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Where is the laboratory going? The four ministries and commissions issued documents to comprehensively promote the reform of medical service prices

2016-07-08

 

Specific contents related to the laboratory department:


1. Focusing on the comprehensive reform of public hospitals, we will comprehensively consider abolishing the drug addition and local government compensation policies, adjust the price of medical services synchronously according to the principles of total amount control and structural adjustment, focus on increasing the price of medical services reflecting the technical service value of medical personnel, such as diagnosis and treatment, surgery, rehabilitation, nursing and traditional Chinese medicine, and reduce the price of inspection, treatment and inspection of large-scale medical equipment. On this basis, by standardizing diagnosis and treatment behavior, reducing the cost of drugs and consumables, making room for dynamic adjustment of medical service prices.


2. The administrative department of health and family planning (including the administrative department of traditional Chinese Medicine) shall, in conjunction with relevant departments, formulate national technical specifications for medical service projects, strengthen industrial supervision and internal management of medical institutions, formulate policies and measures to standardize medical service behavior and control the unreasonable growth of medical expenses, and establish and improve the total medical expenses, average (bed day) expenses and Check and inspect the regular notification system of indicators such as the proportion of income, the proportion of drugs, the number of outpatients and inpatients, supervise and urge the implementation of the medical service price publicity system and the cost list system, and strengthen social supervision and the awareness of medical institutions to control costs.
Comments:


1. It is imperative to reduce the price of inspection items, and the pressure on the laboratory department to generate income is further increased. The laboratory department may be able to maintain the growth of the total income of the laboratory department by carrying out new projects, reducing the cost of reagents and consumables, expanding the inspection set, compressing high-cost inspection items and other measures. This is both an opportunity and a challenge for many IVD manufacturers.


2. The introduction of the indicator of testing the proportion of income is a bright spot. Over the years, the proportion of drugs has become an important indicator for the assessment of public hospitals. Will the proportion of testing income be the same as that of drugs? At present, the drug mark up has been cancelled in the reform of public hospitals. Will there be a day when the profit of inspection items will be cancelled? If the profit of the laboratory department is limited or cancelled, is it necessary for the hospital to retain the laboratory department? So Jinyu, ADICON and other independent medical laboratories are having fun.


3. We will wait and see where the laboratory department will go in the future, but it is necessary to plan ahead.

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