Beijing to fully subsidize public hospital losses to curb excessive medical care

Because of the high cost of diagnosis and treatment, hospitals rely on more drugs, more open inspection orders and other excessive medical practices to increase hospital income, to fill losses. Yesterday, (Beijing) City Health Bureau officials said that the city will be through the loss of hospital projects to subsidize the full, promote clinical pathways, adjust the price of medical services, and other ways to alleviate the burden of people's medical care.　　This means that the health sector will reduce excessive medical care, such as multiple screening orders, through subsidies. -Policy interpretation enjoy financial subsidy first to score cost City Health bureau director of Finance Liu Jianmin introduced, the new financial compensation mechanism in the Chaoyang hospital last year, based on the pilot, this year will choose a mature hospital, further expand the scope of the pilot.　　However, one of the prerequisites is that the hospital must carry out the government-led cost accounting for medical projects, that is, to calculate how much the hospital losses, the government should make up the amount of money, otherwise can not meet the policy of loss subsidy policy. 15% increase in drug rate the city tried to abolish the compensation mechanism in public hospitals while promoting will also try to abolish the current public medical institutions 15% of the drug increase rate, improve the medical fees, increase the price of policy-deficit projects, the price of large equipment projects, so that all kinds of medical services to the price more reasonable. "We hope to start the reform of medical service prices as soon as possible, establish a more scientific price guarantee system and promote public hospital reform in many ways," he said.　　"Liu Jianmin said.　　Wang Jingshan, a member of Beijing medical Reform Group, said that the elimination of drug addition is the general direction, but how to cancel and cancel the compensation mechanism needs further study. Public hospital reform to curb the excessive medical public hospital reform as a key link in health reform, is regarded by all sectors as a "long-standing" problem. The Director of health reform Office of the Municipal Medical bureau said that at present, the Beijing public hospital reform pilot is carrying out various forms, including the project cost and the total cost accounting, the financial compensation policy, the clinical pathway and the DRGs (disease Diagnosis Related Group) promotion use in the big hospital.　　In the new round of medical reform in this city, the public hospital will be scientifically scientific in the price issue.　　Municipal health reform office related officials Frankly, this year, the city's public hospital reform is still in the groping and foundation stage, with all the relevant policies have been introduced, next year is expected to gradually push away.　　-Dialogue yesterday, the Director of the financial department of the Municipal Health Bureau Liu Jianmin and the head of the municipal medical reform office have answered questions about the cost of seeing a doctor, the state of public hospital management, and the pilot costing of public hospitals. 57% loss of medical projects the government will pay the full amount of money asked: At present, the operation of public hospitals?　　A loss? A: Beijing on the Chaoyang Hospital, Friendship Hospital, including the 8 comprehensive hospital project cost accounting results of comparative analysis, in more than 2000 medical projects, profit items accounted for 43%, loss items accounted for 57%, more than 50% of the medical projects have varying degrees of loss.　　Among them, nursing fee, treatment fee, outpatient registration fee, diagnosis and treatment fee, hospitalization fee all loss, especially hospitalization fee, the fee standard and cost input deviate more seriously. Q: Everyone thinks the Doctor is very expensive, checkThe cost is very high, how can the hospital still lose money? A: There is indeed an excessive medical phenomenon in hospitals.　　In addition, the patient's medical expenses out-of-pocket ratio is also caused by people to see one of the reasons. Although people think that it is expensive to see a doctor, some hospitals still make ends meet because the cost of the hospital is very high and the Government's compensation is not linked to the cost of the hospital. According to statistics, the average daily cost of diagnosis and treatment per inpatient is 107.20 yuan, including human costs, material costs, depreciation fees, and the actual fee is 7 yuan per person per day.　　Lower service prices and higher service costs between the price difference, the need for hospitals to obtain more drugs and other means to fill, so the emergence of "more inspection", "expensive" and so on.　　Q: What is the government's compensation for public hospitals? A: At present, the Government's annual compensation to hospitals accounts for less than 10% of the overall operating expenses of the hospital, and most of the cost of hospital operation depends on its own income. Some hospitals do have relatively tight liquidity and some construction projects can not be implemented in time, which will be improved with the policies of public hospital reform in place.　　At present, the city's financial compensation for municipal hospitals, including the basic funds and special funds, together with the hospital in accordance with the policy of medical service income, basically ensure the daily operation and development of the hospital.　　Q: How can the government compensate the hospital after the cost accounting experiment of Chaoyang Hospital and other hospitals?　　A: After the pilot cost accounting of Chaoyang Hospital, the government pays the full amount to the loss of the hospital project, and only part of it. The new financial compensation policy has changed the original basis of the "head" method according to the quota to compensate the fallback compensation for the expenses of the retirees, and through the establishment of the incentive compensation to encourage the hospital to improve the service level and reduce the medical cost. It fully embodies the public welfare and the incentive and lever effect of financial subsidy. At the same time, it also lays a good foundation for the future separation of medicine and the reduction of medical expenses for ordinary people.