On July 15, the medical website, on July 15, the patients in guangdong province found that the prescription changed: the price of drugs, the surgery, the price of the medical personnel's technical value... On July 15, a total of 770 public hospitals in guangdong province announced that they were canceling drugs altogether.
This year, all public hospitals in China will remove the drug addition by September 30, and open the comprehensive reform of public hospitals. At that time, our public hospitals will be completely farewell to the history of "medicine for medicine".
Medical service price adjustment
According to the national health and family planning commission and other seven departments issued "about comprehensive push the notice of public hospital reform work, for public hospital reform schedule, by eliminating drug addition, adjusting measures of the medical service price, to further strengthen the public welfare of public hospitals. To require the implementation of comprehensive reform of urban public hospitals nationwide by July 31; Before September 30, the comprehensive reform of public hospitals was pushed open, and all the public hospitals cancelled the addition of medicine (except for Chinese medicine).
Starting from July 15, the "zero rate" sales of 152 public hospital medicines (except Chinese medicine) in guangzhou have been implemented, and more than 3,000 medical service projects have implemented new prices. According to the relevant person in charge of the health office of guangdong province, the reform in order to cancel the public hospital medicine and become a breakthrough point, through the medical price adjustments and charging projects, build public welfare oriented operation mechanism more clearly.
In the reform, the elimination of the drug added space will mainly shift to the project that reflects the value of medical personnel's technical services. For example, guangzhou public hospital general outpatient service, deputy chief physician, chief physician's consultation fee is adjusted to 10 yuan, 20 yuan and 30 yuan per visit respectively. Cut 1110 large equipment such as CT, MRI examination, inspection items, the price raised 2457 treatment, surgery, rehabilitation, nursing, traditional Chinese medicine such as reflect the project price of medical personnel technical services value, and establish the dynamic adjustment mechanism.
Since the 12th five-year plan, the comprehensive reform of public hospitals in China has accelerated, and the mechanism of "taking medicine for medicine" has been accelerated. As of the beginning of 2017, the total elimination of drugs from county-level public hospitals has been expanded to 200 cities in urban public hospitals. The comprehensive reform of public hospitals will be pushed across the country this year. Among them, the elimination of drug addition, the change of "medicine maintenance" unreasonable status, is the most important reform.
A series of changes have occurred in the patient
The reporter visited several hospitals to understand that, after breaking the "medicine for medical treatment", a series of changes will take place.
The patient's "expenses" will change. The relevant responsible person of guangdong health reform office introduces, because the outpatient cost is mainly the drug charge, cancelling the medicine to add to will be able to alleviate this part ginseng protect person's medical expenses burden. For the hospitalized patients, the medical expenses of the insured patients in the hospitalization will be decreased, and the cost of hospitalization for the treatment of patients with the main treatment means a small increase.
Ms. Li, who has long treated high blood pressure in guangzhou, has been taking the antihypertensive drug "timissassan tablets" from 6.5 yuan to 5.8 yuan. In the long run, the price has been reduced.
In addition, hospitals' "pharmacies" and doctors' prescriptions will also change. Patients worry that, after the drug addition, the pharmacy will become the operation "cost" of the hospital, will the hospital no longer value the pharmacy, patients will not be convenient to buy medicine?
Reform in guangzhou office, head of interpretation, in terms of drug purchase, guangzhou will establish a hospital drug group procurement platform, explore and implement public hospital drug supplies with procurement, unified distribution. In terms of taking medicine, we will explore the mechanism of the linking mechanism between medical institutions and designated retail pharmacies.
Guangzhou women and children medical center has been the first to realize "medical separation", and the adult drug prescription to the retail pharmacy outside the hospital. 'from a management perspective, we don't agree that the pharmacy is no longer profitable,' says gong sitang, deputy director of the center. On the whole operation chain, even if it is a loss, the guarantee must be done. The hospital still has the children's medicine and hospitalization and emergency medicine.
A don't want to be named a doctor tells a reporter, "medical" separately, the outflow of prescription is a big trend, it is important to later doctors can concentrate on "a doctor", is no longer considered by prescribing to make money.
Public hospitals return to public service
According to industry experts, the drug addition was a quick fix for the rapid development of medical institutions and insufficient financial investment in the state. In medical institutions, drugs are sold to patients at a cost of 15 percent higher than the actual purchase price of the hospital, to cover the cost of operating the medical structure. However, checks and balances the interests of the incentive to make it evolve into a "medicine for the medical system, make public hospital public welfare severely damaged, some doctors are keen to prescription, patients burden heavier.
Xiao-ping tang, director of the guangzhou health agency said, "take the medicine medical mechanism, make public hospital deviation from the public welfare orbit. Break with medicine medical mechanism is reverse breakthrough for the development of public hospital profit behavior, deepening the reform of public hospitals have to solve the problem of the primary, synchronous implement comprehensive reform, to set up new operation mechanism, to make the real return to public hospital public welfare."
In accordance with the policy requirements, public hospitals will eliminate the addition of medicines, and break down the old mechanism and establish new mechanism according to the idea of "space, structure and cohesion". The "air space" is to carry out the reform of the whole process of drug production and circulation, and squeeze the price of drugs. We will carry out the reform of the medical insurance payment method, and stimulate the endogenous driving force for the rational use and control costs of hospitals and medical personnel. "Restructuring" is to reduce drug prices and regulating the behavior of medical service to make room for adjustment of medical service price, to cut down price check, inspection, service by price to manifest the value of medical personnel technical services, optimize the hospital income structure. "Cohesion" means the simultaneous follow-up of medical insurance payment and financial aid.
The expert inside course of study reminds, in the process of reform, public hospitals at all levels should also improve the overall budget, the third party audit and information disclosure system, and resolutely prevent after the cancellation of drug addition, appeared with material, inspect and test for profit. Make public hospitals truly return to public welfare. |
