High price medicine is worrying! Director of health and Family Planning Commission: price must be reduced!

Source: sabilan before April 13, 2015, Li Bin, director of the health and Family Planning Commission, was interviewed by fenghuang.com on current hot topics such as medical reform, medical anti-corruption, Internet medicine, etc from the interview content, there are several hot topics worthy of the attention of pharmaceutical companies: first, the price negotiation of high-priced drugs and imported drugs is coming soon, and the price must be reduced In 2015, the drug price negotiation of the health and Family Planning Commission "should select a few varieties that everyone is more concerned about, such as patent drugs, for negotiation, establish a negotiation mechanism, negotiation platform, organize experts, and form a rule." "These things are being done now, and they will not be for a long time They will come out, and we will talk about them this year," said Li Bin We must lower the prices of some medicines that are falsely high Why do we use so much medicine in China, but it is more expensive than other countries, including some medicines in Hong Kong? That's not normal Then we need to talk with each other through these normal international price comparisons, and then consider the volume price linkage " 2、 In 2015, the health and Family Planning Commission will set off a new round of anti-corruption storm The national health and Family Planning Commission will carry out four rounds of inspections in 2015, with three to four units in each round The inspection of these 40 large-scale hospitals includes the implementation and construction of major projects, daily operation, and compliance with relevant national laws, regulations and policies during the operation Led by the health and Family Planning Commission, with the participation of audit firms, accounting firms and some other institutions, the law is strictly, professionally and impartially enforced Li Bin said that all cases of corruption in the field of medicine and health should be investigated together, which should not be tolerated, should be zero tolerated, and should be resolutely punished 3、 Sanming mode is highly affirmed Li Bin is very optimistic about the practice of medical reform in Sanming, Fujian Province, and believes that this exploration has broken through many difficulties, not only cut off the interest chain between doctors and drugs, but also mobilized the enthusiasm of medical institutions; not only reduced the cost of people's medical treatment, but also did not increase the burden of public finance, making hospitals return to the public welfare 4、 Li Bin made it clear that in the medical industry, malicious monopoly is absolutely not allowed, and production enterprises and circulation enterprises should abide by the law 5、 The price of medicine and the price of medical services should be promoted in a matching way Previously, Sun Zhigang, deputy director of the health and Family Planning Commission, mentioned that reducing drug prices should make room for the reform of medical service prices This time, Li Bin clearly proposed to promote the reform of the salary system of medical staff in public hospitals The education cycle of medical industry is long, the risk is high, the labor volume is large, and the service price is low, which can not reflect the labor value of medical personnel, which is also one of the root causes of the very distorted phenomenon, such as medical supplement Now all over the country are discussing the establishment of a salary system in line with the characteristics of the industry It can be made clear from Li Bin's talk that the price of medical services will increase, but how much is the salary system in line with the characteristics of the industry? According to the article reported by the medical industry, a top three hospital in Shanghai carried out the performance distribution reform, and a neurosurgery skull fracture reduction operation After the reform, the income of the operation team increased by 300%, which sounds amazing, but in fact, it increased by 1300 yuan from 300 yuan Compared with the market-oriented price, it's really inferior It costs 10000 yuan for out of hospital surgery and 5000 yuan for the surgeon in charge However, as the current price of medical services is still regulated by the government, it is afraid that the measurement standard of how much to increase can only be based on the price reduction space of drugs, consumables and inspection costs Therefore, drug price reduction, or even substantial price reduction, may occur 6、 Germany can learn, but mainly by itself Li Bin suggested that we can learn from international experience Germany, for example, is characterized by clear cooperation and boundaries among governments, markets and social organizations, so it has many laws and regulations on health care To learn from Germany is to establish law "We are now in the process of formulating a basic medical and health law, which has not yet been formulated, so we need to learn from other people's aspects, speed up the construction of the legal system and the pace of administration according to law, which is also in line with the general direction of the overall rule of law." However, Li Bin also stressed Chinese characteristics, "we should proceed from national conditions, be realistic, and not copy other countries' models." 7、 I'm afraid that there is not much room for the development of online health care, but the internet medical form of health consultation is recognized When referring to online medical treatment, Li Bin used the word "it's a small screw and pinion in the reform chain, and it's really not good without it" It can be seen that in Li Bin's opinion, internet medical treatment can play a certain role, but it's just a "small screw" In addition, the internet medical service she mentioned, including Internet registration and health consultation, is the general trend So in the current mobile medical field, for example, the internet medical service dominated by health consultation has been basically recognized and affirmed Does it mean that the "light consultation" mode represented by doctor Chunyu has also been recognized? Five big data of the new health care reform: (1) the national health insurance system is more sound Now, the employee health insurance and the urban and rural residents health insurance have covered more than 1.3 billion people, and the coverage rate has been kept above 95% (2) , reimbursement ratio, now the level of security is also increasing year by year, and the reimbursement level within the policy can reach more than 70% (3) Last year - all provinces across the country carried out the pilot of serious illness medical insurance The reimbursement rate of patients with serious illness increased by 10 to 15 percentage points on the basis of the original reimbursement rate Last year, the serious illness insurance raised 15.5 billion yuan, benefiting more than 2.4 million people (4) New steps have been taken in the reform of public hospitals Last year, the reform of public hospitals has reached more than 1300 counties and more than 2500 county-level hospitals have carried out comprehensive reform (5) The government has increased investment Since the 12th Five Year Plan, more than 40 billion have been invested to transform and improve the capacity of these grassroots services.