Medical network - on January 13, the state council has issued by the "" much starker choices-and graver consequences-in" deepening the reform of medical health system planning is put forward, to carry out high value medical consumables, inspection detection reagent, centralized purchasing large medical equipment.
"Much starker choices-and graver consequences-in reform plan" is the provinces for the future work in the field of medical equipment procurement to set the tone, centralized purchasing will be chosen action. That have yet to implement centralized purchasing in three areas of the province, must also be concluded that in the next four years.
For high value material purchasing, specific expressed as: "the cure of much starker choices-and graver consequences-in planning" to "specification and promoting high value medical consumables centralized purchasing, high value medical consumables unified coding standard, the difference between different conditions for high value medical consumables procurement bidding procurement, procurement negotiations, direct netting, ensure that every link of high value medical consumables purchase to run in the sun."
High-value consumables coding was again on the table, and its in the way that planning is not a single limit, but allow around adjust measures to local conditions.
In fact, the high value medical consumables centralized purchasing has long been written into the main task of medical reform in 2016. And since 2016, many provinces across the country have to accelerate or new high-value consumables in at the provincial level, so far, has not yet been launched centralized purchasing of high-value consumables screening provinces is very few.
With high-value consumables, many provinces, such as sichuan, shanxi, in view of the IVD products is also in the implementation of centralized purchasing, at the provincial level are also put forward to a certain degree of price and price requirements.
As for the large medical equipment, the b class of large medical equipment for centralized procurement is the typical representative of anhui province, has completed the first batch of provincial level in so far, the average price of up to 15%. A class of large-scale medical equipment, the national health development planning commission agency after implementation of centralized purchasing, according to statistics, 28% price effect. The latest of a document of the state council, is the first time that a class of large equipment included in the 2017-2018 year must by the state development planning commission of centralized purchasing directory.
In the future, a class of large equipment by the national health development planning commission in, and implementing configuration. B large equipment, in practice or in anhui province will be learning objects.
In addition, in addition to the three types of medical equipment should be centralized purchasing, in the field of medical equipment, "much starker choices-and graver consequences-in reform plan" has put forward the main tasks and goals for the following:
1, to reduce the drug, medical consumables, and large medical equipment check treatment and check the price.
2, by regulating the behavior of diagnosis and treatment, health care and reduce the cost of medicines and chemical reagents, consumables and other, strictly control the unreasonable inspection fees, make room for adjustment of medical service prices, and with the medical fee, salary system, medicare payments, diagnosis and treatment of corresponding measures such as classification.
3, the pilot city public hospital in 2017 to one hundred yuan of medical income (excluding drug income) of health material consumption has dropped below $20.
4, increase the intensity of medicines and chemical reagents, consumable materials circulation industry structure adjustment, guide the supply capacity equilibrium configuration, speed up the construction of drug circulation the national unified open, competitive and orderly market and break local protectionism and form a new modern circulation system.
5, support drug, consumable retail enterprises to carry out the diversified and differentiation.
Participation in the drug purchase is 6, further improve the hospital, to carry out the medical institutions and drug, the principal position of consumable purchase, promote active control medicines and chemical reagents, consumable price medical institutions.
7, promote medicine, take comprehensive measures to cut off the hospitals and medical personnel and medicine, material between the interests of the chain.
8, strengthen the market competition is not sufficient drug price regulation and high value medical consumables. For larger frequent price changes and variations, timely to carry out special investigation, price monopoly, fraud and collusion offence shall be investigated in accordance with the law.
By the visible and the focal point of medical consumables is "much starker choices-and graver consequences-in" reform object, while the core ideas or the price! |
