Not long after the National Health and Health Conference，Director of Hunan Provincial Health and Family Planning Commission Zhan Ming convey the spirit of the conference，Among them, it talks about Henan to do? Three purchases and two votes?、7 major chaos and other contents of strike drugs，The Commission's official website reported this，Saibai Blue Excerpt、Set up as follows:

 

  Zhan Ming thinks，General Secretary Xi Jinping's speech at the National Health and Health Conference passed on & ldquo; a new medical reform focus & rdquo;，It is necessary to strive to be in the hierarchical diagnosis and treatment system、Modern hospital management system、stake betting appstake online sports bettingThe National Medical Insurance System、Drug supply guarantee system、Five aspects of the comprehensive regulatory system achieved breakthroughs。

 

  ▌ Hunan to do? Three purchases and two votes?

 

  Where，In terms of drug supply guarantee system，Hunan's approach is? Three purchases and two votes?，that is:

 

  First, comprehensively follow the standard purchase。Relying on the provincial government's public resource trading platform，Tracking the lowest price of the nationwide pharmaceutical consumable procurement，Set the price of drug consumables in Hunan Province & ldquo; ceiling & rdquo;，Each public hospital input medicine，It must not be higher than & ldquo; ceiling & rdquo; price。

 

  Second is the concentrated volume purchase。Based on the pricing pricing at the provincial level，Bringing volume for cities and hospitals for cities or hospitals，You can use the dosage use of the previous variety to procurement，You can also pack the entire medicine for purchase。Expenditure saved by purchasing with volume，It is mainly used to increase medical services price，Appropriate reduction of the paid price of medical insurance directory medication。

 

  Third is the full online purchase。Strive from next year，Pharmaceutical procurement and some high -value medical consumable procurement of all public hospitals，Except for individual shortcomings breaking varieties，Try to purchase online through the provincial government's public resource trading platform or local trading platform，The price purchase must not be higher than & ldquo; ceiling stake online sports bettingStake Sports Betting& rdquo; price。Online purchases will be traced。

 

  Fourth is the circulation of two tax tickets。Under the implementation of relevant government departments，Put the drug circulation & ldquo; two votes & rdquo; land in Hunan，Let the drug take the shortest circulation route from the enterprise to the hospital，instead of & ldquo;，Pharmaceutical vendors fly all over the sky，Back buckle freely。

 

  Three purchases and two votes & rdquo; measures，Zhan Ming expectation，Pharmaceutical distribution concentration will inevitably increase with it，Drug rebate funds must follow & ldquo; disconnect & rdquo;，Medical style will also improve with it。

 

  ▌ 7 major chaos of drug circulation，It is strictly forbidden to issue income indexes

 

  In the supervision of drug circulation，Zhan Ming said: Abnormal phenomena in the circulation of drugs，For example, one product, multi -regulatory chaos、Chaos in the second charge、Back buckle sales chaos、Layers of subcontracting chaos、Delivery enterprises tie the chaos、An empty cash out chaos、Tickets for money laundering chaos, etc.，It is necessary to supervise and manage the responsibilities through multiple departments，Try to turn the drug flow & ldquo; turbid flow & rdquo;。

 

  In terms of supervision of medical expenses，Zhan Ming said that it is necessary to strictly implement the drug zero difference rate policy，Strict control of annual income growth goals，Strict control of unreasonable check、Unreasonable medication、Unreasonable stake betting appsurgery stake sports betting appand unreasonable charges，It is strictly forbidden to issue an index to the department or individual，It is strictly forbidden to pick up the medical insurance fund in any way，Take the first draft, good medical control fee。

 

  ▌ Doctors with the prescription amount in the top，Unreasonable medication rate will be announced

 

  Related graded diagnosis and treatment，Many places may still have no idea。But the idea of ​​Hunan has been clear。How to promote hierarchical diagnosis and treatment，Zhan Ming said:

 

  First, refine the hospital positioning function according to the disease。Positioning the functional positioning of hospitals at all levels on the specific disease catalog，The proportion of external diseases for diagnosis and treatment of public hospitals must be evaluated and evaluated，Connect with medical insurance reimbursement policies。

 

  Second, the clinical path management。All hospital institutions should standardize medical behavior in accordance with the guidance of the path，Strict control of & ldquo; big prescription & rdquo; & ldquo; big check & rdquo; and & ldquo; chaos & rdquo;。The unreasonable medication rate of 5-10 doctors in the first 5-10 doctors in the hospital's prescription amount is announced regularly，and formulate clear punishment measures。

 

  Third is to determine the medical insurance reimbursement policy。Establish a medical insurance settlement mode based on disease -based reimbursement，Under the principle of & ldquo; three same & rdquo;，Hospital My stake betting appof the same level，Reimbursement My stake betting appof the same price)，Increase differentiated reimbursement strength，Properly increase the reimbursement ratio of grassroots medical institutions。

 

  Fourth is to design a two -way referral process according to the disease.