Medical network - March 13 on the afternoon of March 10, the national health development planning commission for the online interview, experts invited to interpret the urban reform of public hospitals, 2017 reform of public hospitals have to do what? How to improve the medical staff package? Doctors commune with you the first time to know:
2017 new universal health coverage, and public hospital thoroughly goodbye "to the medicine cure" era
Interview, national health development planning commission TiGaiSi GanGe director mentioned reform of public hospitals, reform of public hospitals, the state shall adopt the "step-by-step" strategy, reform of public hospitals at the county level have been fully implemented in 2015, the city public hospital reform launched in 2010, the first work of the pilot cities, increased the 17 cities in 2014, expanded to 100 cities in 2015, expanded to 200 cities in 2016, covering nearly two-thirds of the country's ground level above the city, formed the regional linkage good situation of reform.
This year, the rest of the 138 cities across the country have to push reform, achieve full coverage. It also marks a national public hospitals thorough farewell "taking medicine cure" era, has major historical significance.
The reform of public hospitals is mainly to do the work this year
This year is implemented reform of public hospitals, will largely promote the following job:
1, public hospitals to implement zero rate of sales
This year, all public hospital should implement national drug zero rate of sales, set up scientific compensation mechanism, to realize the smooth transition of old and new mechanism, to return to the public welfare.
2, let the medical staff will be able to get a decent income
To mobilize enthusiasm of core is the sun medical staff will be able to get a decent income, good career development space, and the quality of security environment.
This year, countries will conduct salary system reform, the focus is on the implementation of the "two", medical institutions are to be allowed to break through the current level salary adjustment and allow the medical service revenue after deducting costs and in accordance with the provisions, extraction of various funds is mainly used for reward. Ensure sustainable is mainly to ensure sustainable fiscal input, the medical insurance fund sustainable.
3, the country will be introduced to establish the guidance of modern hospital management system
Another is to establish decision-making, implementation, supervision and coordination, the management system of checks and balances, mutual promotion and governance mechanism. Push pipe separated, separating, promoting the modernization of public hospital management system and management ability, establishing responsibilities clear, scientific management, perfect management, efficient operation and effective supervision of internal management and external governance mechanism. This year, the country will be issued guidance to establish modern hospital management system.
4, after the medicine zero price difference, the medical staff of money to go up
GanGe mentioned, cancel the drug addition, the public hospital compensation by the service fee, drug addition income and government subsidy three channels to the service charge and government subsidies two channels. On the one hand, to increase government investment, on the other hand to adjust medical service price, make public hospital get reasonable income by medical services.
Reform of public hospitals is the supply side of the typical structural reform, the core is to realize "vacate basket change a bird". According to "make room, structure, cohesion" of the path, grasp the reform steps and rhythm. First of all, by eliminating drug addition, squeeze the medicines and chemical reagents, consumables production link of circulation use of water and regulating the behavior of diagnosis and treatment, make room for adjustment of medical service prices.
Second, immediately to the room for adjustment of medical service prices, pricing is the principle of "total amount control, structural adjustment, mixed, gradually in place", the drugs, medical consumables, and large medical equipment check inspection such as prices fall, such as surgery, diagnosis and treatment and nursing services prices brought, manifest the value of medical personnel technical services, optimize the hospital income structure. In simple terms, is to let the medical staff by technology by service for dinner, not by prescribing, checklists increase their income. Third, in the "vacate basket change a bird" in the process of medical insurance payment and financial aid policy to synchronize in place, seamless docking, ensure that the burden did not increase as a whole.
5, the strength of synchronized advancement mainly macro-reforms payment for health care reform
, assistant director of the CPPCC national committee, the Beijing university school of medicine, professor wu Ming, cancel the drug addition, to lower the price of medicines and chemical reagents, consumables, improve the labor price is the first step on the compensation mechanism reform, the following should intensify efforts to carry out mainly macro-reforms payment for health care reform, the purpose is to change the mode of the public hospitals currently do big income, at the same time, fiscal subsidy and function orientation of the hospital and service performance, and then form a complete set of clinical path, the two votes, reform of the income distribution system and other measures to motivate the public hospital in improving the quality of service at the same time, active control costs.
6, expand grassroots drug reimbursement directory
Professor wu Ming stressed that the medical institutions at different levels to implement differentiation reimbursement ratio, at the grassroots medical can obtain a higher proportion of medical insurance compensation, the basic-level medical health care costs compensation ratio is higher than in a big hospital, expand grassroots drug reimbursement directory, in the superior hospitals has been confirmed, has been clear about the treatment, patients with long-term use of the same class of drugs, need drugs can be get at the grassroots health organizations. Purpose is to guide and attract more use of patients with common diseases, attended services at the grass-roots level, to alleviate the problem of heavy large hospital, but also convenient residents to see a doctor, reduce the economic burden, make more effective use of medical resources.
How to reform pay system?
This year, countries will focus on salary system reform, but what kind of salary system in order to reflect the labor value of the medical staff? In the interview, Peking union medical college hospital compensation reform was tree as "model".
Assessment of the main technical difficulties, the medical quality, patient satisfaction and other public welfare indicators
Assessment of Peking union medical college hospital in the compensation reform at present, the main technical difficulties, the medical quality, patient satisfaction, teaching and public welfare indicators such as discipline development never demands or give economic and revenue targets. MenZhenLiang, since, patients, hospital bed utilization rate and other quantitative index weight reduced year by year, in the appraisal system currently accounts for only 10%, while the public welfare index weight is close to 80%. Explore accords with the practice of hospital distribution system.
Pay focus on clinical front line tilt, has nothing to do with drugs and consumables income
We constantly improve the employee compensation system, in the concrete of the income distribution, the key to clinical first-line, key positions, business backbone, risk degree is high, and the contribution of staff tilt, and has nothing to do with check, drug, consumables income.
Encouraging clinical departments were mysterious illness, and the union of function orientation, on the other hand also guide the scientific and check medical personnel, science, science, medical treatment, avoid excessive medical care. In concord, "doctors should do doctors have to do things", not "economic theory of the hero" has become an important form to doctors' professional happiness. Hospitals also through a series of spiritual and cultural edification, arouse the enthusiasm of the medical staff. In a word, the medical staff satisfaction, to better serve the patients.
In the reform of public hospital medical interpretation, we will "union model" as a model of compensation reform, is also set a demonstration to all public hospitals, the mainstream of public hospital compensation reform in public welfare indicators is given priority to, not to "economic theory of heroes".
Money came up, the doctor can concentrate on to do what the doctor to do, this is we are all looking forward to. |
