大型医疗设备，降费还不够，还有两个「乱象」！

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                    <p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); line-height: 22.2609px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);">国家发改委新闻发言人、价格司司长施子海昨日在新闻发布会上透露，报经国务院同意的《推进医疗服务价格改革的意见》即将印发。这意味着，国家层面新一轮医疗服务价格改革将启动，各地或开始逐步调整医疗服务价格。记者了解到，大型医用设备检查治疗、检验价格也在降价范畴。</p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); line-height: 22.2609px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><br style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;"  /></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); line-height: 22.2609px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);">虽然政府一直在努力改善，但看病贵、看病难依然是民众耿耿于怀的社会问题。导致看病贵的因素很多，大型医疗设备收费昂贵也是不容忽视的其中之一。记者了解到，在一轮医疗价格服务改革中，降低大型医用设备检查治疗、检验价格也赫然在列，这让焦虑的民众看到一丝降低医疗费用曙光。</p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); line-height: 22.2609px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><br style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;"  /></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); line-height: 22.2609px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);">大型医用设备收费偏高，的确需要挤干价格在的水分，所以，国家准备降低大型医用设备检查治疗费用，其善意毋庸置疑。不过，<span style="max-width: 100%; color: rgb(255, 41, 65); box-sizing: border-box !important; word-wrap: break-word !important;">大型医用设备的乱象不只是收费虚高，还存在着其他乱象，</span>比如医生对大型医用设备的过度依赖，比如大型医用设备在购置上的合理性等，都存在争议或瑕疵。</p><p style="text-align:center"><br  /></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); line-height: 22.2609px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; color: rgb(255, 41, 65); box-sizing: border-box !important; word-wrap: break-word !important;">首先，医生对大型医用设备的过度依赖。</span>医疗诊治是一个精准的过程，容不得半点差错，大型精密医用设备能给出科学完美的结论，这一点大家都理解。可是，有些患者的疾病并不严重，医生也把大型医用设备派上“战场”，就难免引发公众质疑——这不是过度医疗是什么呢？</p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); line-height: 22.2609px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><br style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;"  /></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); line-height: 22.2609px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);">事实上，很多医生都有着非常深厚的经验积累，完全可以凭借一番“望、闻、问、切”诊断出结果，不少医生还是依靠医用仪器，虽然患者不敢说半个“不”字，但一肚子猜疑无处消解，医患之间的不信任随之增加。</p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); line-height: 22.2609px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><br style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;"  /></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); line-height: 22.2609px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; color: rgb(255, 41, 65); box-sizing: border-box !important; word-wrap: break-word !important;">其次，部分医院在大型医院设备的购置上存在盲目性。</span>医院是否应该购置大型医用设备，这应当取决于患者的需求量。可是，某些医院为了吸引患者的宣传需要，希望依靠大型医用设备打造知医院名度，或者是考察不够认真细致，导致了大型医院设备购置了数月未开封的奇闻。</p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); line-height: 22.2609px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><br style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;"  /></p><p style="text-align:center"><img data-s="300,640" data-type="jpeg" src="http://mmbiz.qpic.cn/mmbiz/dx3KibwtDhvea5iaWRibKLDObGJr6p7ptjML3Zogib6EEvrONARjrxnYJPGsvA1WNciafQ5KIXVzC6qbwKN67HsiabEA/0?wx_fmt=jpeg" data-ratio="0.821917808219178" data-w="292"  /></p><p style="text-align:center"><br  /></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); line-height: 22.2609px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);">抛开极端的事不说，广州医学院卫生管理学院院长刘俊荣曾在2012年透露一个数据：广州大型医用设备的使用率不足40%。医疗水平发达的广州如此，其他地方可想而知。大型医用设备使用率不高，必然刺激管理者诱导医生开大检查处方，变相地侵蚀患者的权益，坐实患者了公众对过度医疗先入为主的印记。</p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); line-height: 22.2609px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><br style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;"  /></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); line-height: 22.2609px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);">综合以上分析，卫生部门不仅要挤干大型医用设备收费中的水分，还要像检查大处方那样，对医生频繁使用大型医疗设备的合理性进行抽测，辨别医生对大型设备的依赖性是否在合理区间。同时，监管部门也应对医院购置大型设备的合理性打个问号，避免医疗设备不必要的浪费。</p><p><br  /></p><p style="max-width: 100%; min-height: 1em; 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