The June 26 change in the medical network may be faster and more violent than you expected.
▍ who planning commission: the latest reform in 100 cities
21, national health development planning commission website announced the launch of DRG accept payment reform pilot - this news in June 2, 2017 in the national health development planning commission website hanging out, this time once again stressed that market analysis, intended to release the DRGs reform further information on the market.
According to the information released by the health and family planning commission yesterday, the national health and family planning commission (NHFPC) held a pilot session in shenzhen, guangdong province, on a trial basis for the payment reform of the Diagnosis Related GroupSystem (DRGs).
Requirements, at the meeting, deputy director of the national health and family planning commission Wang Peian DRG accept payment reform pilot is one of the key tasks of health reform this year work, pilot areas province to work vigorously support pilot areas, and actively promote the conditional areas and medical institutions, according to the national pilot requirements to carry out the pilot work. He pointed out that domestic and foreign experience proves that the reform of payment method is an effective way to promote the reform of tri-med.
Public information, the pilot's three cities of public hospitals and three provincial hospitals to carry out the pilot, the guangdong province shenzhen, sanming city, fujian province, xinjiang uygur autonomous region of karamay are three pilot cities, xiehe hospital affiliated to fujian medical university, fuzhou, xiamen, the first hospital pilot three hospitals, the first hospital is a hospital.
By the end of 2018, the three pilots will make a preliminary assessment, with the pilot expected to expand to 50 cities by 2019 and expand to 100 cities by 2020.
Previously, shenzhen city, guangdong province, sanming city, fujian province, the xinjiang uygur autonomous region of karamay has respectively, has been clear about the number of medical institutions to participate in the pilot, also identified three provincial medical institutions in fujian province to participate in the pilot, formed the DRG accept payment reform pilot pattern of "3 + 3".
Earlier on June 2, the health development planning commission held in shenzhen according to the disease diagnosis related groups - pay reform pilot can, shenzhen will be 9 pilot reform of public hospitals identified as DRGs charge paid medical institutions, including 1 or 2 will be first to start the reform by the end of this year.
According to shenzhen health development planning commission, in May 2016, the shenzhen city planning department, the public hospital management center of shenzhen, shenzhen development and reform commission, the finance committee of shenzhen, shenzhen bureau of human resources department has set the shenzhen joint cooperation, to carry out the medical record home page data standardization, format, information, analysis of the medical record data grouping and work.
Before the country's pilot cities, shenzhen began to experiment with the charging model.
Publicly reported, according to the fujian sanming, starting in 2016 to carry out the hospitalization cost all work by macro-reforms, local health departments identified in 609 patients, the disease such as appendicitis, it is divided into "with composite diagnosis appendectomy, accompanied by general complications or with disorder," such as four types. The health care department pays the fixed standard to the designated medical establishment. If the hospital can save money by improving management or streamlining the process, the savings can be included in the hospital's medical income.
In fact, in recent years, DRG has formed a consensus on the regulatory floor.
In early 2017, the national development and reform commission website on the proceed with the press disease to plant the charge notice, by the national development and reform commission jointly with the planning department, human resources and social security jointly issued a notice, announced in 2011 to further expand the scope, on the basis of pilot diseases is carried out for 320 kinds of fees, and published the leukemia, lung cancer, breast cancer, cervical cancer, diabetes and other diseases directory, for the local charge in advance according to the disease.
▍ enterprises: Chinese traditional medicine "hurt"?
In front of DRG, which is rapidly spreading from top to bottom, the traditional Chinese medicine products that are often used as auxiliary drugs may be experiencing different tastes.
Deputy to the National People's Congress, jiangsu kang edge group chairman Xiao Wei previously publicly over the issue, said a new round of the process of deepening reform, countries will take 'press macro-reforms, measures such as to determine the base varieties of medicine and health care catalog and pricing, this is reasonable control medical costs, reduce the burden of the masses has a positive effect, should vigorously support - "but' press disease to pay is likely to lead to the use of traditional Chinese medicine cannot submit an expense account or affect the development of Chinese medicine, this is also should not be ignored in the reform."
Xiao Wei said, "according to macro-reforms" "diseases" in the basic use of disease in western medicine, Chinese medicine base product or medicare varieties, however, many traditional instruction under the function of attending the lack of western medicine of disease, because of its "reserved seats", will inevitably lead to proprietary Chinese medicine face cannot reimbursement, it will severely restrict development of traditional Chinese medicine industry.
He suggested that, given the current number of proprietary Chinese medicine lack of western medicine of disease, the government should be issued by the competent department of integrated traditional Chinese medicine, western medicine of disease - card table, by "disease" in order to pay.
Prior to that, "guangzhou daily" report, industry observers say, DRG might mean for the most part in drug market share hospital channel, will lead to an "earthquake", related disease drug firms will be "there" in the field of medicine.
According to the analysis, the clinical medicine or suffered a sharp decrease. "Now advocates combining Chinese and western medicine treatment, but in the field of major diseases, treatment of TCM basic as auxiliary means, and a lot of proprietary Chinese medicine prevention and treatment of this is kind of medication, so in the case of price control, this kind of critical medicine might not open or short." "Said the person.
In fact, many other countries, including Beijing and shandong, are also exploring the possibility of Chinese medicine packaging as a "disease" package.
May, weihai price bureau announced "about continue to perform the first advantage of traditional Chinese medicine disease according to the disease to charge items and standards of notice after 2015, health and family planning commission, the city of weihai, human resources and social security bureau issued a" about public press disease in weihai city advantage of traditional Chinese medicine disease and charge standard notice (price hair [2016] no. 16), and expanded the number of pilot diseases to 36, pilot range from the traditional advantage orthopaedic disease to extend to other advantages of traditional Chinese medicine disease, all diseases is carried out.
Measurement data from weihai price bureau, 36 advantages of traditional Chinese medicine disease to charge standard of single diseases accounted for about 89% of the western medicine charge standard, since the pilot work, save the spending of more than 3400 patients with 3400 yuan over the save medicare spending more than 2600 ten thousand yuan, the Chinese medicine treatment of orthopedic diseases and other advantages diseases patients were increased by 100% and 30% respectively compared to the above. |
