Recently，Xi'an issued the "Pilot Implementation Plan for Comprehensive Reform of Xi'an City Public Hospital" (hereinafter referred to as "Plan")。Plan pointed out，until the end of 2017，Xi'an will basically complete the pilot task of comprehensive reform of urban public hospitals，Throughout cutting off the hospital's medical staff and the drug chain of the drug。

 

  Personal hygiene expenditure accounting for total health expenses will drop to less than 30%

 

  According to the requirements of the "Plan"，until the end of 2017，The public welfare nature of public hospitals will be fully reflected。Our city will implement the government's leadership responsibility、Safe liability、Management responsibility、Supervision responsibility，Give full play to the role of the market mechanism，Establish a new urban public hospital management system，Break the public hospital's profit -seeking mechanism，Drug、Medical consumables and inspection costs accounted for a significant decline in the proportion of medical income。

 

  The satisfaction of the masses has increased significantly，The burden of medical treatment is obviously reduced，Generally, personal health expenditure accounts for less than 30%of the total hygiene expenses。The increase in total health costs is coordinated with the growth rate of the total national product of the city，Unreasonable growth of total medical expenses is effectively controlled。

 

  The masses' medical experience will be improved effectively，Build a grassroots first diagnosis in the city、Stake Sports BettingTwo -way referral、Slowly divide、Hierarchical diagnosis and treatment mode of upper and lower linkage，Urban Third -level Hospital General Outpatient Clinic Out of the Personalized Personalized Persons' Times of Medical and Health Institutions is significantly reduced。

 

 

  Urban public hospital operation specifications efficient，Modern management system for public hospitals is generally established，Autonomous business rights are implemented，The value of the technical labor service of medical staff is fully reflected，The quality of medical services has improved significantly，The medical service process is obviously optimized，Medical services are more secure，Bed use rate、Average hospitalization and other indicators are more reasonable。

 

  & ldquo; 135 & rdquo;，The main urban area will no longer build a new public hospital

 

　  Optimize the allocation of urban medical resources，Scientific setting urban public hospital。Preparation of "Xi'an Regional Health Plan (2016 & mdash; 2025)" and "Xi'an Medical Institution Setting Plan (2015 & mdash; 2020)"，Improve the layout and functional positioning of urban public hospitals，Promote some first level、Second -level medical institution to TCM、Rehabilitation and other specialized medical institutions or community health service institutions transformation and development。

 

  & ldquo; 135 & rdquo;，Except for the approval and approval of the project and the public hospital project under construction，The main urban area will no longer build a new public hospital，Strictly control the bed scale of urban public hospitals、Construction standards and quantity of configuration of large medical equipment，The scale of special service provided by public hospitals must not exceed 10%of its total service volume。

 

  Formulate hierarchical diagnosis and treatment standards and methods，Further clarify the functional positioning of different levels of medical institutions。Promote doctors multi -point practice，Encourage urban public hospital doctors to use the grassroots public medical institutions as the second、Three Practicing Land Carry out medical activities，Urban third -level medical institutions general outpatient clinics have decreased by more than 10%of the proportion，The proportion of appointment referrals accounted for more than 20%of the number of clinics。

 

  Promoting social forces to participate in public hospital reform，Adhere stake sports betting appto the main position of the public hospital in the medical service system，Explore a variety of forms of cooperation to host medical institutions，It is strictly forbidden to sell、Change the government office hospital。Vigorously support social forces to give priority to non -profit medical institutions，Guide non -public medical institutions to provide high -end services、Disted care and other shortfluring services。

 

  Strictly control medical expenses, and regularly disclose financial information to the society regularly

 

  Public hospitals will regulate medical staff diagnosis and treatment behavior，Internal control of strengthening medical institutions，Promote reasonable inspection、Treatment and medication，Unreasonable growth of medical expenses will be effectively controlled。Public hospital average outpatient clinic diagnosis and treatment costs The increase in the cost of diagnosis and treatment of inpatients is lower than the increase in consumer price growth index of residents during the same period，Personal hygiene expenditure accounted for total health costs to be less than 30%。

 

  Prevent hospitals from high energy consumption operation，Establish a financial information disclosure system，Regularly actively disclose the income and expenditure of public hospitals such as public hospitals、Average medical expenses and increases for outpatient clinics、Residents per capita medical expenses and increases、Information such as the average cost of the main diseases and other cases of public attention。

 

  Continue to deepen the construction of Ping An Hospital，Established by Public Security、Finance、Civil Affairs、Court、The People's Mediation Committee of the Medical Disputes jointly participated by the Procuratorate and other departments，Establish a special medical dispute people's mediation agency，Actively do a good job of medical disputes people's mediation work。Establish a standardized police room of 15 square meters in hospitals above the second level，Unified appearance label，Equipped full -time police and necessary police equipment，Timely accept the masses alarm for help。

 

  Throughout cutting off the hospital's medical staff and the drug chain of the drug

 

  Breaking & ldquo; Molying for medicine & rdquo; mechanism，Promote the separation of medicine，Cancel drug bonus，Performing zero -difference rate sales。Comprehensive prescription review、Negative list of medicines、Reasonable inspection stake sports betting appand inspection、Medical Insurance Review Supervision、Campaign and other measures，completely cut off the hospital、The interest chain between medical staff and medicines，Promote the reasonable use of drugs。to 2017，Urban public hospital's medicine proportion of medicines generally dropped to about 30%，Hygiene materials consumed in the medical income of 100 yuan are reduced to less than 20 yuan。

 

  The investment in public hospitals is still allocated in accordance with the original channel，That is, public hospitals organized by the government are subsidized by finance，Affiliated hospitals in colleges and universities are subsidized by colleges and universities，Enterprise Hospital is subsidized by corporate hosting。Implementation to TCM Hospital、Infectious Disease Hospital、Psychiatric Hospital、Occupational Disease Prevention Hospital、Obstetrics and Gynecology Hospital、Children's Hospital and Rehabilitation Hospital's investment tilt policy。

 

  "Plan" requirements，To reduce the medicine in general、Medical consumables cost and large medical equipment inspection treatment price，Reasonably improve diagnosis and treatment、Surgery、Nursing、Bed、Traditional Chinese medicine and other service items price。City public hospitals strictly implement relevant regulations for provincial -level pharmaceutical centralized procurement，Strengthen the price supervision of drugs (consumables)，Preventing price changes，Actively explore clinical test reagents online sunlight purchase and distribution management mechanism。It is strictly forbidden to monopolize operations and purchase and distribute delivery drug medical consumables，Implementing pharmaceutical medical consumables procurement and distribution integrity record system and market clearing mechanism。

 

  Deepen the reform of the medical insurance payment system and effectively control medical expenses

 

  Gradually establish a composite payment method，Establishing payment by disease、Pay on the average expenses at the same time、Paid at the first person、Payment of composite payment methods such as the service unit，Exploring the classification payment method according to the diagnosis of the disease，Gradually reduce payment by project。At the end of 2017，The number of cases of clinical path management reached 30%of the number of cases of discharge of public hospitals，stake betting appThere are no less than 100 types of management diseases，The settlement ratio of a single disease reaches more than 50%。

 

  Give full play to the regulation and guidance of medical insurance on medical services and expenses，Extended medical insurance supervision to medical staff diagnosis and treatment、Check、Test、Prescription and other service behaviors，Monitor key medicine，Containing drug waste，Do a reasonable inspection、Reasonable treatment、Reasonable medication、Reasonable charge，Effective control of medical expenses。

 

  Gradually narrowing the gap between the reimbursement ratio of hospitalization expenses and actual hospitalization expenses within the scope of the policy，Strive to shrink within 2017 to 10 percentage points。Promote basic medical insurance、Disease Insurance、Medical Rescue、Connect of multiple guarantee systems such as commercial health insurance，Improve guarantee performance，Further reduce the burden of medical expenses for patients。(Source: Xi'an Evening News)