The Ministry of Health requires that qualified hospitals should strengthen the construction and management of emergency departments in accordance with the guidelines and continuously improve the level of emergency medical care. At present, medical institutions whose conditions can not meet the requirements of the guidelines should strengthen the construction of emergency departments, increase personnel, configure equipment, improve conditions, improve systems, strictly manage, and gradually establish standardized emergency departments. According to China News Service.
"The rights of hospitals also need institutional guarantee"
The hospitals in the city expressed their determination to implement the policies of the Ministry of Health, fearing that this would breed malicious arrears.
On June 5438+00, the Ministry of Health issued "Guidelines for the Construction and Management of Emergency Department (Trial)" to national medical institutions. How do the major hospitals in the city respond to this? The reporter learned in an interview yesterday that although many hospitals have been implementing this policy before, the medical arrears left by some critically ill patients have become the biggest headache for hospitals, and some hospitals have bad debts in dormant accounts as high as several million yuan.
phenomenon
The patient owes money and the hospital has a headache.
"1 10 often send some patients. After we try our best to rescue, we often encounter the embarrassment of not receiving medical expenses. " The emergency director of a hospital near two intersections gave an example to the reporter. A week ago, 1 10 sent a critically ill patient who was injured by a car. As his life was in danger at any time, the hospital immediately rescued the patient. At present, the patient is out of danger, but the family has not paid the relevant expenses, and the hospital has paid 20,000 yuan for him.
"Speaking of these debts, the skull is big. In the past, it was basically the hospital that bore the losses. " Wang Dagang, secretary of the Second Affiliated Hospital of Heavy Medical Care, said that the hospital faces an average of 1 more than 10,000 yuan in medical expenses every year. Among them, except for a few malicious arrears, many of them are "ownerless" patients, and there is no way to charge them.
The reporter learned that almost every large and medium-sized hospital in the city suffers from patients' medical expenses, and some hospitals owe as much as three or four million yuan a year. Among them, "ownerless" patients and abandoned babies are the main force of arrears.
I hope I can help you.