Medical network - March 23 separate medical reform is an important reform this year by the state council of the task, to cancel public hospital drugs addition policy in medicine medical mechanism, namely the public hospital income from now service fees, financial aid, and drug addition income three channels, instead of service fees, financial aid two channels.
Held in Beijing on March 22, medicine separate press conference of comprehensive reform. The city "medicine separate comprehensive reform plan" will be started on April 8.
According to the plan, the Beijing municipal government, public institutions and state-owned enterprises in the administrative areas of public medical institutions and the people's liberation army, the armed police force medical institutions in Beijing for the scheme, the government purchasing service social do medical institutions, urban and rural basic medical insurance fixed-point social do medical institutions, may apply to participate in the voluntary medical separate comprehensive reform, and execute the reform policy.
The key reform tasks include the following contents:
Cancellation of drug addition, the registration fee, the fee, set up the medical service charge
Participate in the reform of the abolition of all medical institutions and drug addition (excluding Chinese medicine yinpian) and the registration fee, the fee, all drugs zero rate of sales, set up the medical service, realize the compensation mechanism transformation. Medical service is mainly used for compensation of medical institution running cost, value of medical personnel technical services.
Medical service standards
The implementation of medicine procurement sunshine
The implementation of the drug distribution "two votes" (production enterprise to open an invoice of enterprises and circulation enterprises to open an invoice) medical institutions. Encourage and regulate group purchasing, medical consortium purchasing and regional joint procurement, further improve the participation in the drug centralized purchasing of medical institutions, to lower the price of drugs and consumables. Drug purchase in the government of all drug centralized purchasing platform, online drug purchase price with the provincial drug centralized purchasing the minimum price dynamic linkage. Public public medical institutions and drug and drug category, price, quantity adjustment, ensure that every link of drug purchase to run in the sun.
Three standardize medical service price
In accordance with the "total amount control, structural adjustment, mixed, gradually in place" principle, promote the reform of the medical service price, to establish perfect dynamic adjustment, participating medical service price formation mechanism. To lower the price of large medical equipment inspection items, and improve the traditional Chinese medicine and nursing, surgery and other medical personnel technical services and technical difficulties of high value, operation risk big medical service price, medical service price comparison relations gradually. The first select 435 projects to price specification.
Four to improve medical services
Implementation of action plan to improve medical services to strengthen the medical staff service consciousness, improve the medical service quality and level. Establish and improve the medical quality management of long-term mechanism, considering factors such as the medical quality and safety, the basic medical needs, in order to strengthen the management of clinical pathway, and refinement, standardization treatment project; Strengthen drug prescription audit and prescription review, to promote rational drug use. Vigorously promote the emergency medical services, booking promotion famous experts team service mode, standardize the service process, improve patient treatment experience. Rich family doctor to sign service content, make the residents enjoy more convenient treatment, referral service. Promote beijing-tianjin-hebei three medical institutions mutual recognition of test results.
Five to strengthen cost and cost control
Sound public medical institutions, medical expenses, key performance indicators (kpis) monitoring system to promote the public medical institutions to control costs and fees. Using informatization technology, increase the early warning and analysis of the anomaly, the high medical costs, control of high value medical consumables not reasonable use. Strict new technology, new projects, access and management of outpatient service. To strengthen the feasibility of large equipment purchase, improve the use benefit of medical equipment. To strengthen the public medical institutions internal performance appraisal, keeping the number of medical personnel and pay reasonable growth.
Six perfect classification system of diagnosis and treatment
Improve the classification and treatment policy system and the collaboration mechanism of medical institutions, and gradually achieve first option at the grass-roots level, two-way referral, acute slow partition, the upper and lower linkage. Pushing forward the construction of the close of couplet of couplet of medical and specialist medical provide continuity of care. Lead big hospital doctors and hire experts to work at the grass-roots level, improve the basic medical service supply ability and level. Signing the family doctor service, for high blood pressure, diabetes, coronary heart disease (CHD), four kinds of chronic diseases such as cerebrovascular disease stabilization commonly used drugs, unified big hospitals and grassroots health institutions purchasing and reimbursement directory, eligible patients with medical and health institutions at the grassroots level can enjoy 2 months strengths is convenient, orderly shunt MenZhenLiang tertiary hospital.
Seven fiscal classification compensation mechanism
According to the public medical institutions subordinate relations to carry out the financing policy, to take an active part in the medicine separate comprehensive reform and good effect of medical institutions to give appropriate subsidies, to ensure the basic construction of public medical institutions and equipment purchase, cost from retiree, key specialty development, talent team construction, the government mandatory spending tasks and bear the public health service, etc. Classification of fiscal investment policy, perfecting of TCM (including the combination of Chinese and western medicine, the national medical), infectious disease, psychosis, occupational disease, maternity and children, rehabilitation, tumor, aging and other medical institutions and grassroots medical and health institution to tilt, to promote coordinated development of various types of medical institutions at all levels.
Eight will intensify reform health care and payment
Through improve the medical insurance payment system, medical insurance system and medical assistance system, reduce the financial burden on ginseng protect patients. Under the total amount of medical insurance fund budget management framework, exploration is given priority to with press macro-reforms, capitation payment, pay by service units, according to the disease diagnosis related group paid for supplement compound payment method, such as reduced gradually paid according to the project. In severe psychiatric hospitalization, disease convalescence rehabilitation, community rehabilitation non-communicable diseases, geriatric nursing, explore the reform of pay by bed day. Play all kinds of medical insurance for medical service behavior guidance and supervision and cost control. Full implementation of urban and rural residents of a serious illness insurance, promote the commercial health insurance to accelerate development. Perfect for low-income difficult groups such as medical assistance system, strengthen medical treatment with medical insurance business, prevent the poverty due to illness. |
