Medical welfare system benefits the State procurement officials are provided to civil servants and persons. In such a system, the family, the protection of those rights to comprehensive out-patient services, and include a wide range of freedom in the hospital anywhere in the State. And pay for the service by providing backward volume from the start. Currently, the disbursements for the patient in the case has changed the system of disbursements from the system to drop the Supreme Court as a direct payment system between the central accounting department medical expenses to the hospital electronically and pay for services based on a group diagnosis (DRG Diagnosis Related Group:) For external patients can present both disbursement receipts to withdraw from the charge of having government permission and payment system payment directly to external medical patients. It is paid according to the rate charged by the Hospital (Fee-for-service) by the Central accounts. The Ministry of Finance has set the rate of disbursement, such as various values hatthakan values check autopsy organs and devices in the treatment of disease, etc. From such an action, it was found that budget expenditure, the medical expenses in medical welfare officials increased continuously and adds in a relatively high rate. In the fiscal year 2549 (2006)-2551 (2008) medical expenses increased from 46 million baht to 481.05, 37004 and 54 million to 904.48, Accounted for 25.61 and 18.12 percent respectively, which is based on the medical, the medical expenses for patients on the appropriate rate of increase can be accepted. But medical expenses for patients outside of a relatively high rate of increase, and there is a high proportion occurs by the proportion of external medical patients against all medical expenses increased from 46 percent in the fiscal year, 70 percent in the year 2545 (2002) budget found that treatment by 2551 (2008)Nursing for patients outside of such medication increased as expenses that have the highest proportions compared to external medical patients (83%). Information from the medical record, patient-monitoring exercise direct disbursements disbursements in the medical system. I found that using the drug properly and than necessary. The secret has been rocking hard settlement houses of patients as OPD. Improper disbursement, such as picking up a Thailand massage without having an indication for treatment as well as some that are right, and some hospitals have a corrupt behaviour in picking up the medication. Central accounts department, Ministry of finance, which is responsible for the care of the medical welfare system so policy officials have developed a proposal for an analytical study of the measures to regulate the medical patient, is appropriate. Powerful and able to control costs in the long run, such as modifying the method of paying medical expenses for patients outside of the prepaid rate raiklum the disease and measures to control drug costs, is to withdraw. Effective and not to spend money, the budget caused a leak in a way that is not deserved.
การแปล กรุณารอสักครู่..