Medical network - on April 18, the Beijing health planning commission, according to statistics released yesterday from zero on April 8 to 15 April 24, Beijing medical separate comprehensive reform implementation in a week, the city's 221 medical institutions into monitoring drug ratio, expenses for medicine are declining, in terms of the number of visits, er visits secondary and tertiary hospital door fell, er visits level hospitals and community health service center door is increased. "Difficult to see expert". 

 

Medicine of ratio and medicines are falling 

 

, according to the Beijing health planning commission at 6 in the morning on April 8, 2605 medical institutions need to switch from the information in the whole city switch test completely. Medical service reform implemented since a week, Beijing comprehensive supervision, an accumulated 996 teams, supervision inspection of medical institutions 2558 (times), is mainly the standard diagnosis and treatment and medication such as medical behavior and fees. 

 

Since April 8 to 16 April 16, drug sunlight procurement platform total order amount is 1.5 billion yuan, total saving drugs cost about 123 million yuan, 8.2% savings. Medical institutions and drug supply. 

 

Who in Beijing development planning commission, according to the monitoring results show that the medicine of medical institutions and drug are falling. 

 

April 8 solstice. 15, 221 medical institutions include monitoring of this medicine accounted for 45.1%, compared with the same period last year decreased by 7.3%, the tertiary hospital medicine proportion fell to 43.5% from 50.9%, fell 7.4%. Secondary hospitals fell from 55.2% to 55.2%, down 8.3%. Of hospital medicine accounted for 29.5%, down 2.5% from a year earlier. Tertiary hospital outpatient emergency care and hospitalization of total 36.1%, compared with last year reduced by 4.4%; The secondary hospital outpatient emergency care and hospitalization of total 42.1%, compared with last year reduced by 5.7%; Level 1 and community hospital outpatient emergency care and hospitalization of total 69.5%, compared with last year reduced by 1.5%. 

 

Tertiary hospital this time all medicines is 230.48 yuan, compared with the same period last year decreased by 3%; Secondary hospital this time all medicines is 169.2 yuan, compared with the same period last year decreased by 14.2%; This time class and community are medicines is 219.5 yuan, compared with the same period last year decreased by 1.8%. 

 

Expert clinic visits damped by more than 14% 

 

Beijing health development planning commission, said the work of medical institutions and structure change is also in line with expectations. 

 

On 15th April 8 solstice, monitoring unit total door for 2.889 million er visits, 12.7% less than the same period last year. The tertiary hospital door for 2.114 million er visits, compared with the same period last year decreased by 15.4%; Er visits in secondary hospital door for 591000, compared with the same period last year decreased by 7.1%; Class hospitals and community service center door for 185000 er visits, compared with the same period last year increased by 4.9%. The changes in building the grading system and reform the design requirements. 

 

In addition, the monitoring unit and above, deputy director of the physician visits to 587000 people, compared with last year fell 14.8%, a well-known expert clinic for 182000 people, compared with last year reduced by 14.6%. See, the difficulty of expert has a tendency to ease. 

 

Who in Beijing development planning commission, said the workload and structural changes due to time is shorter, the patient is still in the adjustment of medical demand and behavior, need further observation. 

 

Visit 1 cancer hospital 

 

Patients with small fractional flow trend 

 

This reform set up different levels of medical service, one of the goals is to promote diagnosis and classification. But reporters found that in the tumor hospital, maternity hospital, children's hospital of specialized subject hospital, patients generally won't go to other hospital, said more trust in hospital. 

 

Yesterday, reporters in Beijing university cancer hospital outpatient service hall to see liu from the northeast, she more than 70 years old this year, due to lung cancer, has had surgery to remove a part, is currently undergoing chemotherapy. She tells a reporter, yesterday just registered to hospital, has not yet been examined for large or chemotherapy, register the deepest feeling is more expensive than ever, but she will not be to level 2 or level 1 hospital. 

 

Field amplitude deputy director of the Peking University cancer hospital outpatient department, told reporters that no tumor hospital emergency department, monitoring of MenZhenLiang showed that average daily MenZhenLiang last week at around 2500, compared to the same period last year about 2400 people, a little change. 

 

Foam, xing, vice President of the hospital tumor hospital and other comprehensive hospitals, patients with brain hot diseases such as headache not to tumor hospital, patients mostly have been skeptical, even in other hospital diagnosed with cancer disease, so the medical service set up after the hospital diagnosis and treatment in different levels. 

 

Field amplitude also said the hospital has its own characteristics, and general hospital cannot treat as the same. Compared to other common, chronic disease, diagnosis and treatment of tumor diseases complicated, require departments to participate more. And general hospital of many common diseases, chronic diseases, drugs, patients can buy in the secondary hospitals and community hospitals, and drugs for the treatment of tumor types, strong professional, in the patient's choice of doctor, the doctor's prescriptions double under the influence of factors such as the qualification, the tumor treatment drugs are not used in community hospitals. Therefore, tumor disease is relatively fixed, less affected by the reform. But she also said that the effects of reform on the grading diagnosis, still need long-term monitoring data. 

 

Patients consulting field amplitude, told reporters that still is given priority to with disease diagnosis and treatment, to reform a reflection of the New Deal is smooth, with only a small number of patients consulting relevant policy, and it's part of nonlocal patients, pay attention to whether reimbursement policy changes after the reform. 

 

2 children's hospital visit 

 

Famous experts in medical consultations fell slightly 

 

Beijing children's hospital NiXin introduction, than a week before reform, the hospital MenZhenLiang increases about 5% or so, change is not big, consistent with previous forecast. Famous experts in medical consultations fell slightly, the medical service level hierarchical design for adjusting registered structure play a role. 

 

He explained that in our country, pediatric medical resources are still scarce, so compared with the adult hospital, the pediatric hospital classification and treatment effect is less obvious. From last year, the children's hospital outpatient patients accounted for 48%, compared with 60% before fell, from hospital patients is still around 70%, suggesting that mysterious illness requiring hospitalization patients still come to the hospital, and part of couplet of pediatric medical clinic patients may be due to the development of, choose to stay in the local. 

 

NiXin argues that to promote children's hospital patients with hierarchical diagnosis and treatment, pediatric medical level need to society as a whole, secondary and even tertiary children's hospital has the responsibility to help the community hospital, improve the ability of the pediatric diagnosis and treatment. Since 2012, children's hospital has been involved in helping other tertiary hospital of pediatrics, the other party to determine a key developing direction of pediatrics, children's hospital of the linkage, help to improve the diagnosis and treatment level. In addition, some of Beijing's community hospital in pediatric forming process, is likely to be a group of physicians transferred to pediatrics, children's hospital was also involved in the training of personnel. 

 

Visit 3 community hospitals 

 

A surge in the corridor are piled medicine 

 

20:30 liu jianhua calls Renaissance hospital affiliated to the capital university of medical sciences, director of community health service center Du Xueping tells a reporter, years before reform, center has done a lot of work, a lot of patients from hospitals sinking, basic formed the pattern grading diagnosis and treatment. Years MenZhenLiang center radiation from a population of about 150000, more than 150000, after the reform, continue to increase the number of patients with MenZhenLiang rose by about 7%. "Some community after the reform of hospital patients rose by 15% to 20%." 

 

A lot of slow patients choose sinking community medical treatment after the reform. Du Xueping introduction, community hospital medical service charge cheap, Beijing old people over the age of 60, hang ordinary even 1 dollar is not out. In addition, some patients also suffer from high blood pressure, diabetes, coronary heart disease, copd, etc., go to large hospital, often have to take the endocrinology, cardiovascular and respiratory department sees a doctor, put up a number of visit, but in the community hospital, only need to hang a number of gp to have blood glucose, blood pressure, electrocardiogram (ecg) and other relevant tests. 

 

In addition, many patients are sinking to buy medicine at the grass-roots level. Health reform implementation of the New Deal on the same day, 20:30 liu jianhua calls drugs for 666 kind of community health service centers, in a week, rising demand for treating patients, has increased to nearly one thousand kinds of new drugs. Du Xueping said, community pharmacy limited capacity, cannot guarantee or tertiary hospitals thousands of kinds of drugs, "pharmacies in the up and down or so are all medicine, now even the corridor with medicine." Although a surge of drugs in pharmacy challenges, but fortunately, fast into the fast pin. To residents' medical demand docking, center prepared medicine directives, residents, after registration required drug center rapid replenishment. 

 

Center of balance of payments situation? Du Xueping tells a reporter, after the reform patients increased, at the same time also cancelled the drug addition, so far, the overall income than before are down a bit. But as patients sink further, the community is likely to increase income, she expects this process in the six months to one year.