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| Beijing health and family planning commission: drug procurement is expected to be 3 billion yuan this year |
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| Author：中國銘鉉 企劃部 Release Time：2017-9-5 11:49:08 Number Browse：807 |
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The medical network on September 5 this year, on April 8, the implementation of the comprehensive reform of medicine in Beijing, as of the present overall smooth and orderly, the parties have responded well. Among them, drug and drug charge, medical treatment of second and third grade hospitals, large equipment inspection fees, and the burden of health care patients continue to be "five drops". Only one drug, sunshine procurement, is expected to save more than 3 billion yuan this year, more than expected.
Multi-sectoral linkage, strengthening integrated management
Today, reporters learned from Beijing municipal health and family planning commission, in order to ensure the smooth implementation of reform, Beijing set up the working mechanism of multi-sectoral linkage on medical treatment, medicine, health care has established nearly 30 reform files, including cancellation of medical institutions and drug addition, a zero rate of sales; Cancellation of registration fee, medical treatment fee, setting up medical service fee, reflecting the technical labor value of medical personnel; The implementation of the drug sunshine procurement, the virtual high space of the drug price; Based on the principles of mixed and development board specification adjustment 435 basic medical services and prices, policy measures, such as the prices reflect the cost also includes promoting the construction of the classification system to improve the medical service, strengthen the comprehensive regulation, reform health care reform measures such as mode of payment.
Promote the classification diagnosis and treatment, straighten out the medical treatment order
This reform is a major step grading according to title set up medical service charge, release the clear guide basic-level first option price signal, adjust the reimbursement policy, to tilt at the grass-roots level, promote the construction of the classification system.
Data show that more than four months, compared with the same period last year, tertiary hospital, secondary hospital door er visits decreased by 12.5% and 5% respectively, and basic level hospital medical institutions increased by 11.5%, part of city community health service institutions ZhenLiaoLiang increased by about 20%. Some common diseases are gradually shunting to grass-roots organizations.
, physicians, chief physician, deputy director of this central clinic visits decreased by 9.9% and 22.8% respectively, the experts with ease, it is difficult of experts with a limited medical resources to better serve the patients with severe distress, pay more attention to in the hospital and tertiary hospital services, the average such confinement shortened obviously, improve service efficiency.
The charge effect appears, the cost is stable
For more than four months, the data showed that Beijing's medical expenses rose just 2.2 per cent, excluding the 2 per cent rise in the first half of the city's consumer price index. A total of 20.64 billion yuan in the amount of sunshine procurement, with a total savings of 1.64 billion yuan, the price of drugs decreased by more than 8 percent on the basis of the elimination of 15 percent. Only one drug, sunshine procurement, is expected to save more than 3 billion yuan this year, more than expected.
The proportion of drug use in tertiary hospitals fell to 34 percent from 42 percent in the same period last year, and is still falling. Compared with the same period last year, the number of hospitals in the emergency room was reduced by 7.4% and 9.8% compared with the same period last year, while the number of primary hospitals and primary medical institutions increased by 5.4%. Hospitalization cases were reduced by 17.7 per cent, 15.9 per cent and 17.2 per cent respectively in the tertiary, secondary and first-level hospitals.
We will raise the level of security and strengthen assistance
This reform, strengthen the urban and rural medical insurance and medical treatment in Beijing, the medical service charge included in the basic medical insurance for urban workers, urban and rural residents and maternity insurance reimbursement scope, and aim at long-term hospitalization of psychiatric patients adjust reimbursement policy, to implement bed day paid, and specifies payment limit, easing the burden on individuals, provide support and guarantee for reform.
Among them, the reimbursement rate of social assistance recipients was increased by 10 percentage points, the ceiling line was increased by 50 percent, and the health care patients and the difficult people were effectively protected.
Reform, urban and rural medical insurance patients individual burden overall decline, social assistance object outpatient, hospital, and major disease burden of aid per capita are reduced by about 30%, the social security system plays an important supporting role.
Eliminate the profit-seeking mechanism and highlight the public interest
The Beijing municipal commission of health and family planning said that to protect and mobilize the initiative of all parties involved in reform, the direction and principle of reform should be integrated with the interests of all aspects to pursue the maximization of public interests. By eliminating drug addition and set up the medical service charge and standardize medical service, eliminates the pursuit of profit mechanism of drug income of medical institutions, to strengthen public welfare laid a good foundation, the new compensation mechanism to set up and play a role.
The monitoring shows that the medical service fee can be replaced by the original registration fee, medical treatment fee and the income of medicine, and the income of medical institutions is improved. Compared with the same period last year, medical institutions can allocate a 21.9% increase in income in June 2017.
At the same time, through the standard medical service items and charges, solved the part of the medical service charges, significantly lower than the cost of problem, the doctor of traditional Chinese medicine, pediatrics, gynecology and obstetrics, nursing, transmission parts, such as professional development board support.
Who in Beijing development planning commission, said the next step will continue to deepen the medical and health system reform, pushing forward the construction of the Beijing health provide the public with safe, effective, convenient and cheap medical and health services, continue to improve residents' health level.
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