Medical network - March 20 "health materials to reduce the consumption of one hundred yuan of medical income (hereinafter referred to as consumption accounted for), many enterprises feel stressed out, really panic person should be the upper leaf medicine, reduce the drug ratio they influence is really big."
At present, there are so a point spread in the industry. Take this view believe that the countries to reduce the consumption accounted for, at this stage to medical instrument companies, in fact, the impact is not big, this you don't need to panic. Just a lot of people still don't understand that one of the "mystery", so to lose one's head.
They have a very good example, such as hubei province department of the provincial data of 14 hospitals in 2016 consumables accounted situation:
機(jī)構(gòu)名稱(chēng)
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百元醫(yī)療收入消耗的衛(wèi)生材料費(fèi)用(元)
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2016年
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同比增幅(%)
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總 計(jì)
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18.71
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-1.65
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同濟(jì)醫(yī)院
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19.92
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-0.20
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協(xié)和醫(yī)院
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19.91
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-0.21
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梨園醫(yī)院
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12.66
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-1.28
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省人民醫(yī)院
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16.80
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-8.67
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中南醫(yī)院
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22.87
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2.13
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省口腔醫(yī)院
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23.03
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2.33
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省第三人民醫(yī)院
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16.26
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-17.90
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省中西醫(yī)結(jié)合醫(yī)院
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13.57
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-3.71
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省中醫(yī)醫(yī)院
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11.47
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4.16
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省婦幼保健院
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14.28
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-2.39
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省腫瘤醫(yī)院
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11.79
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6.70
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武科大附屬天佑醫(yī)院
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12.82
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2.71
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省榮軍醫(yī)院
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10.34
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-5.04
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省直屬機(jī)關(guān)醫(yī)院
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2.47
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18.53
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See, in the 14 hospitals, only two hospitals consumption accounted for more than 20%, the highest was 23.03%, the lowest is only 2.47%. , the average is 15.13%, significantly lower than the 20% target.
If so big hospital, not to mention the small hospital. Because with each big hospital medical equipment, sanitary materials available to many, consumption of natural high; Due to the limitation of medical spare parts, and small and medium-sized hospital hygiene materials available, even less than natural, many grass-roots hospitals accounted for, estimates that less than 1%.
The fact is this?
We know that the health cost of raw materials mainly include health supplies, chemical reagents, blood, oxygen and other materials health expenditure includes not only can charge of consumables, also cannot charge material.
In May 2015, the state issued "about city public hospital comprehensive reform pilot guidance", opinions clearly put forward to in the medicine proportion control under 30% in 2017, 100 yuan of medical income consumption accounted for rate control under 20%.
This, is to reduce the consumption of the history of the source. Under this file, part of the hospital began to reduce consumption of action.
Especially in February this year, CCTV "news broadcast" reported that the anhui tianchang city at county level will share down to 9%, the blue parker appliance for the first time in the go against health reform new star! Consumption accounted for the "problem is analyzed, can say it is to reduce consumption in the process of the proportion of a big deal. This matter, also let medical instrument colleagues feel great pressure, even feel "panic" in the future.
Let's take a look at the above mentioned the 14 hospitals of hubei province, in 2015, has eight consumption accounts for more than 20%. Because wuhan is reform pilot city, after the reform, consumption accounts for more than 20% in 2016 to two. It can be seen that most hospitals than the original is more than 20% of consumption.
According to taizhou Chen Lingfu tumor hospital, wenling city second people's hospital, Wang Ji front and Wang Enyu people wrote one hundred yuan of medical income in health status analysis and control measures of material consumption, according to the article hospitals consumption accounts for the region such as:
City was 27.4%, the first people hospital city second people's hospital was 25.75%, the city was 24%, the third people's hospital, hospital was 24%, the city health care of women and 21.6%; Near the city, the first people's hospital was 27.56%, the second people's hospital was 24.36%.
"Modern hospital management" 2016 "public hospital economic operation analysis the practice application of" the article, has analyzed the operation data of a hospital, there are referred to the hospital in 2012-2014 loss ratio from 35% to 34.03%. Visible, the data than the 20% or higher.
Same as you can see, in the before reform, most of the large hospital consumption proportion is more than 20%.
Reduce consumption accounted for, the high-value consumables impact is the largest
The blue parker instrument that countries reduce consumption proportion to less than 20%, must be based on facts. If most hospitals don't consumption accounted for 20%, that the "fees" control objective was derided earlier. Although there is no more detailed data support, but we believe that most of the large hospital consumption proportion is far more than 20%, this no doubt.
In a small amount of health care reform pilot city of a small hospital, after charged fees, may have fallen to less than 20% of the current consumption accounted, but most of them are still not up to standard. The consumption of lower still leaves room for the future.
In addition, in health material, usually reach 50 percentage of high-value consumables accounted, some even as high as 80%. Visible, reduce the consumption of, but high value material impact is the biggest of all.
If above mentioned in 5 hospitals in taizhou, possessing each business department, operating room, anesthesia of consumption proportion is highest, generally over 40.4%, the highest up to 51.4%. Clinical laboratory are also more than 30%, the lowest 33.9%, up to 38.9%. High consumption accounted for a third of X-ray, were more than 20%, the lowest 21.5%, up to 27.1%.
High proportion, nature also means a drop space is large. From the above data, the future in the operating room, anesthesia, clinical laboratory, radiology selling high-value consumables in reduce the possibility of proportion is the largest. You, in this system?
Hospital department, the relatively high proportion of consumption should be at least the orthopaedic, equal to buy BMW "" kind of teeth for dental, etc. And at the same time, the orthopedic hospital and stomatological hospital of specialized subject hospital, its consumption proportion is generally high.
At the grass-roots level or potential bon into consumable materials
The only possible generally promote the consumption accounted for, may be the small and medium-sized hospitals at the local level.
Because the medicine proportion in big hospitals, or a small hospital, almost all more than 30%, reduce the drug selection and implementation of the drug zero bonus policy for the national, the loss, and the hospital need to repair back from any other way, fiscal subsidy is part of the hospital to save, income is another part of revenue in the proportion is a secret of the power consumption of ascension, as long as no more than 20%. From this perspective, consumption accounted for in some small and medium-sized hospitals could also improve the space, means that medical consumables in the primary market and rising space.
Another reason is that as a primary means to reduce the consumption of more than one of medical consumables, including high-value consumables in at the provincial level, cross-regional joint procurement, many provinces are also only for at the county level and above hospitals implement, grass-roots medical institutions have not been forced to get involved.
As for more professional material control management of hospital, many grassroots medical institutions don't mind, I'm afraid I didn't also the ability to push.
All of these makes base instead of the material may be potential blue ocean.
The simple way, the medical income indicators including registration, diagnosis, beds, care, treatment, operation revenue, inspection check, consumables, drug income and other income, etc. Consumption ratio = (/ medical materials health expenditure income) by 100.
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