Is it a blessing or a curse to cancel the chinese medicine tablet sliver?

On October 26, the State Council issued the Opinions of the State Council of the CPC Central Committee on Promoting the Innovation and Development of Chinese Medicine Heritage (hereinafter referred to as "Opinions"), which referred to "research and elimination of the relevant work of chinese medicine drink tablets" in the opinions on improving the institutional mechanism for the management of Chinese medicineControversy over whether to cancel the addition of Chinese medicine tablets has been ongoing, this news, the industry has a responseSome people in the industry pointed out that this will hit the enthusiasm of practitioners, not conducive to the development of the Chinese medicine and tablet industryThere are also industry insiders pointed out that the price of Chinese medicine tablets may enter the era of standardizationpatients benefit, the more the hospital loses?On May 19, 2006, the National Development and Reform Commission, in conjunction with the Ministry of Finance, the Ministry of Health, the Drug Administration and other ministries, issued the Opinions on Further Rectifying the Market Price Order of Pharmaceutical sand and medical services (No912 of the Price of The Development and Reform (2006) which stipulates that "the increase rate of Chinese medicine tablets shall be controlled at within 25%."at present, China has completely broken the mechanism of supplementing medicine, actively explore a variety of effective ways to carry out reform, eliminate drug premiums, reduce the proportion of drugs, but most of the specific reform programs around the exclusion of Chinese medicine tablets, mainly because of the price formation mechanism of Chinese medicine tablets specialCompared with Western medicine, medicine, Chinese medicine tablets in the grasp and storage is very easy to take up loss, and the dispensing of medicine needs a large amount of human resourcesIn addition, Chinese medicine tablets have very high requirements for storage conditions, in order to prevent Chinese medicine tablets worm, mold, discoloration, etc, the need for a large area of ventilation of the warehouse, air conditioning, dehumidifiers, refrigerators and other equipment also need to be readily available, high operating and management costs, however, some areas in order to reduce medical costs, Chinese medicine tablets into the scope of the abolition of the scaleIn 2013, Xiamen City abolished the Chinese medicine drink tablet stakes, and then in 2016 at the Xiamen City Medical Reform Conference to determine the proportion of Chinese medicine drink tablets increased by 13%, and by October 17, 2019, because the 13% increase rate and increase the cost of related medical services still can not make up for the loss, Xiamen Municipal Health and Health Commission and the Health Insurance Bureau to restore the proportion of Chinese medicine drink tablets to 25%2015, Dongguan City also included Chinese medicine tablets in the scope of the abolition of drug mark-upBecause the rate of 25% increase in Chinese medicine tablets is higher than that of Western medicine 15%, the room for patients to benefit is greater, many patients go to the hospital to buy Chinese medicine tablets, although there are financial subsidies and increase the cost of related medical treatment and examination, but the hospital said that the more the sale of more and more lossIn Dongguan City, for example, the hospital in the first quarter of 2015, it was reduced by 1.94 million, mainly because the loss of drugs is partly unsubsidized, the need for medical institutions to bear their ownGeneral Hospital and Chinese medicine hospital is the largest consumer market of Chinese medicine tablets, some people in the industry said that the abolition of Chinese medicine drink tablets on the surface to expand demand, but in fact will not increase the hospital's income, but also reduce the enthusiasm of medical institutions to use Chinese medicine tabletsIn recent years, China's Traditional Chinese medicine tablet industry continued to develop, a large number of through the GMP certification and the beginning of the scale of Chinese medicine tablet spenterprises, the market size in 2018 reached 273.4 billion yuan, in addition to the benefits of the industrialization of Chinese medicine, market-oriented expansion and upgrading, to a certain extent, also can not be separated from the retention of Chinese medicine tablets plus the promotion of favorable policies, if there is no reasonable supporting compensation and incentive mechanism, add-on cancellation or will not be conducive to the development of the Chinese medicine tablet industrythe price mechanism of Chinese medicine service will further improve thethe abolition of Chinese medicine drinking tablets has become a trend, at the same time, in the Opinion put forward: clinical value-oriented, chinese medicine advantage sage services, characteristic services as the focus, increase policy support efforts, improve the mechanism of price formation of medical servicesWhen adjusting the price of medical service, we should focus on the price of medical services, such as Chinese medicine, which reflects the value of medical personnel's technical servicesImprove the payment method of medical insurance in line with the characteristics of Chinese medicineWe will improve the coding system of the classification of Chinese medicine certificates, which is linked to the international classification of diseasesthe selection of Chinese medicine in batches has obvious advantages, clear treatment path, clear cost of the implementation of the disease pay-per-disease, reasonable determination of the payment standardThrough the implementation of some chronic diseases and other means of paying by head, improve the relevant technical norms and other ways, to encourage the primary health care institutions to provide appropriate Chinese medicine servicesTimely integration of qualified Chinese medicine medical institutions into medical insurance designated medical institutionsActively incorporate appropriate Chinese medicine medical service items and Chinese medicine into the scope of medical insurance in accordance with regulationsCommercial insurance institutions are encouraged to develop insurance products such as treatment for unsick diseasesthese comments indicate that the price mechanism of Chinese medicine services will be further improved, or that the cost of the abolition of the mark-up will be compensated by the adjustment of the price of Chinese medicine medical servicesThis also means that the economic operation mechanism of the hospital featuring Chinese medicine will change, with the reduction of the proportion of medicine, "technical nursing medicine" will become the mainstream, will stimulate the improvement of Chinese medicine technology and service level, and promote more innovation of Chinese medicine service projectsFor patients, the decline in the price of Chinese medicine tablets is likely to face higher prices for medical services, the need to increase government investment, improve the health care system, and from commercial insurance to give more support.