The Study On Actuality And Standardized Popularization Of Limited Price Charge For Single Disease In Shandong Province

In recent years, the health expenditure has been increasing in China. As a result, "too difficult and too expensive to see a doctor" has become a hot topic of the society, and it is also one of the difficulties that baffled the development of health care.In order to solve the problem, our provincial government takes the controlling increase of medical expense and reducing people's economic burden as a task. And many measures have been taken, such as developing the quality management year of medical institutions, classified management of medical institutions, Pharmaceuticals procurement via tender bidding, separation of drug prescribing and dispensing and reinforcing the economic management of medical institution, etc. Though the measures are effective, and have achieved certain effects to some extent. The problem of "too difficult and too expensive to see a doctor" has not been solved.The traditional fee for service has not met the demand of society owing to its disadvantages. As an effective way standardizing medical behavior and improving medical quality, limited price charge for single disease has been made experiment by many hospitals of different level. And as a new thing, the real effect of it needs long term monitor.The study applies literature home and abroad, mailing survey, key-informant interview interrelated information from statistical Center of Shandong province and document review to collect quantitative and qualitative data. Besides, the study uses the example of the hospital attached to Jining Medical College, aiming to answer the following questions: what's the basic situations of the limited price for single disease in Shandong province? What is the effect of it and what lessons can we draw? And how to put forward some strategic suggestions and advices?The study has following major findings. The effect of the limited price charge for single disease in Shandong is obvious. Namely, the medical cost has been reduced, and the burden of patients has been lightened; The behavior of diagnosis and treatment has been normalized, and the medical quality has been improved; The relationship between doctors and patients has been improved, and the professional style has been corrected; The hospitals get development as a result of the performance management, etc. On the other hand, though the limited price charge for single disease now is effective, there are still many problems and it needs further perfect, such as, the names of disease are nonstandard and there are not standardization diagnosis and treatment; the scope of single-disease is relatively narrow; the method of accounting the cost of disease is not scientific, the same disease charges differently in hospitals of different level and in different places, the medical institutions are lack of effective management, and so on.Five main policy suggestions are raised. Firstly, set up interrelated guarantee system synchronously; Secondly, strengthen the supervision and management of medical quality; Thirdly, standardize the scheme of limited price charge for single-diseases; Fourthly, intensify the governmental responsibility by the related sectors cooperating; Finally, the scheme of limited price charge for single disease can attain good effect with the help of other paying ways.