Medical network - on April 25, April 21, the national health and family planning commission, ministry of finance, public and other seven departments jointly issued "on comprehensive opened the public hospital reform work of notice (hereinafter referred to as" notice "), the requirement on September 30, opened the public hospital reform in an all-round way, all the abolition of all public hospital drug addition (except traditional Chinese medicine yinpian). 

 

The reform is considered by the industry is quite firmly attitude. This is due to both in the notice of health reform pilot city medicine proportion, sanitary materials, according to the disease to the number of charges and there is a clear index nodes and the stipulated time, more emphasis on the task into the parameter and report monthly progress. 

 

"Daily economic news" reporter noticed that parameter is included in the "2017 national public hospital medical costs an average growth rate control under 10%", "the first batch of pilot cities 4 public hospital medicine proportion fell to 30% (excluding Chinese medicine yinpian) overall about" and so on seven key reform tasks. 

 

It is worth noting that the notice also asked, to build around the assessment accountability. Continue to conduct of the health office will jointly with the relevant departments under the state council, public hospital reform effect evaluation work, and the assessment results and the central financial aid funds. 

 

Public hospital medicine proportion will drop to 30% 

 

Notification requirements, July 31, all the cities for urban public hospital comprehensive reform implementation plan; September 30, opened the public hospital reform in an all-round way, all the abolition of all public hospital drug addition (except traditional Chinese medicine yinpian). 

 

Wang Hesheng, director of the reform of the state council office in the country during the two sessions this year, says phasing out drug addition to lower drug costs each year, the public hospital medicine proportion fell to 46% from 46% in 2009, to a certain extent reduce the medical burden of the masses. According to incomplete statistics, this year is expected to save the drug again cost 60 billion ~ 60 billion yuan. 

 

In break "medicine for the medical" at the same time, the public hospital medicine proportion, material costs will continue to compress. 

 

Inform clearly put forward that by the end of 2017, the first 4 batch of pilot cities public hospital medicine proportion (excluding Chinese medicine yinpian) fell to about 30% overall. One hundred yuan of medical income (excluding drug income) of health material consumption has dropped below $20. 

 

Great Wall securities research thought, cost-effective, the clinical efficacy of domestic innovation, high quality generic drugs will benefit in the reform of public hospitals, in addition, Chinese medicine yinpian is not affected by medicine proportion index, is expected to develop the traditional Chinese medicine in the country under the background of rapid development. 

 

Cicc research report notes that medicine proportion will continue to decline. Future drug terminal structure will further change, the proportion of auxiliary medication will continue to fall, the proportion of therapeutic drugs will ascend. Prescription outflow rate will speed up at the same time, the prescription of retail pharmacy proportion will ascend. 

 

For public hospital medicine proportion, according to the national health and family planning commission issued the deepening the reform of medical health system work summary in 2016, according to the national public hospital income structure optimization continuously, medicine proportion has risen from 46.33% in 2010 to 46.33% or so. 

 

Pilot city public hospital medicine for the target of slope to about 30%, the China Europe international business school of health management and policy center director CAI jiangnan to the "daily economic news" reporter said, just down the medicine proportion index, such as hospital may also take other forms of compensation, such as check costs rise. 

 

D m research at the end of last year, according to a research it is thought that appropriate increase examination is considered to control drug accounted for more than one way. Mr Tsai jiangnan, medicine accounted for reform and public hospital medical service price is associated with ascension. , the development of the medical service price is closely related to reimbursement, so this is a "3 d linkage" problem, need to keep up with the corresponding measures of reform. 

 

In CAI jiangnan point of view, the core of the reform of public hospitals is not only "medicine", but lies in the management system reform of public hospitals itself, including corporate governance structure reform, pipe separation, etc., to establish the system of modern hospital management. 

 

Public hospitals all included in the examinational instead 

 

In addition to the medicine proportion, material proportion has specific requirements, notice to press disease also charge number, appointment referral rate also have clear indicators such as node and the stipulated time. 

 

Specific for, a press disease to receive the diseases were paid no less than 100; Appointment referral accounts for the proportion of public hospital outpatient medical consultations to increase to more than 20%; Above all secondary public hospitals and more than 80% of all grassroots health institutions and regional population health information platform; 60% of basic medical and health institutions and the superior hospitals to set up remote medical information system. 

 

It is worth noting that the notice requires that a clear timetable and roadmap, compaction, it for real, examine a responsibility to grasp. Reform of the state council to handle the reform task requires to have the time node and index to establish the comprehensive open public hospital comprehensive reform part of the key tasks parameter ". 

 

From the point of parameter table, need to report the above seven key task progress in April to December. Notification requirements, the provinces, autonomous regions and municipalities directly under the health reform office in 15 a month to submit the progress last month. Submitted at the same time, notify the clear, the reform of the state council office will carry out special supervision inspection, monthly report progress, to interview work lag, delayed reform of city. 

 

In response, ping an securities research report, according to the evaluation of this shows that countries in this year the national comprehensive determination to promote comprehensive reform of public hospitals, various reform measures the impact on the market will also be reflected. 

 

In addition to the established parameter, submit the reform progress, notice also demanded that all assessment accountability mechanism should be established and implemented the public hospital reform as the key task of comprehensively deepen reform, government performance evaluation content. Notice, family planning, health financial departments at all levels to jointly with relevant departments to strengthen supervision and inspection tracking assessment, serious situation and problems in a timely manner to report to the superior. Continue to conduct of the health office will jointly with the relevant departments under the state council, public hospital reform effect evaluation, the assessment results and the central financial aid funds, on the places marked achievements were scored in the work diligently, increase the intensity of incentives to support, the inadequate lack of reform, the implementation of the accountability accountability. 

 

Reputation in Shanghai party chief consultant Qin Yongfang medical tube to the "daily economic news" reporter said, health is the world recognized problem. Changes of population aging, disease, medical insurance fund may be at risk, the hospital a driving force for income to grow, expensive and difficult problems, the people for health reform get feeling is not strong, is round but, should grasp to carry out the necessary power, assessment of accountability accountability will upgrade.