But it is the main theme of medical reform for so many years that it is to reduce the price of medicine, which is a very important aspect from beginning to end. The State health Care Bureau shot! Adju
Medical Network September 25 after the cancellation of drugs and medical supplies, the price reform has become the most important way to compensate public hospitals.
Medical service prices to adjust, the hospital will also take the price of drugs surgery? September 20, China Hospital conference held in Beijing.
At the meeting, Li Yu, deputy director of the National Health Insurance Bureau, said the National Health Care Bureau was deploying a nationwide survey on the price reform of medical services, and on the basis of assessing the effectiveness of the system, it was developing ' guidance on establishing and perfecting the mechanism of price dynamic adjustment of medical services '.
For the price reform of medical services, Medicine Industry authorities say the change Hospital At the same time, the production of drugs, circulation, use will have an impact.
Cancellation of drug addition, large-scale loss of hospital According to the policy, all public hospitals nationwide have abolished the drug bonus in 2017.
In fact, public hospitals in recent years have indeed faced some pressure in their operation.
Before the National health Health "2017 China Health and Health Development Statistics Bulletin" shows that by the end of 2017, the number of public hospitals in China is 12,297. This is compared with the number of public hospitals in China at the end of 2016, it can be found that there were 411 public hospitals ' disappearing ' in 2017. There are two main types of public hospitals in China, one is the staff hospital of enterprises and institutions; The other is the public hospital of local government.
The disappearance of public hospitals, mostly through mergers and acquisitions and other ways into private hospitals, one of the main reasons is to cancel Drug After the addition, many hospitals are facing financial pressure.
How did those financial pressures come about?
Xiang Ya hospital in Hunan Province has previously said that Xiangya hospital on January 1, 2016 0 o'clock formally launched drug 0 plus pilot, after a year of operation, the hospital lost more than 200 million.
Sun Yat-Sen University affiliated sixth hospital Dean Lamping also publicly said that the hospital annual income of 1.5 billion yuan, after the abolition of drug addition, even if the cost of strengthening hospital management savings, a year gap is still about 80 million yuan. Guangdong province Zhongshan People's hospital Dean Yong Blunt, public hospital reform to the hospital impact is very big.
The hospital loses more than 200,000 a day after the drug supplies are canceled.
Hubei Province Tumor Hospital deputy Dean Hudeshen also said that after the abolition of drug addition, the hospital annual profit is expected to fall by 25 million, equivalent to 10 wards off each year, loss of 500 beds. Jishuitan Dean Tian Wei also said that after the abolition of drug addition, the hospital loses 5.6 billion a year. With the government subsidy, there is still a loss of more than $100 million.
A medical circle said that even these big hospitals have lost their way to a smaller hospital, which is a predictable situation.
In this regard, Professor Zhu Hengpeng, deputy director of economic Affairs of the Chinese Academy of Social Sciences, believes that while not all public hospitals will lose money, a significant portion of public hospitals represented at County and part of the municipal public hospitals will face losses.
Hospitals to save themselves, supplies, drugs and reduce the price it?
The state Health Insurance Bureau has disclosed that it will establish and improve the mechanism of price dynamic adjustment of medical services, and many people think that they want to make up for the shortfall of hospital finance after the abolition of drugs and supplies after increasing the price of medical services. Now, there are many areas in the implementation of the drug 0 spread policy process, the use of 8:1: 1 of the principle of compensation.
That is, the elimination of the loss of drugs added to the 80% by raising the price of medical services to compensate, financial subsidies 10%, the hospital itself to undertake 10%.
However, in improving the cost of medical services to compensate for the limited effectiveness of financial subsidies, the supporting measures do not give the force, many hospitals in their own commitment to work hard to find ways to help themselves. Some hospitals in order to survive, some require drug companies to pay the cost of pharmacy operation, or to the pharmaceutical companies to ask for? Quality margin, or mandatory drug companies to return points.
And this phenomenon, I believe we also feel that in all parts of the country is not uncommon.
Many people think that the hospital to save themselves, the drug supplies and also reduced prices.
In this regard, industry experts said that the National health care service price reform, the need to increase the cost of medical expenses to make room, then the pressure on drug prices will increase.
At the same time, under the reform of Medicare payment, the hospital will carry out the total payment method, if the hospital cut down the price of medicine, the surplus is more. The expert said the country was not trying to make up for the financial shortfall in hospitals after the drug was added, and demanded a reduction in drug prices.
But it is the main theme of medical reform for so many years that it is to reduce the price of medicine, which is a very important aspect from beginning to end. The State health Care Bureau shot! Adjust Medical Service Prices | Affect all hospitals