2017 Civil Service Examination Hotspot: How to Reform Medical Service Price
The National Development and Reform Commission and the Health Planning Commission and other four departments recently announced the "Opinions on Promoting the Reform of Medical Service Prices" (hereinafter referred to as "Opinions"), and the medical service price reform has a road map and timetable. China will comprehensively promote the reform of medical service prices in accordance with the requirements of “capacity control, structural adjustment, rising and falling, and gradual in placeâ€. It is necessary to follow the principle that the hospital's income does not fall, the overall public burden does not increase, and the medical insurance fund can withstand the principle that the medical service price ratio can be basically rationalized by 2020, and the price management mechanism for classification, management, dynamic adjustment, and multi-participation of medical services will be initially established. "Medical service price change" also needs supporting rules The reform of medical service prices has appeared in relevant documents since 2009, and has been initiated in some places. But before this reform, whether it was expressed in the document or in some places, it seems to be "fragmented." The "Opinions" released this time are undoubtedly more systematic, comprehensive and complete, and are of great significance for guiding the reform. As far as the "Opinions" themselves are concerned, they are in line with the expectations of medical staff and are basically in line with public expectations. For the former, the reform can reflect the value of labor and obtain labor compensation that is compatible with its own value. For the latter, because the reform can mobilize the enthusiasm of medical staff, patients can get better medical services, and the "Opinions" also promises that "the mass burden will not increase overall." From this point of view, this reform is worth looking forward to. However, judging from the situation of reforms in some places, it is not enough to rely solely on a piece of "Opinions". It also needs relevant supporting rules to support it. For example, after the reform of medical service prices in Shandong Province last year, according to media reports in the province, only the news of the rise was not heard, and the fees for specialist medical treatments rose sharply, but the cost of inspections such as CT was not seen. In other words, the reform practice is inconsistent with the provincial reforms, and there is no such thing as a rise or fall, a rise and fall. The "Opinions" also proposed that "there is a rise and fall". The so-called "up" refers to raising the price of medical services that reflect the value of medical services such as medical treatment, surgery, and Chinese medicine. The so-called "down" refers to the reduction of inspection of large medical equipment. Treatment and inspection prices. However, in the future practice, it is very likely that there will be "only ups and downs" or "ups and downs", so the supporting rules should be issued on the basis of the "Opinions". What problems should the rules solve? First, we should clarify the principle of “first drop and then rise†to avoid reform and increase the burden on patients. Second, the decline does not fall, or it is related to the lack of financial compensation. The proportion or amount of financial compensation must be specified in the detailed rules; Or because some public hospitals are too greedy, there should be special rules for assessing public hospitals and their responsible persons to encourage public hospitals to actively implement reform requirements. Rules are also needed to clarify how to protect individual interests from loss. The "Opinions" only mention "the overall burden of the masses does not increase." This sentence is relatively broad. Even if the burden of most patients does not increase, the burden of reform for a small number of patients who mainly rely on medical services is likely to increase, and only the public interest and individual Reform of interests is a good reform. Therefore, the rules need to be targeted to alleviate the burden on those patients who rely on medical services. The "Opinions" suggest that it is necessary to implement the government-guided price for the basic medical services provided by public medical institutions. However, it is not clear how the "government-led, stakeholder-negotiating price-forming mechanism" can be realized. Stakeholders should include local governments, public hospitals, patients, etc., but the proportion of patients in the price negotiations, the choice of patient representatives, etc., I am afraid that special rules are required to regulate. Obviously, a "Opinion" that guides the whole country cannot achieve perfection of details. I am afraid that it is necessary to introduce a number of supporting rules to implement the spirit of the "Opinions". Some of the rules need to be formulated according to local conditions, but some matters may require the national level. Unification, such as compensation for public hospitals at all levels of finance, is not only about canceling the success or failure of medicine supplementation, but also about the success or failure of "medical service price reform". It may be appropriate for the state to allocate compensation for the "red line." Black Garlic,Fermented Black Garlic,Black Garlic Puree,Natural Fermented Black Garlic Powder shandong changrong international trade co.,ltd. , https://www.cragriculture.com