ï»\xBF, Drug costs account for the proportion of medical expenses, tertiary care institutions control 45%, while the proportion of outpatient drugs does not exceed 20%, and other cost components, that is, disposal fees, inspection fees. 'This requires us to check the proportion of drugs and control costs, if a patient, the relevant checks in another hospital, while the hospital we do not go to re-examine the case, most of his cost drugs.' According to regulations, drugs disproportionate part to be paid by a physician. For this reason, doctors need to balance the proportion of repeat inspection of drugs. 'In addition, the hospital is their own money to purchase equipment, and a 100 million instrument, of course, have to earn back the costs as far as possible. Excess, is a doctor of pay for performance.' Heilongjiang Province, a top three hospital director said Some provinces and cities at the Ministry of health to implement the 'mutual recognition of medical examination' provides notification to be repeated to check whether hospitals' admissions determined by the clinician, 'and that the hospital mutual recognition of test results is very risky, easily lead to' erroneous reading ', the impact on the patient's diagnosis and treatment. Called on to do more with less patient analysts believe that the state health department requirements to promote the mutual recognition of medical examinations, reduce duplication of inspection; but some provincial health department notification also gives the clinician a 'final decision', this way, the state policy easy aliasing distortion in the process of implementation, and therefore difficult to avoid repeating checks. Of course, the question for the repetitive inspections there are some 'misunderstanding' of the composition. 'Sometimes patients think repetitive inspections, is not so, mainly due to asymmetric information, it is difficult to understand the different checks from a medical examination application form, misleading.' Tuberculosis Prevention Hospital of Heilongjiang Province dragon doctors said. Jinlong explained that if a patient in the hospital A CT examination and found that lung shadows, and then select the hospital for treatment to B, then B hospital admissions doctor after interrogation, reading sheet, the patient is likely to do a CT scan; that patients admitted to hospital before surgery, there may have to undergo a CT scan. The second inspection is enhanced CT or high-resolution thin-layer inspection, third examination is to provide a basis for the development of surgical programs. How do neither affect the efficacy of letting patients spend less money wasted?
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