The recent publication by the municipal council for human rights of a comprehensive information on medical services at all levels of government care in 2009 revealed an upward trend in the cost of treatment at shenzhen public hospital. Out of this amount, the cost of outpatient care per person in government hospitals was $117. 6, an increase of 4. 5 per cent from $112. 5 in 2008, and the cost of hospitalization per person was $603. 3. 4 and an increase of 9. 9 per cent from $5490. 6 in 2008。
The largest increase in hospitalisation costs in maternal and child health care
According to the data published by the municipal council for human rights, 57,135,152 cases were admitted to government health facilities in the past year, of which 36,3429 were hospitalized. The average cost of medical treatment for outpatients is $117. 6, of which the cost of medicine is $54. 2; the cost of medicine per patient is 6033. 4, of which the cost of medication is 1887. 2 and the average cost of bedtime for inpatients is $742。
By comparison, the largest increase in the cost of medicines per patient in hospital was in the maternal and child health centre, which increased from $344. 4 in 2008 to $3984. 2 in 2009, with an increase of more than 500, or 16 per cent, followed by the district general hospital, which increased from $5579. 3 in 2008 to $6319. 2 in 2009, with an increase of more than 700, or 13. 3 per cent。
The largest increase in the average cost of medical treatment for outpatients was in municipal general hospitals, from $182. 5 in 2008 to $204. 3 in 2009, an increase of 11. 9 per cent, followed by specialized hospitals, from $173. 5 in 2008 to $193 in 2009, an increase of 11. 2 per cent。
All three major hospitals cost more than 10,000
According to statistics, patients are still the most favoured hospitals. In terms of the number of surgical cases, the city people's hospital, the city's second people's hospital, and the beijing university shenzhen hospital are among the three leading hospitals, each with more than 20-30,000 cases of surgery throughout the year, several times the number of general hospitals。
However, access to the three major hospitals is not cheap, and the cost of medicines per inpatient exceeds $10,000. The highest of these is the city's second people's hospital, amounting to $1126. 1. 8, which is close to twice the average hospitalization cost of the city's public hospital, and the city's people's hospital, which ranks at the top of the hospital's average cost of $245. 2 for outpatients, is already twice the average for the city's public hospital。
As journalists can see from the statistical table, hospitals are different in grade and cost increases are corresponding. The cost of medical treatment is highest at the municipal general hospital, at $204. 3 for outpatients and $10669. 4 for inpatients per patient; at the street general hospital, 80. 4 for outpatients and $3598. 5 for inpatients per patient. This series of figures also shows that small diseases are the most cost-effective in economic terms if they are seen in small hospitals。
The cost of the same hospital is three times different
In addition to publishing statistics on outpatient and hospital expenses at all levels of medical institutions, the cdh has selected five diseases, namely, acute appendicitis, uterine smoothing of auscultoma, cervix, cervix, childbirth and pneumococcal pneumonia, which are relatively numerous cases, with relatively small differences in medical conditions and relatively consistent methods of treatment. By carefully cross-referencing the data, journalists found that the cost of treatment varied widely among hospitals。
In the case of acute appendicitis, for example, in the three major municipal hospitals, the per capita hospitalization cost of acute appendicitis at the city people's hospital is $6517. 9, compared with $4793. 4 and $4727. 5 at the shenzhen hospital in the north and shenzhen city, respectively, which are even lower than at all district general hospitals. Of the district general hospitals, the most expensive is the people's hospital of fukuda district, at a cost of $6220. 7 per person; the least expensive is the people's hospital of yonggan district, at a cost of $4944. Among the general neighbourhood hospitals, the most expensive is the bughi people's hospital, at $6487. 5, and the cheapest is the longhua hospital, at $2831. 1。
The city general hospital with the lowest cost of cervix is the city people's hospital at 5586. 1 yuan; the district general hospital is the south mountain people's hospital at 3715. 2 yuan; the street (town) hospital is the sand bay hospital at 3065. 6 yuan; and the maternal and child health centre at 2942. 1 yuan, the least expensive hospital for cervix in the city。
The lowest fee is paid at the municipal general hospital in shenzhen, beijing university, for 1979. 4; at the district general hospital, for 1660 yuan; at the street (town) hospital, for 1562. 3 yuan; and at the maternal and child health centre, for 1933. 4 yuan。
In the city-wide public hospitals, the average cost of uterine smoothing membrane hospitalization is highest at the people's hospital for snakes in the south mountain region at us$ 10040. 2 and cheapest at the mother and child health centre in yonggang district at us$ 3738. 5。
From a cost comparison, it is understandable that the costs of health care vary widely between hospitals, owing to differences in patient conditions, different methods of treatment used and different rates applied at different levels. However, there is a double or even a two-fold difference in the cost of similar hospitals at the same level, a phenomenon that deserves the attention of the authorities concerned。
Hospital fees are available online
Which hospital is expensive, which hospital is cheap? If you want more detailed information on the fees charged by public hospitals and a comparison of the costs of the various diseases, please access the official website of the municipal health and population planning board at http///wsj/ (in the financial services branch subpage)。
Journalists have learned from the cdh that, in order to promote sound clinical, scientific and normative treatment, the health sector has this year been piloting clinical path management in hospitals above and beyond 2nd level throughout the city, requiring the pilot hospitals to select three to five specialized units as a pilot to explore the development of clinical path management systems with shenzhen characteristics, work models, operating mechanisms and systems for quality assessment and continuous improvement. The ministry of health has standardized procedures for the treatment and treatment of the five common diseases, among the 115 diseases for which the ministry of health has published clinical paths. Perhaps through the management of clinical pathways, hospital fees will be more regular and transparent。
