April 8 is the "comprehensive reform of the implementation of the Beijing Municipal Medical Separation Program" officially implemented on the first day, the outpatient clinic reached 250,000 people, the patient experience in the end how? Has the price of a visit to the doctor gone down?
Medicare patients pay 2 yuan out of pocket for general outpatient services at second-tier hospitals
On the morning of the 8th, the person came to the Peking Union Medical College Hospital, Tongren Hospital, and Puren Hospital, three hospitals in the lobby of the outpatient building with a health care reform counseling desk. According to media reports, as of 6 p.m. on the evening of the 8th, Beijing's medical institutions at all levels were running smoothly, with 250,000 outpatient visits.
Medical service fees were clearly posted on the hospitals' publicity boards. According to some patients at Puren Hospital, they didn't pay much attention to the change because "medical insurance card registration is directly reimbursed," and the fee for medical services at second-tier hospitals is actually only 2 yuan out-of-pocket.
According to the official program previously released, the general outpatient medical service fee for tertiary hospitals is 50 yuan, while that for well-known specialists is 100 yuan, with both reimbursements amounting to 40 yuan; the general outpatient medical service fee for secondary hospitals is 30 yuan, with a reimbursement of 28 yuan, and that for well-known specialists is 90 yuan, with a reimbursement of 30 yuan.
Beijing Municipal Health Planning Commission director Fang Laiying introduced, the essence of medical service fee, is the medical institutions to cancel the drug markup and registration fees and diagnostic and treatment fees, its operating costs, and to provide patients with diagnostic and treatment services to the compensation of the medical team.
Overall drug prices fell by 20%
The other major change in Beijing's health care reform is reflected in drug prices. The program provides for the abolition of the 15% drug markup in public medical institutions. The implementation of zero-difference rate sales is a major core of this reform, but also seen as the key to break the mechanism of medicines to compensate for medical care. The program clearly implement the sunshine procurement of drugs, the method is to all the drug manufacturers to open the drug quality indicators, the national bidding price, to the public medical institutions procurement, use and varieties of changes in information to break the opaque state of drug prices and other information in the past.
A medical staff member at Tongren Hospital said that more than four years ago, Tongren Hospital had realized a 15 percent reduction in medicine prices, and after this health care reform, the prices were again reduced by 8 percent. Gao Xiaojun, spokesman for the Beijing Municipal Commission of Health and Planning, said that after sunshine purchasing, the overall drug prices dropped by 20 percent. On the first floor of the outpatient department of Tongren Hospital is placed in the price of drugs comprehensive query machine, bisoprolol fumarate tablets, for example, the query machine shows that the current price of 28.5 yuan for a box of the hospital's medical staff, said the box of drugs in the past is 30 yuan.
The reporter also found through the "Beijing medicine sunshine procurement comprehensive management platform" website query, a box of Yunnan Baiyao aerosol price is 29.26 yuan, before the health care reform in Beijing Zhongguancun Hospital opened the price of 33.64 yuan.
Taking pictures is cheaper
The reform also adjusts the prices of 435 medical services, both upward and downward. The program provides for upward adjustments in the prices of nursing, traditional Chinese medicine, surgery and other items that reflect the value of the technical labor of medical personnel, and downward adjustments in the prices charged for large-scale inspection equipment, such as CT and MRI.
Hou Changmin, director of the financial department of Tongren Hospital, told reporters that head CT was reduced from 180 yuan to 135 yuan, nuclear magnetic from 850 yuan to 400-600 yuan, PET/CT from 10,000 yuan to 7,000 yuan.
And in Puren Hospital, a patient who had just finished a nuclear magnetic examination and filming told CNN that the nuclear magnetic examination cost more than 500 yuan and the filming more than 130 yuan, and she was under the impression that the filming used to cost 160 yuan.
In terms of increases, the general bed fee was raised from 28 yuan to 50 yuan; the cost of secondary care was raised from 7 yuan to 26 yuan; appendectomy was adjusted from 234 yuan to 560 yuan; and acupuncture was raised from 4 yuan to 26 yuan, among others. The static measurement of 405 diseases through the health department shows that after the reform, the average decrease in outpatient sub average cost is 5.11%, and the average increase in inpatient case cost is 2.53%.
Hospitals experience "New Year's Eve", foreign medical care has a bitter
For the articulation of Beijing's health care reform, the major hospitals have been preparing for a long time, especially in the evening of April 7 to the early morning of April 8, on the Internet, some doctors call this time period for the "Beijing health care reform across the night."
A medical staff member at the healthcare reform counseling desk at the Union Hospital told CNN that the lights in the outpatient building were turned off only after 3:00 a.m. on the morning of the 8th, and that she rested with her eyes closed for only two hours before going into work on the first day of the healthcare reform.
Li Qian, a staff member of Tongren Hospital's publicity center, revealed that zero o'clock on the 8th was the node of system update, but some problems needed to be adjusted, so some relevant departments of the hospital were on standby, and had to double-check that the prices had been changed.
However, the work of Beijing's health care reform is not a "New Year's Eve" is over.
Despite Beijing's efforts to encourage patient triage, some patients still choose to go to higher-level hospitals for a variety of reasons. A parent who took her child to Tongren Hospital for treatment of rhinitis told reporters that a second-tier hospital let her child undergo surgery, but when she went to Tongren Hospital, the doctor recommended medication. Some foreign patients who came to Beijing for medical treatment said that the phenomenon of medical service fees may not be reimbursed, the burden of hospitalization fees or aggravation will still bother them.