Before the end of 2012, Shenzhen will completely abolish the drug addition system in public hospitals and eliminate the drawbacks brought about by “remedy for medicineâ€. This was learned from the Shenzhen Health and Population Planning Work Conference in 2012.
Jiang Yuping, director of the Health and Population Family Planning Commission of Shenzhen City, said that there are still many problems and difficulties in the current health plan for Shenzhen's population. For example, the government has not established a coordinated, unified, and efficient public hospital management system. The long-term mechanism of “doing with medicine†harms the public welfare nature of public hospitals; lack of communication, understanding, and trust among doctors and patients; and the total amount of health resources is insufficient. The distribution is unreasonable, large hospitals have long queues for doctors, and private hospitals need to be further improved in terms of grade, market share, and service level.
Jiang Yuping said that before the end of 2012, the drug add-in system will be completely eliminated in public hospitals in Shenzhen. To achieve this goal, the following four initiatives will be taken:
The first is the establishment of pharmaceutical service fees. According to the average medical service cost in the first three years of public hospitals, the average medical service fee for each outpatient unit and each hospitalization day is calculated as a separate charge item, which is included in the scope of social medical insurance reimbursement. The second is to promote the reform of the medical service payment system. According to the 321 clinical pathway standards issued by the Ministry of Health, and referring to the single-disease payment measurement method introduced by the Shenzhen Social Security Department, a single-disease “fixed-quota, lump-sum†benchmark fee standard was established, and hospitalized patients were paid according to the type of disease. The third is to adjust the price of some medical services. Under the premise of total amount control, the prices of diagnosis and treatment services that embody the value of medical personnel's technical services, especially the operating expenses, consultation fees, and nursing care fees, should be appropriately increased. Fourth, the financial subsidies policy losses. The implementation of the above-mentioned reform measures will cause policy losses to hospitals and will be compensated by financial funds to ensure that public hospitals will achieve a balance between revenue and expenditure.
While reforming the mechanism of “doping with medicineâ€, it will also promote the third-party mediation mechanism in all public hospitals, improve the doctor-patient communication mechanism, improve the transparency of medical and health service information, and resolutely crack down on illegal medical practice and “medical supportâ€. Doctors, etc., to improve the doctor-patient relationship.
In addition, Jiang Yuping said that it will also address the policy bottleneck of restricting the development of private hospitals such as land use, investment returns, tax reductions, and talent introduction to support the development of private hospitals. It also put forward the goal of private hospitals with a market share of more than 30% by 2015.
Jiang Yuping, director of the Health and Population Family Planning Commission of Shenzhen City, said that there are still many problems and difficulties in the current health plan for Shenzhen's population. For example, the government has not established a coordinated, unified, and efficient public hospital management system. The long-term mechanism of “doing with medicine†harms the public welfare nature of public hospitals; lack of communication, understanding, and trust among doctors and patients; and the total amount of health resources is insufficient. The distribution is unreasonable, large hospitals have long queues for doctors, and private hospitals need to be further improved in terms of grade, market share, and service level.
Jiang Yuping said that before the end of 2012, the drug add-in system will be completely eliminated in public hospitals in Shenzhen. To achieve this goal, the following four initiatives will be taken:
The first is the establishment of pharmaceutical service fees. According to the average medical service cost in the first three years of public hospitals, the average medical service fee for each outpatient unit and each hospitalization day is calculated as a separate charge item, which is included in the scope of social medical insurance reimbursement. The second is to promote the reform of the medical service payment system. According to the 321 clinical pathway standards issued by the Ministry of Health, and referring to the single-disease payment measurement method introduced by the Shenzhen Social Security Department, a single-disease “fixed-quota, lump-sum†benchmark fee standard was established, and hospitalized patients were paid according to the type of disease. The third is to adjust the price of some medical services. Under the premise of total amount control, the prices of diagnosis and treatment services that embody the value of medical personnel's technical services, especially the operating expenses, consultation fees, and nursing care fees, should be appropriately increased. Fourth, the financial subsidies policy losses. The implementation of the above-mentioned reform measures will cause policy losses to hospitals and will be compensated by financial funds to ensure that public hospitals will achieve a balance between revenue and expenditure.
While reforming the mechanism of “doping with medicineâ€, it will also promote the third-party mediation mechanism in all public hospitals, improve the doctor-patient communication mechanism, improve the transparency of medical and health service information, and resolutely crack down on illegal medical practice and “medical supportâ€. Doctors, etc., to improve the doctor-patient relationship.
In addition, Jiang Yuping said that it will also address the policy bottleneck of restricting the development of private hospitals such as land use, investment returns, tax reductions, and talent introduction to support the development of private hospitals. It also put forward the goal of private hospitals with a market share of more than 30% by 2015.
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