In 2012, Beijing Medical Reform took an important step. The five top three hospitals took the lead in piloting medicine separation, canceling thousands of drug bonuses that were long-termly criticized by ordinary people, canceling registration fees, medical treatment fees, and collecting medical service fees. Jishuitan Hospital is the first group to undergo medical reform and separate medicines.
Four years have passed, and the recently concluded People’s Congress "Government Work Report" pointed out that this year will fully implement the separation of medicines. Cancel the drug add-on, let the medical service return to normal prices, so that the people have a sense of gain... At the same time as the medical reform achieved results, Tian Wei, the first batch of the director of the Jishuitan Hospital who had undergone the pilot, was interviewed by the reporter recently to change the profit and loss of the medical reform for four years. The accounts are detailed to the reporters. There are both the perspectives of medical experts and the thinking of frontline managers.
After medicine is separated
Drugs become the loss point of the hospital
After the medical reform, the hospital lost more than 100 million yuan each year. However, in the eyes of ordinary people, the hospital's water flow has been very high, almost a "profiteering" industry. So where is the hospital “deficient�
Tian Wei: The hospital seems to have a high water flow every year. Our hospital has a flow of 3 billion a year, which is 3 billion in revenue. However, there are more than 30 billion in expenditures and a loss of more than 100 million per year.
Many people can't understand it, but you will understand the profit structure carefully. After the medicine is separated, the price of the medicine is flat and flat, that is to say, the medicine bought by one dollar is sold to the ordinary people. However, a bottle of medicine from the hospital to the sale, there must be natural loss, the drug is broken, expired, are losses. From the perspective of commodity trading, Pingjin’s flatning must be a loss. In addition to pharmaceutical-related personnel, pharmacists, pharmacy staff, warehouse cold chain equipment, management personnel, etc., these are costs.
Multiple medical service price adjustments
Surgery fees will be raised this year
Although medicine has become a loss point for hospitals, the separation of medicines is a very important step in medical reform. The old road of drug rebates is definitely no longer possible.
Tian Wei: Was the Shanghai pharmacist's recovery button not exposed before? It is said that the doctor took a 40% rebate, and the medical representative took a 10% rebate, but the root of the problem is, why is the price set at a 50% rebate? Reduce the price of medicine by 50%, is it not enough? Why should we set the price of drugs so expensive?
Last year, it did not adjust the price of more than 500 medical services, but also released the price of many types of medical services such as special needs. Is this not effective?
Tian Wei: But the price of medical services is very high. It may involve tens of thousands of items, and what proportion of the projects that have been released? I think that in the advancement of medical reform, the number of projects and the proportion of price liberalization should be announced.
This year, we will adjust a number of medical prices, and the surgery fee will be raised. Everyone has doubts. From the perspective of seeing a doctor, surgery is not cheap, how can it be raised?
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