Medicine promotes the implementation of medical service fee system separately

Recently, Beijing Friendship Hospital implemented medical separation, cancelled registration fees, medical fees, and 15% drug additions, and implemented a medical service fee system. To implement medical service fees, the general number, the deputy chief physician number, the chief physician number, and the well-known expert number respectively charge medical service fees of 42 yuan, 60 yuan, 80 yuan, and 100 yuan. Among them, medical insurance reimbursed 40 yuan/person. That is to say, Medicare patients only need to spend 2 yuan to hang the regular number, and 60 yuan to hang the famous expert number.

On the pharmacy's electronic public sign, the current price and original price of the more than 1,000 kinds of drugs that are cancelled are displayed. Total glucoside capsules per box of 62.57 yuan, the original price is 71.95 yuan, nearly 10 yuan cheaper; Kaisha each 0.65 yuan, the original price is 0.74 yuan, 9 cents cheaper ... ... from the data analysis, the Beijing medical insurance patients The average cost decreased by 23.1%, and the average drug fee decreased by 134.33 yuan. The proportion of self-paid patients in Medicare dropped by 21.4%, and the personal burden was actually reduced. During the two days of operation, Friendship Hospital provided a total of RMB 379,000 to the patients on drug charges.

Liu Jian, head of the Beijing Friendship Hospital, said that the outpatient service volume was basically flat, and the number of medical insurance patients had increased. It initially reached the goal of the municipal government to determine the medical independence of the "patients do not increase the burden, the hospital revenue does not decrease." The medical service fee of 40 yuan per person requires medical insurance to pay for the bill. Can Medicare be affordable? According to Jiang Jiyuan, director of the Medical Insurance Division of the Beijing Municipal Human Resources and Social Security Bureau, Medicare will pay an additional 1.3 billion yuan for this year. According to static estimates, it will account for about 6% of the total cost of medical insurance, and will not increase too much burden.

Han Xiaofang, director of the Beijing Municipal Medical Reform Office, said that the Beijing pilot has a demonstration effect on the implementation of medical separation across the country. “The revenue from drug additions is not cancelled, but a translation has been implemented.” Han Xiaofang said that, in terms of form, the drug plus registration fee and medical treatment fees are translated into the medical service fee system, which will in essence create profound effects on the operating mechanism of the hospital. influences. The establishment of a medical service fee system embodies the labor value of medical personnel, enables hospitals to rely on the survival and development of drug sales, changes to the survival and development of medical services, and guides hospitals to strive to improve the number of services, quality, medical technology, and patient satisfaction in terms of benefits. The public welfare goal of the hospital.

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