Nguoi benh dang bi moc tui hang chuc ti dong tu tinh trang lam dung dich vu, thuoc...
Dich vu sieu nhanh
Ong Nguyen Ta Tinh, pho truong ban thuc hien chinh sach Bao hiem y te, Bao hiem xa hoi VN, don cu tai hau het benh vien cua tinh Phu Tho, chi phi xet nghiem, chup chieu chan doan len den 35-50%/tong chi kham chua benh. Theo ong Tinh, tai mot benh vien tinh nay, mot may sieu am dung cho 290-300 benh nhan/ngay, trong khi yeu cau toi thieu mot ca sieu am o bung can 6 phut, mot ca sieu am tim can 25 phut.
“Thay thuoc khong can an, uong, ngu nghi ma lam viec 24/24g cung khong the thuc hien duoc 300 ca sieu am/ngay. Chung toi dat ba phieu ket qua sieu am o bung, tim, sieu am xuyen so cua cung mot benh nhan cho thay thoi gian tong cong chi trong vong 10 phut. Chi dui dui dau do vao benh nhan thi lam sao co the chan doan benh! Benh nhan da nhan duoc dich vu gia tao” - ong Tinh bat binh noi.
Boi roi xu ly
Tu nam 2010, thuc hien Luat bao hiem y te, tren 90% nguoi co the bao hiem y te phai cung chi tra 5-20% phi kham chua benh. Vi vay chi tieu y te lang phi khong con la “cha chung khong ai khoc”, ma danh thang vao tien tui nguoi dan. Chua ke nhom gan 40% nguoi benh chua co the bao hiem y te se bi “moc tui” khi chi phi kham chua benh bi doi len khong can thiet.
Theo danh gia tac dong cua viec tang vien phi cua Bao hiem xa hoi VN va Bo Y te, ke tu ngay 15-4 khi ap dung muc gia moi o 447 dich vu y te moi duoc dieu chinh gia, chi phi kham chua benh noi chung se cao hon hien hanh khoang 30%, do hau het cac dich vu moi duoc dieu chinh gia deu thuoc nhom dich vu co ban, tan suat su dung nhieu... Neu tiep tuc chi dinh dich vu va thuoc nhu hien nay, chi phi kham chua benh se tiep tuc tang cao va phan chi phi bi lang phi cung ti le thuan theo.
Nam 2011 Bo Y te cho biet tong so xet nghiem, chup chieu tang 12-15%, trong khi so benh nhan kham chua benh chi tang 6,7%, chung to van con nhung chi dinh thua, chi dinh lam dung. Nhung xu ly the nao van con la cau hoi kho tra loi, vi chi dinh dich vu y te la quyen cua thay thuoc.
