Starting from October 1, lanzhou will carry out the "two-ticket system" of drug procurement in the tertiary public hospitals. The aim is to regulate the circulation of medicines, reduce circulation, reduce the inflated price and reduce the drug burden of patients.
On August 29, reporters from the city's health and family planning commission learned that the comprehensive reform of public hospitals, marked by the elimination of drug and drug use in public hospitals, was pulled apart on August 26. The participation in public hospital comprehensive reform of the medical institutions including administrative area city, district two levels of government hospitals, provincial tube public hospitals, colleges and universities affiliated hospitals, troops armed police hospital, enterprise and government department office set up hospital, a total of 68 hospitals.
The main contents of medical price reform in the city public hospitals in lanzhou city are: the drug "zero rate" sales. All public hospitals will eliminate the drug addition (except for Chinese medicine), and the "zero rate" sales will be carried out.
In combination with the practical measuring situation of lanzhou city, cancel the drug addition, to reduce the large medical equipment to check prices and inspection items after treatment, a reasonable adjustment value of medical personnel technical services of medical service prices. The scope of the adjustment of prices includes the prices of clinics, operations, nursing, beds, rehabilitation and traditional Chinese medicine. The adjustment of medical service projects will be included in basic medical insurance for urban and rural residents, adjustment of related reimbursement policies, the elimination of drug addition, adjustment of the price of medical services and the synchronization of basic health insurance policies.
After the reform, large medical devices will be reduced to check the price of treatment and test items. According to the calculation, the average magnetic resonance decreased by 7 percent, and the 356 yuan was reduced from 356 yuan to 330 yuan. The average CT drop was 12%, from 257 yuan to 224 yuan.
At the same time, the public is in the outpatient service, no longer charge the registration fee alone, the outpatient registration fee is incorporation into the diagnosis fee. The cost of outpatient consultation is 1 yuan. The physician makes a check and check list according to the patient's requirements in the specially designed clinic, and prescribes the prescription according to the long-term treatment plan. No medical records, no proof of illness and no false notes. The general outpatient consultation fee, the main treatment and the following doctor's outpatient service fee, the city, county, the township is 6 yuan, 5 yuan, 4 yuan; The deputy chief physician's outpatient consultation fee is 7 yuan, 6 yuan and 5 yuan respectively in cities, counties and townships. The chief physician's outpatient consultation fee: 9 yuan, 8 yuan and 7 yuan for the city, county and township; Well-known expert outpatient consultation fee, city, county, township is 12 yuan, 11 yuan, 10 yuan. Service items include registration, initial medical records (electronic or paper medical records), verification of patient information, medical record delivery, and case management. Inquiry condition, to hear the chief complaint and medical history collection, inform the patient or family, general physical examination, medical record writing, checklists, according to the condition for treatment (treatment, prescription), etc.
Start city public hospital comprehensive reform of the hospital, to cancel the drug addition, synchronization to implement new medical services charge standard, lanzhou price adjustment of medical service projects in line with the basic medical insurance for urban workers, urban and rural residents, within the scope of payment will be included in the scope of basic medical insurance and serious illness insurance reimbursement. Staff of urban workers and urban and rural residents shall, in the treatment of outpatient and hospitalization, keep the original procedures for the medical treatment and timely settlement.
Because all levels of hospital fu biao is different, so if blindly choose in high grade hospital, because their standards higher reason, hospitalization costs are relatively high, and reimbursement ratio is low, so the personal burden of medical treatment of lines will be more. In this regard, the city's health and family planning commission recommends that citizens take advantage of the differential reimbursement policy of medical insurance, and choose hospital according to their rational choice, which can alleviate some of the unnecessary burden of medical treatment.
In another development, lanzhou will be on October 1, 2017 will be fully implemented in a tertiary public hospital drug procurement "two votes", namely the production enterprise to open an invoice of enterprises and circulation enterprises to open an invoice of medical institutions.
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