A picture teaches you to understand the trends of medical reform in April

In the first month after the two sessions of the new medical and health system reform, which concerns the vital interests of 1.36 billion Chinese people, there was no surprise that there were major movements across the country From a nationwide perspective, the dynamic of medical reform in April was mainly reflected in North China, East China and South China Some provinces and cities in Northeast, northwest and southwest regions issued relevant policies Yaozhi.com has compiled the dynamic regional distribution map of relevant policies of April medical reform, which can help you understand the dynamic of April medical reform in a second Beijing, North China: another bidding is about to start According to reliable news, Beijing will start bidding for non base drugs and low-cost drugs immediately Unlike other provinces and cities in China, Beijing's bidding may be "directly guided by the national health and Family Planning Commission and jointly implemented by Beijing" Beijing plans to complete the bidding by the end of June, and decide whether to promote it to the whole country by September depending on the effect And the official is also more cautious, it is said to take one district one county as a pilot Beijing: pilot community pharmacy divestiture this year At the 2015 Beijing health and family planning work meeting held on April 8, Fang Laiying, director of the Beijing health and Family Planning Commission, said that due to the insufficient drug supply capacity of the community health service center, Beijing will pilot the separation of community pharmacies in some districts (counties) in the second half of this year, and the purchase and supply of drugs will be handed over to commercial companies for processing, while supporting the use of e-commerce by third parties Methods to meet the drug needs of community residents, it is possible to realize that patients can wait for drugs to be delivered to their homes in the future Tianjin: in early April, the people's Government of Tianjin put forward some suggestions on promoting the pilot work of comprehensive reform of public hospitals It is pointed out that centralized purchase of drugs should be carried out to ensure the unified supply of drugs The specific method is to give full play to the role of Tianjin drug centralized procurement platform, collect the lowest bid price of drugs in China, and implement dynamic adjustment on a quarterly basis to adjust the price to the lowest in China On April 15, Tianjin Health and Family Planning Commission launched actions to further improve medical services In the three years from this year to 2017, the health industry in Tianjin will start from 13 aspects related to people's medical treatment, improve the level of medical service and medical experience Shanghai, East China: on April 2, the first batch of procurement, medical insurance fee control or 83% reduction, Shanghai publicized the three varieties of volume procurement, from April 3 to April 7 If nothing unexpected happens, the first batch of bid winning results of volume procurement in Shanghai seems to be settled In the envy and jealousy, the winning bidder, such as xinkehe, is very happy However, in the relevant provisions of the bidding documents, there are strict provisions on the drug quality of the bid winning enterprises, that is, "before and after the bid winning, the source and content of the main ingredients, auxiliary materials and related substances of the drugs shall be consistent" This regulation will inevitably lead to the reduction of profits of bid winning enterprises In the future of fierce market competition, how can Shanghai pharmaceutical enterprises survive? Let's wait and see Jiangsu: on April 15, the website of Jiangsu health and Family Planning Commission released the consultation draft of Jiangsu medicine shortage catalogue (2015 Edition), adding 17 kinds of medicine shortage In Nanjing, Xuzhou, Huai'an, Taizhou and other four provincial drug shortage reserve points will be designated for reserve supply Nanjing: basic drugs in public hospitals will be sold at the purchase price On April 13, Nanjing municipal Party committee and municipal government issued the opinions on deepening the reform of medical and health system and building a modern medical and health system It is reported that Nanjing will comprehensively push forward the reform of public hospitals and strengthen the public welfare By 2015, the proportion of fund payment for hospitalization expenses within the scope of medical insurance system for urban employees and urban residents will reach 85% and 75%, respectively In addition, by the end of this year, Nanjing will Public hospitals and military hospitals will sell drugs at zero margin, and will sell drugs at the purchase price Zhejiang: the medical reform of Yueqing City drew closer to the idea of bidding in Zhejiang Province on April 2 Yueqing City of Zhejiang Province issued the document "instructions for innovation and centralized bidding and procurement" and followed the idea of bidding in Zhejiang Province, that is, in the previous sales ranking, the higher the drug price reduction rate is Hospitals negotiate through distributors, who delivers and who negotiates The bargaining scope of Yueqing is the top 300 drugs sold in 2014 In terms of price reduction range, Yueqing City stipulates that drugs ranking 1-50 will be reduced by 10%, 51-100 will be reduced by 7%, and after 100, the price will be reduced by 5% At the same time, according to the idea of Zhejiang provincial standard, if it is antibacterial, auxiliary and nutritional drugs, the price will be reduced by another 5 percentage points on the basis of the above price reduction standard Hangzhou: it is planned to establish the special drug serious illness insurance system On April 13, the implementation plan for further improving the medical insurance system for serious illness in Hangzhou (Draft for comments) was publicized and heard on the website of Hangzhou municipal government The highlight of the draft for comments is to establish the special drug serious illness insurance system Anhui: on April 1, the implementation of zero difference rate of drugs recently, Anhui provincial health and Family Planning Commission introduced the reform of urban public hospitals in Anhui Province and the hot spots of general concern of the society at the news conference of launching comprehensive reform of urban public hospitals According to reports, Anhui began to implement the zero drug margin on April 1 However, the urgent zero difference rate of drugs has triggered a series of events such as out of stock, out of stock, pharmacy clearance, and banner printing by distributors According to the effective news, "the First Affiliated Hospital of Bengbu Medical College was seriously out of stock a week ago The western medicine storehouse was empty There was no medicine available in the outpatient department The most basic drugs, such as antihypertensive drugs, were gone, and the medicine in the inpatient department was also in short supply." Anhui: the Provincial Medical Association and pharmaceutical enterprises negotiated 10 kinds of single injection volume procurement: 15% - 20% margin of interest on April 7, the "procurement Consortium" composed of 17 medical institutions directly under Anhui Province was carrying out the procurement of 10 kinds of single injection volume procurement work in a tense manner Unexpectedly, several representatives of the manufacturers participating in the on-site bidding heard that 80% of the enterprises bid according to the document: 15% - 20% margin The new price obtained from the negotiation of 17 provincial "medical consortia" may become the "benchmark price" for purchasing other 16 prefecture level cities with 16 + 1 volume in Anhui Province As a result, Anhui Province once again set a new record of winning the bid for centralized drug procurement, and the price is absolutely the lowest price Guangdong, South China: the network hospital receives more than 500 patients a day Leading the new concept of medical reform, Guangdong network hospital is one of the important pilot projects of medical reform in Guangdong Province, which has been on line for more than half a year Patients can have video diagnosis and treatment directly and online at the network clinic Doctors can prescribe according to patients' condition, and patients can take medicine in the community medical center or drugstore, so as to avoid the pain of rushing and queuing, and really send the high-quality medical resources of the top three hospitals to the hundred families At present, Guangdong network hospital receives more than 500 patients every day, and the satisfaction rate of online patient satisfaction survey is 100% Dongguan: in January, the burden of mass medical expenses was reduced by nearly 5.73 million On April 15, the supervision office of Guangzhou municipal government reported the progress of the first quarter of the top ten practical matters of the municipal government in 2015 It is noteworthy that all public hospitals in Dongguan have implemented the policy of canceling drug addition since January 1 this year In January, the drug cost of public hospitals decreased by 40.12 million yuan, which actually reduced the medical cost burden for the masses by nearly 5.73 million yuan Fujian: medical reform focuses on strengthening the capacity-building of primary medical services Recently, Sanming City in Fujian Province issued a series of new measures to reform the medical and health system Sanming's new move is a miniature of the new round of medical reform launched in Fujian We should break the current restrictions on the establishment and management of public hospitals, employ personnel through independent examination by public hospitals, implement the annual salary system for presidents and medical personnel in primary medical institutions, rationalize the price of medical services, and reduce the proportion of direct costs of drugs and consumables to less than 30%; To explore a new way for the development of the combination of medical care and nursing, and encourage medical and health institutions at all levels to sign health service agreements with pension institutions, communities and families At present, Fujian has established the general idea of new medical reform, which is to protect the basic level, strengthen the grass-roots level and build a mechanism Xiamen: on April 13, Yang Qi, deputy director of the development and Reform Commission and director of the municipal medical reform office, interpreted the comprehensive pilot implementation plan of deepening the reform of the medical and health system in Xiamen, making it clear that the core link will be to effectively solve the "difficult" and "expensive" problems of the masses, highlighting the reform orientation Jilin Province, Northeast China: the Northeast Medical Reform and Health Planning Commission asked for the reform of pay to mobilize the enthusiasm of medical staff April 15-17, Ma Xiaowei, deputy director of the National Health Planning Commission, led a team to Changchun City, Jilin Province to investigate and supervise the work of medical reform Ma Xiaowei said that the next step of the comprehensive medical reform idea is to vigorously promote the reform of public hospitals, improve the compensation mechanism of public hospitals, straighten out the relationship between medical services and prices, accelerate the establishment of modern hospital management system, deepen the reform of personnel compensation system, and fully mobilize the enthusiasm of medical personnel Shaanxi Province, Northwest China: the maximum price limit for 11 kinds of drug supplement forms is implemented according to the drug price difference comparison rules issued by the national development and Reform Commission From April 15, Shaanxi will determine the maximum retail price for 11 kinds of drug supplement forms, such as Naoxintong capsule Qinghai: Xining deepened the work of medical reform, and a number of medical reform measures ranked the top of the country on April 8 In 2015, the promotion meeting of Xining deepened the work of medical reform was successfully held Wang Yubo, mayor of Xining City, said at the meeting: "Xining, as the 'pacesetter' of medical and health reform in Qinghai Province, has a number of medical reform measures such as the signing rate of family doctors and the proportion of hospitalization reimbursement in the whole country." In terms of medical insurance, the city has realized the overall planning of urban and rural residents' medical insurance at the municipal level, and the per capita financing standard of urban and rural residents' medical insurance has increased from 220 yuan and 154.3 yuan in 2009 to 550 yuan; in terms of medical care, all 14 municipal and county-level public hospitals in the city have been included in the scope of comprehensive reform, realizing the full coverage of reform In terms of medicine, the city's public hospitals at all levels and grass-roots medical and health institutions all implement the zero difference rate system of basic drugs, and strive to break the old mechanism of "medicine for medical treatment" Gansu: 90% of outpatient services will go to rural communities On April 13, Gansu Provincial Health and Family Planning Commission, Gansu Provincial Department of human resources and social security, and Gansu Provincial Department of Finance jointly issued the guidance on health promotion model reform, striving to collect 90% of outpatient services to rural and community medical institutions, 90% of inpatient services to county-level medical institutions, and by the end of 2015, the county-level patients' upward transfer out rate will be controlled within 10% Gansu: to ensure the supply of medicine in short supply In order to ensure the shortage of drugs for clinical necessity and first aid, on April 21, Gansu Provincial Health and Family Planning Commission issued a civilized decision The health and family planning administrative departments and medical institutions at all levels should include the number of short and thin drugs produced by enterprises directly linked to the Internet into the examination of selecting and distributing enterprises, and take it as an important basis for their selection and withdrawal Lanzhou: it's no longer difficult to release referral medical institutions for record and transfer to other places for medical treatment Recently, the regulations on the management of remote medical treatment of urban basic medical insurance in Lanzhou city was officially issued, which further regulated the application process, medical expense audit and settlement, management of referral medical institutions, management of medical personnel, and dispute handling of urban medical insurance insured personnel during the period of relocation, transfer to other places for medical treatment, business trip to visit relatives, etc Among them, increase the channels for abnormal approval of medical expenses in different places, and if the transfer formalities cannot be handled in time due to the critical condition and other special circumstances, transfer shall be carried out