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Medical reform will cancel drug bonus general surgical fees to rise by 30 %
Release time: 2016-11-30 & nbsp & nbsp & nbsp Source: Anonymous
  "Implementation Plan for the Reform of Medical Service Price Reform of Zhongshan City Public Hospital" was reviewed and approved by the Municipal Party Committee Standing Committee Meeting,will be implemented from December 1, 2016。Yesterday,Deputy Director of the Municipal Health and Family Planning Bureau Wu Zhongqing was interviewed,Interpretation of the "Plan"。Wu Zhongqing said,This reform will be a & ldquo; structural adjustment & rdquo;,It mainly cancels the drug bonus,The amount of reduced this part is compensated by adjusting the medical service,The benefit of this reform is that it will break the hospital & ldquo;,Effective suppression & ldquo;、Big Check & rdquo; Wait for over -medical behavior,At the same time, it can guide patients to diagnose and treat。
 
  Large -scale medical equipment inspection items will be reduced by 10%
 
  According to Wu Zhongqing introduction,The scope of this reform is wide,All comprehensive hospitals stake online sports bettingstake sports betting appin town areas are included in the scope of the reform of the public hospital in this rotary city,Achieve full coverage。At the same time,Zhongshan will become the first synchronous implementation & ldquo; cancel drugs and medical consumables bonuses,Reduce inspection、Large inspection price,Raising diagnosis and treatment、Surgery、Nursing、Bed、Chinese medicine、Pediatrics such as pediatrics,Fighting greater adjustment of the income structure space of public hospitals & rdquo; prefecture -level city。
 
  The goal of this reform is to adhere to the public welfare nature of public hospitals,Break the drug supplementation mechanism,Fully cancel drug bonuses (except Chinese medicine drinking tablets),Reasonably adjust the price of medical services,Gradually rationalize the relationship between medical service comparison,Orderly solve the structural contradiction between the price of medical services,Highlight the professional technical service value of medical staff,Reasonably guides the masses to seek medical treatment,Establish a scientific compensation mechanism,Promote the improvement of the quality and level of medical services。
 
  This reform is in the city、Town 28 public hospitals will be implemented simultaneously on December 1, 2016。Control according to the total amount、The principle of structural adjustment,The hospital canceled the drug bonus、A reasonable income of reduced medical bonuses and reduced the amount of the price reduction of large medical equipment inspection and inspection items,Compensation by adjusting the price of medical services。Where,The hospital reduces reasonable income due to canceling the drug bonus,Compensation 80%,Special compensation stake sports betting appstake online sports bettingof the same level of finance 10%,The hospital's self -digestion 10%principle is compensated。Specific reform content includes canceling drugs、Medical consumables bonus,Sales for the purchase price according to the actual purchase price; 39 large -scale medical equipment inspection items will be reduced by 10%,1151 item inspection project price is reduced by 6%。
 
  In addition,Raisin 2172 medical services price that reflects the value of medical services in medical staff。Diagnosis and checking fees implement classification pricing,According to the level of medical institution、Factors such as physician level and market demand,Different prices for medical services,Properly open the price gap in the third -level hospital and the secondary hospital,Promoting graded diagnosis and treatment,Guide patients to seek reasonable medical treatment。Improve medical technology、Surgical project price for medical risks,General surgery fee is raised by 30%,Level 4 surgery costs 80%; children's surgery project under 6 years of age increases by 20%on the basis of the above。Price of comprehensive service projects with significantly low prices,Bed fees are raised by 10%,Nursing fee increases 30%。Improve the price of traditional Chinese medicine medical service projects,Encourage hospitals to develop traditional Chinese medicine technology,Relding 5% in TCM projects。
 
  At the same time,10%of the cancellation of drug bonuses is compensated by the same level of finance。The next stage will be studied & ldquo;,Increase government financial support。
 
  According to estimates: The cost of each outpatient number will be reduced by 1.43 yuan per resident cost of 59.61 yuan
 
  According to Wu Zhongqing introduction,Implementation reform can change the stake online sports bettingstake online sports bettingincome structure of public hospitals,Guide medical personnel medical behavior and medical treatment behavior,Medical Insurance Fund to withdraw,Do not increase the burden on the masses in general。The scheme is based on the data of the three years of 2013 to 2015,After the implementation of the plan, the actual operation and static calculation results will be different,Need to continue dynamic adjustment。
 
  Results calculated according to static,The overall impact of this reform plan on the service population (including insured and non -insured person) is that the cost of each outpatient will be reduced by 1.43 yuan,The cost of the number of inpatients is increased by 59.61 yuan。
 
  but,For the insured of basic social medical insurance,The total cost of hospitalization、Medical insurance costs and self -funded expenses will be reduced to varying degrees。For those who have participated in the outpatient medical insurance,Personal expenditure in the outpatient clinic of town -level hospitals has basically no effect。For those who have not participated in outpatient medical insurance,Where,Special、The actual expenditure of the outpatient clinic of special diseases or severe diseases is reduced; non -above -mentioned persons,It is relatively small due to the drug and examination of the diseased diseases,The reduction in the cost of drug and examination costs failed to offset outpatient consultation fees,Therefore, the cost burden will increase slightly,The higher the level of the hospital, the higher the level of the hospital,The more the cost of the light symptoms increases more,It is conducive to graded diagnosis and treatment。
 
  For 28 public hospitals participating in the reform,Total income is expected to compensate for income stake betting appstake online sports bettingless than 485,000 yuan。Where,11 hospitals will have policy reduction,17 hospital income will increase。
 
  Wu Zhongqing said,This reform will standardize the doctor diagnosis and treatment behavior,Breaking the hospital & ldquo;,Effective suppression & ldquo;、Big Check & rdquo; Wait for over -medical behavior。At the same time, guide patients to diagnose and treat,Guide high -level hospital key development urgency、Difficult、The ability to treat severe illnesses; guide mild patients to give priority to general doctors or stay in a grass -roots medical institution for treatment,The purpose of reaching the hierarchical diagnosis and treatment。