2016，The provincial policy of the two -vote system is coming。

 

  July 14，Hebei Province issued the "Guiding Opinions on Further Deepening the Comprehensive Reform of Public Hospitals" (hereinafter referred to as Opinions)。Opinions clearly point out:

 

  Optimized drug purchase and sale order，Compression circulation link，Promote production enterprises to circulating enterprises、Circulation enterprises to medical institutions & ldquo; two -vote system & rdquo; and drug consumable procurement dean is responsible for。

 

  Implementing a corporate blacklist system，Manufacturers who have not implemented & ldquo; two votes & rdquo;。

 

  This policy comes out，It is estimated that the two votes in Hebei Province will be fully implemented! Under the general trend of Beijing -Tianjin -Hebei integrated，Hebei is linking Beijing in a large scale、The price of Tianjin，Tianjin is the lowest price in the country，Adjustment every quarter，Beijing during the bidding process，It is also directly confirmed to the lowest price in the country。In terms of price，Hebei uses the price of Beijing and Tianjin，After all, the minimum price linkage work of these two places has been done quite well。On the floor of the two votes，Hebei became a pioneer，Next，Beijing、Will Tianjin follow up closely?

 

  Recently，Many provinces have issued opinions on medical reform，On the implementation of the two -vote system，The policy of Hebei Province can be said to be the strictest，But，In addition to the strictness of the control price control，Hebei Province、Drug prices and hospital drugs are also very severe，Let's see:

 

  stake sports betting appstake online sports bettingFirst: What responsibilities of the government

 

  Why use medicine for medicine，A lot of words，All mentioned that one thing is that the government is insufficient，Many medical reform policies also emphasize increasing government investment，But how to land，Always lacks clear rules，So stay on the slogan。The policy of Hebei Province is clear:

 

  Implement the government's basic construction and equipment purchase of public hospitals、Key Discipline Development、Talent training、Cost of the retired personnel that meets the state regulations、Policy loss，and undertake public health tasks and emergency treatment、support farmer、Input policies such as supporting public services。Gradually establish a mechanism for performance assessment in public hospitals，Formed & ldquo; Public medical institutions hardware investment in government subsidies，Software construction and daily management relied on the hospital itself，Reducing medical costs and improving operational efficiency Relying on institutional mechanism innovation & rdquo; benign development mechanism。

 

  Just say，Fees for retired personnel、Policy loss、Undertaking public health tasks and emergency treatment、support farmer、Public service of supporting edge，This part of the cost，The government wants to package，Another，Hardware input，For example, build a building，Buy a medical equipment，This cost government also includes。Other fees depends on the hospital itself。On the one hand, clarify your scope of responsibility，On the other hand，It also forced the hospital to improve efficiency。

 

  2. Medicine recruitment, maybe they may be returned to the Ministry of Human Resources and Social Affairs

 

  Recently Sanming has just released a new move，Drug recruitment is responsible for the medical insurance department，Now，Hebei Province also said，By the end of 2016，Completion of the integration of basic medical insurance for urban and rural residents，Establish a management system that is uniformly managed and run by the human resources and social security department。Effectively play the basic role of medical insurance，Around the Three Medical Links and Reform Objectives，Timely adjust and improve compensation policy measures。For regions with conditions, we must actively try the centralized procurement of drug consumables organized by the medical insurance management department，Cutting off funds between the hospital and the supplier My stake betting appstake betting appof drug consumables。Give full play to the purchase of medical insurance at the price limit of drugs、Delivery settlement、Drug price negotiation and other dominant role。

 

  Future medicine recruitment is responsible for the Human Resources and Social Security Department，Will this become a momentum?

 

  Third, drug procurement, the dean is responsible for

 

  On the basis of centralized procurement of provincial drug consumables，Based on & ldquo;、Principles of the price & rdquo;，Implementation of self -procurement of drug consumables。Strict control of drugs、Specifications，The dosage formation of each drug is not more than 3 in principle，The corresponding specifications corresponding to each dosage form do not exceed 2 types in principle。Public hospitals are preferentially equipped with domestic medical equipment，Under the premise of ensuring medical quality，Preferred procurement and use of domestic medical consumables。Optimized drug purchase and sale order，Compression circulation link，Promote production enterprises to circulating enterprises、Circulation enterprises to medical institutions & ldquo; two -vote system & rdquo; and drug consumable procurement dean is responsible for。

 

  Others are conditions for the use of medicines，If the eligible drugs are purchased into the hospital，Responsibility in Dean，Dean should be responsible for it。This hospital dean，But a great deterrent，If any hospital is greasy because of drug procurement，Tell the Discipline Inspection Commission，Direct responsible person is the dean，This trick increases the fairness of drug procurement，Is a major guarantee。

 

  Fourth, comprehensively link Tianjin, Beijing price

 

  The price of the same factory and the same medicine is not higher than the transaction price of Beijing and Tianjin，Make sure that the amount of drug consumables in the medical institution dual drop、Reasonable use。Implementing a corporate blacklist system，Manufacturers who have not implemented & ldquo; two votes & rdquo;。Research Establishing a new mechanism for centralized settlement，Open a settlement account，Make sure the medicine payment is paid in time，Reduce corporate financing costs and the cost of drug production。

 

  Say it above，Tianjin and Beijing are linking the lowest price nationwide，Especially Tianjin adjusts once every quarter。Hebei linkage also guarantees the lowest price in the country。

 

  Fifth、Hospital medication stake betting appcomprehensive control，My stake betting appDrug reduction ratio、Decrease inspection fee ratio

 

  1，Implementation of key drug monitoring。Establish a key drug tracking monitoring system，Screening auxiliary、Nutrition、Pharmaceutical regulations (manufacturers) that are prone to abuse clinically are included in key tracking monitoring directory。Performing key drug procurement filing system，Medical institutions that purchase drugs in the monitoring directory，It must be reported to use in accordance with the management principles of the same level of medical institutions。Calculate the average monthly sales of monthly during the monitoring period，Analysis of the abnormal sales volume，If necessary, the price reduction can be implemented。

 

  2，Establishing a diagnosis and treatment rational monitoring index system，Strengthening clinical path management，Adopt a prescription negative list management、Prescription reviews and other forms，Controlling antibacterial drugs Unreasonable use，Enhanced hormone、Anti -tumor drugs、Auxiliary medication intervention。Standardized drug use management，Efforts will be two、The proportion of drugs at third -level medical institutions is gradually controlled at 30%、below 35%。Control the proportion of large medical equipment inspection fees，Hospitals above the second or higher hospitals for the annual large -scale medical equipment inspection positive rate control above 70%。

 

  While controlling the proportion of drugs，It also controls the proportion of inspection costs，For the hospital，Really a fierce trick。

 

  Sixth, bribery into the blacklist

 

  Business bribery in the field of medical purchase and sales。Improve the responsibility system of commercial bribery dean in the field of medical purchase and sales，Establish a punishment mechanism for medical staff，Increase the punishment of medical staff to accept commercial bribery。Establishing a drug production (distribution) enterprise blacklist system，Pharmaceutical production (distribution) enterprises that are discovered & ldquo; rebate & rdquo;，Intellectual blacklist in commercial bribery bad records，Cancel the production (distribution) corporate drug supply qualification，Containing pharmaceutical companies from the system and source、Medical representatives occurred to medical staff bribery。

 

  Seventh, benefit, increase the proportion of reimbursement of traditional Chinese medicine technology and slices

 

  Give full play to the advantages of Chinese My stake betting appmedicine。Implementing stake sports betting appthe government's investment tilt policy for public Chinese medicine hospitals，In infrastructure、Informatization and key specialty construction、Talent introduction training、Basic equipment purchase and other aspects are tilted。Reform medical institution Chinese medicine preparation approval、Production、Management，The effect of selection is good、Price excellent、Applicable medical institutions Chinese medicine preparations circulate in the province's medical institutions。

 

  Formulate to implement differentiated medical insurance compensation policies，Incorporate Chinese medicine preparations in accordance with the prescribed Chinese medicine and medical institutions into urban employees、The scope of medical insurance payment in urban and rural residents。On the basis of balanced and controllable medical insurance funds，Gradually improve the proportion of reimbursement of traditional Chinese medicine technology and Chinese medicine tablets in the inpatient patient; you can implement the standard of medical insurance reimbursement of traditional Chinese medicine hospitals with the standards of the first level of the local comprehensive hospital。