People will inevitably get sick when they eat whole grains, and they will choose to go to the hospital for diagnosis and treatment at this time. Nowadays, the medical conditions are getting better and better, and some diseases can be accurately selected to ensure the health of the people.
But now the doctor-patient relationship is becoming more and more strained, and of course, the most fundamental reason for this situation is ineffective medical treatment.
Ineffective medical care not only increases the financial burden on a family, but also creates fear for patients, which can also damage personal health.
Zhou Qin, director of the Clinical Pathway Management Guidance Center of the Anhui Provincial Health Commission, said that there were many cases of overuse of auxiliary drugs accounting for more than half of the total drug proportion, and he found many cases in his daily inspection work.
In the prescription of a patient diagnosed with gastric cancer and chronic atrophic gastritis, there were 9 auxiliary drugs, accounting for 87% of the total drug cost8%。Of these 9 auxiliary drugs, a considerable number of them are not even related to the two diagnosed diseases.
In another list of medications for patients with tibialand fibular fractures, adjunctive medications account for a staggering percentage of the total cost of their medications. Including 4 kinds of auxiliary drugs, in the total cost of more than 9,700 yuan of patients, the cost of these auxiliary drugs is as high as 8,200 yuan, "the real drug actually only costs 1,000 yuan."
Many drugs do not play a key role in the disease. The indiscriminate use or even abuse of adjuvant drugs has increased the burden on patients and increased medical insurance costs.
Huang Jiefu, former vice minister of health, once pointed out that the proportion of ineffective medical treatment in the United States has reached about 40%, and there are similar problems in China.
For example, many people with colds are told that they need a lot of unnecessary medicines;Some seemingly terrible diseases are actually harmless to people and do not need to be special**;There are also some surgeries that do not need to be performed.
Professor Ma Jin, a health economist at Shanghai Jiao Tong University, pointed out that China's medical insurance payment system is an important cause of these problems, and the medical insurance department pays more attention to the balance of income and expenditure and medical cost control, but ignores the actual needs of patients.
In order to achieve the higher-level targets, the hospital delegated these goals to the medical staff, which led to these unnecessary medical practices.
Of course, China is constantly improving the medical system to solve the problem of difficult and expensive medical treatment for ordinary people, and many diseases have also been included in the reimbursement project.
1.The ambiguity of the doctor's role
In fact, on this point, ** for public hospitals to adopt a policy of "self-support, self-financing", so the more the hospital profits, the more bonus subsidies will be, so the role of doctors is gradually becoming more and more blurred.
Many doctors will also flood in the process of **, whether to put **patients first or the interests of the department first?Therefore, if you look at these two points together, it is difficult for most doctors.
And now many hospitals are also constantly expanding, introducing new high-tech equipment, so there is also a certain interest relationship behind this, resulting in more ineffectiveness.
2.It has something to do with the current medical insurance policy
Related to the current medical insurance policy, there are many items that cannot be reimbursed, but patients have to do it, which can't be borne by doctors and hospitals, right?
Therefore, some hospitals will try to make reasonable use of ineffective medical treatment to reimburse medical insurance, which is indeed a helpless move.
3.The patient's children are blindly filial
Now that the standard of living has improved a lot, the children are also very filial, and they will worry that their parents will be sick and give them a physical examination, but there are also some children who sleep blindly, like some chronic diseases can not be completely **.
But it will still be excessively ** for parents, but in this way, it will not only lead to a decrease in their quality of life in their later years, but also waste money in vain, which will have a huge impact on the body, so this is also a point that causes ineffectiveness**.
1.Cardiac stents
Generally speaking, when the patient's cardiovascular blockage reaches more than 70%, the doctor will arrange the installation of a cardiac stent, in addition, it is also necessary to use it in combination with the patient's condition.
According to a 2008 survey in China, 18 patients were treated with cardiac stent interventions80,000 people. In addition, the proportion of cardiac stents and bypass surgeries in the world is 7 1 8 1, while the proportion in China is as high as 12 1.
With such a large amount of data, we don't know, these are stents that should not be placed, which is obviously excessive medical treatment.
2.Tonsillitis
Mr. Wang, because of a sore throat, went to a tertiary hospital for medical treatment, the doctor asked him to check the blood and then arranged a chest X-ray CT, and the final diagnosis was tonsil inflammation, so he checked it again, and his body cost more than 2,400 yuan. Li Weimin, director of the Babaoshan No. 1 Community Health Service Center in Beijing, believes that this case is a typical case of excessive medical treatment, such as this kind of ordinary tonsillitis patients who seek medical treatment for the first time, and it is enough to have a routine blood test.
The cost of seeing an ordinary tonsillitis in a community hospital would not exceed 300 yuan, and Mr. Wang spent 8 times as much. An important manifestation of excessive medical treatment is "minor illness and big treatment".
3.Abuse of CT, imaging, MRI, etc
In an exclusive interview with China Youth Daily, Professor Hu Dayi talked about how to reduce the medical burden of patients, and he emphasized that reducing medical costs is not only about reducing the cost itself, but also about doctors returning to the basics.
Professor Hu Dayi pointed out that many people generally believe that CT, imaging, MRI and other examinations are harmless and can be carried out at will.
However, these tests actually have a dose of radiation that, if overused or unnecessarily, is not only not beneficial, but may increase the risk of cancer.
1.Do I have to have surgery?If there is no surgery, is there any other way?
Different patients have different surgical purposes, so it is important to be clear about the role of your surgery and understand the pros and cons of surgery. After all, there are certain risks associated with any surgery.
If you can continue to observe the condition, or improve the quality of life by changing your lifestyle, and surgery is not necessary, you can put forward your own ideas to the doctor in order to further clarify the ** plan.
2.How effective is the surgery?There are no risks
Before proceeding with surgery, the family should find out whether the surgery will improve the condition, and consider whether they can afford to bear the financial pressure if it is only postponed or if a second surgery is required**.