1 Medical system reform must be supported by the government, the law guarantees that the people support
To reform the current medical system, the central and local governments at all levels must unify their thinking, and must gradually introduce a number of regulations on the reform of the medical system, and to properly provide the medical system reform funds, the implementation of the earmarked funds. In the process of reforming the health care system, since group interests and personal interests are involved, these people are bound to set up resistance and even engage in some illegal behavior; such people should be dismissed from their posts, or expelled from their jobs, and those who violate the law should be sanctioned in accordance with the law. Reform of the medical system may break the traditional habits and concepts, there are many changes can not be immediately adapted to the requirements of the majority of doctors and patients, therefore, we need to have patience, and gradually improve the system reform, and gradually learn to engage in the work of the medical profession and medical treatment under the new system. The media publicity should guide all the people to fully understand and support the reform of the medical system, so that the government, hospitals and the public realize that the reform of the medical system is a national reform of the medical system, is the reform of the medical system of all the people.
2 set up a medical system reform leading group, the group, coordinated
Medical system reform must first set up a medical system reform leading group, the medical system reform leading group must be in charge of the deputy mayor and the Secretary of the Health Bureau personally as the deputy mayor in charge personally as the head of the group, the deputy head of the executive deputy head of the Secretary of Health as. At the same time by the county and district governments to select personnel to join the medical system reform team to form a unified citywide pace, city, district, township and private hospitals are all together to participate in the medical system reform, but also from outside the health care system to join the selection of talents, and related industries and sectors in synchronization, otherwise, the medical system reform is not complete, pulling each other's strings, and hold each other back. Medical system reform can not engage in one-size-fits-all, especially in urban and rural areas, according to the specific circumstances of the development of different programs, to be implemented first on a trial basis, after the popularization.
3 Medical system reform should first formulate the details of the two lines of income and expenditure of hospitals
The medical system reform team has a proprietary account for each hospital, each hospital's income into their own proprietary account with details, the medical system reform financial team to review the charges in detail whether the charges are reasonable, the health insurance company should be more rigorous review; hospitals in the expenditure of the cost of the cost of the cost of the first report, the medical system reform financial team to rigorously review the charges. When hospitals spend money, they should first report the details of the expenses, and the financial team of the health care system reform should strictly audit the situation of the expenses incurred, and should resolutely investigate and deal with any illegal, irregular and unreasonable expenses, so as to put an end to the phenomenon of pegging the income of medical personnel to medical charges. Through the supervision of hospital funds, it will be able to clearly know all the flow of hospital funds, and play a key role in guiding the medical reform.
4 Resources *** enjoy
The city's medical technology and equipment resources of the medical industry to be networked, *** with the enjoyment. Where the existing medical industry, must install network computers, hospitals need to have a computer input clerk, the patient's information first into the computer, the information bar code to the patient's ID number, remember the patient's symptoms, laboratory tests, diagnostic results, the number of medication and treatment, and so on. Intelligent networking, any deviation in the process of medical treatment can be prompted by the computer. For redundant test items, redundant medication and excessive medical fees, the patient has the right to file a refund, and for violators, the medical inspection department has the right to penalize depending on the circumstances. The city's medical resources can be ****enjoyed, facilitating dynamic observation and improving service quality. For large-scale medical equipment and non-common expensive test items, the city centralized test center, need these items to check the patients to the center, on the one hand, can reduce the unit price, on the other hand, to facilitate the recovery of equipment investment costs, but also to reduce the cost of hospitals. Network funding all by the government first, after the write-off in the medical equipment accounts.
5 Unified procurement, on-demand
The city's medical equipment and supplies to be purchased by the procurement center unified procurement, the hospitals according to the need to receive. Province or city as the scope of the establishment of a medical procurement center, the future of all manufacturers must first be registered to the procurement center for the record, will be their own product catalogs and prices reported to the procurement center specializing in price analysts, they must figure out the composition of the price of each product, to remove the unreasonable components, the development of the purchased products from the starting price of the auction from the high to the low starting auction, which selects the best value for money to the product, there are many foreign products are used in this way auction, this type of product is used in this way. Many foreign products are used in this way auction, the introduction of this procurement method, will have a significant vibration of the medical procurement market, manufacturers will be based on the market demand for this change in business philosophy, over-invested into the circulation of the cost will be significantly reduced. Hospital costs are reduced, the patient will also benefit.
6 Strengthening publicity, the implementation of the mobility of technical personnel
Technical personnel to the city's mobility, patients to any hospital treatment can enjoy high-quality services. Patients want to spend less money, but also want to see a large hospital, large hospitals, talent costs and equipment costs are relatively high, this is a pair of contradictions, this contradiction is the inevitable product of the market system, to completely solve this contradiction is impossible. To change also have to change from the personnel system, the city's medical industry is a large hospital, all the technical staff can be in this large hospital flow, there is a flow of a year, there is a flow of half a year, there is a flow of a month, there is a flow of a month, there is a flow on demand. Doctors are no longer a hospital doctor, but the city's doctors in this hospital, patients do not have to go to which big hospitals to see the best, of course, to achieve this purpose is not a day can be realized, the need for doctors, patients and the community's concept of gradual change.
7 community health care is to facilitate patients to see the top priority
Community health care should be the most convenient place for the majority of patients to get medical treatment, but why do patients seek to be near and far, cheap and expensive. In the eyes of the patients, the community medical level is low, for fear of delaying their own treatment time. Abandon this concept, in addition to the former has talked about the network of technical resources, human resources, unified flow, but also to increase social propaganda. Conditional families can be networked with community hospitals, the implementation of non-emergency patients first to community hospitals computerized recording of the condition of the information, the initial diagnosis and treatment to reduce the rate of minor illnesses; community patients can also be based on the schedule of the flow of renowned professors to make an appointment for medical treatment. In short, the development of community health care is the top priority of the reform of the health care system, its social and welfare is a concrete embodiment of the superiority of the socialist system.
8 drug procurement to varieties of categorization, superiority, batch auction
Pharmaceutical marketing is a pure market economy, the high price of drugs can not be blamed purely on the pharmaceutical companies, it is a market economy chain. For example, the hospital 100 yuan into the drug, the hospital markup of 15%, the patient 115 yuan to buy, which is no violation of the hospital. Pharmaceutical companies sold to the hospital 100 yuan of the price of drugs is composed of this: pharmaceutical bidding costs 18 yuan (in charge of the vice president of the drug, declared drug ward director, pharmacy director), the doctor got a kickback of 27 yuan (including the drug list of statistics per single 1 yuan), the pharmaceutical representatives get labor 13 yuan, the pharmaceutical company markup 13 yuan, the pharmaceutical company tax 14 yuan (sales tax plus income tax paid by the payment of cash), the pharmaceutical company accounted for 15 yuan (including technology costs, raw material costs, packaging costs, cost of goods sold, the manufacturer's profit should be 7 yuan). Through the price composition can be seen many items obviously unreasonable, and even illegal. Generally speaking, the hospital into the drug's reasonable price composition is: the pharmaceutical company accounted for 12 yuan (cost plus tax for 8 yuan, net profit of 4 yuan), the circulation link of the pharmaceutical company should be a price increase of 7 yuan, *** counted 19 yuan; hospitals in accordance with the state regulations to increase the price of 15%, the price of patients to buy medicines is 21.85 yuan, 81% lower than the original 115 yuan. Although, the drug cost down, but the hospital income is also greatly reduced, because 70% of the hospital income from the source of drugs, from the market point of view, this reduction is reasonable, is the return of the price, the government also does not need to provide financial subsidies for this, but sometimes the price of the drug is reasonable, the hospital funds are tight, the development of hospitals and has become a problem. At this time, the market needs hospitals to increase prices, which breaks the nationally formulated hospitals to increase prices by no more than 15% of the markup rate. How to solve this problem, if the absolute value of the hospital price increase remains unchanged, an increase of 15 yuan, the patient to buy drugs at 34 yuan, lower than the original 115 yuan 81 yuan, that is, lower than the original price of drugs by 70%, and lower the 70% of the price of drugs, not affecting the hospital's profitability and profitability of the pharmaceutical company under the premise of the reform and reduce the hospitals so that the hospitals to ensure the profitability of the public to see a doctor to reduce the cost of medicines by 70%, the best of both worlds. The best of both worlds. Through the above analysis, the drug price reduction, is the key to reduce medical costs, which is also the top priority of the medical system reform. Drug purchases must be implemented auction, the first drug categorization, the same type of drug auction, from high to low bidding, choose the best price, simple packaging of drugs. Let the pharmaceutical companies know that in the future, they must adapt to this form of market for procuring drugs, reformulate their marketing programs, and devote their energy to efficacy and cheapness. Hospital markups should be calculated according to the pre-reform percentage of the absolute markup value as a reference basis for post-reform pharmaceutical markups.
9 price limit and pricing of medical care to gradually promote
The country has a few cities to implement price limit and pricing of medical care, they have made considerable experience, should be promoted as soon as possible, the city should be combined with the actual situation of the local and trial. Gradually across the country, the formation of norms and accumulate more experience.
10 Direction of medical system reform
The direction of medical system reform is not only to reduce the price of medical care, but more importantly, to study the medical system that suits Chinese characteristics. Medical industry operations, with the attributes of market economy and social welfare, for fixed assets, large-scale equipment, network equipment funding and special hardship patients' medical fees borne by the government, and all other by the market to determine the government to formulate strict industry regulations, long-term supervision and management, not only to reasonably reduce some of the charges, but also should be adjusted upward too low doctor's consultation fees and technical operation fees.
11 Reform program to set the wisdom of the masses
Medical system reform is related to the immediate interests of every citizen, therefore, more to fight for the views of medical personnel and the public, so that they write a medical system reform program, put forward a good plan, the medical system reform leading group to set the wisdom of the group, to formulate the best medical system reform program.
12 Conclusion
For prefecture-level cities, the medical system reform must have government support, the establishment of medical system reform leading group; the implementation of the two lines of income and expenditure of hospitals; the implementation of the drug categorization system; pharmaceuticals, medical equipment and medical consumables should be purchased by the municipal purchasing center unified procurement from the high to the low auction; pharmaceutical markups should be the absolute value of markups before the reform as a reference standard, the gradual transition to the 15% of the national markup rate; the municipal level to establish an expensive medical testing program center, the city's medical industry, technology and equipment resources should be networked, *** with the enjoyment of the gradual implementation of price limits and pricing of medical care; to vigorously develop community hospitals, the implementation of non-emergency patients community hospitals, the first system; the city's medical and technical personnel to implement the mobility of the whole industry; through the practice of health care reform, we must find a way to fit the characteristics of the socialist market economy of medical and health care work of the socialist market economy. Socialist market economy, the healthy development of medical and health care work of the road.