Raise and serve the fixed price Reduce the price of medicines The medical pricing mechanism reforms the direction distinctly

Raise and serve the fixed price Reduce the price of medicines The medical pricing mechanism reforms the direction distinctly
Raise and serve the fixed price Reduce the price of medicines The medical pricing mechanism reforms the direction distinctly
Staff reporter Kong LingMin November 23, national development and reform committee, Ministry of Public Health, human resources and social security department have jointly released " opinion of reforming medicines and medical service price forming mechanism ". " opinion " points out, in the following 3 years, should further make the relation of rate of exchange of medical care in order, on the basis of medical service price project of the norm, improve clinic diagnosis, attends to, the operation and other medical service prices which reflect medical worker's technological labor service value appropriately, reduce the large-scale medical apparatus checking and therapeutic price at the same time. The medical service price will improve " opinion " to point out appropriately, in reforming medicines and medical service price forming mechanism in three years, the main task from 2009 to 2011 includes, improve the medical price administration policy, adjust the government and manage medicines and medical service price range, improve the office procedure of prices, further improve the price policy procedure, science and transparency of improving price and supervising; Adjust the price of medicines rationally, on the basis of checking and ratifying the medicines price of government's management in an all-round way, further reduce the medicines price on the high side, improve the clinical and essential low priced medicines price appropriately; Make the price of national basic medicine scientifically; Strengthen to planting ' Lie between) High supervision which is worth the price of the medical equipment such as the entering type; Strengthen cost prices to monitor and supervise and inspect, improve the cost price of medicines and monitor the system, strengthen the situation analysis of the price of medicines, disclose the information of the market price; The norm produces and manages enterprises, medical organization price behavior; Further perfect the system of the medical statement of expense of medical organization, improve and charge the transparency. The overall goal of the clear reform of " opinion ": By 2011, the government manages the medical price method to further improve, enterprises and the medical organization price behavior are more normal, order takes a favorable turn progressively at the market price, the price of medicines becomes more and more reasonable, the structural contradiction of the medical service price is obviously relieved. By 2020, our country should set up and amplify government's adjustment to combine with market regulation, accord with the medical price forming mechanism of the rule of development of the medical hygiene industry; The medical price can reflect production changing and market supply and demand of service cost objectively in time; The medical price management system is complete, the method science of adjustment; The medical price is in good order, the behavioural norm of the market competition. The medicines price markup rate of the hospital will reduce " opinion " to point out, in cancelling the transition of the addition of medicines progressively, want, reduce the intersection of medical organization and the intersection of medicines and rate of raising the price progressively, in overall to top under the 15% prerequisite, can implement the policy of raising the price of the difference according to price level, add the value to limit to high price medicines at most if necessary, the traditional Chinese medicine decoction pieces price markup rate standard is relaxed appropriately. Encourage the place to combine the pilot reform of public hospital, the pool launches the public hospital and sells a difference rate of medicines to reform. " opinion " points out, the focal point of managing price of medicines of the government is that national basic medicine, national basic medical treatment ensure using medicine and producing and managing special medicines with monopoly, other medicines implement the price decided by market demand. The price of medicines implements differentiated control, the preparation price of medicine which the non-profit-making medical organization mixes by oneself, confirmed administration authority of prices, form and content by the local actual conditions of the regional foundation. Include in medicines of the range of management of government's price, except that planning and planning fertility drug in national immunity has government issused price, other medicines implement the government guided price. Narcotics, a kind of psychotropic substances are changed from form of the government issused price to the government guided price, and and regionality authorize for dispatch, make enter the intersection of pin and upper limit standard of price differential rate respectively to link of circulating according to authorize for dispatch while being nationwide. Reduce the circulation price differential rate of medicines of government guided price, the price differential rate of links (volume) to circulating progressively Control upper limit, and control the bad rate of the difference to high price and low price medicines. " opinion " stipulates, the government makes the medicines uniform price according to the common name in principle. Will encourage supporting the development policies and having medicines of obvious different quality criterias in according with the country in the future, the principle that the price depends on the quality that can accord with, implement the differentiated pricing policy. The government makes the price of medicines and is based on social average unit cost, consider other relevant factors synthetically, as to the thing that the ordinary medicines that clinic can't guarantee to be supplied on the market, can improve price appropriately. To substituting medicines and innovative medicines and pricing and introducing medicine economics and appraising the method progressively, promote different kind medicines to keep the relation of rational rate of exchange. Allow medicines with higher innovative intensity to keep higher profit margin within rational time limit, promote enterprises to develop innovative medicines. " suggestion " proposes, guide ordered production and competition of imitation medicines, to modelling listing medicines at first at home in the future, the price is consulted and modelled the price of medicines and make; Medicines modelled have not been listed at home yet, the price modelling medicines at first is made according to their reasonable cost; Model listing medicines again, the price is made according to below certain proportion that models the price of medicines at first; Model the intersection of medicines and manufacturing enterprise up to certain amounts of, while being the same kind of, should make uniform price according to social average unit cost situation. Medical care make the intersection of price and the intersection of " the opinion " and regulation in grades according to the intersection of hospital and rank, according to factor, grade of medical organization and rank and market demand,etc. of doctor, can make different guide price, thus the price disparity between close and spread to medical care, promote the patient to shunt rationally. " opinion " points out, the medical service price is implemented to unify the policy, differentiated control, the guide price of basic medical care, is saved or the price responsible institution at city level makes together with the hygiene, human resources and social security department at the same level, whom non-profit-making medical organization offer need medical care do price decided by market demand in fact specially. Basic medical service price want, reflect the intersection of public service and property, price its want according to " the reasonable the intersection of compensation and cost, give consideration to person and basic medical treatment, ensure endurance " Principle check and ratify, be lasted costs reasonable that is basic and medical service price based on, should finance subsidize and medical organization sell medicines and medical equipment according to deduct ' Consumptive material) The income of price differential is checked and calculated. " opinion " requires, improve the medical service price which reflects technology and labor service value, compensate the requirement of the reasonable cost according to medical care, combine the government finance and invest the situation, adjust the non-profit-making basic medical service price of medical organization rationally, improve prices of project such as Chinese medicine and reflecting making a diagnosis, operation, attending to of medical worker's technological labor service value,etc. progressively. Control and increase the medical examination newly and examine the project simply in the name of new apparatus, new reagent, new method,etc. strictly, further standardize medical service price project name and service content, reform medical care by way of fixing the price of main fact in project progressively. Reduce the large-scale medical apparatus checking and therapeutic price, strengthen the medical use to check and treat the apparatus price to monitor. Personalized service convenient for people which medical organizations at the basic level such as community, health clinics in towns and townships,etc. launch, can make prices according to ways such as the service time, number of times of the service,etc.. To the variety of charging alone outside the medical service price project, will set up the catalogue to manage. Especially plant the high value ' Lie between) Medical equipment of entering etc., can circulate the intersection of link and price differential rate, release the intersection of market price and message measure through restrain from, lead the price to take shape rationally.


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