On August 2, the medical website was purchased and paid by a department, and the two bills were implemented and the distributor was eliminated. Tianjin's medical consumables bidding procurement also needs to change greatly.
Recently, the people's government of tianjin issued the "key work task of deepening the reform of medicine and health system" in tianjin.
The key tasks to be completed in tianjin this year include:
1. A department is in charge of drug purchase and payment
The document puts forward: "make a plan for the centralized procurement of pharmaceutical consumables and the payment of medical insurance. Explore the implementation of a department to manage the centralized procurement, price negotiation and health care payment of drugs and consumables, and achieve an orderly and smooth transition of work. (the municipal human and social security bureau takes the lead, the city's health and family planning commission, the municipal market supervision committee and the municipal development and reform commission are responsible for the division of responsibilities).
Tianjin also wants to explore the purchase and payment of the drug by a department, which is led by the people's bureau, which means to learn the meaning of "fujian mode".
No accident of words, will be the similar health care do such institutions, will be scattered in a number of departments into functions are integrated into the scope of their functions and powers, unite by the health department play "medicine, price and protect" the concentration of advantage, to implement a framework for hospitals, doctors, medicines, the prices of everything.
Medical care will also increase the cost of medical care. For example, the health insurance office in fujian province has launched a combination of drug prices and sunshine procurement this year, and the price of 8,000 drugs has been reduced. Many of them have even fallen directly into low prices.
According to the attached form of tianjin's deepening medical reform, the task of labor division and schedule of priority tasks for 2017, the time schedule of the task is "October 2017". In other words, soon, the New Deal will be introduced. Tianjin city specific meeting how to change, at that time to know.
2. Two-ticket and elimination? distributors
The document states: "improve the supply guarantee and circulation mechanism of pharmaceutical and consumables. Fully implementing drug purchase from the production enterprise to the circulation enterprises, from the circulation enterprises to the medical and health institutions of each open an invoice "two votes", to explore the medical and health institutions and production enterprises direct settlement drugs and consumables payment for goods, the costs of production and distribution enterprise settlement distribution "votes", the compression of the intermediate links, reduce prices artificially high. Through competition, we will improve the concentration of distribution enterprises and reduce the distribution cost by one-third in 2017. (the city health and family planning commission, the municipal health reform office, the municipal market supervision committee, the municipal commission of commerce, the municipal commission of manpower and social security, and the municipal development and reform commission are responsible for the division of responsibilities).
"Two-ticket" is listed as the key task of this year's reform. Note that from the description of the document, reform points to medicine and medical consumables.
Among them, the drug procurement aspect is to be fully implemented, and the time progress requirement is "September 2017", the specific landing document, which has also been issued recently.
The medical consumables "two-ticket", the document did not mention the time schedule requirement. However, just before this year, tianjin's proposed "two-ticket" document was disclosed. Here the document is directly stated to "explore the consumables". At the very least, it shows that tianjin is indeed about to push the "two-ticket" and "one-ticket" of consumables, but it remains to be seen whether the actual landing time will be further observed.
In addition, the document made it clear that a third of the distribution companies would be cut this year, led by the municipal health and family planning commission. The big elimination of the distribution company, in tianjin also has to become a big trend.
3. Eliminate the consumables and strengthen the use of high-value consumables
The paper proposes that the reform of the price of medical services should be promoted to eliminate the addition of 3% of disposable medical consumables.
The task is headed by the municipal development and reform commission, which is scheduled to be "December 2017". Tianjin will be one of the first few provinces to promote the reform of "zero-plus" energy consumption.
Files are also put forward to increase the intensity of public hospital medical expense control, regulate medical institutions prescription comment on work, strengthen drug and high value medical consumables purchase and use of the supervision, reduce the medicine proportion and consumption accounted for. Each district and the municipal public hospital control fee indicators are identified and issued, the completion of the performance assessment, and the joint implementation of the supervision inspection, the control fee poor people to make an appointment.
The task was led by the municipal health and family planning commission, and the schedule was also "December 2017".
4. Inspection and inspection of the beijing-tianjin-hebei region and mutual recognition of drug consumption
The paper puts forward: "promote the coordinated development of medicine and health in Beijing, tianjin and hebei. We will continue to promote the mutual recognition of medical examination results and medical imaging data sharing in the beijing-tianjin-hebei medical and health institutions, and further expand the scope of mutual recognition. To explore the joint procurement mechanism of drug and medical consumables in the beijing-tianjin-hebei region. We will work together to carry out pilot work on electronic licenses for medical institutions, doctors and nurses in the beijing-tianjin-hebei region.
Among them, the leading department of the joint procurement of drugs and consumables in Beijing and tianjin is the municipal commission of health and family planning and the municipal people's bureau, and the lack of time progress requirement is "continuous promotion". The leading department of inspection and inspection of the beijing-tianjin-hebei test and inspection results is the municipal commission of health and family planning, and the time schedule requirement is "December 2017".
|
