Beijing: treatment, surgery and traditional Chinese medicine will be increased in due course

Beijing youth daily, December 15, 2017

Yesterday, "the implementation of the implementation of the reform of the medical and health system during the 13th five-year plan period" was officially released, and the 23 key implementation tasks of the six major aspects of Beijing health reform were determined. Among them, the health care price reform that the common people pay attention to will have some action next. Scheme is put forward, and will improve the diagnosis and treatment, surgery, rehabilitation, nursing, traditional Chinese medicine such as medical service price, to lower the price of large medical equipment inspection, the inspection items and medicines and chemical reagents, consumable price and cost.

Medical treatment, surgery, and traditional Chinese medicine will be increased in due course

The main concern of the common people is the issue of medical prices. The implementation plan is clear, the government price range will gradually narrow, the basic medical service price is dominated by the government, the price of non-essential medical services will be determined by the market. Implementation plan is put forward, and will improve the diagnosis and treatment, operation, rehabilitation, such as nursing, Chinese medical personnel technical services represent the value of medical services prices, lower the price of large medical equipment inspection, the inspection items and medicines and chemical reagents, consumable price and cost. In addition, the city will formulate a pilot scheme to reform the pay system of public hospitals, which will focus on the value of medical personnel technical services. At the same time, it is strictly forbidden to issue revenue indicators to departments and medical personnel, and medical personnel compensation should not be linked to the income of drugs, sanitary materials, inspections and tests.

According to the relevant person in charge of the municipal development and reform commission (NDRC), Beijing pharmaceutical separation reform has achieved significant results, the next stage, the city will continue through the synchronous linkage reform, squeeze out water price, further standardize drug whole process management, on the basis of fully cancel the drug addition, further bonus to cancel the medical consumables, to carry out the classification of procurement, encourage concentration belt quantity procurement, reduce procurement costs, pay for health care and medical service price reform to make room. Meanwhile, we will improve the compensation mechanism of public medical institutions and release the reform dividend.

The primary hospital referral patients will be able to give priority to the expert number

In addition, in grading diagnosis and treatment, the primary hospital referral patients will also implement the priority expert number. Implementation scheme is put forward, the future will gradually increase the proportion of tertiary hospital appointment register and the proportion of grassroots medical institutions registered referral, visit the priority to provide basic medical and health institutions of referrals real-name system to make an appointment.

Beijing will continue to promote the transformation of some first-tier hospitals into rehabilitation hospitals, with a plan to have 0.5 rehabilitation nursing beds for every 1,000 permanent residents by 2020. According to the municipal commission of health and family planning, from last year, two batches of 12 secondary hospitals in the city have been determined to be transformed into rehabilitation hospitals, and three more will be added next year.

The study carried out outpatient pay per head

There will also be a number of new breakthroughs in the reform of medicare payment. The implementation of the plan is clear. In 2017, Beijing will promote hospitalization in the third grade comprehensive hospital in the city and pay for the treatment of diseases, and promote it to secondary hospitals. For mental disorders and other diseases requiring long-term hospitalization and relatively stable daily costs, explore the bed daily payment; We will also study the practice of paying per head in outpatient clinics to guide patients with chronic diseases to visit the primary medical institutions. The reforms will cover all medical institutions and health services by 2020.

Beijing will also explore the establishment of a policy-based long-term care insurance system, which is expected to form an institutional framework by 2020. In addition, the medical insurance information system and the social security card system will be improved to better provide the direct settlement service for the hospitalization expenses of the prescribed long-distance medical treatment. At the same time, the information system and business processes of social security transfer in the beijing-tianjin-hebei region will be improved and optimized, so as to promote the sharing of insurance information and the mutual recognition of medical insurance.

Explore the medical industry service mark

Implementation plan is put forward, in comprehensive regulation, strengthening industry for the medical industry professional technical, part of the service is not easy to save the characteristics of objective evidence, it is difficult to accurately measuring will explore the medical industry service marks.

The "work of medical service incognito" will effectively complement and improve the price tag of some medical service items. It is understood that at present the city has been through in-depth representative comprehensive, specialized subject, community hospital research, to the existing more than 5000 generalizes the medical services, sums up the medical services of the need in evidence.

"As far as possible under the premise of not increase medical staff work, by the medical institutions through leaving marks, use of the existing carrier such as informed consent, operation records, nursing records, medical records, orders, etc., to improve the standard service record, and take signature, flicking code gun, methods such as wristbands for patients to accept to confirm the quality and price of medical services." City health office, said an official with the related health care services in evidence will fully protect patients' right to know, to choose and to supervise, also facilitate management necessary to carry on the investigation to for medical institutions.