The National Development and Reform Commission said that the price adjustment of medical services is based on the principle of “capacity control, structural adjustment, promotion and decline, and gradual in place”. It is a prerequisite for ensuring the benign operation of public hospitals, affordable medical insurance funds, and no increase in the overall burden of the masses. Next, promote the reform of medical service prices.

In fact, since the new medical reform, the reform of medical service prices has begun to be piloted everywhere. In accordance with the goal of public hospitals to realize the public welfare of public hospitals and mobilize the enthusiasm of doctors, the current public hospital reform pilot is promoting “separation of medicines” in order to cut off the relationship between medicines and hospitals and doctors, and to eliminate the mechanism of “medicine supplementation” and reduce medicines. cost. After breaking the "medical supplementation", how to improve the compensation mechanism to ensure the survival and development of hospitals and the doctors' due benefits has become a key link in the reform of public hospitals.

In May 2015, the “Guiding Opinions on the Pilot Reform of Urban Public Hospitals” issued by the General Office of the State Council clearly pointed out that the “medical supplementation” mechanism was eliminated, and public hospital compensation was provided by service fees, drug-added income and government subsidies. The channels were changed to two channels: service charges and government subsidies. For the reasonable income reduced by public hospitals, measures such as adding pharmacy service fees, adjusting some technical service charges, etc., and compensation through medical insurance fund payment and increasing government investment are adopted.

At present, Zhejiang, Jiangsu, Fujian, Chongqing and other provinces and cities have introduced the reform of medical service price reform in urban public hospitals. On July 1, Shandong Province also launched the reform of urban public hospitals. According to the "Implementation Opinions on Further Deepening the Reform of the Medical and Health System" issued by the General Office of the Provincial Party Committee of Shandong Province and the General Office of the Provincial Government, all public hospitals participating in the reform have cancelled the drug addition (except for Chinese herbal medicines). Public hospitals are compensated for 80% of the price of medical services due to the reduction of the income from drug additions. The government compensation is not less than 10%, and the rest is strengthened through hospitals and cost savings.

It should be noted that at the same time as the elimination of drug additions and the elimination of “medical supplements”, the fees for diagnosis, treatment, surgery, and nursing projects that truly reflect the value of medical labor services are reduced, while large equipment inspections are reduced. The fees for inspection projects have increased the income of surgery and nursing in hospitals, while the income of medicines and inspections has decreased, which has optimized the income structure of hospitals. To a certain extent, it has stimulated the enthusiasm of medical personnel and curbed the sales of drugs and inspection fees. Such as income-generating behavior.

It should be pointed out that the starting point of the reform of medical service prices is to straighten out the price of medical services. It should be based on the principle of “total control, structural adjustment, rising and falling, and gradually getting in place” for medical expenses, rather than simply raising prices. Previously, in the reform of medical service prices in Chongqing, the price increase was not carefully measured, and most service charges were raised in a short period of time, while the upgraded part failed to be well connected with the medical insurance fund payment, resulting in some uremic patients. The interests of the company suffered losses, which led to the suspension of medical service price reforms in Chongqing.

From the pilot points of various places, the reform of medical service prices has changed the structural problems of high drug prices and low prices of medical services. However, pilots in some places mainly rely on the price difference of drugs to fully consider the price level and labor cost. And many other factors, but also failed to fully consider the promotion and application of new medical technology and new projects, and it is still necessary to establish a scientific and dynamic price adjustment mechanism for medical services.

At present, the "Opinions on Advancing the Reform of Medical Service Price" is just around the corner. According to media reports, the new round of medical service price reform will adhere to the total amount control, the combination of adjustment and release, strengthen policy linkage, actively and steadily advance, and gradually establish classification management and dynamics. Adjusting and multi-participating the price formation mechanism of medical services, basically rationalizing the relationship between medical services. This means that while the new round of medical service price reform is being pushed across the country, the medical service price formation mechanism will be further improved.

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