Release date: 2014-08-22
This year, Beijing medical reform will further move into the deep water area, and the planning and layout of medical resources is listed as a top priority. In the future, the internal registration system of the medical association will give priority to referral patients. The scope of the pilot reform of the pharmaceuticals that have received much attention will be further expanded. This year's medical price adjustment will temporarily slow down. It is proposed to cancel the pharmacy of community health service institutions, pilot the one-child insurance first, and allow public hospitals to cooperate with social capital in the form of franchise rights... These will become the direction of medical reform in this city in the near future.
Registered priority medical union internal needs
A few days ago, Fang Laiying, director of the Beijing Municipal Health Planning Commission, said in an interview with the media that at the end of last year, Beijing had initially planned a five-ring medical service belt consisting of 33 hospitals or hospital districts in the surrounding areas of the Fifth Ring Road. In the future, in principle, Beijing Fifth Ring Road will no longer approve the establishment of a comprehensive medical institution for government administration, and strictly control the number and proportion of special needs services provided by the government to the society. Give more increments to social capital. Even if it is a social capital to run a doctor, it must follow the resource setting plan.
However, considering the high cost of overall relocation of the tertiary hospitals, the wide range of impacts, the large demand for supporting facilities, and the retention of historical and cultural factors, only a small number of hospitals have been relocated as a whole, mainly using tertiary hospitals to hold branches and upgrade the branch services. The capacity and scale, and the scale of the district area in the central area of ​​the city will gradually realize the outward disintegration of quality medical resources in the central city.
In addition, as of the end of June this year, Beijing has established 23 medical associations. Fang Laiying revealed that in the next step, Beijing will refine the grading diagnosis and treatment system. For example, the referral system within the medical association will be given priority in referral. The hospital can only adjust the large hospital if it meets the internal needs of the medical association. Crowded outpatient volume.
Medical service price adjustments slowed this year
From July 1, 2012, Beijing first tested the water and medicine in Beijing Friendship Hospital, canceled the 15% drug addition, and increased the medical service fees of 42 yuan, 60 yuan, 80 yuan. Subsequently, this policy was launched in five hospitals including Beijing Chaoyang Hospital and Beijing Tongren Hospital.
Fang Laiying said that for the separation of medicines, Beijing should continue to advance, and the separation of medicines should be combined with the medical insurance system and the price adjustment of medical services. As Beijing adjusts the price of water this year, the price adjustment of medical services may slow down. Therefore, the separation of medicines will continue to advance, but there is no specific timetable.
Proposed cancellation of community hospital pharmacy
Fang Laiying revealed that the city will also explore the reform of doctors' electronic practice registration, promote the electronic prescription of physicians and then cancel the pharmacies of community health service agencies. Because in the community health service agencies that implement the two lines of revenue and expenditure, after the zero-rate difference in medicines, there seems to be no need for pharmacies. It is more convenient for a prescription prescribed by a community doctor to take medicine at a retail pharmacy. But the premise is that the medical insurance follows the reimbursement of the retail pharmacy and can pay according to the electronic prescription. Therefore, to do this reform, we must first implement the doctor's electronic signature, implement the city's unified doctor identification, and must register electronically.
First pilot single child insurance
The city will also launch new initiatives to further encourage social education. The implementation of the health service industry will soon be introduced, and public hospitals will be allowed to cooperate with social capital in the form of franchise rights.
In terms of the policy reform of the one-child fee, Fang Laiying revealed that Beijing has already planned to first explore the insurance system and solve the problem of the family life security risk of the only child through insurance channels. However, the specific design of the program, Fang Laiying did not explain in detail.
Source: Beijing Morning News
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