“Beijing & other much starker choices-and graver consequences-in & throughout; during the deepening medical and health system reform implementation plan” issued
Beijing medical operation will raise prices
13, “the Beijing & other much starker choices-and graver consequences-in & throughout; during the deepening medical and health system reform implementation plan” officially released, determine the Beijing health six aspects 23 key implementation tasks. Among them, the people are drawn to the reform of the medical price something will happen next. Scheme is put forward, and will improve the diagnosis and treatment, surgery, rehabilitation, nursing, traditional Chinese medicine such as medical service price, to lower the price of large medical equipment inspection, the inspection items and medicines and chemical reagents, consumable price and cost.
data figure: the doctor in surgery. Zhong Xin taken
fee for diagnosis and treatment of traditional Chinese medicine (TCM), surgery, will improve
common people most concerned about is the medical price. The implementation plan, the government pricing will be gradually narrowed down, the basic medical service price is dominated by the government, the basic medical service price will be decided by the market. Implementation plan is put forward, and will improve the diagnosis and treatment, operation, rehabilitation, such as nursing, Chinese medical personnel technical services represent the value of medical services prices, lower the price of large medical equipment inspection, the inspection items and medicines and chemical reagents, consumable price and cost. In addition, the city is about to make the reform of public hospital compensation system work plan, will strive to manifest the value of medical personnel technical services. At the same time, it is strictly prohibited to revenue target required by the department and medical personnel, medical personnel pay no and medicine, health materials, inspection, testing and other business income.
according to the relevant person in charge of the municipal development and reform commission (NDRC), Beijing pharmaceutical separation reform has achieved significant results, the next stage, the city will continue through the synchronous linkage reform, squeeze out water price, further standardize drug whole process management, on the basis of fully cancel the drug addition, further bonus to cancel the medical consumables, to carry out the classification of procurement, encourage concentration belt quantity procurement, reduce procurement costs, pay for health care and medical service price reform to make room. At the same time, perfect the compensation mechanism for public medical institution, release the reform dividends.
basic-level hospital referral patients will give priority to visit
in addition, in terms of hierarchical diagnosis and treatment, from grass-roots hospitals patients will also achieve first visit. Implementation scheme is put forward, the future will gradually increase the proportion of tertiary hospital appointment register and the proportion of grassroots medical institutions registered referral, visit the priority to provide basic medical and health institutions of referrals real-name system to make an appointment.
Beijing will continue to drive some transformation for rehabilitation hospital, secondary hospital plans by 2020 per thousand of the population of permanent residents with a 0.5 Zhang Kangfu care beds. According to the city health development planning commission, since last year, the city has identified two batches of 12 secondary hospital to a rehabilitation hospital transformation, three new next year will also increase.
study practice the outpatient capitation payment
the medicare payment reform, will also have a lot of new breakthroughs. Implementation plan is clear, in 2017, Beijing hospital in the tertiary general hospital in the city to promote press disease group paid work, and to promote secondary hospital; For mental disorders such as long-term hospitalization and average daily cost relatively stable disease, explore pay by bed day; The outpatient capitation payment will also study, guide the chronic ginseng protect personnel to the grassroots medical institutions. By 2020, the reform will cover all medical institutions and medical services.
Beijing will also explore to establish the policy system of long-term care insurance, is expected to form the institutional framework in 2020; In addition, will also improve the medical insurance information system and social security card system, to better provide conform to the provisions of long-distance medical hospitalization expense settlement services directly. At the same time, the beijing-tianjin-hebei region for transferring social security information systems and business processes to improve optimization, push the insurance information sharing and medical insurance fixed-point recognition of the Internet.
to explore the medical industry service marks
implementation plan is put forward, in comprehensive regulatory strengthening industry, professional technical strength, the medical industry won’t keep part of the service objective evidence, it is difficult to accurately measuring the characteristics of service marks will explore the medical industry.
& other; Medical service marks & throughout; Plain code marks a price on some medical services to powerful supplement and perfect. It is understood that at present the city has been through in-depth representative comprehensive, specialized subject, community hospital research, to the existing more than 5000 generalizes the medical services, sums up the medical services of the need in evidence.
& other; In as far as possible under the premise of not increase medical staff work, by the medical institutions through leaving marks, use of the existing carrier such as informed consent, operation records, nursing records, medical records, orders, etc., to improve the standard service record, and take signature, flicking code gun, methods such as wristbands for patients to accept to confirm the quality and price of medical services. Throughout the &; City health office, said an official with the related health care services in evidence will fully protect patients’ right to know, to choose and to supervise, also facilitate management necessary to carry on the investigation to for medical institutions.
article/our correspondent Lin Yan Zhang Xiaomei