Medical network - December 21, another province all urban public hospitals to cancel the drug addition!
On December 19, who planning commission of sichuan province and at the same time printed and distributed to "promote the reform of the medical service price implementation plan" in sichuan province, the city public hospitals in sichuan province to cancel pharmaceuticals bonus compensation method ", "sichuan province administrating public hospitals to cancel the drug addition medical service price compensation adjustment plan three files.
According to the notice requirements, since December 20, 2016, the province of sichuan province cancelled all city public hospital for drug addition (except for Chinese medicine yinpian) reform, implement the zero rate of sales, break "medicine for the medical" old mechanism, synchronization to establish compensation mechanism, compensation to cancel drug addition to reduce income through various channels, effectively control the unreasonable growth of medical treatment charge, reduce the burden of patients with medical expenses, promote the establishment of the hierarchical diagnostic system, improve medical service quality and level.
Hospital reasonable due to the cancellation of drug addition to reduce revenue, in principle, be carried out in accordance with the "7:2:1" the proportion of multi-channel compensation. Namely: 70% by medical service price adjusting compensation, financial aid, 20% 10% hospitals to strengthen the management to reduce costs to digest.
▍ cancel the drug addition, hospitals will reduce returns?
According to figures released by the policy research office of the national development and reform commission (NDRC), in the year to August, 31 provinces (autonomous regions and municipalities) of 1970 counties, 4107 public hospitals has been realizing a complete coverage of cancel drugs addition policy reform, implement the zero rate of sales. According to the compensation mechanism, theoretically cancel the drug addition will not reduce the benefits of hospital. But as things stand, really?
With the rules of sichuan province are of a similar "7:2:1" compensation principle is to use "8:1:1, capital of hunan province, have met supporting measures not to force the issue. This should be the most cancelled hospital drug addition, faces the most headache problem.
Recently, xiangya hospital, central south university, dean of Sun Hong at a conference calls: since drugs zero rate reform relevant supporting measures does not reach the designated position, not received government compensation, hospital therefore bear the loss of almost 50%, xiangya hospital income this year is expected to $2 lost earnings. Treatment in order to ensure that medical personnel who don't drop, the hospital decided to cut in next year's equipment purchase cost 50 million yuan, the development of the hospital or affected.
It is understood that because of xiangya hospital is one of the 44 countries who planning commission committee belongs to the hospital, do not belong to the local government budget management unit, and 10% of the hunan financial compensation to local hospitals, thus xiangya hospital this part of the compensation has been made. The hospitals that are attached to the cancellation of drug addition, hunan province, including the central (directly under the national health development planning commission) in sichuan, the province registered in rong 19 public hospitals, I do not know when will appear this kind of circumstance?
Cancel the drug addition there is a problem, it is losing the function of drug addition sales, the cost of the hospital pharmacy into hospital departments, even is considered to be an additional burden. Many of the pilot, the hospital said, after the cancellation of drug addition, hospital a massive income decreases, or even a loss.
A secondary hospitals in guangzhou as an example, the hospital was started in September 2013 pilot "drugs zero bonus". In February 2016, according to media reports, the hospital whole pharmacy has more than 60 employees, annual pharmacy personnel pay is as high as more than 600 ten thousand yuan. After the hospital drug spending about $300 million a year, if calculated at 15% bonus, profit of 45 million yuan. Cancel the drug addition, influence on hospital income is very serious.
▍ hospital income decrease, have what effect on drug firms?
In fact, we all know, the hospital benefits reduced due to drug zero price difference, it will inevitably induce hospital self-help action.
Some hospitals in order to survive, some require payment of the pharmacy drug firms operating costs, or to charge drug firms? The quality margin? , or mandatory drug firms rebates. Relationship between hospitals and drug companies, is not only the supplier and the supplier, there exist obvious interests, so to part of the supply of the drug may also be affected. And this kind of phenomenon, I believe you are also feeling the, across the country are not uncommon.
In early 2015, the blue parker had word of an article about a national top 500 county-level hospitals in wuxi city, jiangsu province tertiary hospital, to several foreign drug companies stop drug treatment. Then be incorporated into the first batch of drug withdrawal directory covers almost all well-known foreign investment, joint venture pharmaceutical companies, there are 26 medicine was discontinued. Withdrawal reason is very simple, the hospital rebate request is as high as 10%, drug companies refuse to compromise.
In August 2015, a friend to the blue parker broke, the hospital has announced the second batch of drug withdrawal directory, fresenius, boehringer ingelheim, Pfizer and wyeth, novo nordisk, novartis sanofi, servier, eli lilly, bayer and other well-known foreign companies more than 22 product was stopped, four products are limited drug use.
In June 2016, with the blue parker micro friends reflect, they received the supplier's text, text messages, said central south university xiangya FuEr hospital held the top 15 distributors meeting about unified buckle point 10%. Do not accept a point of varieties, the hospital will be discontinued or replace.
In addition, there are various coup, the hospital according to the drug sales to pay deposit, don't pay the deposit. Too similar to the example, we can say, cancel the drug addition, the drug companies without any influence? Influence!
Along with the advancement of new medical reform, in order to "cut off medicine to raise the medical", cancel the drug addition, strict controls of medicine proportion is big trend, reduce hospital drugs, how to make up for the part of the income is all hospitals to consider problems in the future. In this case, how to deal with numerous self-help action of hospital, estimation is all drug firms must be positive to face problems.
Attachment: the central (directly under the national health development planning commission) in sichuan, the province registered in rong 19 public hospital list
Sichuan university huaxi hospital
Sichuan university, west China second hospital
Sichuan university west China dental hospital
Sichuan university huaxi fourth hospital
Sichuan province people's hospital
The first affiliated hospital of chengdu medical college
Chengdu university of traditional Chinese medicine hospital
The second hospital of traditional Chinese medicine in sichuan province
Combine traditional Chinese and western medicine hospital in sichuan province
Sichuan province tumor hospital
The orthopaedic hospital in sichuan province
Sichuan province maternity and child care
Bayi rehabilitation center in sichuan province
The fourth people's hospital of sichuan province
The fifth people's hospital of sichuan province
The second affiliated hospital of chengdu university of traditional Chinese medicine
Sichuan nursing vocational college affiliated hospital
The third affiliated hospital of chengdu university of TCM
Cataract hospitals in sichuan province |
