This year’s reforms are pointing to medicine

Guangdong

Sancheng County pilot drug zero markup

According to the 2012 Guangdong Provincial Health Work Conference held on February 9, the province will select 30% of the counties (cities) to pilot the cancellation of drug price increase in 2013. It will be implemented in all county-level hospitals in 2013 and all public The hospital launched a zero-markup sale.

According to the briefing, the province will break through the key point of medicine supplementation, and improve the compensation mechanism as an entry point, comprehensively promote comprehensive reforms such as personnel, preparation, distribution, price, payment system, drug procurement, and supervision, and speed up the establishment of modern hospital management. System and corporate governance structure of public hospitals. We will strive to basically eliminate the mechanism of medicine supplementation by 2015.

As one of the ten practical issues for the people's livelihood this year, the province will establish a long-term mechanism for the regular revenue and expenditure balance of the primary health care institutions to include all primary health care institutions in the management of public welfare institutions. With regard to the regular income and expenditure balance of the primary health care institutions, it is required that the fiscal arrangements be made in full in the annual budget, and that the settlement should be made after the first call. Increase government investment in health care and gradually implement the state's compensation policy for public hospitals, increase the proportion of government investment in hospital revenue, and optimize the income structure of medical institutions.

According to another report, from this year onwards, the Guangdong Provincial Government will arrange 35 million yuan each year to include genetic tests for pre-marital, pre-pregnancy and pre-natal thalassaemia for major public health services in the province to prevent the birth of children with severe thalassemia.

Qinghai

68 County Hospitals Implement Integrated Reform

From the Health Work Conference held in Qinghai Province in 2012, it was learned that this year, the province will completely eliminate the pilot hospital public hospitals in Xining and Golmud, and the provincial government will give a 50% subsidy. Based on comprehensive reforms promoted by 14 county-level public hospitals last year, this year the province will implement comprehensive reforms in 68 county-level public hospitals.

The province will comprehensively advance the reform of public hospitals by eliminating the use of medicine for medicine, eliminating drug additions, establishing stable and long-term fund compensation mechanisms, scientific and reasonable price adjustment mechanisms, and vital personnel distribution mechanisms.

This year, the province will implement a basic drug system in public hospitals and county-level hospitals that have been included in the reform pilot cities, and will implement zero sales of essential drugs and non-essential drugs. Continuing to implement a basic drug system, eliminate drug additions, improve preparation management, implement input compensation policies, promote price and medical insurance payment reform, and strive to establish a long-term mechanism for the development and operation of basic health care institutions with security, high efficiency, and sustainability.

According to reports, in 2011, all the township health centers, government-run community health service centers, and 4,243 administrative village clinics in the province were all equipped with and used essential drugs, and they were sold at a zero rate, achieving full coverage of the country's basic drug system. On this basis, the province decided to arrange a grant of 30 million yuan for drug add-on subsidies starting from December 1, 2011, and to eliminate the one-time cancellation of drug additions at 14 pilot county-level public hospitals, including basic drugs and non-essential drugs. General medical consumables, trial hospital drugs and general medical consumables are all sold at zero margin. The province has further reduced the burden of drug use by the masses by implementing a basic drug system and piloting the elimination of drug additions at county-level public hospitals. Last year, the average outpatient medical expenses at all levels dropped by 24.73% compared with the same period of last year. The average cost of hospitalization fell by 22.7%. The number of outpatient and emergency visits increased by 17.79% year-on-year.

Hebei

Exploring "One-for-one, One-for-one"

The 2012 Provincial Health Work Conference in Hebei Province was held on February 8th. Yang Xinjian, the director of the Department of Health of the province, proposed at the meeting that this year the province will explore the implementation of the “One-for-One, One-for-One, One-for-One, One-for-One” reform and boldly eliminate the drug The mechanism of supplementing medical care has basically established a new mechanism of “maintaining public welfare, mobilizing enthusiasm, and ensuring sustainability”.

The “One-for-One, One-for-One, One-for-One, One-for-One” reforms proposed by the province are: zero-difference sales and use of drugs and high-value consumables; exemption of registration fees for outpatient services; reduction in the price of inspection of some large-scale equipment; and improvement of some medical service technologies. price. By adjusting the prices of medical services such as examination fees, nursing fees, and surgical fees, increase government investment to make up for reasonable reductions in hospitals, cancel drug additions, and make the public get the most benefit from medical treatment. It is reported that this year, based on the implementation of the 11 comprehensive reform pilot county hospitals, the province will in-depth analysis of the current status of county hospitals, do a good job in basic work such as compensation costs, provide an objective basis for government subsidies.

In addition, the province requires that this year strive to make new breakthroughs in the introduction of medical resources policies and mechanisms, and take the initiative to strengthen all-round cooperation with Beijing-Tianjin medical institutions. In view of the difficulty in seeing a doctor and the expensive medical treatment in large hospitals, the township and village health personnel should be taken as the key points and adopt the “city-to-township, county-to-village” model to carry out large-scale intensive training. The province will also launch 30 county-level standardization projects for traditional Chinese medicine hospitals during the year and build 76 appropriate Chinese medicine promotion bases.

Shanxi

34 pilot counties reform upgrade

The 2012 Shanxi Provincial Health Work and Health System Party Wind and Honest Construction Conference held on February 10 was informed that this year the province will cancel the use of medicine to supplement the medicine in county-level public hospitals in 34 counties (cities, districts).

It is understood that in 2011, Shanxi Province determined 34 counties (cities, districts) to carry out pilot reforms at the county-level public hospitals. Through one year's efforts, all the pilot county general hospitals have reached the second-level A-level. In 2012, the province will break through the pilot reforms of the public hospitals in these 34 counties (cities, districts), eliminate the use of drugs to supplement medical services, explore new mechanisms for strengthening public welfare, mobilize enthusiasm, and ensure sustainability. The hospital's vitality, continuously improve service levels and service capabilities.

While implementing the comprehensive reform of county-level public hospitals, Shanxi Province will integrate the integration of county health resources, the integration of county and village medical and health institutions, the integration of drug supply, the integration of urban and rural residents' medical security, and basic public health. The integration of services and advancement of the county's rural medical and health information platform integrated construction of "six integration" ideas, in these 34 counties (cities, districts) simultaneously promote the comprehensive reform of county medical and health integration, focusing on county and village integrated management A breakthrough was achieved.

Zhang Jianxin, deputy governor of Shanxi Province, demanded at the meeting that the pilot counties (cities, districts) set up special leading agencies and issued special safeguard measures, and determined to take substantive steps to eliminate the mechanism for remedying drugs.