Medical network on March 22 - do requirements in accordance with the reform of the state council, in 2017, the city public hospital reform should fully implemented, there are two key tasks: medical service price reform, and the medical income one hundred yuan (not including drug income) of health material consumption has dropped below $20.
Public hospitals bear, many have also been "forced" out of the entrance.
Bayinnaoer city of Inner Mongolia, for example, a level 3 general hospital recently floor department head meeting, the comprehensive arrangement on the health care work. Main content is: cancel the drug addition, strictly control the medicine proportion, adjustment of medical service prices, reasonable control cost of medical consumables.
Among them, to reduce the cost of medical consumables, the hospital decided to take the following measures:
Price of medical service items 1, will the Inner Mongolia autonomous region (2012 version) on a trial basis in the process of medical service provided in low-value consumables, such as iodine, cotton swabs, masks, etc., and it contains a one-time consumables, such as infusion sets, syringes and surgical treatment of package of anesthesia, kits, iodoform gauze strip and other health supplies supply price dropped to the lowest level in our region;
2, surgical department USES high-value consumables, 10% reduction in the price of supply;
3, image film, orthopaedic high-value consumables at least a 10% cut;
4, other health supplies is supplied by the region's lowest price.
5, integrating operations department (including international) high-value consumables supply channels, only keep two to three power supply company;
6, notifications, consumables, emphasizes the future does not allow to clinical, medical and "walk", otherwise cancel the supplier qualification.
More than six measures, four are supplier price, has both high value consumables, and low-value consumables, or reduce 10% or more, or according to the region's lowest price purchasing.
One is to make a big reshuffle of the supplier, only keep two or three, all the rest of the exit; As well as the relevant consumables enterprise representatives.
The main purpose, the above measures is to control the hospital cost of consumables, used with a cheaper price to buy supplies. And have to do this, reduce the patients' health in the medical treatment charge material proportion is on the other hand, hospital consumables revenues situation should be facing is also important reasons.
The medical service price adjustment, hospital consumables revenues
On March 18, zero, smooth switch bayinnaoer city all public medical institutions in Inner Mongolia medical services price (try out) "the Inner Mongolia autonomous region, 2012 edition directory, execute the new medical service price.
The bayinnaoer daily news, the adjustment to reduce the large medical equipment (such as mri, CT, the ultrasound) inspection and testing services prices, improve the diagnosis and treatment, Chinese medicine, surgery, nursing, rehabilitation and other physicians of the technical level of the project price. In addition, the routine use of low one-time consumables in the operation, such as general electric, negative plate of the cutting tools, aspirator pipe, longed for silk, syringes and other packaging pricing, to control the unreasonable use of the health supplies.
Bayinnaoer city above a level 3 general hospital internal by old and new price is calculated and found: cancel the drug addition, the hospital drugs less income 9.5656 million yuan. Large check revenue fell 30%, the hospital revenue 9.5199 million yuan; One-time consumables are not allowed to be extra charges, the hospital medical material less income 20.7708 million yuan.
The new medical service price, hospital consumables income decreases first, than the drugs and check the reduction of income.
Hospital consumables income, and tough face lower consumption accounted for, the most direct is the choice of suppliers to price incentives, such as the hospital decided to implement six big measures, will also be numerous hospital of choice.
Both adjustment of medical service prices, and reduce the consumption of proportion, public hospitals of high pressure had come. Hospitals can pass on pressure on suppliers, and suppliers to escape?
Lower? Consumption accounted for? , don't panic, will that do?
"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
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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)
|
18.71
|
-1.65
|
同濟(jì)醫(yī)院
|
19.92
|
-0.20
|
協(xié)和醫(yī)院
|
19.91
|
-0.21
|
梨園醫(yī)院
|
12.66
|
-1.28
|
省人民醫(yī)院
|
16.80
|
-8.67
|
中南醫(yī)院
|
22.87
|
2.13
|
省口腔醫(yī)院
|
23.03
|
2.33
|
省第三人民醫(yī)院
|
16.26
|
-17.90
|
省中西醫(yī)結(jié)合醫(yī)院
|
13.57
|
-3.71
|
省中醫(yī)醫(yī)院
|
11.47
|
4.16
|
省婦幼保健院
|
14.28
|
-2.39
|
省腫瘤醫(yī)院
|
11.79
|
6.70
|
武科大附屬天佑醫(yī)院
|
12.82
|
2.71
|
省榮軍醫(yī)院
|
10.34
|
-5.04
|
省直屬機(jī)關(guān)醫(yī)院
|
2.47
|
18.53
|
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%.
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