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Shandong Yantai cancel drug addition medical insurance realization "one -stop" service
Release time: 2016-06-30 & nbsp & nbsp & nbsp Source: Anonymous
  Since the problem of small medicines for children has attracted attention,Frequent policies in the field of children's medicines frequently introduced。Recently,The National Health and Family Planning Commission announced the "The First Batch of Encouraging R & D and Application for Children's Drugs",released the first batch of 30 children's medicines to encourage R & D declaration。
 
  According to reporters,,Although children's medicine is called & ldquo; one of the next gold ore & rdquo;,But currently,The number of companies producing children's medicines is small,And the variety of children's medicines is mostly concentrated in a cold、Cough、Fever and other common diseases。For pharmaceutical companies,In the future, whether to deeply cultivate existing markets in the field of children's drugs or in response to the policy number to develop new medicines,This is a dilemma choice。
 
  Policy benefits
 
  30 kinds of children's medicines are encouraged to develop and develop
 
  According to the research report of Southwest Securities,Last year, the market size of the children's medication in my country reached 68.8 billion,If you consider the part that the medicine is halved when the doctor opens the prescription,The actual market size of children's medicines exceeds 100 billion。Over 90%of the drugs in my country lack children's dosage form,Therefore, there is still a huge expansion space in the children's drug market。
 
  Since the release of the two -child policy this year,The industry is expected to reach the scale of 250 million in 2020,The children's medicine market will usher in growth in the next few years。This year's nationwide & ldquo; Two sessions & rdquo;,& ldquo; Children's medication difficulty & rdquo; Once caused a stake online sports bettinglot of representative members heated discussion,such as & ldquo; Children's medicine legislation & rdquo;、& ldquo; relax the prescription policy of children's medicine & rdquo; and & ldquo; accelerate priority approval & rdquo;。
 
  Earlier this year,The National Health and Family Planning Commission issued the "Notice on Further Strengthening Medical Institutions for Children's Medication and Equipment",It is pointed out that children's medicines can be concentrated in order to be sold directly without bidding,So as to speed up children's medicine and quickly enter the market for sale; while the State Food and Drug Administration provides priority review channels for 10 kinds of children's medicines。
 
  June 1,The National Health and Family Planning Commission released the "List of the first batch of encouragement of the R & D and declared children's medicine" (hereinafter referred to as "List"),released the first batch of 30 children's medicines to encourage R & D declaration。It is reported that the medicine in the "List" covers the treatment of neurals、Cardiovascular、Endocrine、Blood and other common diseases of multiple systems。
 
  Explanation of the National Health and Family Planning Commission,Most of these drugs have been listed abroad,But the lack of corresponding children's appropriate dosage forms and specifications in China。For example, chloroli for pediatric epilepsy,At present, there are only tablets for oral preparations,The listing of oral solutions will improve the compliance of children's patients; commonly used first aid drug adrenaline,The minimum cost of children can reach 0.01mg/kg and is relatively safe,But there is currently no corresponding specifications; binary azine、The skin -promoting quality of the treatment of infant spasm is all due to various reasons & ldquo; long -term out of stock & rdquo;。
 
  To encourage pharmaceutical companies to focus on the development of varieties in the "List",Relevant departments have also formulated preferential measures,For example, establish a special channel for application review、Establish a major special special、Requires medical institutions to give priority to use and introduce clinical data of Hong Kong, Macao and Taiwan as a reference declaration, etc.。From the perspective of the industry,This series of measures If landing,undoubtedly brings good good for the development of children's medicine。
 
  Marketing status Status Children's Drugs are concentrated in the field of common diseases
 
  From 00:00 on June 30,Shandong Yantai will fully start the comprehensive reform of 22 urban public hospitals,Cancel drug bonus (except Chinese stake online sports bettingmedicine drinking tablets),Performance of the zero difference rate of drugs,At the same time, reduce large equipment inspection and inspection costs。In addition,Medical insurance will also implement & ldquo; one -stop service & rdquo;,Improve the medical security level of the masses。
 
  22 hospitals synchronize, cancel the drug bonus and price adjustment synchronization
  
  The city's 22 hospitals participating in the reform,10 city hospitals,9 hospital hospitals,Provincial Hospital of Tobacco、Hospital Hospital、1 each of the State -owned Enterprise Hospital。At the ventilation meeting,City Medical Reform Office、Health and Family Planning Commission、Human Resources and Social Affairs Bureau、The responsible comrades of the Price Bureau and other departments notified the reform -related policies。
  
  Introduction of Sun Shijun, deputy director of Yantai Medical Reform Office,From 00:00 on June 30,Reform Hospital will cancel the drug bonus (except Chinese medicine drinks),Perform zero difference rate at the actual purchase price of the drug,At the same time, reduce large equipment inspection and inspection costs,The income from the hospital's reduced income,In principle, 80%compensation by adjusting the price of medical services,Government compensation is not less than 10%,The rest is strengthened through the hospital to strengthen accounting、Settle cost solution。
  
  Comprehensive reform of this Yantai Public Hospital,Cancel the price of drug bonuses and adjust the price of medical service projects synchronized、Reduce the inspection price of large equipment inspection and adjust the price of medical service projects synchronized,To ensure the connection between the medical insurance payment policy and the price adjustment policy、Supporting linkage。
  
  diagnosis and treatment fees such as rising medical service projects,Large -scale inspection costs are reduced
  
  Introduction to Zhao Shengchun, Deputy Director of the Price Bureau of Yantai City,Medical service price adjustment follows & ldquo; total amount control、Structure adjustment、There are ascending and downward、The principle of gradually in place & rdquo;,Properly raised the consultation fee、Nursing fee、The price of medical service projects that reflect the technical labor value of medical personnel in the surgical fee。Reduce CT、Magnetic resonance and other large medical equipment inspection and inspection price,The reduction of the cost is all used to increase the price of medical service items。
  
  The adjustment of the adjusted medical services is all included in the scope of medical insurance payment,For a long course of disease、Higher inpatient costs、Special diseases that may increase personal burden,It will be adjusted stake online sports bettingby adjusting the medical insurance payment method,Properly reduce the personal burden of patients。
  
  At the same time,Continue to advance in -depth promotion of payment according to diseases,Pay at the first person、Reform of a composite payment method combined with a variety of payment methods such as service units and other payment methods,Expansion of the number of paid diseases and the coverage of the inpatient patients in accordance with the diseased species。
  
  Medical insurance realization & ldquo; one -stop & rdquo; service
  
  & ldquo; It will fully implement the insurance system for residents' illness disease,Accelerate the establishment of an employee's serious illness insurance system,Improve the protection level of patients with severe diseases。& rdquo; Member of the Industrial and Social Security Bureau of Yantai Municipal Human Resources and Social Security Bureau、Introduction of Qin Fengguo, Director of Social Security Center,Public hospital reform,It will promote the major illness insurance information system and basic medical insurance、Medical Rescue、Effective docking of information systems such as designated medical institutions and other information systems,Implement the fixed -point medical institution & ldquo; one -stop & rdquo; instant settlement。Emergency、Referendum patients who are transferred to the insurance must also provide & ldquo; one -stop & rdquo; service。Comprehensive establishment of disease emergency rescue system,Merge maternity insurance and basic medical insurance。
  
  Improvement of reimbursement policies that are compatible with fundraising level,Focus on guarantee major diseases and major diseases,Moderate control of general disease reimbursement fees。The proportion of hospitalization expenses within the scope of the medical insurance policy of employees and residents reached more than 75%and about 70%,The gap between gradually reduced the proportion of actual hospitalization expenses,Ensure that the level of medical security for the masses is generally not reduced。
  
  The hospital establishes an independent fee control mechanism
  
  It is understood,Public hospital management system、Personnel compilation、Income allocation、The reform of the system and mechanism of medical supervision and other systems also advances simultaneously。The hospital's preparation management is changed from approval to filing,Reform Hospital can be based on business level、Type Features、Number of beds、Outpatient volume and other factors,Autonomous determination of the total personnel control、Autonomous Display Job Setting Plan、Public recruitment。
  
  My stake betting appThe hospital passes scientific performance assessment,Revenue allocation,Focus on clinical first -line、Key positions、The backbone of the business and the person who made outstanding contributions to the tilt。All hospitals will establish an independent fee control mechanism,Strict implementation of drugs and high -value medical consumables online centralized procurement policy,Strengthening antibacterial drugs、Oncology drugs、Children's medication and other clinical medication monitoring,Standardized clinical medication behavior,Unreasonable growth in controlling medical expenses。
  
  Comprehensively implement the appointment diagnosis and treatment、service measures for high -quality care and people to benefit the people,Optimized service process,Improve service quality,Effectively improve the patient's medical experience。Accelerate the construction of a hierarchical diagnosis and treatment system,Encourage public hospitals to integrate or host primary medical institutions,Guide high -quality medical resources sink,Improve primary medical service capabilities and levels。