Re: Ji'nan health care reform plan, pharmaceutical zero price difference will be cheaper than the drugstore.
now to the hospital to see the hospital, every day will receive a bill of charge, some citizens can not avoid asking, although some expensive drugs are used but not necessary, the hospital will not arrange some of the unnecessary treatment projects? In the future, the hospital charge method will also be reform, This fear can be avoided by the citizens. In the
plan, it is proposed to set up a compound payment system based on pay for diseases, paid by the head and paid by service units. We encourage the implementation of payment by disease diagnosis. At the same time, we should comprehensively consider the quality and safety of medical services, basic medical needs and other factors to formulate clinical pathways and speed up the management of clinical pathways.
has a schedule to pay for the disease, and Ji'nan will expand the number of diseases paid by the disease species and the coverage of hospitalized patients by the end of this year, and there are no less than 100 diseases paid by the disease.
in fact, in June 2015, the provincial Price Bureau, the Provincial Health Planning Commission and the Provincial Bureau of human society jointly issued the proposal on further promoting the reform of the charge for disease by disease. In 2016, the number of hospitals in all county and urban public hospitals in the whole province should not be less than 50.
in recent years, all parts of our province have been launched in accordance with the disease type charge pilot, but the declared patients are not many, most of the pilot at the end of the end, "patients can be included in a single disease charge, the need to consider the patient's age, their own health, the severity of the condition, and so on, and other aspects, even a small operation, The difference between 20 year old patients and 70 year old patients is also very large. Therefore, it is feasible to charge for disease alone. " A general surgeon of a third class hospital in provincial capital told reporters.
at the same time, according to the disease charge also limits the hospital income, the enthusiasm of the hospital is not high, Xu Lingzhong pointed out, if the control is not strict, according to the disease charge may bring doctors to select the patient, and even some hospitals or doctors do not use good medicine in order to save the cost. At the same time, it will bring more medical disputes, "different patients are different, unified clinical path management, this' one size fits all 'diagnosis and treatment way will bring more problems?" the doctor raised his own question.
the zero difference in the price of drugs will be cheaper than the drugstore is also cheaper
hospital medicine, go out to the drugstore to buy, many people have such experience, the purpose is to save money. But starting next month, taking medicine at a municipal or district level public hospital in Ji'nan may cost more.
according to the schedule set out in the programme, since May, all public hospitals in Ji'nan have implemented the zero difference in drug sales, adjusted the price of medical services, and reduced the price of large instrument inspection.
not only that, there will be fewer opportunities for high priced drugs to appear on prescriptions. Ji'nan will formulate the "Ji'nan public hospital basic drug supply catalogue" as soon as possible. Under the premise of guaranteeing the needs of the medical insurance participants in the city, we will adjust the structure of clinical medication, reduce the proportion of high price drugs and high price drugs, and reduce the clinical application of auxiliary drugs and strange dosage forms and strange specification drugs.
drug prices have dropped, but some medical services are going up. It is understood that Ji'nan will study and formulate the medical service price reform program in public hospitals, and improve the price of service items that reflect the value of medical personnel's technical and labor services, such as diagnosis, operation, nursing, bed, Chinese medicine and so on. As for the rise, Jia Tanghong, the director of the Ji'nan Municipal Health Planning Commission, said in an interview with the newspaper: "after the fee of the expert diagnosis and treatment is raised, the general expert number is about 100 yuan, and the well-known expert number will be higher."
related links:
Qingdao hanging expert number 100
experts once said, from the current medical expert growth, a medical student from undergraduate to doctor, and then to associate professor to become an expert, about 25 years or even longer, now the situation is to see the expert outpatient 9 yuan, ordinary outpatient 6 Yuan yuan, the difference is only 3 yuan, we must all hang the expert number. "Some experts have to see more than 100 patients in almost a day, 8 of them are common diseases, and they don't have to come to the big hospital, and the 20 difficult problems need to be looked at." This not only increases the workload of experts, but also affects the treatment of patients with difficult and complicated diseases. In the
new program, it is proposed to study and formulate the medical service price reform scheme in public hospitals, and to improve the price of service items that reflect the value of medical personnel's technical and labor services, such as diagnosis, operation, nursing, bed, Chinese medicine and so on.
how does the expert number hang up? How much is it? This has always been a topic of public concern.
the "Shandong provincial public medical institution well-known expert inspection fee management measures" stipulates the conditions for the admission of well-known experts, the standards for the establishment of diagnosis and inspection fees, and the detailed rules for the establishment of outpatients.
it is understood that, on the basis of the completion of the general expert outpatient service, every well-known expert does not exceed two times per week (half a day) of the well-known expert outpatient service, and does not exceed 20 times per visit in principle, and ensures the integrity of the diagnosis and treatment program. A well-known expert outpatient clinic should set up an independent consulting room and waiting area. The environment of the diagnosis room should be better than that of the ordinary consulting room.
2012 Beijing Tiantan Hospital, colleagues hospital and the hospital began to pilot medical separation, set up medical service charge (including registration fee, diagnosis fee), according to the doctor's duty, the highest 100 yuan, the lowest also 42 yuan. In some public hospitals in Shanghai, specialist registration fees range from 98 yuan to 200 yuan, and patients get a quieter medical environment and more detailed services. Since September 15, 2014, Qingdao has tried out a well-known expert outpatient inspection fee in some medical institutions. The charge standard is 100 yuan per person. (Qilu Evening News, Qilu one point reporter Chen Xiaoli Liu Yafei)