On September 6, in the emergency room of the first affiliated hospital of henan university of traditional Chinese medicine, Mr. Wang, in his 30s, brought his children to the doctor, and the child had a fever. The doctor diagnosed and prescribed some medicine.

In this way, Ms. Liu can take one more box each time. "We old people love careful calculation, drug price is good, drug price is cheap good!" "Liu said repeatedly.

The total of 284 public hospitals has been cancelled

Since September, all public hospitals in the province have been canceling the drug addition (except for traditional Chinese medicine), and the hospital medicine should be sold to patients at the cost of purchase. That is to say, the original price, the original price, the drug price will fall by an average of 12.7%. At the same time, the implementation of the medical service price adjustment and health insurance reimbursement and other supporting reforms. At this point, 15 per cent of the sales of drugs is history, and healthcare has taken an important step.

"The system is ready to switch now." On August 31, 2017, with the opening of the medical price reform in henan provincial public hospitals, the medical price reform of the central hospital in zhengzhou was officially launched.

At 025, the hospital staff witnessed the birth of the hospital's first emergency patient care bill after the medical price reform. Then, the ward doctors and nurses began to work overtime, opening new medical advice and checking carefully; At 6 o 'clock, the ward pharmacy staff began to carry out the drug work for all the sick areas; At 8 o 'clock, the first day of operation after the medical price reform was ushered in...

A lot of patients may not understand, it's not the price of drugs, is there a problem? The reporter knows some details, perhaps can help you to solve the problem:

In order to make the information accurate, nearly 30,000 information of the department of price department and pharmacy department of the central hospital of zhengzhou was checked and confirmed, and the information department was delivered into the system. Perform system simulation operation; Prepare emergency plan, prepare medical outpatient bill (manual ticket), prescription, check sheet and other paper blank medical instrument in advance, in case of need...

At 11:30 PM on August 30, the department of information science and medicine division of henan provincial people's hospital was making the final commissioning of the system. The reporter learned that, in addition to the drug (except for Chinese medicine) all the difference, there are 3,700 other medical service projects in the hospital involving price adjustment, among which there is a rise and fall. The information is not allowed to make a slight mistake.

All are working on the security of health reform

Many hospitals make sure to do everything in two weeks or a month, two months, in every aspect of the job. According to the progress made by the policy, from government departments to hospitals, efforts have been made to advance the reform.

On July 26, the office of the people's government of henan issued the opinion on the implementation of the comprehensive reform of urban public hospitals (hereinafter referred to as the opinion).

On August 26, in the afternoon, health and family planning commission, national development and reform (price) commission of henan province, human resources and social security department, financial department and other relevant departments jointly held the provincial public hospital reform, identified at the meeting on August 31, 2017 were cancelled all public hospitals in our province drug addition (except traditional Chinese medicine yinpian), synchronous implementation of the medical service price adjustment reforms and reimbursement.

Morning of August 30, zhengzhou city public hospital reform exchange meetings "held in children's hospital of zhengzhou, zhengzhou city health development planning commission do jian-hua Yang, director of the health reform, the situation of zhengzhou city public hospital reform.

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It also ensured that 284 public hospitals in the province were able to pull the curtain on the medical reform.

The modern hospital management system is basically established in 2020

It is understood that the implementation of the drug zero price difference and the synchronous adjustment of price in public hospitals is part of our province's implementation of the comprehensive reform of urban public hospitals. The reform of public hospitals is an important part of health reform, and the most important thing is to guide patients to grade and treat them.

In the price adjustment, for example, for the convenience of hypertension, diabetes, chronic disease, such as tuberculosis and severe mental illness in grassroots medical institutions for medical treatment, people club hall of province development planning commission, has risen from the list of health care drugs screened 180 many kinds of commonly used drugs, supplement the grassroots medical institutions use directory.

Hospital medicine zero difference, so the cost that hospital reduces? According to the implementation opinion, due to the reasonable income of the reduction of the sales of drug free distribution, 90% of the adjustment of the price of medical services will be compensated, and the government will compensate 10% of the original supply channel. Where will the adjustment be? "The implementation opinions" have clear: reasonable ascension manifest the value of medical personnel technical services of medical service prices, especially the treatment, surgery, rehabilitation, nursing, traditional Chinese medicine, pediatrics and other services. However, the adjusted service price will be included in the coverage of medical insurance coverage, which will not increase the economic burden of the masses in general.

Put forward the implementation opinions, grassroots medical institutions to choose at least 50 kinds, medical institutions at the county level to choose at least 100 kinds of chronic diseases, common diseases to carry out the first option at the grass-roots level and grading diagnosis and treatment, and gradually expand the scope of diseases. Encourage superior hospital to issue treatment plan, subordinate hospital or grass-roots medical and health organization to implement treatment.

Goal is, in our province in 2020, the basic establishment of modern hospital management system, health service capacity improved significantly, improve medical order, city level 3 general hospital outpatient clinic visits significantly lower proportion of medical and health institutions people; The unjustified growth of medical expenses is effectively controlled, and the increase in total health expenditure is coordinated with the increase in GDP. The satisfaction of the masses increased significantly, and the burden of medical treatment was significantly reduced.