Under, Chinese medicine flavin

Zhao Weizhong got the promise he wanted, and also got an unexpected harvest, so he came and left in a hurry with his father, without disturbing any officials in Grassland City.

After get off work in the afternoon, Chen Jingshan came to Huang Su's house again.

Zhao Weizhong intends to take the road of medical reform with the characteristics of traditional Chinese medicine. Compared with Mr. Lu, he may just appreciate it. Zhao Weizhong is still the first local official who can put the development of Chinese medicine first.

Zhao Weizhong's medical reform path had a great impact on Chen Jingshan.

If Zhao Weizhong can implement the road of medical reform with the characteristics of traditional Chinese medicine in Mengjiang, Chinese medicine in Mengjiang will really develop.

Even though Chen Jingshan has been in Chinese medicine for more than 40 years, he has reached the pinnacle of Qi cultivation, and few things can cause him emotional ups and downs.

But even though Chen Jingshan had been digesting this matter all afternoon, he was still very excited.

Sitting in the living room of Huang Su's house, Chen Jingshan's hand holding the water glass was still trembling slightly, which showed that he was not at peace at this time.

"Huang Su, Director Zhao suddenly revealed his plan, it won't be a mirror image, just a happy occasion."

Chen Jingshan still doesn't dare what happened today is true, and supporting the development of Chinese medicine is simply a fantasy now.

In this era, from top to bottom, there is a call to vigorously develop Western medicine. Groups of outstanding international students go abroad to learn advanced Western medical technology, and expensive advanced medical equipment is introduced to China across the ocean.

But when it comes to the development of Chinese medicine, Zhao Weizhong, the director of the Health Department, is still the only one.

"Teacher, I think Director Zhao should have considered it carefully. It is difficult to see a doctor, expensive to see a doctor, and the conflicts between hospitals have become so acute. If you want to reduce the cost of seeing a doctor so that more people can afford it, you must develop Chinese medicine. It's the quickest."

Huang Su knew what Zhao Weizhong was thinking now, and he was deviant to the current mainstream thinking in the medical field.

However, Huang Su knew that in another three years, a director of Longxi Province with the same name as Zhao Weizhong would overcame difficulties and began to explore the path of medical reform with Chinese characteristics.

Moreover, the medical reform has only been implemented for two years, and the per capita medical expenses have been reduced by 2000 yuan, medical disputes and accidents have been reduced by 60.00%, and the disease cure rate has increased by 40.00%.

Even with such brilliant achievements, the head of the department is facing tremendous pressure, and is called the head of the pig's trotters by the Western medicine collective.

Huang Su is very confident in Zhao Weizhong's medical reform plan. Without any support, Longxi Province can successfully promote the medical reform with Chinese characteristics.

Not to mention Zhao Weizhong, who not only has the support of Mr. Lu and the Academy of Traditional Chinese Medicine, but also the support of Mongolian medicine.

have to say.The idea of ​​parallel development of traditional Chinese medicine and Mongolian medicine proposed by Mr. Lu to Zhao Weizhong is very accurate.

The development of Mongolian medical reform in areas where the Mongolian people gather is easier to get the support of the above policies.

"Teacher, can we suggest to Director Zhao that the fee for the curative effect of traditional Chinese medicine be included in his medical reform plan?"

Huang Su hopes to promote the curative effect charging model in Chinese medicine as soon as possible. If he can take a free ride on Zhao Weizhong's characteristic medical reform of Chinese medicine, he can promote the curative effect charging model in Mengjiang, and it will be a step faster to promote it to the whole country.

Li Weiying's fee reform plan fits perfectly with Zhao Weizhong's medical reform plan.

Chen Jingshan pondered for a while, then nodded: "It's still too early to say these things, and it will be convincing only after the results of small-scale pilots are obtained."

After finishing speaking, Chen Jingshan continued to ask: "Tomorrow will be the first demonstration meeting, how are you preparing?"

"I have been thinking about it for a long time, and I will prove that there will be absolutely no mistakes tomorrow."

"Just know what you have in mind!"

For Huang Su, a disciple, Chen Jingshan was very relieved.

Glancing at the time, Chen Jingshan said, "It's getting late, I should go back."

Huang Su changed her clothes, got up and sent Chen Jingshan back to the hotel.

The next day, Huang Su and Li Weiying came to the hotel again.

Li Weiying chose the hotel where Mr. Lu and the others stayed for the demonstration meeting, and kept it as confidential as possible until the demonstration of the curative effect payment model was completed.

Ideally, even when the pilot test is carried out in the city hospital, the medical staff in the hospital still do not know the content of the efficacy payment.

After all, no doctor will notice a change in billing patterns.

If the demonstration meeting is placed in the hospital, the news will definitely spread in the hospital soon, and the doctors in the hospital will know that they are trying to reform the fee.

If the doctors in the hospital know about it, it means that the Mengjiang Western Medicine Group knows that they will definitely sabotage and stop it.

Li Weiying already knew the danger from Huang Su's place, so he was naturally more cautious when he got on the seat.

"Today's meeting felt like an underground party joint."

Before the meeting, Li Weiying deliberately made a joke in order to liven up the atmosphere, which also eased his tension.

It was the first time for Li Weiying to sit in a meeting with so many authoritative experts, and it was inevitable that he would feel nervous.

But this joke was so harsh to the ears of all Chinese medicine experts.

In this land where traditional Chinese medicine was born, in order to avoid people with ulterior motives, hold a meeting and hide from XZ, so be careful.

Seeing that her joke did not achieve the purpose of enlivening the atmosphere, Li Weiying coughed lightly at the doctor and said, "Let me introduce to you the fee reform model I envisioned."

As he said that, Li Weiying explained the concept of the curative effect payment model to more than ten experts in the conference room in detail.

All the experts carefully recorded what Li Weiying said.

Although everyone has done a lot of homework these days, it is more intuitive to understand from the mouth of the designer.

"Different from payment by item and payment by total budget, payment by efficacy is actually based on the reform of the payment model on the patient side as the demand side. This charging model really makes every penny of patients reflected in the efficacy, and at the same time Hospitals can also only be responsible for the curative effect, without worrying about other things, and boldly use TCM methods aimed at curative effect, reflecting the characteristics of TCM, so that more patients can benefit from good treatment, and patients can spend relatively less money.”

Faced with so many Chinese medicine experts, Li Weiying was a little nervous at first, but when he talked about his painstaking masterpiece, he gradually forgot the nervousness.

After summarizing the characteristics of the curative effect payment model, Li Weiying looked at Huang Su and said: "Our demonstration meeting this time is to formulate a charging plan for several diseases based on the curative effect payment method, and implement it on a small scale in the city hospital. The types of diseases selected by Director Huang of the Department of Traditional Chinese Medicine."

"Mr. Lu, experts! I choose three diseases this time. The first is asthma, the second is stroke, and the third is rheumatoid arthritis."

Huang Su explained: "Because of the climate, the three diseases I chose are all common diseases in Northeast China. Because they are common diseases, there will be a lot of data as a reference during the pilot process."

"This time, all Chinese medicine experts are invited to come here to formulate curative effect charging standards for the three diseases based on symptoms and treatment methods."

Elder Lu took the lead to ask, "Then what kind of disease am I going to discuss today?"

"Let's start with the difficult ones and then the easy ones. Let's start with the stroke."

Just after Huang Su finished speaking, a professor continued: "Acute cerebrovascular diseases in Western medicine, such as cerebral infarction, cerebral hemorrhage, cerebral embolism, and subarachnoid hemorrhage, belong to the category of stroke. Hypertension, arteriosclerosis, and cerebrovascular malformation , Cerebral aneurysm can often lead to hemorrhagic stroke; rheumatic heart disease, atrial fibrillation, bacterial endocarditis, etc. often lead to ischemic stroke. In addition, hyperglycemia, hyperlipidemia, abnormal blood rheology and abnormal emotional fluctuations induced stroke."

"There are so many diseases, and each disease has different treatment plans, disease severity, and charging standards. How to formulate a unified and feasible charging plan."

Huang Su said politely, "Professor Xie, this fee reform is carried out in accordance with the traditional Chinese medicine system. When we make plans, we'd better forget the names of diseases in Western medicine."

At this time, Professor Sun also said: "Whether it is cerebral infarction, cerebral hemorrhage, arteriosclerosis, or elevated intracranial pressure caused by the three highs, in Chinese medicine, they all belong to stroke, with the same main symptoms as stroke, headache, dizziness, and vomiting. , disturbance of consciousness, sudden fainting, unconsciousness, crooked mouth and eyes, hemiplegia, and strong tongue.”

"I agree with Professor Sun and Huang Su that the naming of diseases in Western medicine is too complicated and complicated. A stroke in Chinese medicine includes all these complicated diseases. We can evaluate the curative effect according to the symptoms of stroke patients. The total cost of medical treatment is divided into grades. The more symptoms and the more severe the condition, the higher the total cost of curative medical treatment. Each symptom is regarded as a diagnostic group. proportional fee."

For example, for the most common hemiplegia caused by stroke, after acupuncture treatment and traditional Chinese medicine treatment, the curative effect of hemiplegia will be scored based on the flexibility of limb recovery, and the charging ratio will be determined.

Another expert said: "The types of syndromes that cause stroke are different, and the treatment methods and treatment costs are also very different. They are different. How can we achieve a unified fee?"

After hearing the experts, Mr. Lu said: "Whether you use Tianma Gouteng Decoction, Zhengan Xifeng Decoction, or Taoren Chengqi Decoction for treatment, these are all means to improve symptoms. The improvement is the only charging standard and the only way to prove the curative effect."

Another professor said embarrassingly: "Charge according to the symptoms. This charging method is too vague, and the price limit is not easy to determine. It can't be five yuan for dizziness and three hundred for hemiplegia."

Listening to the difficulties reported by the professor, all the experts were also pondering and silent. They were setting charging standards based on symptoms, which was unprecedented, and this kind of charging could not set boundaries at all.

Seeing everyone thinking hard and resisting.

Lu Lao said in a very blunt tone: "The reason why you Chinese medicine experts are invited here is to determine the fee limit for each symptom. If you do well, you don't need to invite you experts."

Huang Su saw that Lu Lao's tone was a bit serious, so he sang a red face and explained: "It is not impossible to determine the charging standard according to the symptoms. As far as the hemiplegia is concerned, we need acupuncture and moxibustion treatment and Chinese medicine to promote blood circulation and dredge collaterals. Then these two treatments The cost incurred by the method can be used as the charging standard for this diagnostic group."

As he spoke, Huang Su continued to give an example: "Stroke causes headaches and dizziness, which may require bloodletting treatment, Pinggan Xifeng treatment, and the charging standard can be used to evaluate the consumables needed for treatment."

After listening to Huang Su's words, everyone suddenly realized that Lu Lao, Professor Sun, and Chen Jingshan looked at Huang Su with appreciation, comfort, and pride.

Because it is a brand-new charging model, everyone was unable to formulate a standard for a while.

In addition, it is easy to be affected by the traditional charging model, which often leads to confusion and makes it hard to turn around in the old model.

Through the example of Huang Su's image, everyone has a clear understanding of the formulation of payment standards for stroke efficacy.

It also clarified the methods and methods for the formulation of payment standards for the efficacy of asthma and arthritis in the future.

After thinking clearly, the Chinese medicine expert who is working suddenly understands what kind of opportunity he encounters.

Curative effect payment is a new payment method that fully reflects the characteristics and advantages of traditional Chinese medicine.

If the pilot is successful, all the experts in the conference room believe that paying for the value of Chinese medicine curative effect is a broad road, and now they are only actively exploring the performance standard of combining supply and demand as the curative effect standard. This is an initial attempt.

What everyone can see is that in the future, patient-based efficacy standards will be the ultimate direction, and all efficacy evaluation standards should be formulated around patients.

Whether it is traditional Chinese medicine or Western medicine, the traditional payment model with doctors as the main body is bound to be replaced by the curative effect payment model with patients as the main body.

Whoever does not accept the curative effect payment model, no matter how much you exaggerate your curative effect, will eventually lose the trust of patients and will eventually be eliminated under a more complete medical system.

And all the Chinese medicine experts attending the meeting today will become the authority on the curative effect payment model.

They do not have the status of Mr. Lu in the field of Chinese medicine, the status of Professor Sun in special diseases, and the prestige of Professor Chen in Chinese medicine education.

However, as long as the subject of payment for the efficacy of traditional Chinese medicine is well done, they will also become experts and authorities on fee reform.

In the conference room, all the Chinese medicine experts who wanted to understand were full of fighting spirit in their eyes at this time, and they inevitably became full of fighting spirit.

The ensuing discussion became more intense.

Even if everyone maintains a high enthusiasm for work, it will take half a month for the initial formulation of a stroke treatment fee standard.

For each symptom diagnosis group, the cost range must be repeatedly confirmed according to the treatment consumables.

Until the leaves of the big trees in Grassland City fell, and the grass in the vast grassland withered.

When the grassland city ushered in the first snow.

After one month, with the joint efforts of more than a dozen Chinese medicine experts, the curative effect payment plan for stroke, asthma, and arthritis, the three common diseases in Northeast China, was finally formulated.

When Li Weiying tremblingly picked up the plan in the office, the eyes of the man who was almost 50 years old had already become moist.