For a long time, the mechanism of supplementing medicine with medicine has been an important compensation channel and income source for public medical institutions. Although the mechanism of supplementing doctors with medicine has played a positive role, its disadvantages are becoming more and more obvious. Since the start of the new round of medical reform in 2009, the problems of "difficult to see a doctor" and "expensive to see a doctor" have been alleviated to a certain extent, but "supporting doctors with medicine" has boosted the cost of seeing a doctor for the people. The masses generally reflect that some hospitals treat minor illnesses and overtreatment. In order to continuously strengthen and consolidate the achievements of medical reform, we must resolutely cancel the drug addition.
The most important content of this medical reform plan is that all the more than 3,600 public medical institutions in Beijing's administrative area cancel the average drug addition 15%. In addition, the prices of large-scale equipment inspection items such as CT and nuclear magnetic resonance are reduced. The director of the Beijing Municipal Health Planning Commission said that the goal of the separate reform of medicine is to cut off the compensation mode for hospitals and doctors to make money by prescribing medicines, and guide medical institutions and medical personnel to obtain reasonable compensation by providing more and better diagnosis and treatment services. In other words, doctors' income should be decoupled from prescribed drugs and treatment methods, and the problem of over-treatment should be tackled at the root of the problem, so that the labor income of medical workers can be reflected on the bright side.
In this reform, while canceling the drug addition, a new medical service fee item was set up to compensate part of the operating costs of medical institutions and reflect the technical labor value of medical staff. After the establishment of medical service fee, the original registration fee and medical treatment fee will be cancelled. Take a tertiary hospital as an example, the general outpatient medical service fee is 50 yuan, the deputy chief physician 60 yuan, the chief physician 80 yuan, the famous expert 100 yuan, the emergency medical service fee is 70 yuan, and the inpatient medical service fee is 100 yuan/bed day. Other items, such as nursing fees, acupuncture fees and other items whose service prices are obviously lower than the labor value, have also increased.
It is foreseeable that this new medical reform policy removes the direct conflict between doctors and patients, and the unreasonable phenomena such as "feeling a little and taking a pack of medicine" will gradually disappear. However, some experts believe that after all the three policies of the new medical reform are put in place, although the total medical expenses of patients have declined, the comprehensive decline will not be great.
The root cause of various medical problems in China lies in the relative lack and uneven distribution of medical resources. Beijing's new medical reform plan is a measure to allocate resources, that is, it is a "throttling" move, not an "open source". It is unrealistic to expect that "expensive medical treatment" and "difficult medical treatment" can be completely eliminated in one medical reform. However, the road to medical reform is paved by countless innovative measures. Although it is not the end, it can be believed that the road is made by people.