Medical network - July 25, recently, the set of qinghai province introduced the control unreasonable medical expenses growth of qinghai province plan "(hereinafter referred to as" plan "), "the plan" proposed that by the end of 2017, the provincial medical expenses growth control within 10%, the 20 main monitoring index of the public on a regular basis, efforts to curb unreasonable medical expenses growth momentum.
The public hospital is gradually saying goodbye to the medicine, and the real return to public welfare is becoming a reality with the steps of the provincial health reform.
▍ control fee is the core of "the plan"
The programme strengthened nine control measures. Mainly: regulating the behavior of medical personnel and treatment, strengthening medical institutions internal control system, strictly control the scale of public hospital and reducing drug supplies inflated prices, promote the reform of medical insurance payment methods, in order to strengthen the management of clinical pathway, perfect the public hospital compensation mechanism, build a hierarchical diagnosis system, implementing national health promotion and health management.
The plan clearly will strengthen the monitoring of medical costs, make full use of information means, and focus on monitoring the growth of medical expenses in regions and institutions.
The public medical institutions will treat the reasonable diagnosis and treatment as an important part of the evaluation of the performance evaluation of medical staff.
The plan demands that all regions should strengthen overall coordination to form a long-term mechanism to control the unreasonable growth of medical expenses. To strengthen the supervision and inspection, to investigate the inadequate measures, fail to complete the targets for the control of medical expenses, to investigate the corresponding management responsibilities, and to inform the criticism.
In addition to qinghai province, Beijing, guangdong, shanxi, shandong, hebei, shaanxi and other provinces have introduced measures to reduce the high price of drug consumables.
Since Beijing public hospitals to cancel the drug addition, starting at midnight on July 15, 152 in guangzhou public hospital drugs (except for Chinese medicine yinpian) the implementation of "zero rate" sales, more than 3000 medical service projects to implement new price.
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".
▍ break "to the medicine cure" is imperative
According to Shanxi Province health economic restructuring office, deputy director of the state family planning commission jun-hua wu, "the medicine to cure" subsidies for public hospital co., LTD. Is the planned economy period, allowing public hospitals on the basis of drug purchase price increase sales, to make up for a lack of government investment and hospital operating cost loss.
This policy has played a positive role in ensuring the operation and development of public hospitals.
But at this stage, the implementation of "medicine physician" policy produced some problems, due to the hospital, the doctor is closely related to the benefits and drug production and circulation enterprises, regulatory system defects and inadequate investment, public hospital drugs addition policy, under the market economy condition change and gradually evolved into a profit-seeking mechanism.
Break the core of "taking medicine cure", is to cut off the hospitals and medical personnel to contact any economic benefits of the drug, is cut off benefit chain, regulating the behavior of diagnosis and treatment, control the unreasonable rise in medical costs. |
