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Interpretation of the programme of special treatment for medical consumables |
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Author:中國銘鉉 企劃部 Release Time:2017-8-30 10:32:51 Number Browse:779 |
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Medical network - on August 30, recently, national health and family planning commission, the national development and reform commission, ministry of industry and information technology, the ministry of finance, human resources, the social security office, the ministry of commerce, administration of taxation, state administration for industry and commerce and the food and drug supervision administration of nine departments jointly issued "on the special medical consumables activity plan notice (countries who do medical letter [2017] no. 698), released the medical consumables special clean-up plan, since July as the end of November this year, will be for medical consumables to carry out the rectification work for half a year, is to interpret the content is as follows:
1. What is the background of the formulation of the special remediation programme for medical consumables (hereinafter referred to as "the plan")? What are the main problems? What's the point?
Answer: the dosage of medical consumables in the medical establishment is large, the kind is wide, the extent is wide, the medical consumptive material income accounts for a large proportion in the hospital income, regulate medical consumables management has certain urgency. With "on further reform and improve the pharmaceutical production circulation use policy several opinions issued by the implementation of drug distribution and use of the order around the obtained further standardize and perfect, to the benefit of using drugs operation space compression, part of the pharmaceutical production, circulation, sales enterprise to medical consumables market. In addition, medical consumables such as production, circulation, use link chain long, complicated situation, by commission last year from around discovered clues to reflect the enhancement problems involved in the medical consumables procurement of commercial bribery, using linked to personal income, medical consumables and equipment of bundling issues such as clues, and carried out the research, the results show that the special governance work is very urgent. Therefore, the special remediation of medical consumables has been put on the focus of this year's wind construction.
According to the central work to deepen reform of the overall deployment, in order to further strengthen the supervision of medical consumables and renovation of medical consumable materials of problems existing in the production, circulation and use of the link, and cracking down on abuses in the field of medical consumables effectively, to rise to standardize medical order, purify the role of industry custom and relying on the national health and family planning commission, the national development and reform commission, ministry of industry and information technology, ministry of finance, human resources and social security ministry, the ministry of commerce, administration of taxation, state administration for industry and commerce, food and drug supervision administration of nine ministries and commissions such as rampant joint conference on correcting pharmaceutical sales and medical service mechanism, national health and family planning commission jointly with relevant departments in many other aspects of in-depth research, widely listen to opinions, on the basis of forming the SongShenGao scheme, after the approval by the joint inter-ministerial meeting mechanism, officially issued by.
Around strengthen the regulation of medical consumables, "solution" to the people's health as the center, to improve unhealthy tendencies of medical consumables, outstanding issues, according to "find out money, straightening out relations, open and transparent, and symptoms of principle, from the deepening medical and health system reform and the establishment of a complete medical consumables supply, with the Angle of policy system, reference to reform and improve the pharmaceutical production circulation use of the beneficial practice and experience, pay attention to improve the oversight system for medical consumables mechanism construction, for medical consumables in terms of price, production, purchase, use the outstanding problem of take effective management measures, to explore devising a effective medical consumable supply, with the reform of the regulatory policy and management measures.
To carry out special campaigns in the field of medical consumables, perfect supervision and management mechanism reform, deepen the reform of medical health system is an important content, to perfect the national policy of medical consumables, standardize medical consumables production circulation use system, safeguard the rights and interests of the masses, maintain the people's health, it is of great significance. Benefit for promoting the innovation of 3 d linkage, deepen the reform of the medical product supply side in the field of structural, is conducive to promoting the healthy development of medical consumables industry for comprehensively deepen medical health system reform, promote the health of China construction to provide strong support.
Ii. What are the main contents of the plan?
Answer: "plan" according to "find out money, straightening out relations, open and transparent, and symptoms, the principle of reference to reform and improve the pharmaceutical production circulation use of the beneficial practice and experience, mainly divides into six parts, from ten aspects to promote and implement the work plan, concrete is:
The first part is the general objective. Through the special medical consumables, perfecting the management of medical consumables procurement specification path, the clinical rational use of long-term mechanism, explore reasonable payment and reimbursement system, medical consumables and cracking down on abuses in the field of medical consumables effectively.
The second part is the scope of the activity. The special regulation scope includes the national medical consumables production and circulation enterprises, various medical institutions at all levels.
The third part is organization management. The state corrects the office of the joint conference office of the unreal in the pharmaceutical purchase and marketing and medical services to formulate the plan for national medical consumables and organize its implementation. Provincial family planning administrative department of public health, in conjunction with the correct pharmaceutical sales and medical services in the rampant ministerial joint conference member unit, the provincial administrative department of the jurisdiction, be responsible for to organize the implementation of the rectification of activities within the areas under their respective jurisdiction.
The fourth part is the main content. Inspection of illegal production; Second, we will continue to promote the special treatment for the use of invoices in the medical and health industry. The third is to urge the provinces and districts to purchase the high-value consumables on the Internet. The fourth is to strengthen the price supervision of high-value consumables, especially the medical consumables, which are planted and interventional. Fifth, the promotion of medical consumables information disclosure; Sixth, strengthen the supervision over the medical treatment mechanism; The seventh is to intensify the investigation of excessive examination, overtreatment and violation of the "nine rules" of medical staff; The eighth is to strengthen the supervision and inspection of the equipment purchasing behavior of the medical organ consumables and the consumables. The nine is to explore the establishment of medical consumables long-acting supervision mechanism; Ten is to increase propaganda work.
The fifth part is the implementation step. The special remediation of medical consumables lasts for six months and is divided into three stages. The first is to self-check the self-correcting stage, including the medical consumables production circulation enterprises and medical institutions self-check; Second, the supervision inspection phase, including special inspection and key spot check, serious handling of the detection of disciplinary violations; The third is the summary stage and the summary of this special activity.
The sixth part is the job requirement. First, raise awareness, strengthen the sense of mission, urgency and responsibility; The second is to improve the working mechanism, strengthen education training, and increase the intensity of the treatment; The third is to sum up the experience and deficiencies in the work, consolidate the results of the activities, and resolutely avoid the phenomenon of rebound.
The rectification of the involved in each step of medical consumables information platform through treats, policy chain linking, comprehensive financing, the package as a whole to consider countermeasures, to ensure that the measures in the same direction, regulation results of short-term see a inertial effect, long-term, further standardize medical consumables production, supply, sales and use, to lower the price of medical consumables and its proportion in the medical treatment cost, make people feel real reform of dividends.
Iii. What benefits will be brought by the introduction of the plan?
A: "the plan" focuses on improving the people's medical reform. One is to ensure the patient's right to know. Establish and improve the medical consumables information disclosure mechanism, urging timely collection of medical institutions and the name of the public related medical consumables, quality rules and price information, positive response, announced the public concern of consumables used properly, patients with clear understanding of the material information channels. The second is to standardize the use of medical consumables and protect the patients' health rights and interests. Especially to increase social awareness higher high value medical consumables, strictly implement the core of the medical quality and medical security system, to ensure that all kinds of medical institutions and reasonable use of medical consumables of compliance. Third, we will establish a long-term supervision mechanism and maintain industry development in the long run. From the previous research results, an illegal production, the illegal use of invoices, bid up the price, and monopoly, rake-off consumables violation behavior is the important cause of the current medical consumables market order confusion. "The plan" pay attention to the market from the production, circulation, use the whole chain, has been clear about the various measures to crack down on illegal behavior, including strengthen the enterprise production and market transaction behavior monitoring; Strengthen market transaction supervision, and investigate and deal with illegal violations of the normal market trading order, such as price gouging, monopoly and consumable rebate, etc.; To study the long-term measures such as making medical consumables sunshine purchase and developing clinical application guide. In order to solve the problems in the field of medical consumables, the plan should take short-term control and long-term system construction in parallel to maintain the long-term development of the industry.
Iv. How will the long-acting supervision mechanism proposed by the plan be implemented?
A: on some correct pharmaceutical sales and medical services joint meeting mechanism of nine ministries will be organized to carry out the comprehensive evaluation of medical consumables, try to the evaluation results as to develop guidelines for clinical application of medical consumables procurement, sun's important reference. Medical institutions should improve the internal management system of medical consumables, focus on monitoring the use of high-value medical consumables, publicize the non-rational use of doctors, and establish an appointment system. Strictly temporary procurement of medical consumables management. Local health family planning departments to combining the request of "plan", to explore the rational use of medical institution to examine the medical consumables situation, the assessment results and caries dean, performance salary management measures such as hook.
5. How will the focus of the programme be implemented?
A: the plan calls for the complete chain of medical consumables supervision, and the ministries and commissions should improve the management measures for medical consumables from many aspects. Development and reform (price), and other departments to strengthen price behavior oversight, improve the price monitoring and early warning system, combined with the existing channels on the related monitoring and early warning information system support and supply platform construction as a whole. The industrial and information departments should actively guide the technological transformation of medical consumables production enterprises and improve the production and supply capacity of high-value medical consumables. The medical insurance management department should improve the management measures for the consumptive use of medical insurance. The business department should encourage the circulation of medical consumables to develop modern medical consumables, optimize the distribution network, and improve the accessibility of high quality and low cost consumables. Health family planning departments to strengthen the regulation of medical institutions, strictly implement the core system, medical quality and medical safety regulation and enhance the admittance of medical technology, ensure the quality of medical security. To strengthen the rational use and safety management of medical devices, standardize the general name management of medical consumables, monitor the use of medical consumables, and carry out the evaluation of medical consumables quality. The food and drug administration should strengthen the quality supervision of medical consumables, improve the registration and approval policy of medical consumables, and guarantee the safety of medical consumables. The industry and Commerce Department should check the illegal production behavior and focus on the disposable medical consumables production area which has more problems. The tax authorities should continue to push forward invoice use special treatment, medicine and health care industry press continue to do a good job of medicine and health care industry special invoice usage, to investigate and punish the illegal use of invoices, tickets, tickets, tickets scalping, strengthen the case is transferred for of invoice and law and the joint investigation, in-depth excavation of the illegal ACTS related to invoices, behind of commercial bribery and rampant problem.
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