More than 800 public hospitals in Shandong Province took depletion supplies
Medical Network April 16 Another province, a total of more than 800 public hospitals to take depletion of material!
This province is Shandong.
According to the official website of the Shandong Special Affairs Bureau, on April 12, the province's price system service to promote the conversion of old and new kinetic energy will be held in Jinan. The meeting proposed a number of price reform measures, some of which involve medical supplies:
In reforming the pricing mechanism for medical services, the government has completely eliminated the consumption of consumables in public medical institutions across the province, promptly announced the prices of new medical service items, expanded the scope and quantity of disease-based charges, dynamically adjusted the prices of medical services, and guided medical services to aged care services. Field extensions.
According to the Shandong Statistical Yearbook of Health and Family Planning 2016, Shandong Public hospital The number is 808.
According to the past, the consumables bonus has a uniform standard , that is, add 15% on the basis of the evolutionary price, which has become one of the important sources for the hospital.
But this fixed increase of 15%, after many years of practice, has also brought a lot of problems. Consumable manufacturers are trying to increase the supply price to hospitals. On the one hand, companies have greater profit margins. With a large base, the actual amount of 15% in Shunjia has also become larger. This continues to stimulate doctors to use expensive supplies, which can bring a lot of income to the hospital.
While meeting the demands of consumables manufacturers, hospitals, and doctors, it is the national and patient's interests that are harmed - the country's medical insurance burden is even heavier, and patients have to pay more for medical expenses.
Based on this recognition, the cancellation of drugs, the sound of consumable supplies and the continuous action. In terms of drugs, since October 1, last year, all drug additions in public hospitals have been cancelled. After drugs, the consumption of consumables has also become a trend.
On November 10 last year, the “Opinions on Comprehensively Deepening the Reform of the Price Mechanism” promulgated by the National Development and Reform Commission clearly stated: Consolidate and eliminate the results of drug additions, further eliminate the increase in medical consumables, and optimize the adjustment of medical service prices.
This means that the zero-plus mark of consumables that has previously been found scattered in a few places will become a matter to be promoted throughout the country.
After the National Development and Reform Commission issued a document last year, there are also many places that have asked for the consumption of consumables:
Beijing, Deepening during the "Thirteen Five Years" in Beijing in the middle of December last year medicine "Implementation plan for health system reform" and the official "interpretation question and answer" said that 'to further cancel the medical supplies bonus'.
Guangdong, December 22 last year, Guangdong Provincial Family Planning Commissioner Duan Yufei said that Guangdong will also cancel the addition of drug consumables.
Hubei, In February of this year, the Hubei Price Bureau meeting disclosed that at all levels of public medical institutions in Hubei, the consumables for medical consumables have an increase of approximately 3% to 8% of the value of consumables. Hubei will further consolidate the cancellation of the results of drug addition reforms this year. Completely abolished the medical supplies of public medical institutions.
In Guizhou, in February of this year, a multi-departmental government in Guizhou issued a joint “People's Republic of China Notice on the Dynamic Adjustment of Medical Services for Comprehensive Reform of Public Hospitals.” It was pointed out that 'we must consolidate and cancel the results of drug additions, and further eliminate the increase in medical supplies and optimization. Adjust medical service prices'.
Sai Bai Lan has been writing articles, there are some provinces and cities proposed to take consumables bonus.
Ningxia, from March 14th to 17th, 2017, Ningxia Autonomous Region Price Bureau, Health and Development Commission, and Medical Reform Office formed a research and supervision team. After investigating the many areas in the area, the Price Bureau of the autonomous region proposed that all cities should be completely cancelled. drug On the basis of bonuses, further increase the consumption of consumables.
In Linyi, Shandong, the city's Health and Family Planning Commission also confirmed that in 2017, the city would promptly cancel the addition of medical consumables in the city to make room for medical service price adjustment.
Tianjin, in 2016, proposed to cancel the medical consumables addition in 2017 on the basis of the cancellation of the city’s public hospital drug additions.
Anhui Province, from October 20, 2016 onwards, the provincial public medical institutions can be canceled and the policy for differential and marginal addition of medical consumables can be collected separately. The medical consumables are sold at the actual purchase price.
Zhuhai, Zhuhai also announced that it has implemented zero-plus supplies.
The consumption of consumables must be a major trend. This has no direct impact on the consumable manufacturers, but there will be indirect effects. Looking at the reforms in public hospital reform and health insurance payment reform, in the future, when the guarantee reform is in place, the consumables In use, doctors can use them without them, they can use domestic products without importing them, and they can use high prices without high prices. This pair of consumables enterprise The marketing model is the subversive influence.
