Business Club August 27th August 13th, Wujiang Tongli Hospital Health Center No. 57, Pan Lingmei, who lives in Dongxin Community, Sanyuan Street, Tongli, told reporters that due to diabetes caused by cerebral infarction, she needs daily insulin injections. Originally, the monthly drug fee was 210 yuan, but now it is only 160 yuan.
Pan Lingmei’s medical expenses fell due to Wujiang’s implementation of a basic drug system at the primary health care institutions in February this year. The basic drugs for uniform tendering were sold at zero margin.
"After implementation of the drug zero spread, the patient received benefits." Zou Hongchun, vice president of Tongli Health Center, said that since the beginning of this year, the number of emergency visits to medical centers in Tongli has increased by 15%, and the average outpatient emergency expenses have fallen by nearly 20% over the same period.
“The basic medicines sold by Wujiang Township Health Center are basically the same as before, with more than 500 kinds, but the average price of essential medicines is 41% lower than before.†Wu Yucheng, director of the Department of Medical Administration of Wujiang City, said that the implementation of the basic drug system ended the dysentery of “health care for medicine†at the primary health care institutions.
However, just like the “two sides of the coin,†this system also has an impact on the normal operation of township health centers.
It is understood that the source of income of township hospitals was basically based on the difference in prices of drugs, but now it is not earned in the form of articles. Today, most of the 15 township health centers in Wujiang are operating at a loss. “If the government does not increase its health investment and establish a reasonable compensation mechanism, the grass-roots medical institutions will fall into a business dilemma, which will eventually affect the interests of patients.†This has also become the common aspiration of the presidents of the hospitals.
In response to this situation, Wu Jiang is also seeking to establish a rational operation mechanism for basic medical institutions while increasing health investment.
According to Yan Yugen, at present, Wujiang’s additional health input is distributed through three channels: First, a special drug system subsidy of more than 20 million yuan is allocated on a per capita basis of 20 yuan; and secondly, 3,000 yuan is added to each person in the township hospitals. "Personal expenses"; Third, the public health service funds, including 33 yuan per capita basic public health service fees and per capita 35 yuan of major public health service fees, double compared to previous years. "It is expected that the total investment will exceed 100 million yuan to compensate for the loss of drug revenue in township hospitals."
"After the implementation of the basic drug system, health centers must increase their income and only provide quality medical services to residents." Chen Hong, dean of the Songling Township Health Center, said that the funds allocated by the government are not taken by white and must be completed.
It is understood that Wujiang has “marked the price clearly†and “issued the package†to the township hospitals for various types of public health services. Services include the establishment of resident files, the management of chronic diseases such as hypertension and diabetes, health care for the elderly, free medical check-ups for the elderly over the age of 60, and subsidies for the delivery of pregnant women in rural areas.
Chen Hong said that since May 10th, the Songling Township Health Center has provided health checkups for elderly people over the age of 60 in batches. "Normal medical services cannot be delayed. We can only squeeze out time. Starting from 6 am, we are busy to open clinics and are so busy that even my dean needs to go up and pick up the handle at any time." The hard work is that the public health service funds earned by the hospital in the first half of the year exceeded 2 million.
In addition, various township health centers also “self-help†through the introduction of specialty medical services. Songling Town Health Center opened a functional rehabilitation training program in March this year to help patients with cerebral hemorrhage and fractures recover after illness. 26 beds are filled every day; Tongli is targeted at rehabilitation services, traditional Chinese medicine and other specialty services, and Chinese Herbal Medicine is more than city-level. The hospital is also rich and welcomed by patients.
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