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Guangdong this year or pilot medical reform pilot provincial doctors will not be linked to medicines
Release time: 2016-07-19 & nbsp & nbsp & nbsp Source: Anonymous
  July 18,The Website of the Guangdong Provincial Government announced the "Key Points of the 2016 Work Points of the Guangdong Province Deepening Medical and Health System Reform" (hereinafter referred to as & ldquo;,Guangdong strives to become a pilot province of comprehensive medical reform by the end of this year,Start the pilot work。
 
  According to the main points,At the end of this year, Guangdong strives to comprehensively start the comprehensive reform of urban public hospitals,and promote the province's ministers、Provincial Hospital Participation in Public Hospital of the Public Hospital。
 
  Public Medicine Reform:
 
  Strictly control the unreasonable growth of medical expenses
 
  How to change the reform of public hospitals?    Key points to point out,To fully implement the government's responsibility for investment in public hospitals,and follow the steps to straighten the price of medical services: through centralized procurement、Medical Insurance Control fee、Standardize diagnosis and treatment behaviors such as reducing medicines、Equipment、Consumption and other costs,Strict control of unreasonable inspection and inspection fee,To adjust the price of medical services for adjusting the price of medical services; reasonably adjust the price of medical services,Reflecting the technical labor value of medical staff,Can't just adjust the price for the addition of drugs,The adjustment part of the adjustment is included My stake betting appin stake sports betting appthe scope of medical insurance payment according to regulations; strengthen the price of medical services、Medical Insurance Pay、Medical control fee、Coordinated connection of policies such as hierarchical diagnosis and treatment,Make sure that the development of medical institutions is sustainable、Medical Insurance Fund to withdraw、Do not increase the burden on the masses in general。
 
  At the same time,Strictly control the unreasonable growth of medical expenses,It is required that the pilot cities of public hospitals should list specific lists,Auxiliary、Unreasonable use of high -priced drugs such as nutritional and key monitoring of 10 typical single disease expenses,Containing the unreasonable growth momentum of medical expenses。By the end of 2016,The number of cases of implementing clinical path management in pilot cities must reach 30%of the number of cases of discharge of public hospitals,No less than 100 diseases paid by disease types。
 
  On the other hand,Vigorously improve medical services,Key to make an appointment diagnosis and treatment、Daily surgery、Information push、Settlement service、Pharmaceutical Service、Emergency and first aid、High -quality care and other work。Third -level hospitals implement a comprehensive reservation diagnosis and treatment,Conditional areas should take the lead in piloting day surgery at the third -level hospital,Continuously expand the scope of daily surgery disease。
 
  In terms of medical salary,Gradually increase the proportion of medical personnel income treatment and medical institution personnel expenditure for business expenditure。The performance salary of the president of the public hospital can be determined by the government medical institution。It is strictly forbidden to set up income indexes for medical staff,Medical staff must not pay with the hospital's medicine、Consumption、Check、Test income and other business income linked。
 
  Drug guarantee:
 
  Free supply for special drugs such as AIDS
 
  In terms of improving drug supply guarantee,Comprehensive promotion of centralized procurement of drugs for public hospitals,All medical consumables (including high -value medical consumables) are included in the provincial third -party pharmaceutical stake sports betting appelectronic stake online sports bettingtrading platform for centralized procurement。
 
  Free supply for special drugs such as AIDS,Promote the protection of the elderly、Basic medication for children,Study the appropriate dosage form of children's basic medicine、Specification,Promote the consistency evaluation of the quality and efficacy of generic drugs,Do a good job of pumping for the whole variety of basic drugs,Increase supervision and inspection strength。
 
  Drug shorts have repeatedly attracted social attention,Points specifically pointed out,Select several hospitals and grass -roots medical and health institutions as shortage drug monitoring points,Improve the shortage of drug information reporting system。Support the establishment of fixed -point production bases and small variety production bases。Promoting the establishment of normal shortage of drug reserve system。
 
  Points specifically pointed out,Adopt a variety of forms to promote the separation of medicine,Prescription information of organizational medical institutions、Medical Insurance Settlement Information and Pharmaceutical Retail Consumption Information Sharing Pilot; prohibit hospital restrictions from restricting prescription outflow,Patients can choose to buy medicines in the hospital's outpatient pharmacy or go to retail pharmacies。
 
  The reform of the medical and health system in Guangdong Province
 
  Work points of work in 2016
 
  Public Medicine Reform
 
  To fully implement the government's responsibility for investment in public hospitals,and follow the steps to straighten the price of medical services。
 
  The performance salary of the president of the public hospital can be determined by the government medical institution。It is strictly forbidden to set up income indexes for medical staff,Medical staff must not pay with the hospital's medicine、Consumption、Check、Test income and other business income linked。
 
  Hierarchical diagnosis and treatment
 
  Key points to point out,According to & ldquo; first diagnosis at the grassroots level、Two -way referral、Slowly divide、Requirements for linkage & rdquo;,Comprehensively carry out hierarchical diagnosis and treatment work in the province。By the end of 2016,Hypertension、The standardized diagnosis and management rate of diabetic patients must reach more than 30%。Gradually expand the hierarchical diagnosis and treatment pilot disease,Diverse onset of disease、Chronic diseases and tuberculosis are incorporated into the range of pilot disease。
 
  Expand the family doctor signing service。In Shenzhen、Zhuhai、Huizhou、Dongguan、Zhongshan、Jiangmen、Zhaoqing and other cities take the lead in carrying out family doctors' signing services。Signing service fee is by the Medical Insurance Fund、Basic public health service funds and Stake Sports Bettingthe personal sharing of the signed residents。
 
  stake betting appImprove medical insurance
 
  Key points to point out,The participation rate of basic medical insurance for urban and rural residents is stable at more than 98%,Government subsidy standards per capita in medical insurance to not less than 420 yuan,Per capita personal payment is not less than 150 yuan。The reimbursement ratio of hospitalization expenses within the scope of urban and rural residents' medical insurance policy is stable at about 75%。
 
  Comprehensively carry out the total control of basic medical insurance payment,Outpatient clinic coordinates the first payment of people,Inpatients and outpatient specific disease guarantees are implemented in accordance with the disease、Payment of compound payment methods such as service unit。Conditional areas can explore the payment according to the Disease Diagnosis Related Group (DRGS)。Supporting day surgery, etc.。Carry out incorporating the pre -hospital clinic examination fee into the pilot work of the hospitalization settlement。
 
  Drug guarantee
 
  Comprehensive promotion of centralized procurement of drugs for public hospitals,All medical consumables (including high -value medical consumables) are included in the provincial third -party pharmaceutical stake sports betting appelectronic stake online sports bettingtrading platform for centralized procurement。
 
  Free supply for special drugs such as AIDS,Promote the protection of the elderly、Basic medication for children,Study the appropriate dosage form of children's basic medicine、Specification,Promote the consistency evaluation of the quality and efficacy of generic drugs,Do a good job of pumping for the whole variety of basic drugs,Increase supervision and inspection strength。
 
  Improve the shortage of drug information reporting system。Promoting the establishment of normal shortage of drug reserve system。
 
  Adopt a variety of forms to promote the separation of medicine,Prescription information of organizational medical institutions、Medical Insurance Settlement Information and Pharmaceutical Retail Consumption Information Sharing Pilot; prohibit hospital restrictions from restricting prescription outflow,Patients can choose to buy medicines in the hospital's outpatient pharmacy or go to retail pharmacies。
 
  Medical and health talents
 
  Key points to point out,It will focus on the general doctor,Improve the employment of free medical students in rural orders、Related policies such as performance management。
 
  Comprehensively implement the standardized training of inpatient physicians,According to regulations, the teaching practice activities and training objects of the standardized training base of 45 inpatient physicians are subsidized,5,200 standardized inpatients (including traditional Chinese medicine inpatients) will be added。