The proportion of medicines in the three -level hospital decreased by 10%，This is just the beginning! The medication of a large hospital is a sponge full of water，Medical Insurance is doing the work now is to squeeze water from the sponge。Who will be squeezed out，Everyone has a number。

 

  August 28，Hosted by the Chinese Medicine Association of China，Beijing Kangpai Special Drug Research and Clinical Evaluation Center co -organized by & ldquo;。At this meeting，Relevant officials from the Ministry of Human Resources and Social Security introduced some medical insurance payment。

 

  Future，With the merger of Xinnonghe and urban and rural residents' medical insurance、Introduction to the standard of medical insurance payment，The price of the drug price has been released，The stake online sports bettingmedical insurance department will have more and more decision -making rights in future drug prices。

 

  Although the above official's expression is only for Chinese medicine varieties，But the actual impact is not just a variety of Chinese medicine。Policy is reality，Facing this reality，For all medicines including Chinese medicine，How to actively adjust the strategy to adapt to the change of medical insurance is a question that all pharmacists should think。

 

  Chinese patent medicine in the current situation of clinical application

 

  According to an introduction，At present, Chinese patent medicine is mainly used in internal medicine、orthopedics、Oncology Department、Surgery、Gynecology and other departments，Among them, more than 50%of the Department of Internal Medicine。

 

  In hospitalized patients，80%of the dosage of Chinese medicine is Chinese medicine injection。Among them, 70%of the patients in the hospitalized patients，I used a Chinese medicine injection，70%of these patients with 23%of patients used two Chinese medicine injections，8%of the patients with two injections are used to use three Chinese medicine injections。

 

  The top ten in the traditional Chinese medicine injection，The most pharmaceuticals used 200 indications，At least 135 indications。

 

  In addition，The medication outside the inpatient patient is also very serious。According to the analysis of the human and social department，In medication for patients with hospitalization，7500 Chinese medicine，Among them, 5800 are the medicines outside the directory、1700 are drugs in the medical insurance directory。

 

  In the future, you may adjust it like this

 

  First，Strict access standards。State representation，Support stake sports betting appfor innovative Chinese medicines，While supporting，You must clearly indicate the indication。At the same time, the drugs that exaggerate the indications at the same time are limited to use，Evaluation of drug economics for Chinese medicine。

 

  Second，Strengthening the total reform of the payment system，Pay it according to the diseased species，Pay at the first person。The core of the reform of the payment mechanism is to encourage the internal reasonable allocation of resources for medical institutions，Reasonable control cost，Standardize medical service behavior，In the case of ensuring medical quality，Reduce medical expenses。

 

  What changes will this bring? In the case of bonus sales，Drugs are the profit center of medical institutions，Under the condition of total control，Drugs are the cost center of medical institutions。From profit center to cost center，The more the profit center is used, the more you earn more，After the cost center is implemented, the less medicine is used. It may earn more。

 

   & ldquo; The proportion of drugs at third -level medical institutions has decreased by 10%，I personally think，This is just the beginning。& rdquo; The official said，He told many hospital presidents，Now the hospital's medication is equivalent to a sponge that sucks the water，Medical insurance is now gradually stepping up，Be sure to squeeze the sponge water。What is this water，Everyone has a number。

 

  Third，Strengthen medical service supervision，Reminder beforehand，Specifications in things，Monitoring afterwards，To reduce the proportion of medicine to 30%，The proportion of materials Stake Sports Bettingdrops to 20%，In addition，It will also take prescription reviews、Strengthening measures such as anti -videos management。

 

  Fourth，Management of Auxiliary Drugs，Hebei、Shanxi、Mongolia、Liaoning、Anhui、Jiangxi、Hubei、Sichuan、Yunnan and other 9 provinces issued a directory for assistance for drugs，Auxiliary medication directory mainly involves varieties cover cardiovascular and cerebrovascular diseases，Tumor，Infectious diseases，orthopedic disease，Neurological disease，On the occasion of immune regulation，Proton pump inhibitor，Chinese medicine injection (selected for 63 Chinese medicine injections)、Nutrition electrolytic preparation，antibiotics, etc.，Among them, Chinese medicine accounts for 30%。

 

  What kind of medicines are prospects?

 

  The official said，He personally thinks，If there is a variety entered the auxiliary medication catalog，You must adjust the strategy well。

 

  In addition，The official also said，In addition to the total control，At present, the reform of medical insurance payment also includes payment reform at the head of the person。Paying by the head is currently combined to a hierarchical diagnosis and treatment，Combined with the signing system of general doctors，Actually medical treatment、Medical Insurance、The best binding point for the linkage of the three medicine medicine。

 

   Why do you say that? Tie diagnosis、The core of the general doctor system is to establish an orderly clinic system，Make a family doctor a healthy goalkeeper。As a medical insurance，Hierarchical diagnosis and treatment、The general doctor system must also become the doorkeeper stake betting appof the medical insurance cost，Combining healthy gatekeepers and the cost of expenses，Only general doctors can undertake this role。So the future，From medicine，Can be favored by the general doctor，Able to get support from the general doctor，The future future is definitely good。