Health and Family Planning Commission promotes the reform of public hospitals at the drug level

Source: daily economic news 2015-1-9 the prospect of public hospital reform in the new year begins to be clear On January 8, the reporter learned from the 2015 national health and family planning work conference that one of the highlights of health and family planning work in 2015 is the reform of public hospitals Compared with the information of the national health and family planning work conference in February 2014, the first task of the 2014 medical reform work priorities determined by the national health and Family Planning Commission was also to "accelerate the reform of public hospitals" In order to promote this key work, the regulatory authorities intend that in 2015, the reform of county-level public hospitals will cover the whole country and pilot comprehensive medical reform in Anhui, Fujian, Jiangsu and Qinghai provinces It is particularly striking that in 2015, all public hospitals participating in the reform will be eliminated to supplement medical treatment with drugs, the drug plus policy will be cancelled, and the price of medical services will be raised reasonably In addition, a negative list of prescriptions will be published as soon as possible Comprehensive medical reform will be launched in four provinces The reporter of "daily economic news" learned from the above national health and family planning work conference that with the medical reform stepping into a deep-water area and a critical period, institutional contradictions and deep-seated problems are highlighted; with the urbanization, aging population and changes in disease spectrum, the health consumption demand of residents is released, and the medical and health service capacity is not fully adapted to these new situations and changes From the current situation, the medical reform is still the "central task" of the whole national medical and health system On the basis of consolidating and improving the basic and grass-roots achievements, the regulatory authorities will strive to make efforts in the "mechanism level" reform One of the most important plays of the reform in 2015 is the reform of public hospitals The next step is to formulate and implement the implementation opinions on comprehensively pushing forward the comprehensive reform of county-level public hospitals The scope of the reform will be extended to all counties (cities) in the country As for the reform of urban public hospitals, the scope of pilot cities will be further expanded The pilot work of comprehensive medical reform in Anhui, Fujian, Jiangsu and Qinghai provinces was launched to promote medical reform from point to area, track and guide the pilot process, and play a leading role in demonstration Recently, Li Bin, director of the national health and Family Planning Commission, Wang Guoqiang, Wang Peian, and Sun Zhigang, deputy directors, launched a series of intensive grass-roots investigations and went to Anhui, Yunnan, Shanxi, Hebei and other provinces to discuss the comprehensive reform of public hospitals, aiming to seek medical advice for the next step of the reform of public hospitals It is reported that among all the public hospitals participating in the reform, they will strive to eliminate the policy of supplementing medicine with drugs, cancel the policy of adding drugs, and reasonably raise the price of medical services Cai Jiangnan, director of the center for health management and Policy Research of CEIBS, once prescribed a prescription for the "medical supplement" to be touched by the reform He believed that the medical supplement could directly link the hospital income with the drug income, and the irregular diagnosis and treatment behaviors could not be avoided Some medical staff who had the skills and ability to serve the people were dishonest to the people Moreover, under the policy of supplementing medicine with drugs, neither the pharmaceutical production and circulation enterprises nor the hospitals have the motivation to reduce the cost actively At the drug level, we will simultaneously push forward the reform at the level of public hospitals At the drug level, we will also introduce new reform measures In 2015, the regulatory authorities will strive to improve the drug supply guarantee system, establish a national drug policy coordination mechanism, improve the national drug policy system, and will issue a negative list of prescriptions as soon as possible At the above-mentioned national health and family planning work conference, the national health and Family Planning Commission named Anhui, saying that "at present, the negative list management of prescriptions carried out in Anhui Province is very effective." The reporter learned that in 2015, the national health and Family Planning Commission will vigorously promote the management of prescription negative list and promote the return of medical treatment to science What's more, it will promote the connection between the purchasing mechanism of essential drugs and non essential drugs The reporter of "daily economic news" noted that some places have launched water trials on promoting the connection between basic drugs and non basic drugs procurement mechanism, and then expanding the scope of grass-roots drug procurement In October 2014, after several days of soliciting opinions, Jiangxi Province officially issued the implementation plan of centralized drug network in medical institutions of Jiangxi Province and the catalogue of cheap and short drugs for centralized drug procurement in medical institutions of Jiangxi Province, and officially adopted the "network mode" for drug bidding plan The three catalogues, including low-cost drugs, low-cost drugs in short supply and limited price drugs, blur the concept of basic drugs and non-basic drugs, and implement "package" centralized procurement In the scope of online purchasing varieties in Jiangxi Province, there is no longer a distinction between basic drugs and non-basic drugs The online purchasing catalog is divided into low-cost drugs catalog, low-cost drugs catalog and limited price drugs catalog Except for the national special management drugs and low-cost drugs list and low-cost drugs catalog, all varieties belong to the limited price drugs catalog In the future, if the procurement mechanism of essential drugs and non essential drugs can be successfully established, grass-roots medical institutions are expected to enjoy more autonomy, and the procurement scope is no longer limited to basic drugs (including supplements), low-cost drugs and low-cost drugs in short supply Next, the regulatory authorities will also strengthen the construction of drug supply assurance information system to achieve interconnection We will establish a mechanism to guarantee the supply of medicines in short supply, with the focus on emergency (rescue) medicines, and continue to promote the pilot production of some essential medicines that are clinically necessary and in small quantities, as well as the drug use guarantee for children Promote the docking of medical information system and national drug electronic supervision system At the policy level, the regulatory authorities will also scientifically plan and work out the 13th five year plan We will comprehensively carry out the final assessment of the implementation of the 12th Five Year Plan, and work out the 13th five year plan for medical reform, the development plan for health and family planning, and special plans for major disease prevention and control, population health informatization, food safety risk assessment, family planning, healthy aging, and coordinated development of medical and health services in Beijing, Tianjin and Hebei In the future, based on the formulation of the above planning supporting policies, we will plan key projects and major projects to support the development of the cause, and continue to promote laws such as the basic medical and health law, the population and family planning law, the Chinese medicine law, the regulations on smoking control in public places, the regulations on prevention and treatment of medical disputes, and the regulations on collection and management of social support fees Formulation and revision of laws and regulations At the same time, we should promote the central and local governments to continue to increase investment in health and family planning, strengthen capital supervision, improve efficiency in use, promote the reform of departmental budget management, and improve the system of chief accountant.