For a long time, due to the lack of government investment, China's primary health care institutions rely on "selling drugs" to make ends meet, "drugs for doctors" is the main means of survival.
If the drug markup is canceled, township health centers will face a series of problems such as employee salaries, equipment investment, talent training, and normal operating funds. In accordance with the requirements of the program, the implementation of zero-differential sales, by the financial, health and other departments based on the township health centers and community health service institutions to undertake the volume of work and staffing, a reasonable approval of its income and expenditure, the difference between income and expenditure by the government to be fully subsidized through multiple channels. However, it is very difficult to implement. This requires primary health care organizations to implement the national essential drug system and to carry out the relevant provisions on national essential drugs and non-essential drugs supplemented by the province. For essential drugs and supplemented non-essential drugs, a unified online centralized procurement of medicines is implemented by means of public tendering, online bidding, centralized bargaining and direct listing. The key to the implementation of the national essential drugs system is financial subsidies, and the completion of the personnel verification and posting, is the implementation of the premise of the financial subsidy policy.
Township health centers have been layout adjustments and uploaded to the county health administrative department management, but because there is no unified preparation standard, many places did not carry out the verification of the post, on the streaming of personnel placement methods and other follow-up policies have not been followed up, so that the personnel "import" and "export" issues have not been resolved. In addition, poor conditions, low treatment, township health centers for many years, rarely supplement the new force, in the post is not in the program, in the program is not in the post of the phenomenon is more serious, which is also caused by the township health centers lack of talent, the level of service is generally low, the public * * * health function of the important reasons for the weakening of the. Therefore, the implementation of zero-differential compensation for essential drugs for primary health care institutions should be considered to meet the needs of its normal operation, but also to fully guide it to improve the quality and efficiency of services.
According to reports, the primary health care institutions of the assessment content is mainly borne by the public **** health and basic medical services, to take the access to information, on-site inspection, on-site questionnaires, etc., the annual centralized assessment of 2 times, respectively, in early June and late December. The assessment results are then reviewed by the financial and personnel departments. The relevant provincial and municipal departments conduct random checks on the assessment results from time to time.
If the assessment is qualified, the subsidy will be issued in accordance with the relevant provisions. Failed, in accordance with the assessment grade to determine the appropriate level of subsidies. The primary health care institutions failed to assess the deduction of government subsidies, by the financial and health administrative departments to coordinate the use of health care institutions for capacity building. The main body of this reform is local governments at all levels, and the county level should be the most basic unit. The specific subsidy standard will depend on the financial state and actual situation of each place, and there is no uniform standard at present. And the calculation of the subsidy standard is very complicated, it is best to consult the local government and health authorities.