Jiangsu public ** implementation of drug 0 spread

The 23 public hospitals in Suzhou began to comprehensively implement the comprehensive reform of medical prices and opened the curtain for the price reform of public hospitals in Jiangsu. The reporter learned from the press conference held by the Jiangsu Provincial Price Bureau yesterday that apart from Zhenjiang and Suzhou, which were first reformed, the other 11 cities in the province will start reforms at 0:00 or 24:00 on the 31st of this month, which also means that the On November 1st, all public hospitals in Jiangsu Province will implement full-scale sales of medicines according to the purchase price, and increase 2,993 items such as medical examination fees and surgical fees, and reduce the cost of 275 inspections and inspections such as magnetic resonance imaging and color ultrasound. Yangzi Evening News reporter Shi Xiaolei

Core concern

main content

These will cut prices

1, drugs

The purchase price of 15% on the basis of the purchase price of drugs, and the purchase price of 500 yuan or more does not exceed the provision of 75 yuan. All drugs are sold at the purchase price, and it is cheaper to prescribe drugs in hospitals.

2. Inspection and inspection of 275 items

Magnetic resonance scanning, X-ray computed tomography (CT) scans, color Doppler ultrasonography, and some equipment-based projects cancel 15% floatation regulations. The actual price reduction is about 15%. Large-biochemical tests, two pairs of hepatitis B semi-quantitative tests, and two pairs of hepatitis B semi-qualitative tests and other routine inspection packages have reduced prices.

3, open convenient clinic

The hospital set up a convenient channel for patients who only took drugs and chronic disease patients to check regularly and did not need to provide a new treatment plan. They were charged at 2 yuan/time.

These will increase prices

1, increase the inspection fee

Registration fees and emergency registration fees are included in the survey fee, and registration fees, emergency registration fees are no longer set. Western medical examination fees, TCM syndrome differentiation fees, emergency medical examination fees, and inpatient medical examination fees are divided among the examination fees. At the same time, the grade differential was opened. For example, the examination expenses of the general physicians, deputy chief physicians, chief physicians, and experts of three types of hospitals were adjusted upward to 12 yuan, 22 yuan, 35 yuan, and 50 yuan, respectively. The grade is 3 yuan more expensive than Western medicine.

2. Increase the cost of comprehensive services such as injection and nursing

3, to improve some of the pathological examination, diagnosis and treatment and surgery prices

Adjust the clinical treatment fee standards for each system, including the price of oral and maxillofacial, cardiac, and vascular system projects increased by 20%, the price of other clinical programs for diagnosis and treatment of other clinical systems increased by 30%; the cost of clinical treatment and surgical treatment also increased accordingly, including anesthesia guidance price increased by 20% The cost of surgery will increase by about 50%, of which the price increase for Class 4 surgery will be 75%, and the surgery for children aged 6 and below will receive 20%.

Because the operating expenses originally had a 15% increase, the actual price increase did not reach 50% or 75%.

These prices are unchanged

No change in the price of dialysis and other 1625 medical services

In order to control the risks of reforms, it is clearly stipulated that the prices of medical services involving special groups will not be adjusted temporarily, including 1,625 items such as radiotherapy, peritoneal dialysis, hemodialysis, physical examination for students of primary and secondary schools, accounting for about 30% of all items.

Cancellation of these items

Canceled 15 projects such as Spiral CT super-layer fee and no escort care

How to keep the total expenditure of patients from increasing

The medical insurance policy was adjusted synchronously, and the price increase portion increased the proportion of medical insurance payment.

Establish a dynamic adjustment system for controlling fees and prices, and the unit price per capita increase in inspection fees will go down.

Scope of implementation

All public hospitals in the city. Including hospitals headed by the Health and Family Planning Department (including nursing homes), university affiliated hospitals, military hospitals, hospitals run by enterprises and institutions, rehabilitation hospitals organized by government departments, and nursing homes.

From the perspective of the hospital level, it includes departmental hospitals, provincial hospitals, municipal hospitals, district (county) level hospitals, and central health centers that do not fully implement essential medicines.

Implementation time

Suzhou, October 28 at 0:00

Nanjing, Wuxi, etc. at 0:00 on October 31st

(Synchronization of 11 provincial and provincial hospitals in Nanjing)

Nantong, Taizhou, etc. start at 24:00 on October 31

(Except for Zhenjiang City, which first tested before 2012)

Hot Issues

1 Is it necessary to pay more than a dozen yuan of medical examination fees after seeing a doctor later?

Taking the western medicine outpatients of three types of hospitals as examples, the examination expenses for general doctors, deputy chief physicians, chief physicians, and experts were raised to 12 yuan, 22 yuan, 35 yuan, and 50 yuan respectively. The cost of this investigation has been raised completely. Does that mean that you have to pay more than ten dollars to enter the hospital? The Provincial Price Bureau deputy director and press spokesman Kong Xiangping explained that this is not the case. The published price is the total cost. Medical insurance will also be part of the burden. Take Nanjing as an example. In the 12-person ordinary doctor's examination fee, the personal account pays 3 yuan, and the overall account payment is paid. 9 yuan.

Nanjing tertiary hospital how to change the cost of inspection?

Tertiary hospital western medicine

General outpatient service

Deputy Chief Physician

Chief physician

Original registration fee

4.5 yuan

(pays 1 yuan, medical insurance co-ordination 3.5 yuan)

7.5 yuan (personal payment)

10 yuan (personal payment)

Inspection fee

12 yuan

(pays 3 yuan, medical insurance co-ordinates 9 yuan)

22 yuan

35 yuan

2 outpatient visits which to save money which expensive?

Chronic patients with hypertension, diabetes, etc. save money

After this comprehensive price reform, because of the decrease in the price of drugs, chronic patients such as high blood pressure and diabetes can save more money. Taking the cost of outpatient services in a tertiary hospital as an example, the three Ameri- ginal drugs that are commonly used by hypertensive patients, one patient can save about 50 yuan in drug costs in a month, and the monthly average of diabetes patients after the price of diabetes and other commonly used drugs is reduced. The cost will also drop by about 40 yuan.

Oral treatment expensive, make up 12 yuan expensive

In this reform, some patients may have an increase in personal burden due to differences in treatment methods and low proportion of medicines. The most typical one is oral treatment. Because the use of drugs is small, the main expenses are generated in the treatment of this price increase. For example, in the third-grade hospital, one tooth was added. In addition to the price increase of consumables, other items involving medical services have risen more or less. In the past, 128 yuan was made up for a tooth, and after the reform, it rose by 12 yuan to 140 yuan.

3 Will hospitalized patients spend more money?

Hospitalization cut an individual cost more than 130 yuan

Inpatients are the people most affected by this reform, but overall they don’t feel suddenly more expensive. For example, in the tertiary hospital inpatient resection of the appendix, hospitalized for five days in three rooms, the total cost will increase from the original 7,630 yuan to 7,760 yuan, up 130 yuan, or 1.7%, it should be said that little change.

Pneumonia hospitalization due to lower drug prices instead spent 549 yuan

The amount of medication used by various inpatients is also an important reason for changes in expenditures. For example, patients with pneumonia have to stay in hospital for 9 days. However, because of more medication and lower drug prices, the overall cost is reduced. The original cost was 12,846 yuan, which decreased after the reform. To 12,297 yuan, 549 yuan less, a decrease of 4%.

4 How to ensure that the overall burden of patients does not increase?

The burden of most patients changed little after the simultaneous adjustment of Medicare

According to the guidelines issued by the Provincial Price Bureau, the Provincial Health Planning Commission, and the Provincial People's Club in August, the medical insurance reimbursement and the adjustment of the price policy of medical services are synchronized in this round of reforms, and the increased charges for medical technology services are included in the payment of medical insurance. The scope of the policy. Kong Xiangping stated that the medical insurance policy is not the same everywhere, so the specific regulations will be issued separately by each city.

According to the understanding of the province, Nanjing has made it clear that the increase can be covered by medical insurance. Taking the hospitalization as an example, after the air-conditioning heating fee was incorporated into the bed fee and reimbursed through Medicare, the individual burden on the hospital bed was reduced by 40 yuan. .

Policy tips

11 provincial hospitals and Nanjing tertiary hospitals have the same price

11 provincial hospitals and Nanjing tertiary hospitals have the same price

In this reform, 11 provincial provincial hospitals in Nanjing will start implementing new prices simultaneously with Nanjing at 0:00 on the 31st, and the price level of local pricing projects will be consistent with Nanjing.

Senior expert 1/3 consultation time must be in the ordinary clinic

The reform plan requires that senior experts who enjoy state allowances pay 50 yuan for out-patient examinations in tertiary hospitals, and they will be priced independently at the expert consultation center, usually around 100 yuan. In this reform, the time requirements for experts to enter general out-patient clinics have also been clarified. Senior experts must have one-third of their time in general out-patient clinics.

Reduction of beds in public hospital special wards to 1/10

The reform requires the control of the proportion of beds in special wards. The ratio of hospital beds in public hospitals must not exceed 10% of the total number of open beds (excluding extra beds). If it exceeds 10%, it must be reduced to less than 10%.

Percentage of hospitals whose per capita inspection fee growth exceeds the standard goes down

In order to control the unreasonable increase in inspection and inspection expenses, our province has established a linkage mechanism between the growth of per capita inspection and inspection costs and the price adjustment of inspection and inspection items. The public hospitals whose per capita average inspection fees have grown too fast have reduced the price of inspection items whose business volume has grown too fast.

Fourth-grade surgeries with the most price increases will be announced later

In this adjustment, the most expensive price increase is "level 4 surgery." What does the scope of the four-level surgery include? The Provincial Price Bureau and the Provincial Health Planning Commission and the Provincial People's Association Office are further negotiating. According to the hospital's recommendations, the surgery specification will be specifically formulated and will be announced after formal confirmation.