Increase in pharmaceutical service fees!

Sanming pharmaceutical service fees have risen!

"Other provinces and cities can refer to it.

According to the "Seeing Medical Circle", the Sanming Municipal Medical Insurance Bureau and the Sanming Municipal Health and Health Commission recently issued the "Notice on Further Improving Pharmaceutical Service Fees".

The notice pointed out that the health and health department formulated the pharmaceutical service management policy, improved the pharmaceutical service mechanism and medical behavior supervision and management, and the remuneration system was appropriately inclined to pharmaceutical personnel.

It is understood that the medical service fee of Sanming in Fujian was established in 2018.

Today, Sanming City’s three-year pharmaceutical service fee has ushered in a price increase, with an increase of up to 50%, once again leading the country.

The ill-fated pharmacy service fee

In fact, as far as "Seeing Medical Circles" understands, the exploration of pharmaceutical service fees in the whole country can be described as ill-fated.

In July 2010, the state issued the "Guiding Opinions on the Pilot Reform of Public Hospitals", which proposed to set a pharmaceutical service fee.

The pharmaceutical service fee guarantees the cost of the pharmaceutical service, that is, the basic cost of drug management and the technical labor value of the medical staff's pharmaceutical service.

The person in charge stated that the reasonable income of public hospitals reduced due to the cancellation of drug additions will be compensated by measures such as adding drug service fees and paying through medical security funds and increasing government investment.

However, in practice across the country, the collection of pharmaceutical service fees can be described as ups and downs.

However, in September 2017, as all public hospitals in Chongqing canceled the drug additions (except for Chinese medicine decoction pieces), the pharmacy service fees of public hospitals in districts and counties were also cancelled.

After Sanming added the pharmaceutical service fee in 2018, at the end of February 2019, a news from CCTV News that "medical institutions will start a pilot pharmaceutical service fee" once again triggered discussions on the direction of reform.

CCTV revealed that in order to change this status quo, some public medical institutions will start a pilot work on pharmacy service fees, and each prescription is planned to be charged 4 yuan.

It is understood that in foreign countries, many countries implement a medical division system.

In August of the same year, Sun Chunlan, Vice Premier of the State Council and leader of the Medical Reform Leading Group of the State Council, emphasized the need to play the leading role of Sanming's medical reform during a survey in Fujian and attending the medical reform promotion meeting.

Experts call for the implementation of pharmaceutical service fees as soon as possible

In fact, in recent years, there have been more and more discussions on pharmaceutical service fees.

At the National Two Sessions in 2019, Chen Hongzhuan, a member of the National Committee of the Chinese People's Political Consultative Conference and vice president of Shanghai University of Traditional Chinese Medicine, suggested that the pharmaceutical service charging policy be fully implemented as soon as possible.
Establish pharmaceutical service standards and quality evaluation system, conduct audit prescriptions, medication consultation, medication education, pharmaceutical care, pharmaceutical outpatient clinics, pharmaceutical rounds, pharmaceutical consultations, and reorganization of medical orders for pharmacists, and set up corresponding charging items.

Chen Hongzhuan believes that pharmacy services without payment cannot be sustained, and pharmacy service fees are an inevitable requirement for the sustainable development of the pharmacy profession.
The system of collecting pharmacy service fees should be fully implemented as soon as possible.

It is understood that the pharmaceutical service system has been implemented in Western countries in the 1960s, and charging for pharmaceutical services is a common practice worldwide.

In the United States, the concept of drug treatment management services (MTMs) is adopted to clarify the service items and the mode of service provided by pharmacists.
As a service provider, pharmacists charge standards related to service time, severity of disease, and resources needed to provide services.

In Australia, the price of medicines adopts a unified pricing method, and the cost of medicines includes the cost of medicines, pharmacy service fees and other expenses.
At the same time, the medical insurance fee control policy encourages pharmacists to substitute generic drugs for prescription drugs when the price is not higher than the original prescription price.
For each replacement, the Australian Pharmaceutical Benefits Plan pays the pharmacist a certain fee.

In Taiwan region of our country, drug service fees are also used instead of drug markups.
Its pharmaceutical service items include: adjustment costs and pharmaceutical care costs.
Among them, the pharmacy service fee for inpatients is charged according to the complexity of the doctor's order and the level of the hospital where it is located.

In this regard, Xu Yucai, a columnist of "Seeing a Doctor" and deputy director of the Shanyang County Health Bureau of Shaanxi Province, believes that the current medical expenses in my country's medical institutions are increasing rapidly.
A very key factor is the unreasonable use of drugs and the difficulty of governance One of the core is the lack of "operators", and this operator is a clinical pharmacist.

Xu Yucai believes that clinical pharmacists are the main force in medical institutions to promote rational drug use.
How to take care of the interests of this core group, reflect its labor value, and learn from Sanming to implement pharmaceutical service fees as soon as possible will be an important step in the future medical improvement process.