: the central committee of the mechanism about reform and improve the services of traditional Chinese medicine in

Time: 2016-03-01

Source: kwangmyong

The central committee of the China council for the promotion of democracy

2014 national work conference on traditional Chinese medicine will "strive to promote the development of traditional Chinese medicine health services" as the main task, development of traditional Chinese medicine health services will be on the fast track. The latest release of traditional Chinese medicine health service development planning under the state council (2015-2020), clearly put forward to speed up the development of traditional Chinese medicine health service capacity requirements. However, the problems existing in the service input mechanism of traditional Chinese medicine, it restricts the development of traditional Chinese medicine service.

The main problem:

A, the government for less in traditional Chinese medicine. Increasing government investment gap between Chinese and western medicine, Chinese medicine expense accounts for the proportion of health from declining; The government financial input to the doctor of traditional Chinese medicine hospital of growth rate and per capita level is far lower than the general hospital, with the region, with the level of traditional Chinese medicine hospital personnel per capita funding level is far lower than the general hospital. Caused by a lack of historical debt more, long-term investment, the present situation of the weak foundation in Chinese medicine hospital, a copy is not simply to improve, many traditional Chinese medicine hospitals do not cover the charge.

Second, the current investment policy failed to really take care of the characteristics of traditional Chinese medicine. Because of the low proportion of fiscal subsidies, hospital operation and development mainly by revenue, "income belongs to oneself, disposal" policies lead to public hospitals seek to maximize economic benefits, but there aren't many Chinese medicine services and the price is low, making the special advantage of traditional Chinese medicine of TCM hospital. Statistics show that since 2003, the national Chinese medicine hospital of traditional Chinese medicine personnel basic did not increase, the ratio of the western and Chinese medicine personnel reduced year by year, hospital of traditional Chinese medicine acupuncture and moxibustion, massage, anorectal people often characteristic of traditional Chinese medicine hospitals diagnosis and treatment and the proportion of the total outpatient visits decrease; General hospital outpatient service of traditional Chinese medicine, combined Chinese and western medicine treatment of outpatient service person times is the fastest growing, hospital of traditional Chinese medicine treatment with combination of Chinese and western medicine is given priority to, take less than 1/5 of pure Chinese medicine treatment of the patients.

Three, the current service investment policy significantly influenced the traditional Chinese medicine of traditional Chinese medicine service provision. The current 7 categories in 97 Chinese medical service price project, nearly two-thirds of the traditional Chinese medicine medical service price project losses, traditional Chinese medicine (TCM) thin margins. In the current level of the price and personnel expenditure, and 44.0 ﹪ of the human cost of traditional Chinese medicine to pass medical services of traditional Chinese medicine, examined register of traditional Chinese medicine, Chinese medicine, Chinese medicine management and financial benefits compensation, this part of the cost only through providing laboratory examination and western medicine project service and compensation for the balance of the western medicine management way. Due to the unreasonable TCM services pricing, price and value serious deviation, lead to some effective Chinese medicine services can compensate the cost of the service, so when the doctor of traditional Chinese medicine hospital survival pressure, characteristic of traditional Chinese medicine diagnosis and treatment services for lack of power, or discard it. According to the survey, due to the traditional Chinese medicine medical service price is too low, 104 TCM medical service project, loss of traditional Chinese medicine between 100-200 yuan accounted for 73%. And hospital preparations for the procedures complex pricing standard is relatively low, high threshold, and many will not be in the health care reimbursement, etc. These are the features of traditional Chinese medicine the cause of the phenomenon of abating.

Fourth, government input mechanism of traditional Chinese medicine not form. The government's input mechanism of TCM was not well reflects its own laws and characteristics of traditional Chinese medicine, also did not according to the current situation of the development and difficulties of traditional Chinese medicine into care and tilt; The government for no clear and specific policy requirements in TCM, lack of effective guarantee and system guarantee.

Suggestions:

First, improve the government investment policy of Chinese medicine. One is the increase of Chinese medicine service projects, such as: treatment based on syndrome differentiation of traditional Chinese medicine, Chinese medicine yinpian swap, etc., to fully reflect the technical characteristics and the value of traditional Chinese medicine; 2 it is to adjust the traditional Chinese medicine medical service price, on the basis of cost accounting, can adjust the current price to make up for the basic service costs; Three is to establish a service practies fiscal subsidy system of traditional Chinese medicine, including both TCM medical service price reasonable subsidy of the project, also including a reasonable allowance for Chinese medicine services, explore subsidies directory set up special advantage of traditional Chinese medicine diagnosis and treatment projects, pilot, advance step by step. Fourth, actively explore to establish preventive care services of the compensation method of traditional Chinese medicine, promote the preventive care service provision and use of traditional Chinese medicine.

Second, set up the system guarantee of the government input of traditional Chinese medicine. Countries in the process of the relevant health care and health policy, the cause of Chinese medicine into the national economic and social programs focus on developing areas, clear the central government and local government in inheriting and developing traditional Chinese medicine career and to offer the responsibility for the services of traditional Chinese medicine. To ensure the current input and fully implement the policy. Strengthen the central government for TCM special transfer payments. The central and provincial financial shall gradually increase service system construction, talent cultivation of traditional Chinese medicine of traditional Chinese medicine, major disease prevention and control of traditional Chinese medicine and the folk medicine of ethnic development, rural and community of traditional Chinese medicine, Chinese medicine, Chinese medicine appropriate technology popularization of special transfer payments. TCM from growth rate should be equal to or higher than appropriate fiscal spending growth, the doctor of traditional Chinese medicine and health from the operating expense ratio should be increased year by year.

Third, setting up play special advantage of public input mechanism of traditional Chinese medicine hospital of traditional Chinese medicine. Ensure that each regional focus at or above the county level shall do a good job in a hospital of traditional Chinese medicine. Gradually increase in government spending, public organization expenses and development of traditional Chinese medicine hospital construction spending, including housing construction and renovation, large equipment purchased by the full financial guarantee, at the same level key discipline construction and so on by the financial aid at the same level; Retirees funds by the full financial guarantee at the same level or be incorporated into the social endowment security system guaranteed. By increasing fiscal subsidies and improve the medical service fee standards for hospital expenses, according to the certain standards for approval of services provided by the basic operation funds.

Four, establish encouraging Chinese medicine service priority provided by the national health care policy. Will be eligible priority into the urban employee basic medical insurance fixed-point medical institutions of traditional Chinese medicine institutions, urban residents medical insurance fixed-point institutions and the "new farming close" scope of the medical establishment that decide a dot. Will conform to the provisions of the preparation of traditional Chinese medicine diagnosis and treatment projects, Chinese medicine yinpian, hospital and proprietary Chinese medicine into the basic medical insurance for urban workers, urban residents medical insurance and the new rural cooperative medical fund to pay limits, gradually increase in reimbursement range of varieties of traditional Chinese medicine diagnosis and treatment projects and reduce the reimbursement starting line of traditional Chinese medicine, improve the reimbursement ratio of traditional Chinese medicine.