Medical network - on March 30, the new health care plan was released, some patients with slow disease of the elderly to see level 3 hospital medical service fee paid more than the original of the registration fee for a few yuan of money, is going to in the April 8 has dedicated to the hospital to prescribe medicine. Frothy prescription can save money to the hospital right now? Said the relevant departments, according to the calculation, after the reform maintain basic balance the city's total medical expenses, patients' overall cost burden does not increase, because the cancellation of drug addition, implements the sunshine purchase, prices will also varying degrees of decline, so there is no need to catch frothy prescriptions in front of the reform on April 8. 

 

Medicine published separately according to this city comprehensive reforms, April 8 00:00, patient to all the public hospital in Beijing, are no longer pay the registration fee and the fee, but according to the level of hospital and doctors ranks to pay medical fees. Among them, the tertiary hospital medical service charge at least $50 for, patients with Beijing health care reimbursement after 40 yuan pay 10 yuan. Beijing health care in the secondary hospital and the level of hospital patients, the reimbursement out-of-pocket medical service charge the lowest is $2 and 1 yuan. At the same time, drugs (except traditional Chinese medicine yinpian, on average, 15% of the bonus will be cancelled. 

 

In terms of individual patients, for each patient in clinic disease, treatment, treatment cycle, as well as individual differences, will have different effects. For a diagnosis and treatment process is given priority to with drug therapy, or more involved in patients with CT, mri, medical costs are generally decreased; If in technical services in the process of diagnosis and treatment project is given priority to, patients with the diagnosis and treatment cost can be increased. That is to say, the patients with simple prescription, most would have cost down. For example: before the implementation of healthcare reform, a diabetes registered fee $5 each time, prescribing medicines for 477 yuan, total cost 482 yuan. After the reform of medical service charge 50 yuan, expenses for medicine for cancel 15% of the sales bonus and sunlight procurement to reach the 8% decline, the overall price level is around 20%, the total cost 431 yuan, reduce spending $51, a drop of 10.5%. 

 

Who in Beijing development planning commission, said the health, because the implemented medicine procurement sunshine, many drug prices will fall. In the elderly commonly used drugs, cholesterol-lowering drug that is commonly used in "atorvastatin calcium tablet", in 2015 sales in Beijing are mainly two brands, including import products named "lipitor", called "ALe" domestic products. Sunshine after the purchase, the two drug procurement prices fell 9.76% and 11.47% respectively. For cardiovascular anticoagulant "hydrogen clopidogrel tablets", 2015 procurement value the most in this city two brands of imported products respectively "wave vertical dimension" and domestic products "tai jia", sun purchasing after purchasing prices fell 6.14% and 9.56% respectively. Patients with simple prescription, now focus to prescribe medicine seems to be registered link saved a few bucks, but compared with the decline of drug prices for, not necessarily save money. 

 

According to the calculation, after the reform, outpatient medical expenses, general medical expense rise slightly in hospitalized patients. Through static measure of 405 diseases, after the reform of outpatients time all costs decline of 5.11% on average, cases of hospitalized patients with all costs an average of 2.53%. The short term, patients with different cost have rise and fall, not balanced; But in the long term, through the adjustment of medical service and the specification, is ultimately benefit the people. 

 

Health care reform micro answer 

 

Q: in 2012, Beijing began to separate medical reform pilot, differ with the health care reform? 

 

Answer: the start of reform in Beijing, is not a simple "medicine separate" individual work, but a comprehensive reform. Compared with the previous medical pilot separately, the more "comprehensive" reform. First of all, cancel the drug addition, the registration fee, the fee, set up the medical service charge. Second is adjusted 435 medical service price, medical service price is mainly for mixed structure adjustment. Third is the medicine procurement sunshine, ensure the quality of drug safety and utility, the establishment of a government building procurement platform, do drugs price information transparency, both the seller and the buyer to supervise, and linkage national provincial drug bidding platform, realize the dynamic adjustment of prices. In addition, the medicine separate comprehensive reform also synchronous implementation include improving the medical service, strengthen the supervision and management and so on a series of important measures, it should be said that the medicine separate comprehensive integrated health care reform is various measures.