In 2017, the comprehensive reform policy of public hospitals was comprehensively pushed forward, and by the end of September, all public hospitals across the country canceled the drug markup. This means that they can no longer rely on drug revenues, and shift the compensation mechanism to operate through the medical service itself.
This is a real setback for the huge public healthcare system. Check out the health statistics yearbook, drug revenue accounted for more than 40% of the total revenue of public hospitals. In accordance with the deployment of the reform, the reduction of the increase in revenue will be made up by adjusting the price of medical services and increasing government subsidies.
Most cities have adopted the "901" "811" "721" approach to compensation, that is, 90% or 80%, 70% through the Medical service price adjustment, 10% or 20% by the government subsidies, 10% by the hospital. Some places are pushing forward the reform of the band purchasing of medicines and consumables and the reform of the payment method of the medical insurance, so as to coordinate the compensation in general. After the reform, the proportion of drug revenue in some places dropped to below 40%.
From the current point of view, public hospitals have not yet seen relatively large fluctuations in external governance, internal management need to convert the mechanism, which requires a process. The hospital through the medical service price adjustment, strengthen the internal management, can dissolve due to the abolition of drug markup brought about by the reduction of income. Drug distribution companies react faster, coupled with the two-ticket system, procurement policy adjustments and other policy changes, industry mergers and acquisitions will be accelerated, the next step, the need to further improve the public hospitals to maintain public welfare, mobilize enthusiasm, to ensure the sustainability of the operation of the new mechanism and a scientific and reasonable compensation mechanism.
For public hospitals, compensation channels change after facing a major challenge, is the pharmacy from the profit center to become a cost center, with the promotion of hierarchical diagnosis and treatment , public hospitals will pay more attention to inpatient and emergency medication, then outpatient pharmacy services where to go? Zheng Hong suggested that the promotion of outpatient pharmacy services socialization, the release of concentrated in public hospitals, pharmacy power, pharmacy, community, hospitals to provide prescription review, medication guidance, rational use of medication and other pharmaceutical services, to alleviate the grass-roots, retail pharmacy pharmacy service capacity is insufficient, the situation of irrational allocation of resources.
So this is a good thing for the industry to clean up the circulation environment.