A few days ago, the General Office of the State Council issued the "Guiding Opinions on the Pilot Reform of Urban Public Hospitals" (hereinafter referred to as "Opinions"). According to the "Opinions", the proportion of public hospitals providing special needs medical services does not exceed 10% of all medical services. This guidance can be seen as the government continues to acquiesce to public hospitals to compensate for the losses caused by basic medical services by providing special medical services. Elimination of drug addiction increases public hospitals to provide special medical motivation In this round of public hospital reform in the pilot cities, all public hospitals will promote the separation of medicines, cancel the drug addition (except for Chinese herbal medicines), and actively explore various effective ways to reform the medical supplement mechanism. The compensation for public hospitals was changed from service fees, drug bonus income and government subsidies to service charges and government subsidies. However, from the results of the reform of the drug-added cancellation at county-level public hospitals, as of June 2013, the pilot county-level hospitals reduced their income by a total of 4.509 billion yuan due to the cancellation of drug add-ons, including 24.22 yuan through medical service price adjustments. 100 million yuan, accounting for 53.70%; compensation by 8.92 billion yuan, accounting for 19.78%; there is still a gap of 1.196 billion, accounting for 26.52%, this part is completely digested by the hospital itself, the hospital generally feels the pressure of business (data source In the National Health and Family Planning Committee, "Public Hospital Comprehensive Reform Pilot Evaluation Report". After the cancellation of drug add-on in public hospitals in cities, it will be difficult to estimate the gaps in hospital operations. However, it is certain that public hospitals cannot completely compensate for the cancellation of drugs by increasing service charges and government subsidies. The loss caused by Cheng. “As a result, public hospitals will be able to make up for their operating losses by increasing the provision of special needs medical services, so that the special medical services they provide will reach the upper limit of 10% of basic medical services.†Salary system reform promotes the development of special needs medical care in public hospitals The provision of high-end medical services in public hospitals was gradually developed in the 1980s to address the diverse and multi-level medical needs of residents. At that time, the health department issued a document allowing doctors to carry out paid amateur services and hospitals for different grades. Public hospitals can introduce special services such as doctor visits, expert services, and night diagnosis. After entering the 1990s, the national health department hoped that medical institutions could reduce financial subsidies and further encourage hospitals to carry out various forms of medical services. In this context, the special needs medical departments of public hospitals gradually developed and expanded. The "Opinions" mentioned that it is necessary to focus on reflecting the value of medical personnel's technical labor services and reasonably determining the income level of medical personnel. The real intention is to raise the salary level of medical staff. However, from the perspective of reform methods, if the government does not pay enough compensation, urban public hospitals and county-level public hospitals also face the same pressure on how to digest the business pressure caused by the elimination of drug additions. Then, under the new background of urban public hospital reform, raising the salary level of medical staff can only be compensated by increasing channels such as special medical services. From the perspective of the development of special needs medical care, hospitals have indeed played a role in improving the treatment of medical personnel by providing special medical services. Public hospitals revisit special needs medical care, and it is difficult for the society to develop high-end medical care As early as May 2011, the “Shanghai Medical Organization Planning Plan 2011-2015†proposed to strictly control the establishment of special medical services by public medical institutions, and encourage qualified public medical institutions to implement the separation of special needs beds, with personnel, brand and technology. In the form of two medical development areas (Pudong, Hongqiao Medical Park) and social capital cooperation in medical treatment. These two parks have also been regarded as the foothold for undertaking special medical care in public hospitals, and the gap between public hospitals to remove special needs medical treatment to meet market demand. In Beijing, it has also been proposed to phase out special medical services for public hospitals. The introduction and expectation of these policies, for the high-end medical care of society, is equivalent to virtually eliminating the biggest competitor. However, the time has passed, and the reform of urban public hospitals has continued to mention that hospitals can retain 10% of special medical care. In the state of exploring new mechanisms for hospital operation, survival is always in the first place. In order to meet their own development needs and better operations, public hospitals will certainly strengthen market awareness, make full use of their talents, and do a good job in special needs medical services. At the same time, they will further manage their own expert resources and expand market share. As a result, the medical resources of high-end medical care in the society are heavily dependent on public hospitals. Under the new competitive situation, the future development will face new pressure. Social high-end medical homogenization competition is serious At present, quite a number of so-called high-end hospitals in China have only greatly improved their public hospitals in terms of environment and services, and have become a kind of high-end medical treatment that has been alienated. High-end medical care is not a simple high-end environment and provides excellent services. In the diagnosis, treatment, and rehabilitation of diseases, it is also necessary to be high, precise, and sharp, rather than just high-end at a certain point in the entire chain. Nowadays, public hospitals are no less inferior to private hospitals in terms of hard-working environment for special-demand medical care. They are paying more attention to patient experience and marketing awareness, and have set up specialized marketing departments. In summary, under the new background of urban public hospital reform, large hospitals will make every effort to increase investment in special medical services in order to make up for the losses caused by the cancellation of drug add-ons and increase the salary of medical staff. Only in this way can the needs of the hospital's future survival and development be met. "It is foreseeable that the competition between high-end medical care in public hospitals and private high-end hospitals will intensify in the future." 1-Piece Ostomy pouch MDK-BO-01 300ML
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