Medical network - on March 24, 2017, premier li keqiang in CPPCC report, this year the first full cancellation of drug addition, implemented the reform of public hospitals. Today, Beijing has formal response, announced on April 8, officially launched the comprehensive medical, health care experts point out that this "is a process of a phase, Beijing this action gave the country a strong signal, all national coverage is big, you can feel the strength, our reform should have arrived."
Beijing health big action -
Medicine to separate Cancel the drug addition to set up the medical service charge
Beijing medicine separate comprehensive reform news conference today (March 22) afternoon. Meeting announced, "Beijing medicine separate comprehensive reform plan" on April 8, the full implementation of the removal of drug addition and the registration fee, fee, set up the medical service charges, all drugs zero rate of sales, medical service into the scope of coverage. Involved in the city more than 3600 medical institutions, government, public institutions and state-owned enterprises hold the public medical institutions and the people's liberation army, the armed police force medical institutions in Beijing were involved in the reform.
It is understood that the medical service is a new set of the reform program, the purpose is to compensate part of the operating costs of a medical institution, medical staff technical labor value, promote the grading diagnosis, its corresponding original fees is drug addition, the registration fee and the fee.
At the same time of cancellation of drug addition, further standardize the medical service price, project price of 435 health service mixed adjust and regulate. Focus on increasing the project price such as beds, nursing, traditional Chinese medicine, operation, reduces the CT, mri and other large equipment check the project price.
Scheme involving the price level is to provide medical service price according to the national project of human time, technical indicators, such as technical difficulty, risk degree and combined with the medical staff labor costs and medical technical level, the actual situation of medical resources, comprehensive balance current price other provinces and cities, and on the basis of consultation.
At the same time, will also implement medicine procurement sunshine. To all the pharmaceutical production enterprise public drugs quality information, dynamic linkage with the manufacturers, with the national provincial product gauge drugs drug centralized purchasing the lowest bid price, and in the sunlight procurement platform of the public. For the shortage of cheap drugs are no longer set the national minimum reference, through the market price guarantee clinical medicine supply.
Separated medicine comprehensive 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. This is the reform of public hospital compensation mechanism. Separate implementation of medical reform is the Beijing municipal party committee municipal government this year comprehensively deepen reform and promote the reform of an important work.
Summary - - Beijing pilot 4 years
As the core content of reform, "medical" separately to reversed transmission public hospitals to stop "medicine for the medical", to explore new survival. Recently, the Beijing municipal public hospital pilot 11 separate "medicine" has just turned 4 years, and presented a "report card". "Hospital medicine proportion fell by 10%," "doctor level pricing guide patient reasonable divergence", "personal health care patients burden smooth" is regarded as the three separate Beijing pharmaceutical pilot results. To smooth the individual responsibility, especially in patients can is considered to be the most direct embodiment of reform efforts.
According to media reports, medical separate pilot which resulted in the reduction of medicines, drive the patients go to a doctor of the overall health care costs, growth is slowing, the structure is more reasonable.
Beijing health and family planning commission information center monitoring statistics, according to data from 2014 to 2015, the Beijing area secondary public hospital medical expenses growth of 8.5% above, including the city's tertiary hospital medical costs rose at a 8.93% pace, 22 city hospital medical costs rose at a 7.46% pace, five separate medicine pilot hospital, the growth of just 5.19%.
"A series of data show that the medicine separate public hospital reform can effectively control the unreasonable growth of medical expense." Jung said the Beijing municipal health and family planning commission spokesman is high, the medical expenses should be with local economic and social development level, the stable operation of medical insurance fund and coordinated ability, public choice and burden of primary medical treatment of patients with maintenance level.
Medical expenses growth slowdown at the same time, with the support of medical insurance fund, the personal burden of patients go to a doctor, after the reform of stable, no obvious growth.
Just finished the twelfth session of the fifth session of the National People's Congress, the government work report: this year to deepen the reform of the medical treatment, health care, medical linkage. Promoting public hospital reform, abolish all drug addition, coordination to promote medical price, personnel salary, medicine circulation, in the reform of medical insurance payment.
Reform of public hospitals as the deepwater area "of China's reform, will continue to wading. Beijing carried out the pilot to, is ready for a long time, the national pharmaceutical market upheaval around the corner! |
