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| Half the pills! How will the clinical path of drug companies respond? |
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| Author：中國銘鉉 企劃部 Release Time：2017-8-18 11:13:46 Number Browse：679 |
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On August 16, national health development planning commission will hold a clinical pathway management media communication, health development planning commission medical hospital authority leadership and a number of public hospital according to "clinical pathway implementation progress and results released to the media and answer questions. It is well known that clinical pathway management and medical insurance payment are closely related, in continuously strengthening its health care for drug price control under the premise of control excessive, unreasonable medical expenses caused by random inspection, improve the diagnosis and treatment efficiency, improve service quality, clinical pathway implementation is the necessity of medical reform.
Since October 13, 2009, the ministry of health issued "clinical pathway management guidelines (trial)" notice, pharmaceutical marketing in prices, health care, bidding and catalog again more than an academic threshold, this not only means hospital prescription drug market behavior need to face the compliance test, further more in clinical evidence-based academic level in the face of pressure. As of July 2017, who planning commission has already released 1212 clinical pathway, diagnosis and treatment of clinical doctors and 'prescription behavior bedding bag, forcing pharmaceutical companies have to adjust their own prescription drug marketing.
So what does this communication reveal?
On average, the hospital day, the medicine accounts for the greater health!
Deputy secretary for medicine and medicine, guo yanhong:
From 2009 to 2016, the average residential day was shortened by 10.5%, with an average annual decline of 0.22 days, such as the average hospital stay in taizhou hospital in zhejiang province from 11.66 days before the implementation of the clinical path to 6.97 days in 2016. Clinical medicine more standardized, the implementation of clinical pathway management diseases, most of the time all of antimicrobial agents decreased, percent of pass of antimicrobial drug use, jining medical college affiliated hospital, for example, in 2004 the implementation of the limit of single diseases clinical pathway, the inpatients drug accounted for 37.5% in the first half of this year by 18.6% by 2005, 67 in henan province implemented a disease based on clinical pathway by macro-reforms, time hospitalization fee pay by project is reduced 10%, the catalog the proportion of drug cost decreased by 3%.
Zhang jun, deputy dean of renmin hospital of Peking University:
The implementation of the clinical pathway will inevitably bring about the cost, and a lot of antibiotics will be effective. There is no need to choose 50 yuan or 500 yuan. Before the clinical path was implemented, the doctor's medication was more casual and would increase the cost of the patient. Hospital beds tension, in particular, shall follow the standardized process, avoid excessive examination and excessive medical treatment, real control and treatment period, the average hospitalization days before the implementation of clinical pathway, 4.9 down to 4.03 after implementation path, the average hospitalization cost are reduced.
Director of zhejiang taizhou enze medical center Chen tsuni:
Implementation of clinical pathway management, the average residential day we dropped from 9.18 days in the past to 6.7 days. The average hospital stay in our hospital in the past 10 years was 14 days, down to 6.7 days today, more than half of it!
Unreasonable use of medicine all cut!
Deputy secretary for medicine and medicine, guo yanhong:
Last year, general office of the central committee of the communist party of China and the state council on forwarding the deepening medical and health system reform leading group of the state council on further promoting the deepening medical and health system reform experiences of the several opinions, put forward to strengthen the elaborating management in public hospitals, will promote the clinical pathway management as an important experience and tasks to be stressed. By commission according to "develop a batch, perfecting a batch, the promotion of a number of" working train of thought, organization, experts of Chinese medical association, in investigating the composition of medical institutions in hospital diseases, times of hospitalization expenses, medical security, and so on and so forth, on the basis of diseases by instalments, formulate a clinical pathway. So far, clinical pathway has printed and distributed to 1212 (including county hospital for version 216), covering more than 30 clinical professional, basic and realizing a complete coverage of clinical common and frequent disease, basically meet the needs of the clinical diagnosis and treatment.
Zhang jun, deputy dean of renmin hospital of Peking University:
In the past, patients with cerebral infarction came to the hospital, and there was a lot of medical treatment, and the clinical pathway stipulated that we could only use anti-platelet drugs, so we did the clinical pathway to regulate medical behavior. In the case of normative behavior, the natural medical efficiency and cost control have achieved good results, and the patient is guaranteed to be safe. There are several kinds of traditional Chinese medicine, now use only one of the most needed, of course the cost is reduced. Patients before implementation of clinical pathway spent ten thousand dollars, half is for medicine, and half is a material fee, the diameter after may become the seven thousand bucks, but hospitals are likely to dominate the proportion of funds are not the same.
Deputy head of hospital affiliated hospital of jining medical college:
Clinical quality control can be divided into several aspects, mainly clinical pathway implementation, such as the diameter ratio, completion, and strict management, the clinical pathway and combined to control the medical quality indicators, including an average of such confinement, medicine proportion, material index and hospitalization rates, mortality rate, etc., and a series of indicators are follow the clinical pathway. 2012 ~ 2016 growth rate within 5%, the average hospitalization cost is more than eleven thousand, 2016 hospital in shandong province is more than thirteen thousand, we are below the average level of shandong province, among them on the cost structure, medicine proportion is very important, our medicine accounted for in the first half of this year to 18.6%, the average 2016 of such confinement is 7.7 days, in the first half of this year is 7.5 days. |
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