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| Shenyang: medical expenses for public hospitals will increase by less than 10% by the end of the year |
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| Author：中國(guó)銘鉉 企劃部 Release Time：2017-8-23 11:18:37 Number Browse：767 |
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Medical network - August 23rd August 22, the reporter learned that, in shenyang who planning commission issued public hospital medical expense unreasonable growth control, to control public hospital medical expense unreasonable growth as the important goal and task of deepening reform.
This year the proportion of public hospital medicine fell to 30%
The plan proposes that by the end of 2017, it will initially establish a medical cost monitoring system for public hospitals and effectively control the momentum of irrational growth of medical expenses.The total medicine proportion (excluding Chinese medicine) in the whole city has been reduced to below 30%.The health materials consumed in the 100 yuan medical income (excluding pharmaceutical income) were reduced to less than 20 yuan;The growth rate of medical expenses is controlled by 10%, and the medical treatment of residents is further reduced.By 2020, we will establish and improve a sound medical cost control monitoring system and assessment mechanism to control medical expenses at a reasonable level.
Shenyang municipal public hospital should reduce the proportion of medicine to 4%, reduce the proportion of medical income consumables, and regulate the medical and health care costs.
Shenyang will establish an evaluation and evaluation mechanism for the control fee target, which will be an important basis for the control of medical expenses as the admittance of public hospitals, the approval of new beds and the configuration of large medical equipment.The control work of medical expenses is included in the target management of the subordinate public hospital, the annual performance appraisal of the President and the evaluation scope of the President's term, and the assessment weight of the control fee index is increased.
In addition, it will strictly control the size of public hospitals and rationally control the size of public hospital beds.
We will establish a system for pricing drug prices for medical services
The proposal will establish medical service price, drug price and fee public display system.Shenyang who planning department who will regularly based on city planning commission website city pipe in public hospitals, outpatient medical expenses, medical expense per capita inpatient medical expenses, hospitalization accounted for the proportion of medical income, the number of hospitalization rates, one hundred yuan income of medical consumption material of health costs accounted for the proportion of medical income, drug income (excluding Chinese medicine yinpian), average 8 indicators such as such confinement.
In addition, the medical staff should be standardized.To carry out clinical path management, take prescription negative inventory management, implement prescription review, antibiotic use, auxiliary medicine, consumables management and other systems.We will strengthen rational application of Chinese medicine tablets, establish a special review system for the prescription of Chinese medicines, and promote rational use of medicines.
Set up over the use of adjuvant, hospital supernormal drugs and high value medical consumables such as tracking monitoring system, definite number of drug product rules need to be monitored, establish and perfect, with emphasis on the basic drugs synthetic evaluation system of clinical medication.We will strictly implement the system of listing price and medical expenses of medical institutions.
It is strictly forbidden to set income indicators for medical personnel, and medical personnel should not be paid personal compensation to the hospital's pharmaceutical, consumables, medical equipment and other business income.
Commercial bribery of drug consumables
To carry out centralized procurement of drugs, and strictly investigate commercial bribery in the area of drug consumables purchase and marketing.To establish a fee based on the cost of disease, per head, service unit, etc., gradually reduce the payment by project.In ambulatory surgery and non-drug treatment of traditional Chinese medicine, on the basis of expanding into the medical insurance payment of ambulatory surgery and medical organizations of TCM, acupuncture, therapeutic massage and other non-drug treatment technology in TCM.Rigorous economic evaluation and review of high drug and consumables into the health care catalog.By the end of 2017, the number of cases with clinical pathway management reached 30% of the number of discharge cases in public hospitals.
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