New medical reform package August expected to focus on the debut

Source: Internet
Author: User
Keywords Drugs medical institutions
Tags basic community consolidation development development and reform commission different financial health insurance
4 months after the announcement of the overall plan for the new health reform, a series of operational packages are expected to be unveiled. This reporter from all sources learned that more than 10 new medical reform package has been formed, is expected to be announced in succession next month.  Among them, including the National Development and Reform Commission led the development of three programs, the Ministry of Human Society led the eight supporting documents.  In fact, the new medical reform package has been introduced, June 22, the Ministry of Civil Affairs released the "on the further improvement of urban and rural medical assistance system", July 13, the Ministry of Health released the "on the consolidation and development of new rural cooperative medical system" views.  However, the key reforms in the new health reform, such as public hospital reform pilot, the basic drug system, medical price mechanism and other operational programmes are still in the "boudoir." "Essential drugs will first be used at the grassroots level. "July 12, in Beijing, the seventh session of the World Health economic Assembly intermittent, Health Minister Chen Zhu told this reporter, according to the basic medical institutions and urban hospitals of different characteristics, will be appropriate to adapt to the two conditions of the basic drug system rules."  At the same time, a series of basic drug systems, including a catalogue of essential medicines, is expected to be published in August. Key operation Plan August according to our correspondent from the National Development and Reform Commission Social Affairs Department of the relevant people learned that the national Development and Reform Commission led the formulation of the medical reform package has roughly three areas.  Including the pricing mechanism of medicine price, the training of general practitioners and the construction management of primary medical institutions. "Basically has been formed, further request the relevant Ministry of opinion after the external release."  "The National Development and Reform Commission Social Affairs Department related personage discloses. Price is the core point of the market system. And as the production of special products of the pharmaceutical industry, in recent years has been under government control. But where is the border of government control-which medicines need government pricing and how to price scientifically?  has been the primary proposition of the pricing department, but also the most sensitive link in the pharmaceutical industry. According to our correspondent, the reform and development of the new medicine price reforms, in many places will appear more obvious adjustments, including the government's drug pricing range, "let go" part of the drug pricing power, the drug increase policy from the price increases by the same rate increase or differential fare increase.  In addition, the price of medical services reflects three points of thought, that is, the appropriate increase in medical technology services prices, medical services grading pricing, medical supplies limit price. "In the pharmaceutical pricing, we must explore the stakeholder negotiation mechanism."  "July 13, at the seventh session of the World Health Economic Assembly, the Ministry of Health Planning and Finance Division director of planning prices Ushley said that the drug price formation mechanism will eventually be completed in the" market. "  In the formulation of the new medical reform package, as the department in charge of Medical insurance, the supporting policies of the Ministry of Human society are mainly focused on the reform of medical insurance system. "We lead eight supporting documents, now out of four." "July 11, at the Guanghua School of Management, Peking University, USA Express SCRI." The "Health Productivity and Science Development Forum", organized by TS Corporation, Yao, director of health insurance at the Department of Health Insurance of the Ministry of Social Affairs, said that policies had been introduced to start the townThe residents medical insurance pilot, the solution bankrupt enterprise personnel participates in the Medicare policy, the consummation urban and rural medical assistance system, the health information statistic system. Yao revealed that the Ministry of Social Affairs will also introduce a series of health care system reform package.  It includes further improving the efficiency of medical insurance funds, solving the problems of doctors in different places, the transfer of health insurance for migrant workers, strengthening the capacity building of medical service and improving the level of co-ordination.  According to our correspondent to learn from the various channels, the new reform of the key reforms, such as public hospital reform pilot, the basic drug system, medical price mechanism, such as operational options, is expected to debut in August. The list of basic drugs "slimming" "originally said that the end of the April plan, to now did not come out, not to put ' Shine '." "July 11, the Ministry of Health Drug Policy and Basic Drug Systems Division director Zhenghong said that the reason has not yet issued a national basic drug policy, from the directory itself, the parties have different views.  At the same time, the relevant measures have not yet been completed, such as basic drug pricing, medical reimbursement, the use of health facilities. Zhenghong revealed that the current list of essential drugs have been completed, including Chinese Medicine and Western medicine a total of more than 300 kinds.  A lot more "slimming" than the original catalogue. "The main object of the catalogue adjustment is Chinese herbal medicine.  Hu Shanlen, director of the Center for Drug Economics Evaluation and Research at Fudan University, told reporters that the initial list of basic drugs was about 600, and the main range of compression was "one product, one factory" type, that is, only one manufacturer of Chinese herbal varieties. There has been controversy about the basic drug system from concept to concrete policy formulation.  In view of this, policymakers adjusted the implementation strategy, that is, pilot. According to Zhenghong, the basic drug system should be implemented in 30% of the country before the end of this year.  That is, 30% of the government-run urban Community health service institutions, township hospitals to implement. "30% means that every province in the country needs 30% of the county's grassroots institutions to implement the basic drug catalogue system." Zheng said that at present, more than 20,000 primary medical institutions nationwide, more than 9,000 of them belong to the government.  30% means that more than 3,000 primary medical institutions will implement the basic drug system.  The delay in the introduction of the basic drug policy also stems from the specific operational problems faced. Do more than 300 kinds of essential drugs meet the needs of different regions? Zheng said that when the draft was issued to the Midwest region, the general comparison of the catalogue approved. But the eastern region reflects that the catalogue contains only hundreds of drugs, too few.  such as the current Beijing, Tianjin, the community of basic drugs directory is four hundred or five hundred species respectively. "The central government has also taken into account that there will be a certain amount of room for adjustment, allowing local authorities to increase access to the community and hospitals under the unified guidance of provincial governments."  "Zhenghong said. In addition, how can financial aid be given? According to the request of the new medical reform, the primary medical and health institutions organized by the Government are all equipped with and use essential drugs, and the zero difference rate is sold according to the purchase price.  The loss of medical institutions resulting from financial assistance. Public and private primary medical institutionsCan the same benefit be obtained? "Government-run medical institutions have passed financial compensation, and other medical institutions have not been able to do so." Zhenghong said that private primary medical institutions have not been included in the scope of financial assistance, if the replenishment, the need for cost accounting, more difficult.
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