Coming! More than 800 public hospitals cancel the consumables bonus

▍ finishing: Chocolate On December 10, the province's public hospitals cancelled the addition of consumables On November 12, according to Qilu Evening News, the Shandong provincial government held a standing meeting on November 11 to consider and approve the guidance on canceling the medical consumables markup of public medical institutions and adjusting the price of medical services (hereinafter referred to as the guidance), and comprehensively cancel the medical consumables markup of all kinds of public medical institutions at all levels in the province It is understood that the guidance will be implemented from December 10, 2019 All medical consumables that are allowed to be charged to patients separately will be sold at the actual purchase price with "zero difference rate" According to the latest data of China Business Industry Research Institute, by the end of June 2019, Shandong had the largest number of medical institutions, reaching 2609 According to the health and family planning statistical yearbook of Shandong Province in 2016, there were 808 public hospitals in Shandong at that time According to Qilu Evening News, in August this year, a resident of Binzhou, Shandong Province, operated in the orthopaedic department of the local hospital because he fell and injured his lumbar vertebrae, spending a total of 37000 yuan in the hospital for half a month But looking at the cost list, we found that the operation cost was only 2867 yuan, and only the two consumables of reset screw and connecting rod were 18400 yuan, accounting for half of the total cost An expert of cardiac surgery in a top three hospital in Shandong province said: "take the operation of replacing heart valves in adults as an example If mechanical valves are used, the total cost is about 80 thousand yuan, of which 25 thousand yuan is the cost of consumables, and the operation cost is only about four thousand yuan." According to Wang Xiuhua, the former secretary-general of Shandong Hospital Association, cancelling the addition of consumables is to allow the use of medical consumables such as stents and catheters, and no longer bring additional benefits to medical institutions In fact, before the total cancellation of the consumables bonus in Shandong Province, the bonus has been cancelled in some areas of the province At the beginning of 2018, Linyi Municipal Government of Shandong Province issued the notice of the office of Linyi Municipal People's Government on publishing the price of medical service items of public medical institutions in Linyi City (2017 version) The above notice clearly indicates that from January 1, 2018, Linyi city will completely cancel the mark up of medical consumables for public hospitals and implement new medical service prices According to the information on the official website of Shandong Provincial Price Bureau, on April 12, 2018, the promotion meeting of promoting the transformation of new and old driving forces of price system services in the whole province proposed that: in terms of reforming the price mechanism of medical services, the province's public medical institutions should completely cancel the addition of consumables, and timely formulate and publish the price of new medical services In addition, according to Qilu Evening News, the executive meeting of Shandong provincial government held on November 11 also passed the notice on canceling the markup of medical consumables in public medical institutions affiliated to the province (Ministry) and adjusting the price of some medical services, deciding to cancel the markup of medical consumables in all 33 Public Medical institutions affiliated to the province (Ministry) and adjust the price of 524 medical services According to incomplete statistics, up to now, there are 18 provinces and cities in China, including Shandong, Hubei, Zhejiang, Beijing, Fujian, Anhui, Tianjin, Beijing, Ningxia, Guizhou, Hubei, Guangdong, Jiangxi, Jiangsu, Guangxi, Hunan, Liaoning, Sichuan and so on For example, on July 3, the people's Government of Yunnan Province issued the notice on speeding up the division of labor in the reform of medical service price adjustment and other tasks, saying that the addition of public medical institutions should be completely cancelled by the end of October this year, and the price of medical service should be adjusted simultaneously to carry out the reform of medical consumables procurement Then, on July 4, Hubei Medical Price and bidding procurement management service network announced the guidance on the adjustment of medical service price by canceling the medical consumables markup of public medical institutions, which made it clear that the public medical institutions in Hubei Province would cancel the medical consumables markup before November 30, 2019, implement zero margin sales, and adjust the medical service price simultaneously.