Why is it difficult for Beijing to cancel the ambulance "transfer fee" in the short term?

On April 14, the Beijing Municipal People's Congress held the first plenary meeting of the law enforcement inspection team of the Regulations on Pre-hospital Medical Emergency Services in Beijing (hereinafter referred to as the Regulations). The relevant person in charge of the Municipal Health Planning Commission said that a relatively independent non-emergency service department will be set up within the pre-hospital medical emergency institutions to initially realize the relative separation of emergency and non-emergency services, and simultaneously explore the operation mechanism of socialized non-emergency services. The relevant person in charge of the Municipal Development and Reform Commission said that it is difficult to cancel the 120 yuan extra transfer fee for non-critical patients calling ambulances in the short term.

Pre-hospital first aid will be "graded and classified"

According to the relevant person in charge of the Municipal Health Planning Commission, at present, the demand for pre-hospital medical emergency services in this city is increasing day by day, rising by about 6% every year. However, the city's emergency call satisfaction rate is about 86%, which is still far from the standard of 95% in developed countries. Affected by traffic congestion and other factors, emergency passages are still occupied, and the average emergency response time exceeds 15 minutes, which cannot meet the emergency needs of citizens in time. In addition, due to airspace management restrictions, all aviation alternate points are outside the Fifth Ring Road, and only ambulances can relay in the Fifth Ring Road. On-site treatment and the connection between the front and the hospital are not standardized and standard; There is little telephone guidance for self-help and mutual rescue work. At the same time, it is difficult to use buildings and land for the construction of the first-aid station, or the problem of repeated relocation after completion, or even being moved to a high-rise building or basement, which makes it difficult to ensure the requirement of quick departure.

In response to these problems, the Municipal Health Planning Commission proposed that the Guiding Opinions on Deepening the Reform of the Pre-hospital Medical Emergency System in this Municipality will be issued before the end of the year, and the pre-hospital emergency classified ambulance service will be implemented to promote the construction of social emergency capacity in a standardized and orderly manner.

120 yuan "transfer fee" is difficult to cancel in the short term.

In May last year, the pre-hospital emergency price policy jointly formulated by the Municipal Development and Reform Commission and other departments was formally implemented. Non-critical and severe patients who call an ambulance for transfer due to mobility difficulties need to pay extra transportation fee 1.20 yuan. In this regard, the Municipal Development and Reform Commission said that at present, the public has reflected more about the "transshipment freight" project independently formulated by pre-hospital emergency agencies according to the price policy.

/kloc-The Regulations, which came into effect in March, 2000, stipulate that dispatchers should dispatch pre-hospital ambulances quickly for acute, dangerous and severe patients according to the principle of proximity; For non-acute, critical and severe patients, notification can be solved through other channels. This means that according to this new regulation, pre-hospital emergency agencies can no longer provide transshipment services to non-critical patients, and the "transshipment fee" independently formulated before should also be cancelled. However, the Municipal Development and Reform Commission admits that from the current situation, it is difficult to directly cancel the transfer service for non-critical patients at the operational level. Due to the existence of social demand, there is no other institution to replace it at present, so it is difficult to completely solve it for the time being.

According to the Municipal Health Planning Commission, the pre-hospital medical emergency command and dispatch center will establish an emergency classification and dispatch system to evaluate and classify the pre-hospital emergency service needs, allocate emergency resources in a classified manner, and give priority to ensuring the service needs of critically ill patients. In view of the demand for non-emergency services, a relatively independent department is set up in the pre-hospital medical emergency institutions to undertake this business. While initially realizing the relative divestiture of the two businesses, we should simultaneously explore the operating mechanism of socialized non-emergency services, and realize complete divestiture when conditions are ripe. At present, the "Management Measures for Non-critical Emergency Services" has been drafted, and opinions are being sought.

The pre-hospital first aid of the sub-center will be managed vertically.

According to the relevant person in charge of the Municipal Health Planning Commission, the large gap of emergency professionals and the unstable team are important reasons for the low quality of emergency services and the uneven ability and level of emergency services. According to estimates, excluding the number of people who undertake health emergency support and emergency medical rescue work, there is at least a shortage of 1500 employees in the city. In response to this problem, the Municipal Health Planning Commission introduced that at present, more than 230 stretchers recruited for the society have been trained to take up their posts, basically solving the problem of first-aid lifting.

In order to promote the municipal vertical management work plan of pre-hospital medical emergency system in stages, the Municipal Health Planning Commission proposed to complete the vertical management of Beijing City Sub-center (Tongzhou District) by the end of this year and gradually promote the vertical management of other administrative regions.

At the same time, the Municipal Health Planning Commission proposed that pre-hospital medical emergency institutions and in-hospital medical emergency institutions can apply for financial subsidies such as disease emergency relief fund, road traffic accident social relief fund and urban and rural medical relief fund. For patients whose situation is unknown or really unable to pay for medical emergency treatment and need medical emergency treatment, it shall be implemented according to the relevant provisions of the state and this Municipality.