Focus On The Three Focuses Of Public Hospital Pay System Reform

Recently, the Ministry of human resources, the Ministry of finance, the State Health Planning Commission and the State Administration of traditional Chinese Medicine issued the "guiding opinions on the pilot reform of public hospital pay system", which calls for the improvement of the salary system in public hospitals.

　　 Focus 1

Will increasing doctors' income lead to medical expense Rise?

According to the guidance, 11 pilot provinces of comprehensive health care reform in Shanghai, Jiangsu, Zhejiang, Anhui, Fujian, Hunan, Chongqing, Sichuan, Shaanxi, Qinghai and Qinghai have chosen 3 cities (States and districts), and 1 other public hospitals in the other provinces are selected for pilot projects.

Reporters learned that, at present, Shanghai, Hunan, Sichuan and other places have introduced corresponding reform measures to improve the cost of diagnosis and treatment, encourage more work and get more, some hospitals have increased the income of doctors.

Chen Bangzhong, director of Rehabilitation Department of the second people's Hospital of Xindu District, Chengdu, said that there was a "cap line" in the income distribution of the former departments, and no more money would be earned if the line was too busy. Now there is no such ceiling, and the income of medical staff has increased. He himself has increased 1000 yuan monthly income than before the reform.

The Shanghai Municipal Development and Reform Commission recently issued the notice on adjusting the price of some medical services in the city, and appropriate medical service prices such as registration and consultation fees were collected from February 15th.

Does raising doctors' income mean higher medical costs? Salary reform In practice, there is no increase in patients' medical expenses. Data show that in 2015, the average salary of medical personnel in the second people's Hospital of Xindu District increased by 13% compared with 2012, while the proportion of drug users in the new people's hospital was 6.87% lower than that in 2012. The average purchasing price of antibiotics decreased by 56%, and the average outpatient and inpatient expenses were 131.17 yuan and 5557.89 yuan respectively, all lower than the average level of public hospitals in Chengdu.

In some places, the adjustment of medical expenses is included in the scope of medical insurance reimbursement, so as to avoid increasing the burden of patients.

　　 Focus 2

How can we improve the income of doctors by breaking away from "taking drugs to support doctors"?

The guiding opinions are clear. It is strictly forbidden to issue income targets to departments and medical personnel. Personal remuneration of medical personnel should not be linked to business income such as drugs, sanitary materials, inspection and testing.

How to compensate for the hospital income gap after breaking away from the mechanism of "taking drugs to support doctors"? Reporters interviewed in Guangdong and other places learned that public hospitals had to compensate for the reduction of the income from drug addition, in accordance with the principle of adjusting the medical service price compensation 80%, the financial special compensation 10%, and the hospital self digestion 10% principle.

Li Aiqin, vice president of Hunan Children's Hospital, said that as the "drug reform" involves multiple interests adjustment, it must adhere to the "three medical linkage" of medical insurance, medical treatment and medicine.

The vice president of Hunan People's Hospital advised China to establish and improve a long-term mechanism for financial input, improve the treatment of medical staff, increase the proportion of salaries and expenditures in public hospitals, and protect the salaries of medical staff.

　　 Focus 3

Can the reform alleviate the "shortage of doctors" at the grassroots level in pediatric emergency departments?

Opinions demand, professional tilt to the needs of the masses and the shortage of professionals, reflecting the value of knowledge, technology, labor services, management and other elements to avoid big pot meals.

Can this reform alleviate many hospitals' shortages of Pediatrics, first aid, anesthesia, pathology, obstetrics and other doctors?

Han Mei, director of the maternal and child health care department of the Sichuan provincial health and Family Planning Commission, told reporters that many people would rather go to the administrative departments of large hospitals than those at the grass-roots level. More attention should be paid to the treatment of pediatricians at the grass-roots level, especially in remote areas, so as to attract more pediatricians to stay at the grass-roots level.

Shanghai implements internal revenue in the new round of public hospital reform distribution system The reform is carried out according to the eight elements of post workload, medical quality, patient satisfaction, medical ethics and clinical research teaching. In Shanghai Ruijin Hospital and other general hospitals, the income of pediatricians has been basically the same as those of other departments.

Liu Wenying, director of pediatric surgery at Sichuan Provincial People's Hospital, believes that the guidance can force the pediatricians to speed up training everywhere. In addition, it is urgent to explore the training of doctors in the departments of cold departments to establish a set of incentive mechanisms to ensure the income level of doctors with a shortage of professional doctors, so that more people will really be willing to devote themselves to pediatrics and fundamentally solve the "shortage of doctors" in pediatrics.

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