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    Home > Active Ingredient News > Drugs Articles > Public hospital reform proposal issued by the State Council: second price negotiation is allowed, and the proportion of drugs is reduced to 30%

    Public hospital reform proposal issued by the State Council: second price negotiation is allowed, and the proportion of drugs is reduced to 30%

    • Last Update: 2015-05-18
    • Source: Internet
    • Author: User
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    Source: Cyprian 2015-5-18 today (May 17), the general office of the State Council issued the guidance on the pilot comprehensive reform of urban public hospitals It is expected that the issuance of the guidance on the reform of public hospitals will further promote the reform of public hospitals As the market with the greatest impact on drugs, what changes will happen to the drug-related? The following are the parts related to drugs in the guidance: (10) eliminate the mechanism of supplementing medicine with drugs All public hospitals in the pilot cities should promote the separation of medicine, actively explore various effective ways to reform the mechanism of supplementing medicine with medicine, and cancel the addition of Medicine (except the decoction pieces of traditional Chinese Medicine) In accordance with the measures of total amount control and structural adjustment, we will change the income structure of public hospitals, increase the proportion of technical labor income in business income, reduce the proportion of income from drugs and health materials, and ensure the sound operation and development of public hospitals Strive to reduce the proportion of public hospitals in pilot cities (excluding Chinese herbal pieces) to about 30% in total by 2017; reduce the consumption of health materials in the 100 yuan medical income (excluding drug income) to less than 20 yuan Sabilan comments: reducing the proportion of drugs has become a hard indicator Zhejiang health and Family Planning Commission recently released the analysis of drug use data of 138 tertiary hospitals in the first quarter of this year The proportion of drug revenue to medical income, most of which accounts for more than 40% Only dental hospitals and ophthalmic hospitals with high medical service prices have very low proportion of drugs However, from the perspective of target, general hospitals, especially tumor hospitals, have high price of tumor drugs, and the proportion of drugs will be reduced by 10% compared with the code How can it be reduced? You know, drugs or zero spread rate On the surface, hospitals can't make money selling drugs, but they do need to sell drugs to make up for the loss of zero spread rate In this case, will hospitals be forced to flow prescriptions out of hospitals, and hospitals will quietly reach an alliance with pharmacies? Once the prescription has the flow, what the medicine is, the pharmacy has the final say, the pharmacy will become a more important channel for drug sales in the future, and the pharmaceutical companies who are used to selling prescription drugs should add a new skill, so the pharmaceutical market will be rebuilt (11) Reduce the cost of drugs and medical consumables Reform the way of drug price supervision and standardize the price behavior of high value medical consumables We will reduce the circulation of drugs and medical consumables, and standardize the circulation and operation of drugs and the independent pricing of enterprises Fully implement the guidance of the general office of the State Council on improving the centralized drug procurement in public hospitals (GBF [2015] 7) The pilot cities are allowed to purchase drugs on their own on the provincial drug centralized purchase platform in accordance with the principles that are conducive to breaking the mechanism of supplementing medicine with drugs, reducing the false high price of drugs, preventing and curbing corruption, and promoting the integration and reorganization of drug production and distribution enterprises The transaction price of the pilot cities shall not be higher than the provincial bid winning price If the transaction price of the pilot city is significantly lower than the provincial bid price, the provincial bid price shall be adjusted according to the transaction price of the pilot city In combination with the actual situation, we can encourage inter provincial cross regional, specialized hospitals and other joint procurement High value medical consumables must be purchased through the provincial centralized procurement platform in sunshine, and online open transactions are required On the premise of ensuring quality, encourage the purchase of domestic high-value medical consumables We will strengthen the supervision of drug quality and safety, strictly enforce market access and drug registration and approval, and ensure the supply, distribution and quality safety of drugs To promote the separation of medicine in various forms, patients can choose to buy medicine in outpatient pharmacy or retail pharmacy with prescription We should strengthen the supervision of rational use of drugs and prescriptions, control the irrational use of antibacterial drugs in the form of negative list management and prescription comments, and strengthen the intervention of clinical use of hormone drugs, anti-tumor drugs and auxiliary drugs Saberland comments: this point is nothing new It's basically the previous requirements It's strengthened again The second negotiation is just and fair The State Council issues a document to support it In the trend of drug price reduction, to ensure the quality and safety of drugs, the responsibility of drug supervision department is more important It's worth noting that at that time, the antibacterials hormone drugs, anti-tumor drugs, auxiliary drugs, these drugs need attention, the latter two have been proposed to strengthen the supervision, this time for the first time proposed to pay attention to hormone drugs (14) Deepening the reform of payment methods of medical insurance In 2015, the reform of medical insurance payment mode should cover all public hospitals in the region and gradually cover all medical services Considering the quality and safety of medical services, basic medical needs and other factors to develop clinical pathway, accelerate the promotion of clinical pathway management By the end of 2015, the number of clinical pathway management cases in pilot cities should reach 30% of the number of discharged cases in public hospitals, and the coverage of paid by disease and paid by disease for inpatients should be expanded simultaneously The number of paid by disease should be no less than 100 We will accelerate the establishment of an open and equal negotiation mechanism and risk sharing mechanism between various medical insurance agencies and designated medical institutions We should give full play to the regulatory guidance, supervision and restriction of all kinds of medical insurance on medical service behaviors and expenses, effectively control medical costs, and gradually extend the supervision of medical insurance on medical institutions to the supervision of medical service behaviors of medical personnel By using the professional knowledge of commercial health insurance companies, we can play the role of third-party buyers, and help alleviate the problems of asymmetric information and contradictions between doctors and patients Sabilan comments: the role of medical insurance and commercial insurance will be greater, and pharmaceutical companies are worth focusing on Clinical pathway management is a trouble for traditional Chinese medicine, it is difficult to enter the clinical pathway In the future, clinical pathway management is gradually popularized as a general trend To squeeze in traditional Chinese medicine, it is necessary to strengthen the docking with modern medicine (26) Promote the construction and application of medical information system Strengthen the information construction of medical and health institutions Sharing the results of inspection and examination, payment between clinics and real-time settlement of medical insurance expenses, so as to facilitate drug retail enterprises to verify the doctor's prescriptions provided by patients through the online information system By the end of 2015, it will be connected with the national drug electronic supervision system, and actively carry out the verification and cancellation of drug electronic supervision code; all pilot cities have basically completed the construction of informatization standards for hospitals above the second level, and 60% of primary medical and health institutions have established Telemedicine Information Systems with superior hospitals Cyberblue comments: pharmaceutical e-commerce is enjoying a lot of good news The release of online prescription drugs is closely following the docking with the medical insurance system, and market explosion is not a dream.
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