On the afternoon of May 25,The third issue of the "Medical Price Reform Forum" was grandly held at the Guangzhou Baiyun International Conference Center。As a pilot province of pharmaceutical price reform determined by the National Development and Reform Commission,Guangdong's pharmaceutical price management has always attracted much attention from all walks of life。This conference is also the situation of the Guangdong Provincial Price Bureau and the Guangdong Medical Price Association combined with the current medical reform situation,Focus on new measures for medical price management,Another useful attempt to further promote the reform of the medical and health system。The Price Division of the National Development and Reform Commission、Drug Price Review Center、Leaders of the State Food and Drug Administration and other relevant departments,Research experts in the well -known domestic medical reform issues and members of the Guangdong Medical Price Association, including more than 700 people, participated in the forum。
Will on the way,Professor of Economics at Peking University、Member of the State Council Medical Reform Expert Consultation Committee Li Ling exchanged with you on the progress of my country's new medical reform and the next reform。Li Ling thinks,The current stake sports betting appbasic drug system needs to be further implemented,Drugs can be strengthened。Basic drugs have been given the heavy responsibility of leverage the reform of the operating mechanism of the medical institution,Basic guarantee for public welfare,29 provinces nationwide、Autonomous Region、The cost of bidding and procurement of basic drugs in the municipality is too high,Should think that the basic drugs of the country will return to the national level。At the same time,Re -approve and expand the scope of the basic drug directory currently ongoing,Li Ling believes that he still needs to discuss in -depth,From the perspective of international practice,More than 300 basic drugs should already ensure basic medical needs。So,Expansion of the basic drug directory must be cautious。Pay in the country of basic drugs,Li Ling believes that the financial responsibility of the state and local level should be considered。
After the meeting,"Medical Economic Daily" reporter interviewed Li Ling on the topic of basic drugs。
Catalog integration is inevitable
"Medical Economic Daily": Professor Li Ling hello,You just talked about basic drugs as an important system for national medical reform,With the heavy responsibility of leverage the reform of medical institutions,But it still needs to be further implemented,The basic drug procurement system should be improved,Let the base medicine return to the country,Can you further explain it?
Li Ling: The basic medicine we currently implement,It is the state selected by the directory,Local governments are responsible for protection,So each province has its own supplementary products,The coverage of the guarantee is different。I proposed that the return of basic drugs to the country is the availability of the country to ensure the basic drugs,State finance is responsible,Unified purchase supply。On this basis,Each province has its own freedom,Equivalent to the national basic drugs are "prescribed action",Each province can be appropriately supplemented as "self -selected action",Each province can be appropriately expanded in combination with their respective capabilities。
"Medical Economic Daily": Current,A new round stake sports betting appof basic medicine directory is under review,In the future, there will be medical insurance catalog selection,and the base medicine is now included in the medical insurance category reimbursement medicine,Industry insiders mentioned whether it will converge with the national medical insurance category?
Li Ling: Yes,The future will definitely be gradually unified。Why will it not be unified at present,Because there are still 3 national medical insurance now: New Rural He、Urban employees、Urban resident medical security system。In fact, basic drugs currently represent the medical insurance directory of Xinnonghe and urban residents,It is the main reimbursement drug directory of these two medical insurance。Because the basic drugs are not covered at the large hospital at present,Large hospitals are also rarely used,City employee medical insurance has almost no basic medicine,So there are actually no cross between these directory。The future must be integrated,It should be the basic medicine for national citizens to see a doctor、The preferred medicine is a national medical insurance directory,If individuals need to choose high -end medicine,You can participate in additional commercial insurance for your own。
Local pressure
"Medical Economic Daily": Previous 3 years of medical reform,Just coincides with the coming of the international financial crisis,Each country has a heavy money to rescue the market,my country's investment in heavy money to promote medical reform also has the meaning of expanding domestic demand。In the next step of medical reform plan,If the basic drugs are responsible for the state finance,Even expanding the coverage,Is there a problem of funding for future medical reform?
Li Ling: When the Ministry of Finance has been introduced in the "Twelfth Five -Year Plan" medical reform plan, he said that he will take out more funds to promote medical reform,At the central work conference that continues to deepen the medical reform,The Ministry of Finance has also stated,"Twelfth Five -Year Plan" period to increase government financial investment,More government financial support than the previous 3 years of medical reform。
My stake betting appOf course,Government fiscal expenditure cannot rely on verbal commitments,It also needs to form a stable funding system and institutional arrangement。To recognize the implementation of the national medical reform system,Local burden is too heavy,The central government is not enough,So you should start from the base medicine,Full payment from the Central Finance,Can't order 307 kinds of basic medicines in the central government,Let the people be buried when used for the people。
"Medical Economic Daily": Do you think the current and future national finances have the ability to pay for future medical insurance drugs?
Li Ling: I think the country's finances are completely capable of affording basic drug supply。And,First,It is necessary to form a mechanism for a stable financial investment in medical and health,For example, how much money does the state finance take each year and invest in the medical insurance industry of ordinary people,In the fiscal budget, there must be a fixed proportion every year,There is a stable expenditure proportion on the total financial income of the national fiscal or national GDP; second,Local finances are very stressful,Even the rapidly developing provinces like Guangdong,To be responsible for this investment is also a bit difficult。
"Medical Economic Daily": Implementation of future base medicine directory,Government fundraising payment,Whether there is an efficient supervision and evaluation mechanism,Including the "Twelfth Five -Year Plan" medical reform to increase national investment,How to ensure that this money is more effective?
Li Ling: Judging from the supervision mechanism,It is still yet to be improved。I proposed to promote medical reform,The reform of the national administrative system is very urgent,Be sure to form a comprehensive administrative execution system for compliance and rights。Even the accountability mechanism of the executive of the functional department of the medical reform。Because the country has invested so many funds,Was it fulfilled the corresponding responsibility and achieved the expected goal? Now it seems that there is still a clear account of accountability。
"Medical Economic Daily": Basic drugs are government pricing,The current rising market costs cause great pressure to the industry,Can we talk about what stake sports betting appimprovement should the price formation mechanism of the basic drug?
Li Ling: In terms of drug price management,To give full play to the positive role of market mechanism to optimize resource allocation,Reasonable forming price,But in the case of market failure,Need the government regulate market。At the same time,Government pricing of domestic drugs can be appropriately refer to global drug prices,For example, both Taiwan and Hong Kong have useful experience in this area to learn from,You can also consider strengthening the level of information management,To form a more open and transparent national drug price formation mechanism with informationization。
