Medical reform: Shandong is expected to unify the purchase price during the year

In addition to accelerating the construction of the basic medical insurance system and improving the primary medical and health service system, this year Shandong will also initially establish a national essential medicine system, promote the gradual equalization of basic public health services, promote the pilot reform of public hospitals, and carry out comprehensive pilot work on medical reform. Before the end of the year, the provincial deepening medical and health system reform leading group will conduct a comprehensive inspection of the implementation.

Formulating essential drugs

Unified purchase price

According to the "Key Work Arrangement of the Medical and Health System Reform in Shandong Province" announced by the provincial government today, this year, the province will initially establish a national essential medicine system. Among them, after the publication of the national essential medicines catalogue, the province's basic drug bidding procurement management measures were formulated; according to the national basic drug retail guide price and bidding situation, the province's unified procurement price was formulated.

Before the end of the year, 30% of government-run urban community health service agencies and county (city, district) governments will implement basic drug systems, including the implementation of provincial-level centralized online public bidding and procurement, and unified distribution. The essential drugs are sold at zero rate.

At the same time, we will improve the working mechanism for the supervision and sampling of essential drugs, and implement full-coverage regular quality tests on the basic drug list varieties.

Start the basics of the 9 categories of countries

Public health service project

According to the arrangement, Shandong Province will launch 9 kinds of national basic public health services such as resident health records, health education, immunization planning, infectious disease prevention, child health care, maternal health care, elderly health care, chronic disease management, and management of patients with severe mental illness. project. This year, 30% of the population has been filed. The vaccination coverage rate for children aged 0 to 6 is over 85%, the health care rate for children aged 0 to 3 is 80%, and the health care rate for pregnant women and the elderly is 80% and More than 50%, the management rate of hypertension and diabetes patients reached more than 30%, and the management rate of patients with severe mental illness reached more than 60%.

At the same time, it began to replant hepatitis B vaccine for people under 15 years old, and 544,918 people were replanted this year. Launched the “two cancers” inspection program for rural women aged 35 to 59, completed 56,000 cervical cancer examinations, and 12,000 breast cancer examinations; and added 813,000 pregnant women to folic acid and hospitalization for 3 months before pregnancy and 3 months before pregnancy. Grants are given for childbirth. For 25,000 cases of poor cataract patients, free or reduced expenses for rehabilitation surgery.

Research and development

Pharmacy service fee and other policies

In the reform of public hospitals, Shandong Province requires that the pilot areas should develop regional layout and structural adjustment plans for public hospitals; and encourage social capital to invest in medical services. Exploring the effective forms of separation of government affairs and separation of management and administration; improving the corporate governance structure of hospitals and promoting the reform of personnel systems. Strengthen the operation management of public hospitals and establish a public hospital supervision system with public welfare as the core.

At the same time, Shandong Province will reform the compensation mechanism of public hospitals. The study drafted a policy of promoting the separation of medicines, phasing out drug additions, adding pharmacy service fees, and adjusting the prices of medical services, so that pilot public hospitals gradually realized compensation from service charges and government subsidies.

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