Medical net on May 16, the zero bonus is not in place, the hospital is in bad!
The 2017 drug price difference will be fully implemented. So what happens to the big hospitals in areas where the drug has been put in place earlier in the day? On May 13, held at the China Europe international business school on the 13th China health industry peak BBS, the first people's hospital of zhenjiang (jiangsu university people's hospital affiliated) dean Zhu Fu explain what had happened to the hospital in recent years.
According to introducing, zhenjiang in 2013 on reforming the zero drug addition, cancel 15% of drug addition plan of the reform of compensation measures are: jiangsu assume 77% price adjustment, to assume 10% government finances, hospital to undertake 13%.
But what about the implementation? According to the President of zhufu, the first year of government finances was given, but by the next year and later, the money was no more.
Plus 13% itself need to assume part of the hospital, the hospital total assuming zero bonus to the loss of 23%, nearly a quarter of its admitted hospital is hard to bear.
Conference, zhongshan hospital affiliated to fudan university, said dean FanJia drug addition of cancellations, drugs from the outside to the hospital, the hospital it distributed to each patient, circulation has a cost. Government has some payment to compensate for, such as improve other aspects of the service price, but the price of these services is not in place, hospitals have to pay, some economic operations, there is a big problem.
The SMW reported that hunan xiangya hospital Sun Hong at a conference the truth drugs zero price difference policy supporting measures not to force, drug zero price difference says good 8:1:1, namely, by increasing medical service price compensation 80% drug of zero price difference and government subsidies by 10%, the hospital own 10%, the result is not received government compensation, hospital therefore bear the loss of almost 50%, xiangya hospital revenue is expected to detract from $2.
Income at $2, hospital again big also can not stand, President Sun Hong reluctantly said, in order to ensure that medical staff treatment is not falling, the hospital decided to cut in next year's equipment purchase cost 50 million yuan, the development of the hospital or affected.
So this year, when it is rolled out across the country, it is believed that there will be a lot of problems, and there will be a lot of incidental problems.
▍ reform movement is large hospital? !
About a new round of reform, the interests of big hospitals, Zhu Fu truth: a series of reform measures that will produce very big effect to our hospital, and most of the documents involved in our hospital, the hospital is carried.
What is the actual situation? From the point of reform of the zero price difference, invariably chose to make the hospital by improving the efficiency of management part "digest", namely to hospital take part.
This one industry source said, I believe that this is done, the relevant departments should be think big hospital in recent years has been made, should be reformed to sacrifice a part of the collective interests. So the benefit of reforming the big hospitals is not going to go away.
But some places say good government subsidies is reluctant to, say good adjustment of medical service price compensation 80% cannot achieve, this will make some big hospitals to heel?
For the big hospitals that still have a monopoly on medicine, it will be hard to bear the policy losses. In hunan province, for example, the xiangya hospital has ordered drug dealers to return to the clinic and stop paying for the drug.
The personage inside course of study, but with the CCTV exposure of kick-back door, hunan some big hospitals were affected, xiangya 2nd hospital dean to step down, zero bonus on hospital loss compensation is also no mention. But many big hospitals face widespread policy issues that are not addressed.
And said, the redistribution of reform must be interests, to realize hierarchical diagnosis, cancel the medicine for the medical, the interests of the large hospital is bound to be a passive knife. The best days of big hospitals are also coming. And suggests that the reform should make the law of medical market, and fully respect the labor value of medical care, in terms of sex of medical service prices return to leave, nor soft. Otherwise, it would be difficult to eliminate the medicine. |