Medical network on March 23 - "Beijing medicine separate comprehensive reform scheme of" 22 release. Cancel the drug addition (excluding Chinese medicine yinpian) and the registration fee, the fee, set up the medical service charges, cut large equipment check project price... This on April 8, the comprehensive implementation, involving more than 3600 medical institutions in the city of reforms, many health care New Deal cause public attention.
The registration fee, the fee will disappear
- set up medical service charge different level hospitals, doctors have difference
Released this scenario, the most notable is the public medical institutions in the city will cancel drug addition (excluding drink Chinese traditional medicine) and the registration fee, the fee, set up the medical service charge.
Who in Beijing development planning commission, director of the party to the introduction, the nature of medical service, medical institutions is cancelled after drug addition and the registration fee, operating costs, providing medical services to the patient and the medical team.
It is understood that the Beijing medical service as a whole in the medical insurance fund of the basic medical insurance for urban employees, urban and rural residents basic medical insurance, birth insurance and industrial injury insurance reimbursement scope. However, different levels of hospitals, doctors, medical service and reimbursement amount.
For example, level 3 general hospital outpatient medical service fee is RMB 50 yuan, famous experts is 100 yuan, reimbursement amount of both types is 40 yuan, ordinary secondary hospital outpatient medical service fee is RMB 30, reimbursement amount is 28 yuan.
Drug prices cheaper
Implementation of "sunshine procurement - cancel the drug addition"
Another big change the Beijing health care reform will reflect on drug prices.
Cancel the public medical institutions 15% of drug addition, zero sales rate is a core of the reform, is also seen as breaking with medicine medical mechanism is the key.
In addition, the scheme also definitely will implement medicine procurement sunshine, is open to all of the pharmaceutical production enterprise drug quality index, the bid price, to the public medical institutions change information, purchase, use and varieties to break old drug prices and other information opaque state.
By supporting cancellation of drug addition and medicine procurement sunshine, reduce the drug prices (the average is around 20%).
Medical services price rise and drop
- big check equipment fee is lower The doctor of traditional Chinese medicine, such as nursing price increase
Be born after the reform, people will feel the medical services price change.
In accordance with the "total amount control, structural adjustment, mixed, gradually in place" principle, will be 435 health service project price for mixed adjustment. Increase care, Chinese medicine and surgery medical personnel technical services value project price, price cut large inspection equipment such as CT, nuclear magnetic charge.
For example, the head CT, down from 180 yuan to 180 yuan, nuclear magnetic reduced to 400 from 850 yuan - 850 yuan, PET/CT, down from 10000 yuan to 10000 yuan.
And average daily room, from the current 28 yuan to 50 yuan. Secondary care costs increased from $7 to $26; Appendectomy changed from 234 yuan to 234 yuan. Acupuncture increased from $4 to $26, etc.
Through the health sector, according to the static measurement of 405 diseases after reform, outpatients time all costs decline of 5.11% on average, cases of hospitalized patients with all costs an average of 2.53%. Some media pointed out that the short term, patients with different cost have rise and fall, is not very balanced, but in the long term, through adjust and standardize the medical service, is ultimately benefit the people.
Four kinds of chronic diseases patients can enjoy 2 months strengths for convenience
- high blood pressure, diabetes, coronary heart disease, cerebrovascular disease were included
It is understood that this reform scheme of ginseng protect personnel to medical reimbursement process after an impact. Ginseng protect personnel of Beijing in the medical establishment that decide a dot, still card medical real-time settlement rules.
In addition, Beijing will also issued a series of supporting measures, convenient for common diseases, chronic and geriatrics patients in community medical treatment to the nearest drug use.
These include increasing number of community medical establishment that decide a dot; Unified community and large hospital drug reimbursement of medical insurance; For high blood pressure, four kinds of chronic diseases such as diabetes, coronary heart disease, cerebrovascular disease patients, can enjoy convenient strengths party 2 months reimbursement; Encourage community health institutions to carry out the door that occupy the home health care services and the establishment of family beds, medical expenses insurance all it will be reimbursed according to regulations and so on.
Living difficult groups will be given more protection
- major disease rescue top line throughout the year to 120000 yuan
In the reform, life difficult groups will also be more security. Beijing municipal civil affairs bureau will adjust the most needy support staff, the lowest life guarantee, life difficult allowance personnel and low-income rescuer rescue standards.
Adjusted from 70% to 70% among them, the outpatient service aid, rescue top line throughout the year from 4000 yuan to 6000 yuan (enjoy town worker is basic medical treatment insurance relief objects excluded of course).
Hospital rescue was adjusted from 70% to 70%, annual aid top line from 40000 yuan to 60000 yuan. Undertake hospitalization deposit deductions and instant settlement of the medical establishment that decide a dot, discharge hospitalization deposit reduction ratio and credit for reference after the adjustment in the hospital rescue standards.
In addition, the major disease relief was adjusted from 75% to 75%, annual aid top line from 80000 yuan to 120000 yuan.
Social relief object after enjoy medical treatment, individual burden heavier, more than family, still lead to difficult, basic life may apply to the villages and towns (street) census register seat for temporary relief. For government assistance or do not conform to the social assistance policies but indeed lead to difficult, basic living because of illness can be caused by the villages and towns (street) to help apply to the charity charity relief. |
