A few days ago，A blunt said by Sun Hong, Dean of Xiangya Hospital of Zhongnan University，Pushing him and local medical reform to the cusp of public opinion: Due to the incomplete support measures of the zero difference in drugs，Xiangya Hospital's annual revenue is expected to lose 2 billion yuan，To ensure that the treatment of medical staff does not decrease，The hospital decided to reduce the cost of equipment purchase next year 50 million yuan，The development or affected by the hospital。

 

  The gratifying is，Public hospitals have less financial subsidies.，will soon get substantial improvement。

 

  November 23，The National Development and Reform Commission announced the "Plan for the Construction of National Health Guarantee Project" (hereinafter referred to as planning)，Clarify the goals of the 6 major project construction、Task、Standards and the highest limit of the central subsidy investment。These construction projects include health poverty alleviation、Maternal and Child Health Guarantee、Public Health Service Capability、Difficulty stake sports betting appdiagnosis and treatment ability、Traditional Chinese medicine inheritance and innovation、Population Health Information。

 

  n 150 million central subsidy investment waiting for you

 

  What kind of hospitals can get such high financial subsidies? The answer is clear: Provincial and ministerial hospitals。

 

  But in fact，Not all provincial and ministerial hospitals can get central subsidies。Planning clearly clarifies the selection criteria: that is, tumors that seriously endanger the health of the people、Cardiovascular and cerebrovascular、Respiratory Stake Sports BettingMy stake betting appsystem and other key diseases，Improve medical institutions in the regional discipline system，Relevant departments will select about 100 provincial and ministerial hospitals across the country to support construction。

 

  How to use subsidies? "Plan" proposed，Central investment subsidies will be used to improve the infrastructure conditions of the selected hospital，Improve the overall level of the hospital's informatization，M & A necessary medical equipment，Focus on supporting disciplines that are currently urgently needed or expected to achieve breakthrough results。The maximum limit and quota subsidy quota is: the maximum investment subsidy for each project is not more than 150 million yuan。

 

  "Plan" releases two important information

 

  Despite the policy three orders and five sins require public hospitals to stop expansion，But in order to treat more patients，The enthusiasm of the reconstruction and expansion of public hospitals has never disappeared，This has also triggered liabilities for most public hospitals。When the zero difference rate of drugs pushed away from various places，Get fiscal subsidy，It seems to be the most direct and effective way to reduce loss in public hospitals。From the perspective of the industry，The proposal of the "Plan" released two important information。

 

  One，Public hospitals have shouted for many years & ldquo; increased fiscal subsidies & rdquo;。In the process of reform of the medical system，If the government does not increase investment，Obviously unable to succeed。It is not difficult to see from the reform of the zero difference rate of this round of drugs，15%drug bonus only exposes the corner of the iceberg in the unreasonable status quo of public hospitals that rely on drug income，When adjusting the price of medical services is not yet in place，There is still a long way to get eliminating medicine for medicine and medicine，This makes public hospitals have to go to call for subsidies。Liu Jisheng, deputy dean of the First Affiliated Hospital of Suzhou University, believes，It is not difficult to see from the "Plan"，The government will increase financial investment in public hospitals，To maintain hospital operation。

 

  Its 2，The government encourages large public hospitals to conduct research and diagnosis of incurable diseases。for a long time，Public hospitals insist on & ldquo; The practice of eating & rdquo;，Not only does the grass -roots medical institution Mendakoque，Make the hierarchical stake sports betting appdiagnosis and treatment into an My stake betting appempty talk，It also exacerbated patients & ldquo; difficult to see a doctor & rdquo;。From Liu Jisheng's view，This "Plan" requires selection of 100 difficult disease diagnosis and treatment capabilities to improve the project construction project，It means that the state will pass the incentive mechanism of fiscal subsidies，Encourage large hospitals to take over more difficult and severe patients。

 

  Read the "Plan"

 

  Including the construction of the project of difficult and severe stake sports betting appdiagnosis and treatment projects，"Planning" proposed six major tasks to promote the health protection project of the whole people，corresponding to some types of medical service institutions、and the construction task of a health information platform。

 

  The following is the major task project and central investment subsidy:

 

  1、Maximum subsidy quota: East: 20 million yuan，Central: 40 million yuan，West: 50 million yuan。

 

  Health Poverty Alleviation Engineering Construction Project: County Hospital.

 

  Objective: Make sure each county (city、district) Create 1-2 county-level public hospitals (including intermediate hospitals)，Improve the comprehensive service ability of the county area，Strive to 2020，The number of beds per thousand people county -level medical institutions reaches about 1.8 sheets，The level of medical technology can meet the common diseases of county residents、Multiple disease stake sports betting appdiagnosis and treatment、Related specialist jumping and severe rescue and difficulty in referral、Disease rescue of the emergencies，and the need for standardized treatment and analgesic therapy for common tumors;

 

  Support thousands of population bed digits in the county without reaching standards、The construction of county -level hospitals with a large gap (including dangerous houses) of the business house;

 

  New beds need to be gynecological、Pediatrics、Chinese medicine、Spirit、Small illness and other fields;

 

  Allows to build a county -level hospital branch in the new district，Or in a regional area with a shortage of medical resources, relying on the construction of a county -level hospital branch in the township and township health centers;

 

  From 2017，No longer arranged for the construction of the central budget to support the construction of township health centers and village toilet projects，Related construction funds shall be raised by local governments。

 

  2、Maximum subsidy quota: province、City、County -level institutions do not exceed 50 million yuan respectively、25 million My stake betting appMy stake betting appyuan and 12 million yuan。

 

  Maternal and Child Health Guarantee Engineering Construction Project: Maternal and Child Health Service Agency。

 

  Target: By 2020，Strive to realize the province、City、Levels in the county level have 1 government -organized maternal and children's health service agency with a complete facility;

 

  Key constructing perinatal health care、Newborn disease screening、Health Education and other public health functions and obstetrics、Pediatrics、Houses for medical function business such as Chinese medicine department。

 

  3、Most subsidy quota: market、County -level institutions do not exceed 15 million yuan and 6 million yuan; East、50 million yuan in the Midwest、200 million yuan;

 

  Provincial occupational disease、Infectious disease、Local disease、Tuberculosis and other preventive institutions and blood centers 25 million yuan、50 million yuan。

 

  Public Health Service Engineering Construction Project: Disease Control Agency.

 

  Objective: Strengthen the province、City (ground)、The construction of the business housing of the third -level disease prevention and control institution of the county;

 

  Strive to 2020，Provincial disease prevention and control institutions all have a laboratory that has reached the level of biological safety three levels; support provincial blood centers、Urban -level center blood station reconstruction and expansion business house、Buy medical equipment and blood collection vehicles; support provinces、Construction of two -level health supervision agencies in the city;

 

  Support 14 provinces with 14 unprepared nuclear radiation medical treatment bases new nuclear radiation medical treatment base。

 

  Four, the highest subsidy quota: 150 million yuan.

 

  Construction of Difficulty stake sports betting appdiagnosis and treatment Engineering: Provincial and Ministerial Hospital.

 

  Objectives: Tumor for the health of the people who seriously endanger the health of the people、Cardiovascular and cerebrovascular、Respiratory Stake Sports BettingMy stake betting appsystem and other key diseases，Improve the discipline system in the region，Selected about 100 provincial and ministerial hospitals to support the construction nationwide; improve the infrastructure conditions of the selected hospital，Improve the overall level of the hospital's informatization，M & A necessary medical equipment，Focus on supporting disciplines that are currently urgently needed or expected to achieve breakthrough results。

 

  Five, the highest subsidy quota: 100 million yuan.

 

  Traditional Chinese Medicine Heritage Innovation Engineering Construction Project: Traditional Chinese Medicine Hospital.

 

  Target: Support about 90 key Chinese medicine hospitals and about 10 provincial -level Chinese medicine scientific research institutions to carry out inheritance and innovation capabilities;

 

  Chinese Medicine Hospital focuses on strengthening clinical collaborative research houses、Key specialty for special specialty、Traditional Chinese Medicine Medical Technology Center、stake betting appClassic My stake betting appWard、Famous Chinese Medical Expert Inheritance Studio、Construction of traditional Chinese medicine preparation room，Create a number of Chinese medicine inheritance and independent innovation platforms nationwide。

 

  Six, the highest subsidy quota: issued separately.

 

  Construction of Population Health Information Platform.

 

  Target: Integrate existing information system and data resources，Use cloud computing、Big Data and other technologies，Realize public health、Family planning、Medical Service、Medical Security、Drug Management、Data convergence and business collaboration of six major business application systems including comprehensive management。