Medical network on March 7th - March 5, the 12th session of the National People's Congress the fifth meeting of the great hall of the people in Beijing the opening, the state council premier li keqiang made the government work report (hereinafter referred to as the "work report"). In 2017 the focus of the work for the arrangement. Involving the content in the field of medicine and health care, through contrast before issued relevant policy, we think can be combed with the simple reduced to 10. As follows:
1, 3 d linkage, linkage
We will deepen reform of the medical treatment, health care, medical linkage. Fully opened the public hospital reform, cancel all drug addition, coordinate medical price, personnel salary, medicine circulation, in the reform of medical insurance payment.
Comment on: 3 d linkage is the core of the reform, how to deepen the reform of the next step? We think that should be from? Linkage? , from the related law by a large number of policy as you can see, water conservancy, Kowloon failed, may be on many functions together to comprehensively, such as health care reform in fujian province is a typical example. The work report mentioned? Coordinate? The word, to force to promote the medical price, personnel salary, drug circulation and the reform of medical insurance payment.
From this we see not hard, policy environment is not a single drug firms face in the future, but to coordinate linkage, for example, can not only solve the problem of bidding procurement, there may be a bigger problem to pay for health care and clinical medication management issues. The thinking mode of the industry must adjust and change trend of pharmaceutical policy.
2, health China to drive growth
Promote a healthy construction of China. Urban and rural residents health care financial aid by 420 yuan to 450 yuan per person per year, synchronous improve individual pay cost standard, expanding the scope of the medical security.
Comments: in October 2016, the central committee of the communist party of China, the "healthy China 2030" planning outline of the state council, this is the future 15 years of medical and health care action outline, belong to one of the top design in the field of medical health care. As 15 years in the first year of strategic planning, how to embody? Co-construction and sharing, universal health? ? Integration of urban and rural medical insurance is the first step, directory consolidation means of expanding the range of drugs, and on the basis of improving financial subsidies, drug companies to seize market opportunities for structure adjustment may have certain harvest.
3, different health insurance settlement and major health care
Promote health information network throughout the country, the realization of long distance medical hospitalization expense settlement directly. Perfecting the system of a serious illness insurance, raise the level of security.
Comment on: health information network is a key to solve the urban and rural residents a long-distance medical problems, can realize direct settlement of cost of different ground be in hospital, will choose hospitalized patients with convenient. With hierarchical diagnosis and treatment of gradually, and linked to reimbursement, patients with the change of the flow more complex. The research can be reference "tell you a true classification diagnosis and treatment"
4, the important effect of couplet of tertiary hospitals in medical
Comprehensive start construction experimental unit of various kinds of medical association, all tertiary public hospital to participate in and play a leading role, set up to promote high-quality medical resources fluctuation of assessment and incentive mechanism, enhance the capacity of grassroots service, convenient to the masses to go to a doctor.
Comment on: various kinds of medical couplet of what each is? Sanming is for? Champions? Medical consumables joint price purchasing alliance? Or Beijing and to the implementation of the advance of hospital trusteeship mode? Or is it more market-oriented PPP mode?
All in all, the future will become the new period of the third class hospitals in the hospital? Champions? , combined with the hierarchical diagnosis and treatment of spirit, the drug companies is facing a level 3 big hospitals as the core, multiple grassroots medical institutions for? Satellite? Around the umbrella of the structure of the medical association.
This medical structure will also change medicine enterprises promotion, sales model, the promotion should focus on tertiary hospitals rather than the small scattered at the grass-roots level. Grassroots medical institutions in the development of the future, independence instead of enhancing its leading to shift from the health administrative departments at the county level to the big 3 armour hospital.
3 armour hospital pay more attention to drug treatment and academic attribute, market access + academic promotion of cross-sectoral cooperation or will become the most therapeutic drugs market development direction.
5, hierarchical diagnosis was accelerated
Diagnosis and treatment of pilot and family contract service expanded to more than 85% of the cities.
Comments: pilot expanded by more than 85% of the cities, the future will be extended to all the cities, the pilot phase of the government, medical institutions and drug manufacturers will face tough reforms.
6, improve the public health costs and transparency
Continue to improve basic public health services grants standards. Open and transparent in time to respond effectively to the public health event.
Comments: public health events for open, open, open! The important things three times. Problem is, last month, the capital of the eastern coastal a hospital infection accident what happens now?
7, to protect and arouse the enthusiasm of the medical staff. The construction of a harmonious doctor-patient relationship.
Comments: first the protection, the second is to mobilize enthusiasm, order cannot be disorderly, how dangerous the medical staff in daily work status? The doctor-patient relationship can make to the point where now?
Eight, to adapt to the implementation of comprehensive two child policy, strengthen reproductive health care services.
Review: comprehensive two child policy, promoted the related health care services, in the field of drug makers can share under the policy? Health insurance directory 91 new medicines for children, children's specialty varieties net purchase directly, once an specialist varieties can enlarge sales, I'm afraid to pay attention to the points:
1) children's drugs in the Chinese medical association drugs demonstrate the possibility of the continued expansion in the catalog, at least, is the provincial level capacity;
2) provincial health insurance directory on children's drug further supplemented (containing the note column the reimbursement limit, limit sometimes is not necessarily a bad thing: mark the children's medicine alone);
3) the provincial related to reproductive protected medical service fees and price adjustment;
3) the research on variety of marketing there is no direct netting in place, some pale crane written at the end of 2015 about? The tender list? With? Direct hang web directory? Double across a variety of marketing operation, may seek to see (click on the right side of the blue words into the catalogue of double span bidding/netting operation analysis)
9, support development of traditional Chinese medicine, the folk medicines of ethnic minorities.
Comments: the traditional Chinese medicine of the People's Republic of China law was passed on December 25, 2016, and effective as of July 1, 2017. Of traditional Chinese medicine in the form of legal protection and the specification, it is a good thing. National eased barriers to entry for practitioners of traditional Chinese medicine and medical institutions, and mandatory by law to ensure the position of traditional Chinese medicine.
Is the most direct benefit, is the 2017 edition of health insurance directory added 165 exclusive varieties, Chinese medicine and traditional Chinese medicine (TCM) injection of controversial basic retain the same (but in the scope of reimbursement limit). However, in fujian province, such as drug purchase, rejection remains of proprietary Chinese medicine.
10, drug safety, the other
Food and drug safety is a matter of the people's health, it must be too severe and severe. To improve the regulatory system mechanism, enrich the regulatory power at the grass-roots level, strengthen the responsibility, both on source control, pipe production, the remedies of governing revolution firmly put the good people's diet safety of each mark.
Comment on: the safety of the food and drug, has been the party and the state and related functional departments attach great importance to, the use? Remedies governing revolution? This way, one is that the status quo? Disorderly? We use heavy, needs improvement, and it is.
Under the four most strict standards, since 2015 the CFDA strengthen inspection, about 2016 years was withdrew 171 GMP certificate, especially for biological products, blood products, injection and drug price cost down drug manufacturers to track inspection; In the field of circulation, but also issued announcement no. 94 in 2016, for 10 illegal circulation enterprises conduct audits.
In addition, the consistency check list for verification of production technology, will also be included in the agenda, under a series of remedies, do not take the quality or disregard security companies will pay the price.
To speed up cultivating growing emerging industries. Full implementation of the strategic emerging industry development plan, to speed up the new materials, artificial intelligence, integrated circuits, biological pharmacy, fifth generation mobile communication technology research and development and transformation, bigger and stronger industry cluster.
Comments: no matter how intense medical policies issued, how the environment has become difficult, but overall, biological pharmaceutical is a sunrise industry, especially in the population ages, the newborn in the objective background, people's demand for health care is diversified and thus bring service upgrade, industrial upgrading.
Therefore, medical practitioners in the structural adjustment should not be confused, but should quicken the steps of adjusting their, brave to greet the arrival of the new period. |
