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Schlagwort: ‘Pricing’

Separating “drugs” from hospitals will spread to all public hospitals in Beijing

November 7th, 2017 | by

On 8th April, the health reform in Beijing started, which covers more than 3600 public medicine institutions in Beijing. The health reform mainly covers three aspects. Firstly, the sale of all drugs are without mark-up. A medical service fee is set instead. Secondly, the standard of medical service terms will be set to realize adjustments. Thirdly, the “Sunny” group purchase will be organized for drug purchase. (Source: Workers Daily)

北京医改将“医药分开”推至所有公立医院

来源:工人日报 2017-04-11

核心提示:4月8日,北京医改如约启动,覆盖3600多家在京公立医疗机构。本次医改主要涉及的三方面内容。第一,设立医事服务费,所有药品实行零差率销售。第二,规范基本医疗服务项目价格,实施有升有降的调整。第三,组织实施药品阳光采购。

Charging according to diseases: the catalogue is extended to 320 diseases

February 10th, 2017 | by

On 16th January, the Health and Family Planning Commission and Ministry of Human Resources and Social Security and the National Development and Reform Commission published an announcement of promoting the charging system according to diseases. It is required to extend the range of charging according to diseases in all regions. A catalogue with 320 diseases was published for usage. In this charging system, every disease has a certain amount of fee. If the hospital doesn’t spend this much, it may keep the rest; otherwise the medical institution should pay the extra part. This is a pre-payment model, which is better for the health insurance to control the payment, comparing to the post-payment system according to items. (Source: National Business Daily)

按病种收费目录扩至320个 白血病糖尿病等可实现“一口价”

来源:每日经济新闻 2017-01-18

核心提示:1月16日,国家发改委会同卫计委、人社部发出《关于推进按病种收费工作的通知》,要求各地逐步扩大按病种收费范围,并公布了白血病、肺癌、乳腺癌、宫颈癌、糖尿病等320个病种目录,供各地在推进按病种收费时使用。按病种收费的情况下,不同病种都会有一个定额的费用,如果医院没花完,则结余归为医疗机构,如果多花了由医疗机构自己承担多出的费用。按病种付费是预付制的一种模式,相比以前的按项目付费等后付制方式,更有利于医保的控费。

FDA and hospitals start to block medical representatives

February 10th, 2017 | by

After CCTV exposing that doctors accepted rake-off in Shanghai and Hunan, FDAs and hospitals in various regions started to take actions to block medical representatives. (Source: Saibailan)

各地卫计委和医院展开医药代表“封杀”行动

来源:赛柏蓝器械 2016-12-28

核心提示:在央视曝光上海、湖南两地医生收回扣事件之后,各地卫计委和医院正在展开针对医药代表的“封杀”行动。

Health authorities responded to the issue of doctors accepting rake-off

February 10th, 2017 | by

On 24th December, CCTV reported: “high drug price under the high rake-off”. After the report, CFDA immediately required the Health and Family Planning Administration Departments in Shanghai and Hunan to investigate the issue of high rake-off, publish the result in time and punish the people involved according to relative laws and regulations. Until 26th December, three doctors have been suspended. The involving drugs were stopped as well. Hunan FDA also suspended one involving doctor. (Source: Health News)

卫生主管部门回应医生收回扣事件

来源:健康报 2016-12-26

核心提示:12月24日,中央电视台新闻频道报道了《高回扣下的高药价》。报道发出后,国家卫生计生委立即要求上海、湖南两地卫生计生行政部门对报道中涉及的高价回扣事件展开调查,并及时向社会公布调查结果,对涉及的违规人员依法依规严肃处理。截至26日,上海市涉事的3名医生已停职接受调查,涉及药品已停止使用;湖南省卫生计生委已经对查明的一名涉事医生做出停职处理的决定。

18 public hospitals stop drug mark-up in Jiangmen

December 16th, 2016 | by

The pilot implementation plan of the price adjustment of medical services in public hospitals in Jiangmen came recently into effect. According to the implementation plan, the 15% of drug mark-up is cancelled in 18 public hospitals in Jiangmen, to realize the drug sale without added profit (excluding traditional Chinese medicine decoction pieces), i.e. the actual purchase price is the sale price. Except the adjustment of the drug price, the prices of more than 90 examination and therapy items and around 2145 inspection items are reduced by 5%-12%. At the same time, the prices of five kinds of medical services which reflect the technical service values are increased, including examination fee, nursing care fee, bed fee, operation fee and therapy fee. (Source: Guangzhou Daily)

江门市18所城市公立医院取消药品加成

来源:广州日报 2016-12-09

核心提示:《江门市城市公立医院医疗服务价格调整实施方案(试行)》近日正式实施。按照该实施方案,江门18所公立医院自此取消原不超过15%的药品加成率,实现药品零差率销售(中药饮片除外),即以实际购进价作为销售价格。除了药品价格的调整,90多项大型医用设备检查治疗项目和约2145项的检验项目收费标准分别下调5%- 12%。与此同时,5类体现医务人员技术劳务价值的医疗服务价格有所提高,其中包括诊查费、护理费、床位费、手术费和治疗费。

Adjusting the price management mode of low-price drugs in Hunan

December 16th, 2016 | by

Hunan Development and Reform Commission recently published an announcement concerning drug prices. The announcement clarifies related policies about drug prices in Hunan medical institutions. According to the announcement, since the publication date of the announcement, sales without added profit should be implemented basing on the actual purchase price, when public medical institutions sell drugs (including secondary vaccine, excluding traditional Chinese medicine decoction pieces). For the sale of traditional Chinese medicine decoction pieces in public medical institutions, the added profit should not exceed 30 % on the basis of the cost price with tax (the wholesale price). The added profit of non-public medical institutions and social retail pharmacies can be formulated by institutions and pharmacies themselves. Drug prices should be shown to the public. (Source: Chinese Medicine News)

湖南调整低价药品价格管理方式

来源:中国医药报 2016-12-08

核心提示:湖南省发改委日前下发《关于进一步明确药品价格有关问题的通知》,对湖南省医疗机构药品价格有关政策进行了明确。根据通知内容,自通知发布之日起,公立医疗机构销售药品(含二类疫苗,中药饮片除外),以实际购进价格为基础,实行零差率销售;公立医疗机构销售中药饮片,以含税出厂价格(批发价格)为基础,按顺加不超过30%的加价率制定销售价格。非公立医疗机构和社会零售药店药品加价率由医疗机构和药店自主制定,并向社会公示药品价格。

Beijing: hospital independent pricing is coming

November 23rd, 2016 | by

Recently, new regulations were published in Beijing. From 1st January 2017, public medical institutions will implement independent pricing for special medical services, new medical services and parts of the current medical services. It is said to be the second step of the price reform of medical service in Beijing. Earlier the price of the first-aid service has been adjusted. The vice director of Beijing Health and Family Planning Commission – Zhong Dongbo said, according to the plan of Beijing Development and Reform Commission, the medical service price reform will be carried out in three steps. A dynamic adjustable, systematic manageable price system will be explored and set up in the end. (Source: Health News)

北京:医院自主定价来了

来源:健康报 2016-11-22

核心提示:北京市近日出台新规,从明年1月1日起,公立医疗机构开展的特需医疗服务、新增医疗服务和部分医疗服务项目价格,将执行医院自主定价。据悉,这是北京市医疗服务价格改革的第二步。此前北京已调整院前急救服务项目价格。北京市卫生计生委副主任钟东波说,按照北京市发展改革委的计划,今年北京市医疗服务价格改革分三步走,最终将探索建立可动态调整、分类管理的价格体系。

All public hospitals will cancel the drug mark-up

November 23rd, 2016 | by

Recently, the General Office of the Communist Party of China, and the General Office of the State Council forwarded instructions about the further promotion of the health reform. The instructions mention that new operation systems should be built up in public hospitals and the drug mark-up should be cancelled in all public hospitals. Modern hospital management systems should be set up with performance assessments. The assessment results should be connected to the financial aids of hospitals, health insurance payment, total merit pay, salary of hospital directors and etc., to set up incentive and constraint systems. (Source: Beijing Times)

中办国办:所有公立医院取消药品加成

来源:京华时报 2016-11-09

核心提示:日前,中共中央办公厅、国务院办公厅转发了《国务院深化医药卫生体制改革领导小组关于进一步推广深化医药卫生体制改革经验的若干意见》。《意见》提出,建立公立医院运行新机制,所有公立医院取消药品加成。建立现代医院管理制度,实施公立医院绩效考核,考核结果与医院财政补助、医保支付、绩效工资总量以及院长薪酬、任免、奖惩等挂钩,建立激励约束机制。

Credit cards are promoted in hospitals in Hangzhou – possible to pay after the diagnosis and treatment

November 23rd, 2016 | by

Recently, ten hospitals in Hangzhou promoted a service of payment by healthcare credit. Citizens with good credits may pay after the diagnosis and treatment. Similar to the credit cards in normal banks, the healthcare credit cards have different limits. The interest-free repayment period is ten days. If the repayment couldn’t be finished within ten days, the interest will be counted by the model of interest accrual by transactions. Repayments are possible to be done by another person. Any malevolence default behavior will affect the personal credit. (Source: Xinhua News Agency)

杭州医院推出就医“信用卡” 可先诊疗后还款

来源:新华社 2016-10-24

核心提示:近日,杭州市10家市属医院全面推出医疗信用支付服务,信用记录良好的市民在就医过程中可以先诊疗后还款。与普通的银行信用卡一样,每位市民的就医“信用卡”额度不同。“医信付”免息还款期为10个自然日,10日后未还款采用分笔计息模式计收利息。亲属之间可以代替还款,恶意拖欠行为将对个人信用造成影响。

Setting up pilot GPO of public medical institutions in Shanghai

August 18th, 2016 | by

To promote the pilot work of the general health reform in Shanghai, five public hospitals in Shanghai, together with six public medical institutions from Xuhui and Putuo districts, set up a drug group purchasing organization (GPO) of Shanghai public medical institutions in Shanghai. Public welfare social third parties will be entrusted to carry out drugs group purchasing. (Source: The Paper)

上海破除“以药养医” 试点建公立医疗机构药品集团采购联盟

来源:澎湃新闻 2016-08-03

核心提示:为推进上海市综合医改试点工作,上海复旦大学附属华山医院、交大医学院附属仁济医院、上海市第一人民医院等5家公立医疗机构和徐汇区、普陀区等6个区县所属公立医疗机构,共同组建成立上海公立医疗机构药品集团采购联盟,通过“团购”形式委托公益性社会第三方组织,开展药品集团采购。

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记者从上海市卫生计生委获悉,为推进本市综合医改试点工作,上海复旦大学附属华山医院、交大医学院附属仁济医院、上海市第一人民医院等5家公立医疗 机构和徐汇区、普陀区等6个区县所属公立医疗机构,共同组建成立上海公立医疗机构药品集团采购联盟,通过“团购”形式委托公益性社会第三方组织,开展药品集团采购。

据上海市卫生计生委医改办负责人介绍,药品集团采购(简称GPO)是国际通行的医院药品采购模式,强调全过程公开透明的运行机制。在“阳光平台”的 框架下,挤出药价水分让利给患者。同时优化药品供应链,实现医疗机构内部物流与药品企业外部物流整合,提高药品物流配送效率,降低医院运行成本。

挤出药价水分让利给患者

上海市卫生计生委医改办主任付晨向澎湃新闻记者透露,2016年5月,上海被列入国家第二批省级综合医改试点单位,上海市政府出台了《上海市深化医 药卫生体制综合改革试点方案(2016-2020年)》,而药品供应保障机制改革成为这一方案明确的五项重要改革之一,公立医疗机构药品集团采购成为这其 中一项重要内容。

从2016年2月起,上海启动相应试点工作,各家医疗机构和各个区县采取自愿报名的原则,最终共同组建成“上海公立医院医疗机构药品集团采购联 盟”,这一联盟涵盖华山医院、仁济医院、上海市第一人民医院、岳阳医院、东方医院和徐汇区、普陀区、杨浦区、闵行区、金山区、崇明县所属公立医疗机构,这 一采购联盟委托上海市医药卫生发展基金会下属的上海医健卫生事务服务中心,作为非营利性的社会第三方组织,开展药品集团采购相关的事务性技术支持和服务工 作。

上海市医药卫生发展基金会理事长彭靖表示,在近年来国家药品市场化改革、全面放开药价的背景下,上海在参照周边五省市药品均价的基础上,对符合药品生产管理标准的企业,允许其进入药品招标平台,但其药价仍然存在一定的议价空间。

付晨表示,药品集团采购联盟成立后,可以将挤出的药价水分让利给患者,同时优化药品供应链,实现医疗机构内部物流与药品企业外部物流整合,提高药品物流配送效率,降低医院运行成本。

“实现药品集团采购,医院不再从药品收入中直接获得补偿,而是通过批量采购和供应链优化降低成本,转变了医院的补偿方式。药品采购供应成本的降低, 也有利于本市加快落实国家提出的‘将公立医院药占比(不含中药饮片)控制在30%左右’的目标,而从目前来看,全市公立医院机构药占比还维持在40%左 右。”付晨表示,药品集团采购是上海市医改总体方案中‘医药分开’和改革医疗机构运行机制的重要举措,有利于破除“以药补医”,逐步取消药品加成。

首先试点采购抗微生物类药品

据上海市卫生计生委透露,药品集团采购联盟成立后,首先从抗微生物类药品开始试点采购。对于为何选用这一类药物,采购联盟专家组、华山医院药剂科主任钟明康表示:“抗微生物类药品即抗菌素,这类药品临床需求大,同时国家对于这类药物的管理和采购规定相对明确透明。”

为整个采购工作的透明公开,相关部门联合制定了采购流程、专家评审流程,如评审前抽取专家库中的15名成员,这些成员来自上海各级医疗机构、具有临 床药学、药品管理等背景的专家,固定一种药物只能选取4个厂家,同时确保信息公开,再相应召开药企座谈会,整个流程都由公证部门进行全程监督,减轻医院以 往面对众多药企“攻关”的压力,减少利益驱动的过度用药,更加有效地遏制“以药腐医”。

采购联盟召集人、上海东方医院院长刘中民透露,目前从具体采购情况来看,一是中选结果与2015年临床使用结构基本吻合。医疗机构原使用药品78% 均进入中选采购目录,二是中选结果符合“1+1+1”分级诊疗药品供应需求,受到各大医疗机构欢迎,而企业的参与度也很高,总共有528家企业申报,其中 89家为中外合资企业。

今后,试点采购的药物也有望推广到其他品类,更多的医疗机构都有望加入到这一采购联盟中去。

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