Health reform key tasks issued: hospitals are prohibited from restricting the outflow of prescriptions

Yesterday, "Deepening the reform of the medical and health system in 2016 key tasks" (hereinafter referred to as "tasks") was officially released. "Mission" clearly put forward that this year, the basic realization of cross-provincial relocation of retirees hospital expenses direct settlement, by 2017, the basic realization of the provisions of the referral of hospitalization in different places direct settlement. At the same time, in order to solve the problem of inflated drug prices, "Mission" proposed that this year will take various forms to promote the separation of medicines, prohibit hospitals to limit the outflow of prescriptions, patients can choose their own outpatient pharmacies in hospitals or with prescriptions to retail pharmacies to buy drugs.
can I be reimbursed for seeing a doctor offss.
"Mission" for the first time clearly, this year, China will accelerate the basic medical insurance national network and off-site medical settlement work, establish and improve the state-level off-site medical settlement platform, and gradually with the provinces off-site medical settlement system to achieve docking, the basic realization of cross-provincial relocation of retirees hospital expenses direct settlement. By 2017, the cost of hospitalization in different places in accordance with the referral requirements will be settled directly.
can the price of drugs fall?
20 yuan a box of drugs, the hospital price reached 180 yuan. The main reason for the inflated price of drugs is that drug prices are raised in the circulation chain, resulting in patients spending high prices to buy drugs from hospitals. The Mission makes it clear that this year it will take many forms to promote the separation of medicines, prohibit hospitals from restricting the outflow of prescriptions, and allow patients to purchase medicines at hospital outpatient pharmacies or at retail pharmacies on prescription. Hospitals and pharmaceutical production enterprises are encouraged to settle drug purchase prices directly, drug production enterprises and distribution enterprises to settle distribution costs, compress intermediate links and reduce inflated prices.
can I have a family doctor?
"Mission" clearly, this year, graded treatment will be carried out in about 70% of the cities pilot, in 200 public hospitals in the pilot cities of comprehensive reform of family doctors contract services. By the end of 2016, the coverage rate of contracted services for urban family doctors had reached more than 15%, and the coverage rate of contracted services for key groups had reached more than 30%. In order to enhance the service capacity of primary health care institutions, this year will also pilot the liberalization of public hospitals on-the-job or retired physicians above the primary health care institutions to practice or open a studio.Expert interpretation
Gu Xuefei, deputy director of the Medical Security Research Office of the National Health and Planning Commission's Health Development Research Center, integrates the medical insurance system for urban and rural residents, accelerates the promotion of the national network of medical insurance and the settlement of medical treatment in different places, so that the 'carryability' of medical insurance treatment is stronger, and it is more convenient for the masses to see a doctor. The establishment of basic medical insurance, major disease insurance, medical assistance, emergency assistance for diseases, commercial insurance and other multi-level policies can exert the combined efforts of a number of systems to further reduce the burden of medical treatment for residents.
"Two-vote system" is an effective means to reform the "inflated price" in the field of drug equipment circulation, reducing the number of drug in circulation in the circulation of layer-by-layer ticket increases. The traceability mechanism of drug price is in fact to regulate the economic behavior of all aspects of production, circulation and supply, to realize the openness and transparency of relevant information, and finally to provide regulatory conditions for squeezing out the price "water".
the construction of the hierarchical diagnosis and treatment system aims to improve the overall efficiency of the medical service system and truly alleviate the problem of "difficult to see a doctor, responsibility to see a doctor", and the contract service of family doctors is a way to realize. However, the construction of this system can not be achieved overnight, need multi-party cooperation, with certain conditions in order to gradually establish and improve, such as the promotion of grass-roots service capacity and enthusiasm mobilization, health insurance payment system and payment standards of coordination, the gradual change of the concept of mass medical treatment. (Beijing Times)