Medical network - March 31, medical apparatus and instruments, guangdong province, guangdong province has put forward, to strive to become the new comprehensive reform pilot provinces. Want to be a pilot provinces, have to be pulled out. 

 

On March 28, the people's government of guangdong province issued the deepening the reform of comprehensive medical care system implementation plan "of guangdong province (hereinafter referred to as the" scheme "), made clear the province in 2020 to reform the key tasks and the implementation of the schedule. 

 

From the point of "the plan", in guangdong province will open the reform of "sincerity", is in many ways to be big changes. Some of the more depth, and directly affect the medical apparatus and instruments, the blue parker devices will affect industry comb the main changes are as follows: 

 

Supplies, reagents, equipment shall be centralized purchasing 

 

"Solutions" proposed, "the implementation of the principal position of consumable purchase of medical institutions, to promote active control consumable price. Medical institutions for medical consumables procurement sunshine, to carry out the high value medical consumables, test detection reagents and large medical equipment centralized purchasing. Encourage and guide the medical institutions to use domestic high value medical consumables. (province social security department is responsible for human resources, health and family planning commission, financial department, national development and reform commission, the food and drug supervision bureau coordinates)" 

 

Borne by guangdong people club hall of guangdong province to explore high value medical consumables concentration belt quantity procurement plan, is introduced in December 2017. 

 

Supplies, reagents, equipment shall be centralized purchasing, this is the national health care reform office designated by the state council, guangdong province is no exception. As for quantity purchase, it is unclear whether guangdong will adopt what kind of pattern. 

 

It is important to note that the scheme is also specially put forward, to increase the localization of high-value consumables application, but there is no mention of medical equipment. 

 

Fujian, health care ruling over YaoXie procurement, payment 

 

More is that the change of guangdong province to follow in fujian province, by the health department, and is no longer a health department, to ruling over YaoXie procurement. 

 

In the scheme, with the following rules: 

 

"Strengthen the function of orgnaization of health care management. Research integration employee basic medical insurance and basic medical insurance system for urban and rural residents. In the province administration of social insurance fund use medical insurance fund management center, brand integration and take the management of medical treatment insurance, drug centralized purchasing management, fund and management, drug procurement and fee settlement negotiations, medicare payment standard, designated agency agreement management and settlement functions. Encourage conditional local pilot listed to set up the medical insurance fund management center. In zhuhai, zhongshan, dongguan three public hospital contact national comprehensive reform pilot cities to carry out the pilot reform of mechanism of system of medical insurance fund management. Give full play to the health of drug production and circulation enterprises, hospitals and doctors supervision function, the gripper for linkage reform. After the unification of insurance agency orgnaization to make greater efforts to promote the reform of medical insurance payment further play to health care for the controlling role of the medical expense unreasonable growth. (provincial human resources social security hall, health and family planning commission, is responsible, provincial departments cooperate)" 

 

Guangdong medical insurance fund management center will be a new, zhuhai, zhongshan, dongguan three countries reform pilot cities will set up the municipal medical insurance fund management center. Hanging in the provincial administration of social security fund, the center should be the meaning of the reconsideration office, this sector is the guangdong people club hall of institution, the existing functions are related to the social insurance management. But according to the plan, the future of this department is to greatly expansion, the original attribution planning commission and other departments YaoXie procurement functions are integrated into their own. 

 

Guangdong province will carry out the reform, and has opened the "fujian model" of the very similar, will be borne by the strong health care the buyer, the price, the most important role of fee. 

 

Fujian province in the insurance agency, bidding and purchasing, pricing and other functions are unified belongs to a new set of health care for (health bureau, the medical insurance fund management center), quickly across the country first introduced on the basis of the medical insurance payment settlement joint drug price purchasing new sunshine, from health care to pay pricing directly on the source of the charged fees, shocked the medicine circles, many drug firms "squealed". And similar material aspects of the New Deal, according to a previously disclosed information, also be forthcoming. 

 

Guangdong will have to be borne by the health department to unity and functions of procurement, payment, even though the "solution" in the above content is only word "drug", but such as fujian, after the drug is consumable. 

 

And, in fact, in the above mentioned materials, reagents, equipment reform of centralized purchasing, the plan is in the charge of the designated department people club hall of guangdong province, the provincial planning department, financial department, development and reform commission, the food and drug administration, while the implementation. Amount of high-value consumables with proposed in the course of the year purchasing plan, the responsible departments are social hall, rather than health development planning commission. 

 

Obviously, by the health department in charge of medical equipment procurement, payment, it is clear the direction of reform. 

 

High value to triple limited, consumption accounted for a drop down again 

 

"The plan" put forward to control unreasonable medical expenses increased, the specific measures include: 

 

"According to different public hospitals for medical expenses annual fee index control. To carry out the prescription review, investigate" excessive, check "behavior, such as the key monitoring supernormal use medicines, unreasonable use of adjuvant, nutrition, and the price of drugs, not reasonable to carry out the inspection, testing, and high value medical consumables, early warning and intervention in time. To strengthen the monitoring of the public bulletin, strict accountability. It is strictly prohibited to medical staff set income indicators, medical workers compensation shall not be linked to drugs, supplies, medical examination and other income. Promote the mutual recognition of inspection, the inspection result. Above the provincial level 2 public hospitals gradually stop outpatient intravenous infusion of antimicrobial agents. Support patients to choose their hospital outpatient pharmacy or on prescription to retail pharmacy to buy medicine. Strive to to 2018, medical expenses growth rate less than 9%, the secondary and the public medical institutions per capita outpatient cost growth rate, per capita hospitalization cost no more than 9% growth; tertiary public medical institution outpatient costs of growth per capita, per capita hospitalization cost no more than 7% growth, personal health spending accounts for the proportion of the total health expenses down to below 27%. (province health and family planning commission, the social security department is responsible for human resources, provincial development and reform commission, bureau of traditional Chinese medicine)" 

 

On public hospital internal control cost, guangdong will take the use of high value medical consumables for monitored object, early warning and intervention in time is not reasonable use. And on the reform of centralized purchasing, high-value consumables is top priority, will take the amount of negotiation, but also domestic priority. Triple pressure at the same time hits, high-value consumables manufacturer ready yet? 

 

In addition, the scheme of reducing the consumption of the target, did not stay on the 20% of the country designated standard line, but to further reduce year by year, dropped to 18% in 2018, 2020 to less than 15%. 

 

Fiscal tens of billions of investment, to make important equipment of the buyer at the local level 

 

"The plan" put forward to by guangdong finance during the period of 2017-2019, concentrate, increasing investment support software and hardware construction of the medical and health institutions at the county level. Include: complete the existing public hospitals at the county level standardization construction; By 2019, the northwest area of guangdong in towns and townships, community health service center (station) all meet the national standard limit; By 2018, complete the construction of standardization of village health posts. 

 

"Solution" is clear, basic medical and health institutions in line with the regional health development planning of funds for capital construction and equipment configuration, by a government in full security, personnel expenditure by the government according to the local health personnel training planning and reasonable arrangement of subsidies, undertake the task of the public health service allowance according to the service cost. Grassroots medical institutions of income gap, but also by the financial aid. 

 

The next three years, the grassroots medical institutions in guangdong province to the great leap forward. Family planning work conference held recently in 2017 in guangdong province health has also been put forward, and only at the end of the year will invest 50 billion yuan in guangdong province, strengthening primary health service ability construction, realize the fundamental improvement. 

 

Released recently, the health development planning commission of guangdong province and the counties in the province to expand hospitals and community health service centers, in towns and townships guide or upgrade construction plan, including medical equipment configuration is an important content in the building of grassroots medical institutions to upgrade. Can be expected that the next few years, the grassroots health institutions of guangdong province is to become an important part of the medical equipment of buyer's market. 

 

Attachment 1: the implementation of the healthcare reform steps in guangdong province 

 

1, start the deployment stage (before the end of March 2017) : the comprehensive reform plan, a clear timetable and roadmap and the main tasks. A work meeting, carry out mobilization deployment and business training, start to promote each work task. 

 

, the full implementation of phase 2 (between April 2017 and December 2018) : in the first half of 2017, around the level by listing a implementation plan. Task and to organize the implementation of the reform, the establishment of working parameter, strengthen tracking guidance and supervision, to ensure the tasks of the reform into effect. Timely reform related policies. 

 

3, perfecting stage (January 2019 to December 2020) : tracking, local knowledge, various led department work progress, the relative lag in place and supervision, and ensure each goal task deadline. 

 

Stage 4, summary: in 2018, 2020, summarizes the pilot reforms in stages. Combination in "much starker choices-and graver consequences-in" pilot reform during the period of assessment, to advanced pilot experience and practice summary of the promotion, attaches great importance to the reform efforts of institutionalization, promote the pilot make greater effectiveness.