公立医院改革

公立医院改革 Reform of public hospitals in Shanghai 2011, public hospitals, reform of the meeting, select 300 from the National county-level hospitals, to reform the compensation mechanism for the entry point to promote the comprehensive reform of county hospitals. At present, 18 provinces of Shaanxi, Zhejiang, Hubei, Jiangsu, has officially launched the comprehensive reform of county hospitals, a total of 561 pilot hospitals. In addition, with Beijing's "joining", public hospitals, reform of the national contact pilot cities to 17. Personnel training is slow effort: 2009, practicing (assistant) physicians 1.75 / 1,000 population, while the U.S. is 2.6 / 1,000 population, France 3.4 / 1,000 population; 2009, our registered nurses is 1.39 / 1,000 population, well below the 2008 Global 2.8 / 1,000 population average. Implement the compensation challenges many: 2011 public hospital reform has arrangements proposed compensation mechanism for several of the reform task is to "reform and drugs make up the medical mechanism," the study reasonable to adjust the price of medical services, the implementation of financial investment policies "and" reform payment and so on. In 2010, public hospitals, drug revenues reached 374.1 billion yuan, accounting for 46.3 percent of the revenue, drugs the balance of 25.2 billion yuan. Among them, the county hospital drug revenues reached 106.9 billion yuan, accounting for 46.8 percent of the revenue, drugs plus income of 19 billion yuan, while the county-level hospitals over the same period of financial assistance is only 28.5 billion yuan. From this set of data is easy to see canceled after drug addition, will give the hospital run cause a huge gap. Financial "fill hole", Shanghai is making efforts to promote the adjustment of the price of medical services system, to provide a more operational experience. At present, Shanghai has adjusted the 4183 charges for medical services, and improve the price of medical services to reduce the price of a large check, the large and complex surgery price rises, such as heart and lung transplant, the original charges of a maximum of 4050 yuan, and now surgery charges the highest standard be raised to 16,000 yuan. Magnetic resonance scan prices generally reduced by 100 yuan to 200 yuan. In addition, Beijing, Shanghai and other places in the reform of the payment were explored. Beijing has selected 108 patients grouped in six hospitals to carry out the pilot reform of the payment methods. December 1, 2011, the Qinghai provincial government decided to arrange drug addition to grant funding of 30 million yuan, disposable cancel the province's 14 reform pilot counties in 14 pilot counties in the hospital drug addition, hospital drugs and medical supplies all zero sales slip, requiring the pilot hospitals to actively implement the pilot reform of the Medicare payment, the implementation of the Capitation total prepayment outpatient, inpatient DRGs of payment, effective control of the irrational increase of medical expenses. Exploration of the pilot cities there are basically four kinds of mode: First, in a large health system under separate management from operation, 13 Qitaihe City, Heilongjiang Province, Wuhu City, Anhui Province, Beijing and other cities have separate management from operation in a large health system in 17 countries contact the pilot cities. The second mode is to set up the direct leadership of the municipal government in public hospitals of Procedure of the reform and development coordination mechanisms, but the act or the implementing agency is located outside the administrative department of health. Anshan City, HA, such as Anshan City, in June 2011 was set up directly under the bureau of the Anshan Municipal Government level institutions, management of 19 public hospitals in Anshan City. The third is a specialized public hospitals, regulatory agencies outside the health administrative departments, the Government set up directly under the municipal government leaders, commitment to the municipal government run medical functions, to take this model, Shanghai, Shenzhen City, Ma'anshan City. The fourth is to establish under the SASAC, the leadership of the public hospitals, regulatory agencies, such as Kunming.