To break new medical reform of medical institutions "to support drug treatm
November 23, the National Development and Reform Commission issued a new health care reform is another important supporting document "Reform Drugs And medical services and the views of the price formation mechanism "(hereinafter" Opinion "). Raise the price of medical services, lower drug prices, a "view" the contents of most concern. Experts said the price of medicines and medical services, the formation mechanism of reform is a continuation of the new medical reform ideas, focusing on medical institutions to solve the problems with drug dependent doctors.
"Provide consultation fees, lower drug prices" is the "view" the contents of most concern. Development and Reform Commission in the "Opinions" in the clear, should further improve the relationship between health care parity. In regulating the price of medical services based on projects, appropriate to improve clinical treatment, nursing, surgical and other medical personnel for technical services reflect the value of the price of medical services.
Provide consultation fee to promote the "technical support of medical treatment"
"This should be a right direction to adjust the structure of hospital revenue, and promote the improvement of. Medicines revenues accounted for more than half of hospital revenues, while doctors can best embody the values, the most technical content of health care services not money, this is indeed a big problem. "Shanghai Labor and Social Security Committee, deputy director of Young Scholars Institute, Shanghai Jiaotong University, Zhang recorded law teachers told Die Zeit reporter.
Low cost medical treatment, is indeed rather subjected to severe criticisms. Shanghai Officer Second Class Hospital doctors told the Times, a weekly newspaper reporter, Shanghai's medical expenses since 1993 is not mentioned on now seriously out of the market price. In contrast, Guangzhou was the first year or two once the cost of medical services, which is more backward and out of line in Shanghai, especially in projects related to dentistry, the charge gap is evident.
Reporter found the website of the relevant Hospital, Yan Chai Hospital, Shanghai hospitals of the clinic fee is 14 yuan, 20 yuan, MD, is director, deputy director of the physicians was 17 yuan. A difficult heart transplant, Yan Chai Hospital charges 3,510 yuan, however, this is the hospital operation marked the highest price. Care prices are relatively low, a care fees to 10 per day.
The "opinion" clearly calls for increased medical services, the Shanghai Ruijin Hospital approved the President ZHU deeply. He believes that the biggest problem with public hospital reform is how to play the enthusiasm of the medical staff. Adjust the price of medical services is to promote medical institutions from the "drug dependent doctors" to "Medical technology support" changes. Improved medical services, doctors sunlight through technology access to legal income, they will not go for the rebate checks to open a large and expensive prescriptions, so as to enter a virtuous circle.
However, Lu-law told reporters: "" opinions "expressed very scientific, however, the scientific statements and practice of science between the gap still exists, many claim is difficult to control them. Just like to mention consultation fee down drug prices, good idea, but referred to what extent consultation fees, drug prices can be reduced to what extent, will press the hyacinth float pans, income structure of a qualitative change, the overall costs and not down. This is very scary. must have the appropriate complementary measures to keep up. "
Mixed hospital The "Opinion" The introduction of the hospital for mixed. Improve the medical services at the same time, "Opinions" compensation mechanism reform of medical institutions, medical institutions, the phasing Sell Drug Addition. After the abolition of medicines in public hospitals plus the reduced income from the two filled: on the one hand by increasing the financial benefits, on the other hand raise the price of medical services and a "dispensing fee" program and other measures necessary to compensate.
"This may soon be ineffective." Lu-law have a bit pessimistic. "In the Chinese market, sales of drugs by hospitals, 70% -80%, so the hospital has a strong dependence on drugs, more drugs on the high feelings. As long as there exist additive drugs, drug manufacturers and between hospitals interest to drug dependent doctors also difficult to break. "
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