Medical network - February 7 this year, guangdong will fully implementing medical treatment, medicine, health care "3 d linkage" reform of public hospitals, among them, the adjustment of medical service prices become an important part. Recently, the development and reform commission of guangdong province Health and family planning commission of guangdong province Human resources and social security hall of guangdong province Issued by the departments of guangdong province "the implementation opinions to push forward the reform of the medical service price > notification" (hereinafter referred to as "opinions") issued by the, clear before the end of July, led by the provincial development and reform commission to the central, provincial in guangzhou army, armed police, the public medical institutions price adjustment plan, price policy, according to legal procedure, including guangzhou, the province around the city, also must be issued before the end of July the region public medical institutions of medical service price adjustment plan.
"Opinions" clear, the medical service price reform will focus on five kinds of price adjustment. At the same time, the reform will have on children under 6 years old (including) the general treatment, clinical diagnosis and surgical treatment of part of the project adopted a policy of not more than 30% of the charge.
Medical service price will be classified management
As the focus of the reform of public hospitals in the province, "opinions" clear, will make the medical service price adjustment space, including the surrounding public hospital reform, cancel the bonus to drugs and consumables. And public hospitals thus reducing the reasonable income (including the cost such as storage, preservation, loss, hereinafter the same), in principle, in accordance with relevant provisions of the three years preceding the reform policy of bonus amount determined, the average 80% by adjusting the medical service prices to compensate. On this basis, through the centralized purchasing, health control, regulating the behavior of diagnosis and reduce the cost such as medicines and chemical reagents, equipment, consumables, strictly control the unreasonable inspection fee.
"Opinions" clear, the future medical service price will be classified administration of guangdong province. Among them, the public medical institutions to provide basic medical service prices were set by the government and human consumption, the cost of the main value of medical personnel technical services, technical difficulty and risk degree of medical services, public hospital comprehensive reform pilot city to explore is dominated by the government, stakeholder negotiation form the price mechanism. In addition to the public medical institutions to provide basic medical services, the rest of the medical service market regulation.
Children under the age of six part treatment will charge no more than 30%
As the focus of the reform of the medical service price, "opinion" of "structural adjustment of medical service prices" made specific provision, according to the principle of total quantity control, structure adjustment, the key to improve diagnosis and treatment, operation, rehabilitation and nursing, traditional Chinese medicine value of medical personnel technical services such as medical service price, to lower the price of large medical equipment examination treatment and inspection, etc.
Pricing method for a specific project, "opinions" clear, the effective fractures, nursing, beds and traditional Chinese medicine, acupuncture, moxibustion, massage therapy, such as project, mainly adjust the price according to the project cost. Large medical equipment inspection treatment projects, the government investment purchase of large equipment, after deduct depreciation cost, check the price. Conform to the planning and related policy loans or to raise money to purchase large equipment, according to by the government after deducting depreciation of the repurchase price, buy back is difficult to lower the price of inspection within a time limit. At the same time, support the development of pediatric specialist children's hospital and other hospitals, for children under 6 years old (including) the general treatment, clinical diagnosis and surgical treatment of part of the project adopted a policy of not more than 30% of the charge.
Examined different title of physician fee gap
At the end of last year, Beijing friendship hospital, chaoyang hospital, Beijing tongren hospital, jishuitan hospital and the temple of heaven hospital five 3 armour hospital the registration fee has surged. Number of ordinary doctor of doctor of vice director of 42 yuan, 60 yuan, 80 yuan, director of the physician, visit the source of 100 yuan.
The cantonese version of medical price reform opinions also explicitly, implements the tiered pricing, according to the levels of medical institutions, medical level and factors such as market demand, set different prices for medical service, the price gap, reasonable guide patients go to a doctor. The same local price gap between adjacent levels of medical institutions is highest do not exceed 10%. Different physician examined the cost of professional and technical titles gap, on the basis of the attending physician and examined the following physician fee, all can be combined with the actual, reasonably determine the attending physician more than professional and technical titles physician examined the addition rate of the fee.
Expanding the scope of the service unit according to disease, according to charge
The reporter understands, based on the principle of the public hospital reform, public hospital medical out separating, cancel the bonus "drug" is the trend of The Times. Medicine separate behind, however, is not only a registered rising costs, and drug expenses down so simple, but deepen the price and the reform of the medical treatment, health care, medical policy linkage.
Among them, the "opinions" requirement, led by human resources department of social security, the competent pricing department and promote the reform of medical service charge way family planning department of public health, expand the scope of service units according to disease, according to charge, gradually reduce the number of charging per project; City public hospital comprehensive reform pilot area, a disease is paid by the disease to no less than 100; In addition, the province will also set up public medical institution within the scope of medical cost and time (bed) cost, inspection income proportion, medicine proportion, outpatient and hospitalization people monitoring indexes such as reporting system on a regular basis.
Adjusted price will be included in the reimbursement of medical services
"Opinion" also demanded that people club department should be in accordance with the relevant national and provincial the requirement of deepening the reform of medical insurance payment system, implementation of the medical service price will be adjusted in accordance with the provisions incorporated into the scope of coverage. Total amount of pay of insurance of primary medical treatment at the same time, and how to carry out comprehensive control, combined with the inpatient and outpatient macro-reforms is carried out as a whole is given priority to, capitation payment, pay by service units, such as compound payment method, encourage conditional area to implement according to the disease diagnosis related group (DRGs) payment method. According to the principle of "balance retention, overruns share", accelerate the establishment of various kinds of orgnaization of agency of insurance of medical treatment and the medical establishment that decide a dot between public, equal negotiation negotiation mechanism and risk sharing mechanism. |
