Medical network - on July 10, on July 7, the guangdong provincial people's government website "issued by the general office of the guangdong people's government of guangdong province deepening medical and health system reform in 2017 key task notice (hereinafter referred to as" notice "), and put forward the 55 health priority, and define the end of the year entire province all public hospital implementation of two votes.
▍ two votes: before the end of all public hospitals
"Notice" clearly, before the end of 2017, in the province of all the public medical institutions and drug procurement practices "two votes".
In addition, all public hospitals in guangdong province were cancelled before July drug addition (except traditional Chinese medicine yinpian), synchronous implementation of the medical service price adjustment.
Not only that, including army hospital were included in the reform within the scope of cover.
"In 2017 in shenzhen, zhuhai, huizhou, dongguan, zhongshan, jiangmen, zhaoqing seven city public hospital medicine proportion (excluding Chinese medicine yinpian) overall to around 30%, to one hundred yuan of medical income (excluding drug income) of health material consumption has dropped below $20. Promote the provincial hospital, army, armed police, the participation of public hospital reform."
In may, the net transfer of guangdong two votes scheme (draft) was widely circulated, according to the coming from? Two votes file? , according to two votes scope of implementation contains in addition to shenzhen, guangdong to allow GPO city two votes, organize the implementation of other municipal public medical institutions are all requirements for drug purchase of two votes.
In addition, 50 mountainou area of grassroots medical institutions is available in two votes on the basis of an additional tickets, an additional tickets at the grass-roots level to be agreed province other county. Two votes scheme starting from the date of publication, to March 31, 2018 for the transition period, on April 1, 2018 the entire province full implementation.
Among them, for definition of production enterprises, at the time? Two votes file? For a stake in making the definition and asked for more than 50% namely? Absolute holding? For business group's holding company also made similar demands.
According to incomplete statistics, as of July 5, 25 provinces, autonomous regions and municipalities directly under the central government has officially released on relevant departments to drug purchase two votes of the implementation of the scheme (trial), has been clear about the schedule.
Around in the process of policy to the ground, the implementation of two votes also set up not long transition period at the same time, some parts 5 months, 3 months, some area allows the pharmaceutical production, circulation enterprises and public medical institution during the transition period of time to digest inventory, adjust and reconstruct pharmaceutical supply chain system.
Market analysis view, the "two votes" will be the first to have a significant impact to the medicine circulation enterprises and market pattern, in the shuffle, most of the lack of competitiveness of small and medium-sized pharmaceutical business will gradually disappear, strong comprehensive competitiveness of large pharmaceutical circulation enterprises have obvious benefits, but in the short term enterprise operating costs may also face rising pressure.
Let go of ▍ clinic of TCM
As early as April 13, the state administration of traditional Chinese medicine is officially released for "interim measures for clinic of traditional Chinese medicine for the record" and the doctor of medicine of traditional Chinese medicine does expertise personnel examination registration management interim measures ", and on July 1.
Stipulated in article 5 (department) for clinic of traditional Chinese medicine, traditional Chinese medicine to the local people's government at the county level departments to submit written record filing materials, obtained in the clinic of TCM for the record card "after practice activities.
, with the spirit of the document through the release of deepening the reform task of guangdong province in the notice is clear: "launch social pilot of traditional Chinese medicine, improve the clinic of traditional Chinese medicine for the record management approach", and make the chain measures for the administration of medical institutions of traditional Chinese medicine and Chinese medicine chain basic standard of medical institutions (trial).
Not only that, on July 1, the formal implementation of the method of traditional Chinese medicine, also stressed: "national support traditional Chinese medicine medical institutions run by social forces". "For clinic of traditional Chinese medicine, the clinic's name, address, diagnosis and treatment scope, staffing, etc to local people's government at the county level departments for the record of Chinese medicine after practice activity". Relax formally by the examination and approval system "to" records ".
Can be expected that in traditional Chinese medicine foundation and soil is profound in guangdong, or the development of Chinese medicine will get more support and the opportunity to try.
▍ cost back: promote the establishment of pharmaceutical factory price information traceability system
"Notice" emphasize, promote the establishment of pharmaceutical factory price information traceability system.
Public information display, in August 2016, the market adjusted drug price behavior in jiangsu province ", this is the first domestic provinces to develop such rules.
In jiangsu rules, the market adjusted drugs form, the price of drugs prices cost accounting form, drug operators to follow the principle of were file clear - except anesthesia, such as pricing by the government, the psychotropic drugs of category I drug prices for market regulation, drug business operators shall, in accordance with the accounting standards for enterprises ", "enterprise financial rules", such as specifications, combined with specific drug prices in the "rules" major project cost, accounting during drug manufacturing costs, expenses, profit, etc., comprehensive factors such as market supply and demand, market price of similar species independently work out the price.
On February 9, 2017, issued by the general office of the state council concerning the further reform and improve the use policy for producing and distributing medicines of several opinions, and clearly written into the drug prices the traceability system.
According to the previous plan, this led by state food drug safety administration of inter-departmental coordination, will establish a unified price information platform across departments, prepare and drug centralized purchasing platform (public resources trading platform), medical insurance payment platform, interconnection, and strengthen with the relevant tax data sharing.
"The current price streaking across the country only a few provinces such as fujian, jiangsu, once the traceability system was established, the national price information network with tender, health care, taxation, the impact on the enterprise is very big, this is an important means state equilibrium prices." Said about the topic before the medical industry.
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