Recently, Guangdong Province has officially introduced a policy stipulating a ‘stair-climbing fee’ of 10 RMB per floor for emergency patient transfers when elevators are unavailable and manual carrying is required. This measure aims to fairly compensate emergency medical personnel for the additional physical effort and time incurred in challenging environments, while ensuring timely and efficient pre-hospital care for critically ill patients.According to guidelines from Guangdong’s Health Commission, this fee is classified as an extended medical service charge, applicable only when elevator access is genuinely impossible and stretcher transport must be done manually. Importantly, prior consent from the patient or their family is required. The charge will be processed through official medical billing channels with formal receipts issued to ensure transparency and compliance. Additionally, fee waivers or reductions are available for economically disadvantaged individuals, reflecting social compassion.This initiative represents a pioneering step nationwide, addressing long-standing concerns from frontline emergency responders about inadequate compensation relative to workload. It also helps standardize pre-hospital emergency procedures. The public generally supports the policy, recognizing that reasonable fees—when patient rights are safeguarded—can enhance both the quality and sustainability of emergency medical services. Guangdong may further refine the pricing and service mechanisms based on implementation outcomes.
近日，广东省明确出台规定，对救护转运过程中因无电梯需人工搬运患者上下楼梯的情况，收取‘爬楼费’，标准为每层10元。这一政策旨在合理补偿急救人员在特殊环境下付出的额外体力劳动和时间成本，同时保障急危重症患者获得及时、高效的院前医疗救助。根据广东省卫生健康委相关文件，该费用属于医疗服务延伸项目，仅在确实无法使用电梯、必须依靠人力搬运担架的情况下收取，且需事先征得患者或其家属同意。费用将纳入正规医疗收费系统，开具正式票据，确保透明合规。此外，对于经济困难群体，政策也明确可申请减免，体现人文关怀。此举在全国尚属先行探索，既回应了基层急救人员长期反映的工作强度与报酬不匹配问题，也有助于规范院前急救服务流程。公众普遍认为，在保障患者权益的前提下，适当收费有助于提升急救服务质量与可持续性。未来，广东或将结合实施效果进一步优化收费标准和服务机制。
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