Start the service payment reform of traditional Chinese medicine in anhui

Selected 13 appropriate technologies corresponding to 15 clinic of traditional Chinese medicine disease into the outpatient reimbursement, 10 advantage of hospital of traditional Chinese medicine disease by macro-reforms, 40 for pilot hospital medical body pioneer of Chinese

Time: 2016-05-16

Source: China's traditional Chinese medicine

Author: Wang Jixue

Report from our correspondent (reporter Wang Jixue) health and family planning commission in anhui province, anhui province administration of traditional Chinese medicine recently issued by the appropriate technologies and advantages of Chinese medicine in anhui province disease payment reform pilot work plan ", start the appropriate technologies and advantages of traditional Chinese medicine disease payment reform pilot work.

Solution is clear, the first selection of insertion method, massage therapy, moxibustion therapy, needle knife therapy, ear pressure therapy, cupping therapy, fumigation therapy, acupoint sticking therapy, acupuncture point injection therapy, acupuncture bloodletting therapy, manual reduction therapy, splint external fixation therapy, acupuncture and other 13 Chinese medicine appropriate technology, the corresponding stroke, lumbago, bi, facial paralysis disease involving the bone/knee and shoulder coagulation disorder, headache, bi disease, partial bi, elbow, wrist muscle injury, dysmenorrhea disease fatigue, insomnia, stiff neck, fracture disease, injury muscle disease/ankle sprains 15 outpatient service disease outpatient according to macro-reforms, quota standards according to the local hospital of traditional Chinese medicine for comparison.analyze the costs of hospitalization time were 70% or reference standard services act to measure actual cost, new farming pay close fund proportion by reference to the average hospitalization for comparison.analyze the actual compensation ratio from the previous year. Stroke, lumbago disease, involving the bone/knee bi, accumulation, lung distension, bi disease, mixed hemorrhoid disease, a broken collarbone, humerus fractures, leukorrhagia disease 10 hospital of traditional Chinese medicine such as advantage by macro-reforms, quota standards according to the local general hospitals at the same level with the disease about 90% of the cost of hospitalization time all certain, the proportion of new farming and fund pays for comparison.analyze general hospital one year is based on the actual compensation ratio increased by 5 to 10%, individual pay scale down 5 ~ 10%.

Schemes to determine the county medical community pioneer (city, area) the county hospital for pilot hospital of traditional Chinese medicine. In other parts of the Chinese medicine hospital and general hospital regions can be performed according to the county level. Pilot work will adhere to the "pilot, step by step, the scientific measurement, dynamic adjustment, curative effect is preferred, standardize services, patient pay equal attention to, and win-win" principle, strive to achieve burden of patients can reduce and affordable medical insurance fund, the advantages of traditional Chinese medicine have to display the traditional Chinese medicine health care goals.

Pilot work will begin in July 2016, before that, the request as soon as possible the pioneer for the region's dominant species of traditional Chinese medicine and traditional Chinese medicine appropriate technology payment reform pilot work plan, reported to the provincial health and family planning commission, provincial administration of traditional Chinese medicine examination and approval before implementation.

Around according to the plan calls for the local actual situation, the establishment of appropriate technology and advantages of traditional Chinese medicine disease to "access" mechanism; The pilot into disease patients, hospitals should take the initiative to inform duty; Publicity system should be established and to carry out the advantages of traditional Chinese medicine disease, clinical pathway, fee standards, reimbursement ratio, incorporated in the outpatient reimbursement of disease names and their appropriate technology of Chinese medicine clinics, charging standards, services and content items should be in the prominent position of the public, accept social supervision. At the same time to strengthen organizational leadership, organization staff training, strengthen the monitoring and evaluation, strengthen the propaganda guidance, etc.

There are 40 counties in the province medical body pioneer. D a total body by county-level hospitals (including county people's hospital and county hospital) led by cooperation with a number of towns and townships, close technical cooperation, the unified deployment of human resources and cost accounting of medical service, unified member unit of performance appraisal. Reform of medical insurance fund for the county of couplet of medical payment, implement capitation all-in budget, total cost overruns principles do not fill, balance all the retention.