National Health and Health Commission: it is hoped that the non-4 + 7 regions will carry out procurement with volume

The national health and Health Commission said that the price of drugs will continue to be reduced, and hoped that the state would further promote the purchase of drugs with volume Yesterday (June 14), the national health and Health Commission held a regular press conference, at which Zhu Hongbiao, inspector of the Department of physical reform of the national health and Health Commission, said he would continue to reduce the inflated price of drugs Zhu Hongbiao said that in recent years, the reform of public hospitals has explored an important way to "make space, adjust structure and ensure convergence" "Free space" means to cancel the drug markup and reduce the false high price of drugs through centralized and classified purchase of drugs Zhu Hongbiao said that by the end of 2018, the proportion of direct financial subsidy revenue of national public hospitals in the total revenue reached about 10%, which means that about 90% of the compensation depends on the provision of medical services, and such a large space needs to be vacated by standardizing the diagnosis and treatment behavior, reducing the cost of drugs, consumables and so on Through the negotiation of 17 kinds of anticancer drugs entering the national medical insurance catalogue, the price reduction was 56%, through the national organization of centralized drug purchase and use pilot 25 kinds of drugs, 52%, and the price reduction of 42 kinds of drugs in Shanghai was 60% Through such centralized procurement and classified procurement, the virtual high price of drugs will be reduced, and this space will be made available for adjusting the price of medical services, reflecting the labor value of medical personnel, and gradually transiting to a reasonable price He further said that "adjusting the structure" and adjusting the price of technical services have changed the income structure of the hospital In the past, the income of drug consumables accounted for the largest part Now, after the price of drug consumables has been reduced and the price of technical services has been raised, the income of technical services has accounted for the largest part, and the mechanism of supplementing medical services with drugs has been gradually broken Sanming is a good example By the end of last year, the proportion of medical service income (excluding medicine, consumables, inspection and laboratory test income) in the medical income of the whole city has reached 42%, which is the adjustment of structure Zhu Hongbiao said that all localities should continue to follow the principle of "total amount control, structural adjustment, rise and fall, and gradually put in place", make room by standardizing diagnosis and treatment behavior, reduce the cost of drugs and consumables, and establish a dynamic adjustment mechanism for medical service prices ▍ Zhu Hongbiao, who hopes that non-4 + 7 regions can learn from Shanghai's experience, said at the meeting that last year, when summarizing the achievements of public hospital reform, the national health and Health Commission specifically promoted the implementation of centralized drug procurement in Shanghai as an experience to the whole country In Shanghai, drug group purchase was carried out for the varieties not purchased with medical insurance volume The first batch of 5 tertiary hospitals and 6 districts formed a public medical institution purchase alliance Through taking advantage of "group purchase", improving the purchase concentration, optimizing the supply chain and other measures, drug prices and purchase costs were reduced The average price of 42 purchased drugs was reduced by 60%, and remarkable results were achieved Its experience is that it gives full play to the advantages of volume procurement and group procurement and forms a certain procurement scale, which can greatly reduce the procurement price and squeeze out the virtual high water content of drug price In addition, the drugs purchased by them are basically those that pass the consistency evaluation and are guaranteed in quality It is hoped that all localities can learn from Shanghai's experience, further reduce the false high price of drugs, continue to implement the reform idea of "making space, adjusting structure and ensuring convergence", so that the reform can go deeper and deeper ▍ the last thing to explore the reform of medical insurance payment mode is "insurance convergence" There are two links to adjust the price of medical service: first, it should be well connected with medical insurance, and the adjusted price of medical service should be included in the reimbursement of medical insurance according to the regulations, so as not to increase the burden of the masses on the whole Second, it should be connected with the reform of salary system, reform the salary system of public hospitals, gradually improve the salary treatment of medical personnel, match their income with their work, and make their income more sunny, decent and dignified Zhu Hongbiao said that the national health and Health Commission is actively exploring the reform of medical insurance payment mode In 294 cities, more than 100 diseases are paid by disease Guangdong Province comprehensively carried out the payment by disease score, determined the score and relative weight of 4051 diseases by using big data technology, and included daytime operation and qualified outpatient preoperative examination into the payment by disease score.