On July 24, the medical network launched a comprehensive reform of medicine from April 8, which is now 100 days old. Yesterday, the director of the Beijing health and family planning commission, lei haichao, introduced the 100 days of health reform. 100 days, the Beijing area has completed 60 million medical services, tertiary hospital er visits door decreased by 12.7%, and level of medical and health institutions at the grass-roots level medical consultations rose 10%, and tertiary hospitals such confinement shortens 1.6 days on average. On the cost, the Beijing area has saved an average of 35 million yuan per day.
The number of emergency visits to tertiary hospitals decreased by 12.7%
The health care reform has been running for 100 days, the whole city has completed 60 million visits, and 3100 medical institutions participating in the reform have been running smoothly. Daily monitoring information showed that the number of clinics in the tertiary hospitals fell by 12.7 percent, "at the highest level, at a rate of 16 percent." The number of secondary hospitals also declined, while the number of visits to primary medical and first-level hospitals increased by 10 percent, lei said.
In tertiary hospitals, the number of visits by different grade doctors also changed. Overall, after the reform, the number of outpatient visits by the deputy chief physician decreased by 10%, the chief physician decreased by 22.7%, and the outpatient visits of well-known experts decreased by 15.2%. "As you can see, everyone at the time of diagnosis is more rational, not blind pursue visit. This also alleviate the problem of difficult really need to visit the patient registration, makes our expert resources can be used in those mysterious illness on the disposal of, rather than our experts to see attended, common diseases."
In 100 days, the average length of hospital stay decreased by 1.6 days. The average length of hospital stay in Beijing was 8.1 days in March and has now stabilized at 6.5 days, lei said. "If there is no reform measures, it will take about 10 years to average hospitalization rates to shorten the 1.6 days. Shorter hospitalization rates help strengthen tertiary hospital attaches great importance to the mysterious illness treatment and improve the hospital medical service".
The average cost of medical treatment is 35 million yuan per day
Will the increase of the cost of acupuncture and moxibustion after medical reform raise the overall medical fee increase? According to the survey, the cost of medical care in Beijing is as high as 3.5 billion yuan in 100 days. Began to reform "in Beijing from April 8, sometimes higher than in the first half of the year. The second half of the year, about 9.5 billion, which can realize savings that also means that every day to save medical costs in the Beijing area 35 million." "Said lei.
In addition, the cost of the drug was realized by the cost of the sunshine procurement, which saved 1.37 billion, and the average price of drugs dropped by more than 8%. After the healthcare reform began on April 8, drug sunshine procurement has generated 17.2 billion market transactions, lei said. It is expected to save more than 3 billion yuan over the whole year. Among them, the proportion of drugs in second - and tertiary hospitals fell from 42.2 percent to 34.4 percent, and the current downward trend continues.
The two months have the advantage of 8300
The reporter of beiqing newspaper learned that 105 kinds of slow medicine, which are commonly used in patients with hypertension and diabetes in the city, are in place in the community. According to lei haichao, the current community has a two-month advantage system, the old people do not have to return to the medical institution. "The advantage has been over 8,300, and the number of key family doctors has reached 73 percent. The signing rate has jumped significantly in the 100-day reform process."
How does the patient view this series of reform measures? NBS survey office in Beijing in the near future in secondary and tertiary hospitals in the intercept interviews, access to 600 patients, 91.7% of patients expressed support for the Beijing pharmaceutical separate comprehensive reform, another 82.2% of the patients think that now the reform of the policy is beneficial to diagnosis and treatment of classification. 83.8 per cent of patients had a positive view of medical fees, and 63 per cent of patients felt the cost was down or flat during a visit.
Medical consumables are expected to further reduce prices
In the coming year, Beijing will also carry out further reform measures. The performance evaluation of public medical institutions, for example, has designed the 11 key performance evaluation indicators, to all of the secondary and tertiary hospitals in Beijing were analyzed, including the hospital antimicrobial drug utilization rate, low mortality risk disease group, readmission rate, average hospitalization days, 30 days bed utilization rate, outpatient medical expenses, inpatient cases all medical expenses, medical expenses increase, medicine proportion, material proportion, etc. At the same time, the salary distribution policy of medical staff in Beijing will be studied.
In addition, the joint procurement of medical consumables from the beijing-tianjin-hebei region will be launched, and the consumables are expected to decrease further. LeiHaiChao said: "compared to a purchasing organization and coordination, and the difficulty of joint procurement will greatly improve. Now the city is working in close collaboration and tianjin, hebei, on the one hand, want to use information for medical consumables market, on the other hand to consider how to implement three through efficient organization joint procurement." |
