Medical network - April 5
Liaoning five department as strict controls of large-scale medical equipment configuration
Liaoning province development planning commission, the provincial development and reform commission, provincial departments, provincial people club hall and provincial price bureau recently issued notice, can control the entire province public hospital medical expense unreasonable growth to make the deployment.
Notification requirements, in addition to reducing year by year in liaoning province tertiary public hospital the proportion of average outpatient service, will also be reasonable controls the scale of public hospital beds, it is forbidden to borrow public hospital construction, strictly control the construction standard and large medical equipment configuration.
At the same time, improve the mechanism of the drug centralized purchasing, the implementation of medical consumables procurement sunshine. Actively promote the reform of medical insurance payment methods, straighten out the medical service price, to lower the price of large medical equipment check treatment, the key to strengthen drug, consumables, such as large medical examination behavior regulation. The auxiliary medicine, hospital to establish superior use of the drug and high value medical consumables such as tracking monitoring system.
Beijing will focus on the management of large medical equipment
The Beijing health planning commission in January this year, issued the white paper on the use and management of large medical equipment allocation in Beijing and.
Since 2005, according to a white paper, besides SPECT, the other the number of configuration b large medical equipment has been achieved exponentially. City 6 CT, MRI, DSA, SPECT, LA these five b medical equipment configuration is more than 70%, close to saturation.
In the future, Beijing will be inside the medical institution or the jurisdiction inside to explore, to set up the medical imaging center, focuses of large medical equipment management, the realization of the rational allocation of equipment.
However, Beijing to social do medical configuration b large medical equipment have been relaxed access conditions, suburb areas of medical institutions is also large medical equipment configuration blank area. In the future, in the configuration of Beijing review, the index distribution, will pay attention to large hospital, suburb areas regional medical center and social capital to run medical and grassroots medical institutions of different needs, implements total amount control, classification for large medical equipment planning.
Chongqing should publish large medical equipment configuration standards and guidelines
On March 24th, chongqing planning commission held a large medical equipment configuration standards for advice symposium, Wang Weifu director offered to further strengthen the configuration using the management of large medical equipment.
Chongqing city planning department to organize the formulation of the large medical equipment configuration standards, is an important way to further standardize the large medical equipment management, also is the next important basis unit configuration of large medical equipment configuration.
Chongqing health development planning commission, planning development wants to collect the comments, studies earnestly, further perfecting the b class large medical equipment allocation in chongqing guidance ", strive for as soon as possible.
According to chongqing city health development planning commission report: by the end of 2015, chongqing has 137 hospitals) (not including the army hospital is equipped with large medical equipment such as CT, MRI and DSA, preliminary already realize orderly increase of large medical equipment in a reasonable range.
It is predicted that by 2020, the city's CT will reach 291 units, MRI168, DSA49, SPECT (single photon emission type electronic computer tomography) 20, LA (medical electron linear accelerator) 29 units.
Shanxi are strictly prohibited in public hospitals to borrow to buy nuclear magnetic devices
Shanxi Province health development planning commission loosened nuclear magnetic into the gate of county-level hospitals, but it is forbidden to public hospital borrowing configuration mri equipment.
Shanxi Province health planning department stressed that the first configuration b class of large medical equipment, medical institutions should be based on the function orientation of medical institutions, medical technology level reasonable configuration suitable products, such as promoting domestic equipment preferred. Update or new equipment, medical institutions can relax restrictions in terms of the equipment type selection, moderately improve the level of configuration equipment standard.
Health development planning commission of Shanxi Province county of large medical equipment needs to be established to explore diagnosis and treatment center, relax item b large medical equipment configuration, expand the scope of diagnosis and treatment, to explore the medical association members units b large medical equipment configuration planning and resource sharing, to the recipient by medical institutions donations or allocate b large medical equipment, promote medical resources sinking and large medical equipment as a whole.
In view of the public medical institutions can debt purchase of large medical equipment, health development planning commission of Shanxi Province also opposed, said China should give priority to the government investment.
Hubei audit strictly the purchase of large medical equipment source of funds
Health development planning commission in November 2014 in hubei province issued notice, it is strictly prohibited to public medical institution debt purchase of large medical equipment, public hospital institutions to apply for configuration or update the b class large medical equipment, its source of funds will be subject to strict audit, whether its configuration permit issued by the auditing for borrowing to purchase.
In hubei province to public medical institutions should be the government investment is given priority to, purchase of large medical equipment purchase of large medical equipment payment should be within one year after the arrival of the goods in full, the device shall not form a non-current liabilities.
To do need to borrow non-current liabilities or financing lease, will be held in accordance with the provisions of the competent department or unit jointly with relevant departments for examination and approval, in principle, the government is responsible for the repayment.
Anhui: centralized procurement for public hospital medical equipment
As early as in the first half of 2014, public medical institutions in anhui province centralized procurement for medical equipment has been, from the source control hospital blind impulse purchase of large medical equipment.
According to the requirements, the anhui province class a large medical equipment by the national unified health and family planning commission to organize and implement the centralized purchasing, centralized purchasing medical equipment 2 million yuan or more organized by provincial health development planning commission, 500000 yuan and above, the provincial focus group purchasing medical equipment by the city divided into districts, 500000 yuan the following medical device shall be formulated by the city divided into districts procurement plan.
Anhui province centralized purchasing medical equipment adopts the public tender method, a model with quantity purchase. By the provincial group b large medical equipment of the same item centralized purchasing of equipment, in principle, the organization once a year; Other medical equipment centralized purchasing 2 million yuan or more, not less than once a year.
Hebei large equipment without access to health care do not submit an expense account
The medical and health service system in hebei province planning (2016-2020) "a clear request guide the rational allocation of appropriate equipment, medical institutions to gradually raise the level of domestic medical equipment configuration, reduce the medical cost.
In order to strengthen the management of large medical equipment allocation planning and access, set aside a certain configuration lines support social do medical institutions, can relax appropriately configuration conditions.
Rein in public hospitals superior equipment. For without access to configure a license products, shall not issue a reimbursement of large medical equipment. |
