Reduce the cost ratio! 8 top three hospitals were ordered to rectify by the Health Planning Commission

According to the medical website of June 28th, reducing the consumption ratio of public hospitals has taken a new action. This province issued a document requesting that all the top three hospitals should be responsible for rectification, and come up with plans to effectively reduce the proportion of consumption.

A few days ago, the Ningxia Weifang Municipal Commission for Health and Welfare issued the “Notification of Consolidating the Division of Labor in Deepening the Comprehensive Reform of Public Hospitals by Using Drugs to Supplement Medical Results” (hereinafter referred to as the “Notice”) and requested all the top-three hospitals in the autonomous region to formulate remedial measures and programs. Effectively reduce the proportion of consumption, control the unreasonable growth of medical expenses.

The “Notice” on measures to control the unreasonable growth of medical expenses also includes decomposing relevant indicators of control fees into cities and counties (districts); strengthening hospital management, focusing on controlling irrational use of drugs, checking and treating behaviors, and regulating rational drug use; The control fee index is included in the assessment of the work of the guardian, and is linked with the regional reward fund.

Saibo Blue noted that according to Ningxia Weiwei Commission official website statistics, at present, there are 8 top-three hospitals in Ningxia Autonomous Region: Ningxia Hui People’s Hospital, Yinchuan First People’s Hospital, Ningxia Medical University General Hospital, Ningxia People’s Hospital , Yinchuan City Traditional Chinese medicine Hospital, The Fifth People's Liberation Army Hospital, Ningxia Research Institute of Traditional Chinese Medicine, Affiliated Hospital of Ningxia Medical College.

The publication required that all eight of the top three hospitals should actually reduce the proportion of consumption of the top three hospitals. The fact is that Yinchuan City is one of the 200 pilot cities for medical reform (Ningxia Autonomous Region became the pilot province for medical reform in 2016), and eight of the top three hospitals In Yinchuan City.

In fact, since the proposal to reduce the proportion of drugs in public hospitals, the argument that the proportion of public hospital consumables revenue will be reduced will spread.

There were people in the industry who spoke bluntly to the People’s Daily saying that when a public hospital was cancelled drug After the addition (except for Chinese Herbal Medicines), consumable supplies have become an important source of hospital revenue. The reason is that, under multiple factors, when the technical services of public hospitals cannot be reasonably compensated, they can only use more consumables and do more inspections. income.

On April 21 last year, the website of the former National Health and Family Planning Commission announced the "Notice on Pushing the Comprehensive Reform of Public Hospitals Completely." It clearly stated that by the end of 2017, the proportion of medicines in the first four batches of pilot cities in public hospitals (excluding Chinese Herbal Medicine) The overall rate has dropped to around 30%, and the health materials consumed in the $100 medical income (excluding pharmaceutical income) have fallen below $20.

However, they did not expect that the reduction of consumption to less than 20% has been promoted in many places. It has almost become a policy that must be enforced by all levels of government, and it is also linked to the dean's performance and assessment.

By the end of 2017, many media outlets have revealed news that 'multiple-site hospitals strictly control medical expenses at the end of the year and disable some consumables'. If a hospital in Sichuan Province lists consumptive consumables, including 'halostatic materials' (only the lowest price is retained There are two types of 'precision infusion set (only for oncology, TCM)', etc. Some hospitals in Guizhou and other places are also notified on the Internet platform. These notifications restrict the use of some medical consumables.

To this end, the People's Daily quoted an associate researcher from the former National Health and Family Planning Commission Health Development Research Center as saying that the proportion of drugs mentioned in the relevant departments and the cost-reduction target for the proportion of consumption were public to 200 pilot cities for medical reforms. The overall hospital requirements are not 'one size fits all'.

At the beginning of 2018, the China Medical Equipment Association held 2018 North China Medical Institutions for the purchase and management of sunlight for medical consumables in Beijing. medicine At the time, the network reported that the meeting proposed that medical supplies management could not be 'one size fits all' and that not all medical institutions should be assessed according to a 'waste ratio' indicator. They should be based on the actual situation of medical work, grading, and recommendations for reasonable control of the region.

On March 20 this year, the website of the former National Health and Family Planning Commission released “Consolidating the Results of Breaking Out the Medications and Continuing the Deepening of Public Affairs” hospital The "General Notice on Reform" clearly defined the functional orientation of public hospitals at all levels, provided service conditions, and established a hierarchical diagnosis and treatment system. It also decomposed the control fees into each hospital, and did not engage in 'one size fits all'.

However, the Ningxia Weiwei Commission issued this article only to require all the top three hospitals to actually reduce the proportion of consumption, and fewer public hospitals below the third and the fourth figure. But why only choose the top three?

According to industry sources who have made consumables, the higher the level of hospitals, the higher the proportion of consumption, because the consumables they use are relatively high-end, while the small hospitals such as arterial stents are not used, but are low-value and easily consumable. The proportion will not be great.

In addition, the source also claimed that the proportion of consumption in various departments is not the same, such as general surgery can reach about 25%, ENT is 78%, but orthopedics, vascular surgery, spine, large vessels, etc. Very high.

In the article, Saibolan equipment pointed out that in order to complete the task of reducing consumption, public hospitals will concentrate purchase Direct bargaining with suppliers, reducing supplier channels and other methods to reduce the purchase price of consumables. On the other hand, it will also strengthen the control of the use of medical consumables. 'Use less of the right ones' is the first choice, and will be in ' In the case of ' further price comparison. Among them, orthopedic hospitals, stomatological hospitals and other specialized hospitals that rely heavily on consumables income, the impact will be even greater.

However, if they are like Ningxia, concentrate on the cost of the top three hospitals, it will be another landscape.