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Up to now, various policies such as the construction of clinical specialties, the "Thousand-County Project", and DRG/DIP reform have been successively introduced, and the special funds of the national finance have also been issued successively
.
In 2022, the demand for new medical equipment will be further released
.
Focus on three major aspects A few days ago, the General Office of the Ministry of Finance and the General Office of the National Health and Health Commission jointly issued the "Notice on Organizing and Applying for Demonstration Projects of Public Hospital Reform and High-Quality Development Supported by Central Finance" (hereinafter referred to as the "Notice"), and the central government plans to support Implement public hospital reform and high-quality development demonstration projects
.
According to the "Notice", the projects supported by the central government are publicly selected and determined through a competitive review method, and the central financial subsidy for each project shall not exceed 500 million yuan (10% of the funds are dedicated to performance awards)
.
Each province (autonomous region, municipality directly under the Central Government) selects 1 prefecture and city to apply for the application.
Provinces including cities under separate planning, such as cities under separate planning, can add 1 application quota on this basis.
The cities under separate planning are unified by the province where they are located.
The implementation period shall not exceed three years
.
Items declared overdue are considered invalid items, and the actual time of receipt shall prevail (before 17:00 on March 24, 2022)
.
The demonstration project will focus on three aspects: improving the diagnosis and treatment capabilities of city and county-level public hospitals, standardizing diagnosis and treatment behavior, implementing a hierarchical diagnosis and treatment system, and supporting city and county-level public hospitals in infectious diseases, psychiatry, emergency first aid, critical care medicine, cardiovascular and cerebrovascular, obstetrics and gynecology, Pediatrics and other clinical specialties shall be established, personnel training shall be strengthened, and a number of key specialties of public hospitals at the city and county levels shall be established, so that serious and serious diseases can be solved in the province, and common diseases can be solved in cities and counties, so as to alleviate the difficulty of seeing a doctor for the masses
.
Strengthen the construction of smart hospitals and promote the construction of smart hospitals and hospital information standardization with the "three-in-one" of electronic medical records, smart services and smart management, support the establishment of informatization norms for the exchange and sharing of inspection results in the region, and reduce the number of inspections and tests performed by patients in different public hospitals.
The masses run less errands
.
Control the unreasonable growth of medical expenses, strengthen the overall budget management of hospitals, implement full-caliber, full-process, and comprehensive budget performance management, strengthen budget constraints, deepen the reform of medical insurance payment methods, promote public hospitals to actively participate in the reform of centralized procurement and use of drugs and medical consumables, and strengthen Cost control in the whole process, promote the effective allocation and use of resources, and reduce the expensive burden of seeing a doctor
.
Promoting centralized procurement and strengthening full-process cost control Relevant policies have always been highly concerned about the unreasonable growth of medical expenses
.
The proportion of medical service income (excluding income from medicines, consumables, inspections, and laboratory tests) to the medical income of public hospitals, and the number of inpatient insured persons who pay by disease (DRG, DIP, and single disease) in the total inpatient insurance of public hospitals The proportion of the number of personnel is included in the performance objectives of this demonstration project
.
The "Notice" pointed out that it is necessary to straighten out the relationship between the price of medical services and steadily increase the proportion of medical technical service income (excluding drugs, consumables, inspection and laboratory income) in business income
.
Steadily increase the proportion of medical insurance funds that are grouped by disease diagnosis or paid by disease to all eligible inpatient medical insurance fund expenditures
.
Efforts will be made to control the unreasonable growth of medical expenses, strengthen the overall budget management of public hospitals, implement full-caliber, full-process, and all-round budget performance management, promote public hospitals to actively participate in the reform of centralized procurement and use of drugs and medical consumables, and strengthen full-process cost control
.
In 2022, the reform of medical insurance payment methods will enter a new stage
.
According to the "Notice on Printing and Distributing the Three-Year Action Plan for the Reform of DRG/DIP Payment Methods" by the National Medical Insurance Administration, from 2022 to 2024, the task of DRG/DIP payment method reform will be fully completed
.
By the end of 2024, all coordinating regions across the country will carry out the reform of DRG/DIP payment methods, and pilot areas will be launched in the early stage to continuously consolidate the reform results; Diseases and medical insurance funds are fully covered
.
This year, centralized procurement of high-value consumables, DRG/DIP reform, etc.
are still the key tasks.
The price of consumables has been squeezed, and hospital management has become more refined.
Innovative products with high cost performance and low substitutability will have greater advantages.
Substitution is accelerating
.
30 billion to build health projects In the reform and high-quality development of public hospitals, hierarchical diagnosis and treatment and clinical specialty construction are high-frequency words
.
The "Notice" pointed out that it is necessary to give full play to the leading and radiating role of high-level national and provincial hospitals in the region, and promote the medical level and hospital management in the jurisdiction to a new level
.
Give full play to the role of the main force in the medical treatment of municipal tertiary hospitals, and provide high-level comprehensive or specialized medical services to residents in the region
.
Give full play to the leading role of county-level hospitals in the county, and strengthen the capacity building of the "five centers" for chest pain, stroke, trauma, critically ill pregnant women, and critically ill children and newborns
.
Support the construction of clinical specialties such as infectious diseases, psychiatry, emergency first aid, critical care medicine, cardiovascular and cerebrovascular, obstetrics and gynecology, and pediatrics in city and county-level public hospitals
.
In terms of financial support, China has continued to strengthen the construction of medical and health infrastructure in the past two years
.
According to Xinhua News Agency, in the 2020 central budget investment structure, a total of 45.
66 billion yuan will be allocated for the construction of major epidemic treatment bases, national regional medical centers, health poverty alleviation, traditional Chinese medicine inheritance and innovation and other projects
.
In 2021, the National Development and Reform Commission will allocate 30 billion yuan to support the construction of provincial, municipal and county-level disease control, national regional medical centers, key hospitals with traditional Chinese medicine characteristics, and county-level hospitals to upgrade and expand their capacity
.
In 2022, we will continue to allocate no less than 30 billion yuan to support projects in the field of health care, continue to improve the conditions of medical and health infrastructure, and effectively enhance the ability of epidemic prevention and treatment
.
In terms of county hospital construction, it is understood that the total investment of 1,597 county-level hospital improvement projects is about 68.
6 billion yuan, of which about 21.
2 billion yuan is invested in the central budget, and about 47.
4 billion yuan is from local and other funds.
.
It is expected that in 2022, the construction of public hospitals, especially the construction of county hospitals, will still bring a large demand for the procurement of medical equipment
.
In addition, there is still a large market space for high-end medical equipment and innovative medical equipment
.
Attachment: Recommended standard for equipment configuration for county-level hospitals to upgrade to third-level hospitals (Image source: Medical Device Distributors Alliance)
.
In 2022, the demand for new medical equipment will be further released
.
Focus on three major aspects A few days ago, the General Office of the Ministry of Finance and the General Office of the National Health and Health Commission jointly issued the "Notice on Organizing and Applying for Demonstration Projects of Public Hospital Reform and High-Quality Development Supported by Central Finance" (hereinafter referred to as the "Notice"), and the central government plans to support Implement public hospital reform and high-quality development demonstration projects
.
According to the "Notice", the projects supported by the central government are publicly selected and determined through a competitive review method, and the central financial subsidy for each project shall not exceed 500 million yuan (10% of the funds are dedicated to performance awards)
.
Each province (autonomous region, municipality directly under the Central Government) selects 1 prefecture and city to apply for the application.
Provinces including cities under separate planning, such as cities under separate planning, can add 1 application quota on this basis.
The cities under separate planning are unified by the province where they are located.
The implementation period shall not exceed three years
.
Items declared overdue are considered invalid items, and the actual time of receipt shall prevail (before 17:00 on March 24, 2022)
.
The demonstration project will focus on three aspects: improving the diagnosis and treatment capabilities of city and county-level public hospitals, standardizing diagnosis and treatment behavior, implementing a hierarchical diagnosis and treatment system, and supporting city and county-level public hospitals in infectious diseases, psychiatry, emergency first aid, critical care medicine, cardiovascular and cerebrovascular, obstetrics and gynecology, Pediatrics and other clinical specialties shall be established, personnel training shall be strengthened, and a number of key specialties of public hospitals at the city and county levels shall be established, so that serious and serious diseases can be solved in the province, and common diseases can be solved in cities and counties, so as to alleviate the difficulty of seeing a doctor for the masses
.
Strengthen the construction of smart hospitals and promote the construction of smart hospitals and hospital information standardization with the "three-in-one" of electronic medical records, smart services and smart management, support the establishment of informatization norms for the exchange and sharing of inspection results in the region, and reduce the number of inspections and tests performed by patients in different public hospitals.
The masses run less errands
.
Control the unreasonable growth of medical expenses, strengthen the overall budget management of hospitals, implement full-caliber, full-process, and comprehensive budget performance management, strengthen budget constraints, deepen the reform of medical insurance payment methods, promote public hospitals to actively participate in the reform of centralized procurement and use of drugs and medical consumables, and strengthen Cost control in the whole process, promote the effective allocation and use of resources, and reduce the expensive burden of seeing a doctor
.
Promoting centralized procurement and strengthening full-process cost control Relevant policies have always been highly concerned about the unreasonable growth of medical expenses
.
The proportion of medical service income (excluding income from medicines, consumables, inspections, and laboratory tests) to the medical income of public hospitals, and the number of inpatient insured persons who pay by disease (DRG, DIP, and single disease) in the total inpatient insurance of public hospitals The proportion of the number of personnel is included in the performance objectives of this demonstration project
.
The "Notice" pointed out that it is necessary to straighten out the relationship between the price of medical services and steadily increase the proportion of medical technical service income (excluding drugs, consumables, inspection and laboratory income) in business income
.
Steadily increase the proportion of medical insurance funds that are grouped by disease diagnosis or paid by disease to all eligible inpatient medical insurance fund expenditures
.
Efforts will be made to control the unreasonable growth of medical expenses, strengthen the overall budget management of public hospitals, implement full-caliber, full-process, and all-round budget performance management, promote public hospitals to actively participate in the reform of centralized procurement and use of drugs and medical consumables, and strengthen full-process cost control
.
In 2022, the reform of medical insurance payment methods will enter a new stage
.
According to the "Notice on Printing and Distributing the Three-Year Action Plan for the Reform of DRG/DIP Payment Methods" by the National Medical Insurance Administration, from 2022 to 2024, the task of DRG/DIP payment method reform will be fully completed
.
By the end of 2024, all coordinating regions across the country will carry out the reform of DRG/DIP payment methods, and pilot areas will be launched in the early stage to continuously consolidate the reform results; Diseases and medical insurance funds are fully covered
.
This year, centralized procurement of high-value consumables, DRG/DIP reform, etc.
are still the key tasks.
The price of consumables has been squeezed, and hospital management has become more refined.
Innovative products with high cost performance and low substitutability will have greater advantages.
Substitution is accelerating
.
30 billion to build health projects In the reform and high-quality development of public hospitals, hierarchical diagnosis and treatment and clinical specialty construction are high-frequency words
.
The "Notice" pointed out that it is necessary to give full play to the leading and radiating role of high-level national and provincial hospitals in the region, and promote the medical level and hospital management in the jurisdiction to a new level
.
Give full play to the role of the main force in the medical treatment of municipal tertiary hospitals, and provide high-level comprehensive or specialized medical services to residents in the region
.
Give full play to the leading role of county-level hospitals in the county, and strengthen the capacity building of the "five centers" for chest pain, stroke, trauma, critically ill pregnant women, and critically ill children and newborns
.
Support the construction of clinical specialties such as infectious diseases, psychiatry, emergency first aid, critical care medicine, cardiovascular and cerebrovascular, obstetrics and gynecology, and pediatrics in city and county-level public hospitals
.
In terms of financial support, China has continued to strengthen the construction of medical and health infrastructure in the past two years
.
According to Xinhua News Agency, in the 2020 central budget investment structure, a total of 45.
66 billion yuan will be allocated for the construction of major epidemic treatment bases, national regional medical centers, health poverty alleviation, traditional Chinese medicine inheritance and innovation and other projects
.
In 2021, the National Development and Reform Commission will allocate 30 billion yuan to support the construction of provincial, municipal and county-level disease control, national regional medical centers, key hospitals with traditional Chinese medicine characteristics, and county-level hospitals to upgrade and expand their capacity
.
In 2022, we will continue to allocate no less than 30 billion yuan to support projects in the field of health care, continue to improve the conditions of medical and health infrastructure, and effectively enhance the ability of epidemic prevention and treatment
.
In terms of county hospital construction, it is understood that the total investment of 1,597 county-level hospital improvement projects is about 68.
6 billion yuan, of which about 21.
2 billion yuan is invested in the central budget, and about 47.
4 billion yuan is from local and other funds.
.
It is expected that in 2022, the construction of public hospitals, especially the construction of county hospitals, will still bring a large demand for the procurement of medical equipment
.
In addition, there is still a large market space for high-end medical equipment and innovative medical equipment
.
Attachment: Recommended standard for equipment configuration for county-level hospitals to upgrade to third-level hospitals (Image source: Medical Device Distributors Alliance)