, A programmatic document for medical reform in Urumqi?? "Urumqi medical and health system focused on the recent implementation of the program (2009-2011)", "his breakthrough", the Fourth People's Hospital, Urumqi, Urumqi, Chinese medicine hospitals and public hospitals as first pilot reform pilot units.
Public hospital reform will be how to move forward? Drug can cut the rebate evil manipulator? How to put an end to large prescription abuse doctor check your medical treatment is difficult alleviate the problem? May 10, the reporter interviewed the Fourth People's Hospital in Urumqi, Urumqi, Chinese Medicine Hospital president Xu Xiangdong and Li Chongrui.
Reporter: Why did you choose public hospital reform pilot projects in these hospitals?
Xu Xiangdong: the state's new medical reform policy clearly to promote the gradual equalization of basic public health services, strengthen the public health service capacity building. Meanwhile, great efforts to develop Chinese medicine, national medical care, state policy favors. The new medical reform regional public health service coverage in the basic policies of urban and rural residents also clearly important to carry out mental disease management, on the re-registration of mental disease management, re-living at home for treatment of mental illness and rehabilitation follow-up guidance. 2009, first in Urumqi City, Bazhou, Kashi City, Aksu City, pilot, 2011, expanded to all prefectures. Urumqi, the first pilot
two hospitals, four hospitals are mental health centers, mental health is public health, and Chinese medicine hospital is a Chinese medicine hospital. For both the Government consider making the first of our two pilot hospitals.
Li Chongrui: Urumqi, select the medium size, runs well and has a certain influence in the region, were recognized by the pilot hospitals. Large hospitals are basically General Hospital, in public hospitals in the pilot there are many uncertainties in a large hospital in a bad run to grasp, but too small hospitals do not reflect the problem. Therefore chosen to run a good, medium-scale pilot hospitals.
Reporter: When the implementation of essential drugs can slip and zero sales? This will impact on the hospital? The measures will cut the rebate on the black hand drugs?
Li Chongrui: Chinese medicine hospital is a hospital, the proportion of drugs accounted for 59% of income, plus 15% cis was canceled, reduced by at least 10 million yuan a year incomes.
Xu Xiangdong: Currently we are working with the Financial Development and Reform Commission and other departments docking, essential drugs as soon as possible zero-slip sales, let people see the benefits felt recently. Drug zero difference means a hospital can sell drugs on the purchase price plus 15% of the profits along to be canceled, cut off the "drug support of medical treatment" means the hospital will be reduced each year several hundred million in revenue, to reduce this part of the revenue by medical insurance fund and increasing government investment approach to compensation. We expect the hospital may be reduced by 500 million this year, revenue, this also means that patients will be none other 5 million yuan.
Cancellation is to eliminate drugs plus drugs is an important way to rebate the same time, the hospital will make corresponding policies to prevent the medicine on behalf of black-box operation.
Reporter: pilot compensation by the service charges in public hospitals, drug plus three channels of income and financial assistance services, fees and financial assistance to the two channels, but may be an additional dispensing fee, it will not "press under the gourd float scoop, "an additional burden to patients?
Xu Xiangdong: should not. For example, Department of Pharmacy sales of 30 million yuan before the drugs can be smoothly on this basis plus 15% profit, Pharmacy there are 450 million in revenue, enough Pharmacy wages, bonuses and drug consumption costs. However, addition of drugs after the abolition of Pharmacy will have no income, and wages will be totally borne by the hospital. Therefore, the Government set up a dispensing fee, calculated by the government subsidy to the hospital.
Reporter: standardized clinical pathway to carry out common disease treatment, and explore payment by disease, for solving the abuse of inspection, minor illness doctors could play a role in such issues?
Xu Xiangdong: standardized clinical pathway for a disease treatment is to establish a set of standardized treatment model and treatment procedures, patients from the hospital, all examination, treatment, medication and so there will be rules to follow. This means that medical consultation process with the "inhibition", so that doctors can not abuse checks to prevent minor illness doctors. For example, on Depression What do patients with the check? Delusional depression with hallucinations of patients to do what check? Serious suicide attempt, depression check to do what the requirements are clear, to avoid a severe treatment in patients with mild, non-standard treatment to prevent unscientific. However, the patient's condition vary widely, this standard treatment to implement a certain degree of difficulty, we now experience while studying abroad, while in the light of its own experience to explore. I am a professional writer from Cheap On Sales, which contains a great deal of information about shoe polish liquid , ugg replacement insoles, welcome to visit!
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