Ji'nan's pilot drug system changes residents' medication habits
from the Ji'nan Municipal Health Bureau, the national basic drug system has been formally implemented in 105 pilot units in the city since March 15th, and the drug has been sold as "zero addition".
according to the introduction, the city selected 83 of the 222 community health service institutions as pilot units, plus 2 township hospitals in the Tianqiao District and 20 township hospitals in Zhangqiu. A total of 105 pilot units took the lead in implementing the basic drug system and abolished the drug addition. At present, there are 523 kinds of essential drugs announced by the state and the province. Ji'nan will take the lead in implementing 105 zero price differential sales in the primary health care institutions. During the period, all the drugs in stock in the pilot unit will be sold in zero according to the price, and we should gradually realize all the basic drugs by guiding and changing the habits of the residents, and no longer are equipped and used out of the catalogue.
"implementing the essential drug system, establishing and improving the compensation mechanism is a systematic project involving multiple departments and multiple stakeholders." The head of the Ji'nan Municipal Health Bureau revealed that, according to the calculation, the current drug income accounts for more than 70% of the total income of the health service institutions at the grass-roots level, and the higher the proportion to the grass-roots level, and even a lot of "eating by selling drugs". After the abolition of drug addition and the implementation of "zero difference" sales, the gap of this part of income will be solved through reform. On the one hand, by means of "government purchase service", the pilot units are allocated by 15 yuan per capita for public health services to compensate the public health services, such as health education, slow disease control, vaccination, maternal and child health care, and other public health services, which are mainly undertaken by grass-roots health service institutions. In line with various factors such as performance pay, we should further reform and improve the input compensation mechanism for primary health care institutions.
the operating costs of personnel and business funds for the government's grass-roots medical and health service institutions. Government subsidies are approved according to the "verification task, approval of revenue and expenditure, performance assessment subsidy", and the improvement of medical personnel through the methods of editing, fixing, setting up, setting tasks, fixing personnel, performance assessment and so on. Service capability and technology level to ensure operational efficiency.
"drugs are sold at a price, flat and flat, and patients are the biggest beneficiaries." Chen Shuhui, President of Zhangqiu embroidery Health Institute, said that the average price reduction of drugs was about 48%. This one, this year, the total hospital revenue will be reduced by about 45%, about 5 million yuan, which is also equal to reducing the amount of medical expenses of the patients.
people in the industry believe that medical and health service institutions do not have the benefits of selling drugs. The so-called "good medicine", "good medicine", "imported medicine" and other high-end drugs have no market. The motivation of the medical staff at the grass-roots level will return to scientific, rational and standard, and the essence will naturally turn to prevention and health care. Provide basic medical services for the residents.
it is understood that all the essential drugs in Ji'nan were included in the basic medical insurance reimbursement list, and the reimbursement rate was significantly higher than that of non essential drugs. In accordance with the basic medical insurance regulations of cities and towns, the proportion of the first categories of drugs belonging to the national medical insurance drug catalogue is included in the full scope of payment; the proportion of class B drugs in accordance with the basic medical insurance regulations of cities and towns is not less than 90%, so that the insured persons can be reimbursed in a timely manner by the use of the basic national drugs. (Ge Hongpu)