Thursday, October 4, 2012

The hospital at county level reforms the breakthrough point in compensation mechanism

The hospital at county level reforms the breakthrough point in compensation mechanism
It is reported (The intersection of reporter and Cao Policy) Ministry of Public Health specially convenes government's leaders and health authority officers of some areas recently, solicit the opinion to the hospital comprehensive reform pilot work scheme at county level. It is reported, in this pilot work scheme that will issue soon, the breakthrough point of the hospital reform at county level confirms as and reforms compensation mechanism, in order to solve the hospital at county level to raise and cure the problem with medicine.
The intersection of pilot work and to solve with medicine raising, curing the problem, getting 3 kinds of reform routes out of scheme. First, implement the reform of means of payment, make the expenditure of medicines become the service cost of the hospital, promote the medical behavior of the norm of the hospital, control the cost. Meanwhile, explore the way of paying of paying, paying on day or paying according to the number of people according to the bed according to number etc.. Second, implement " Lower one point one liters to increase four times " ,Namely reduce the price of medicines, reduce the heavy-duty equipment and check and make a diagnosis prices, reduce high to worth medical the intersection of consumptive material and price, reduce even cancel the intersection of medicines and rate of raising the price, raise the intersection of medical care and technological price, set up the intersection of medicine and the intersection of thing and service charge. Third, in the area that does not possess first two kinds of routes, take the interim measure of the raising the price rate of medicines difference, reduce the situation of abusing valuable medicine.
It is reported, the reform of means of payment is agreed to unanimously, and to " lower one point one liters to increase four times " With the raising the price rate of difference, a lot of local officers say that " it is very great to implement the difficulty " . A little the department of public health ' Office) Long to show medicines difference raise the price rate to be easy to control, actual effect easy to assess; After cancelling the addition of medicines, the government also can not fill this gap temporarily; And the method to collect medicine thing service charge, has already been denied in a lot of places. The dispute which compensates the question is uncertain, influence the enthusiasm of the hospital of pilot county of some areas directly. Some directors of pilot county say that unwilling to participate in the pilot project, is afraid once reforming the hole appears in revenue and expenditure, the government compensates and can not catch up with again, the hospital operates and gets into a difficult position.
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