Guizhou denied that the hospital stopped using the essential medicine medical insurance fund.
Recently, a medical device field published a document from the media saying that a 3A hospital in Guizhou issued a notice to stop using some medical consumables. This has caused a lot of discussion among netizens and medical staff. Some netizens worry that stopping using medical consumables may affect the treatment effect.
Beijing Youth Daily confirmed from a third-class hospital in Guizhou that a similar notice was issued, but it did not stop using drugs necessary for clinical use. The Guizhou Health Planning Commission recently responded to the reporter of Beiqing Daily that the relevant regulations were issued to control the unreasonable growth of medical expenses. Controlling the unreasonable growth of medical expenses does not mean not accepting patients, prescribing drugs or treating diseases.
The top three hospitals were accused of stopping using various consumables.
Recently, a self-media report in the field of medical devices said that two top-three hospitals in Guizhou issued a notice to stop using medical consumables in a large area. "You don’t need to use the consumables with the same function, as long as the price is the lowest, you should make them domestically and don’t import them."
According to the article, a 3A hospital in Guizhou recently issued a notice saying that in accordance with the requirements of the provincial government and the Provincial Health Planning Commission for the control of public hospitals, it will take "stopping some medical consumables in departments such as orthopedics, intervention, neurosurgery, operating room, ophthalmology, cardiology and other departments" in the future; Stop the use of all hemostatic and anti-adhesion materials, staplers, cutters, patches and biological patches, medical glue, punctures, disposable negative pressure drainage devices, etc. Except for some special departments, stop using all other sutures except silk thread; Suspend the warehousing procedures for high-value consumables and other measures.
It was also mentioned in the notice that if the above-mentioned products stopped using have been delivered to the clinic, the supplier will take back the goods by itself. If the goods are not recovered, the hospital will not pay.
According to the article, another third-class hospital in Guizhou has also released a plan to control the excessive growth of medical expenses, which clearly puts forward specific measures to reduce the use of consumables.
The contents of the plan include: "From now on, in principle, the approval of high-value consumables will not be increased. Strictly control all kinds of consumables used in surgery that are not directly related to the curative effect of surgery, and all kinds of wound irrigation solution, anti-adhesion irrigation solution, anti-adhesion consumables, hemostatic sponge, hemostatic gauze and hemostatic powder used in surgery or operation will be stopped before the end of this year, and the inventory of merchants will be gradually digested or returned to merchants next year. "
The hospital said that stopping using consumables will not affect treatment.
The reporter of Beiqing Daily learned from the Affiliated Hospital of Guizhou Medical University that the hospital had previously issued a plan to stop using some consumables, but it was different from the situation of online transmission.
Director Yang, the propaganda department of the hospital, said that the reason why some medical consumables were stopped was in response to the relevant notice issued by the Guizhou Provincial Health Planning Commission to control the unreasonable increase of medical expenses.
Director Yang made it clear that stopping using these consumables will not affect the implementation of clinical surgery.
The reporter of Beiqing Daily noticed that in addition to the affiliated hospital of Guizhou Medical University, the official website of Guizhou Provincial People’s Hospital also published the "Policy Interpretation on Controlling Unreasonable Growth of Medical Expenses in Public Hospitals" related to the discontinuation of some consumables.
It is clearly mentioned in the Interpretation that the main measures to control the unreasonable increase of medical expenses include reducing the inflated price of medical consumables. "For drugs with large clinical dosage, high purchase amount and produced by many enterprises, centralized bidding and procurement shall be implemented in accordance with the regulations, and the price shall be exchanged for the price, so as to effectively reduce the purchase price of drugs. Encourage the use of domestic high-value medical consumables with high quality, low price and high cost performance under the premise of ensuring quality. "
Netizens questioned that the local medical insurance fund bottomed out.
After the news that some medical consumables were stopped in Guizhou province came out, it quickly caused controversy on the Internet. Some people think that this phenomenon confirms that the local medical insurance fund has a deficit.
"The medical insurance fund has bottomed out." Tang Xu, a netizen from Zhihu, commented: Under the background of cost control, "some optional operations can be omitted, the hospitalization expenses will be reduced, and the reimbursement amount will be reduced. For the surgery that must be done, doctors and patients will not care about consumables, and they will buy them themselves. "
Many people are worried that the discontinuation of high-value medical consumables will lead to a decline in the level of surgery and affect the recovery of patients. "For example, for colon cancer, if you don’t use an intestinal stapler, the doctor will sew with silk thread one by one, and the operation time will be doubled. Even if you can do minimally invasive laparoscopy, you have to open the abdomen, and the probability of intestinal fistula will increase. Subcutaneous induration will easily occur after the wound grows."
Stopping using other sutures besides silk thread has also worried many people. In the future, some operations that affect the appearance must also choose to remove stitches. "It is not as convenient as the absorption line, but it is ugly."
However, some insiders pointed out that many stopped consumables, such as hemostatic sponge and hemostatic powder, are not necessary in surgery. Generally, hemostasis can be achieved by dressing after suture. Only after cotton balls and other means can not stop bleeding successfully, will a hemostatic sponge with pharmaceutical ingredients be needed.
The insider revealed that doctors’ kickbacks are high for high-value consumables such as staplers. Therefore, he believes that Guizhou Province introduced this regulation to control medical expenses and curb medical kickbacks.
The medical insurance fund has not "failed to meet its expenses"
Recently, the Guizhou Provincial Health Planning Commission replied to the reporter of Beiqing Daily in writing about the suspension of some medical consumables in several hospitals, saying that on October 19th this year, the Guizhou Provincial Health Planning Commission issued the Emergency Notice on Controlling Unreasonable and Excessive Growth of Medical Expenses, which clarified the targets and requirements for controlling medical expenses.
According to the introduction of Guizhou Provincial Health Planning Commission, the state requires that the average growth rate of medical expenses in each province should be controlled within 10% in 2017. However, since the beginning of this year, the medical expenses in Guizhou Province have increased rapidly, which has greatly exceeded the national fee control target and exceeded the growth rate of the residents’ consumption index in the province, and has shown an unreasonable growth trend.
The purpose of this Notice is to reduce the burden of medical treatment for the masses, "standardize the medical staff’s diagnosis and treatment behavior, and promote the return of public hospitals to public welfare and benign operation and development, so as to promote the growth of medical expenses and economic and social development, the operation of medical insurance funds and the affordability of the masses, and effectively safeguard the health rights and interests of the people.
The Guizhou Provincial Health Planning Commission said that there are 21 main monitoring indicators to control the unreasonable growth of medical expenses. In the future, it will be passed that it is strictly forbidden to set income-generating indicators for medical personnel, and the personal income of medical personnel shall not be linked to the business income of medicines, consumables and large medical equipment inspection and treatment in hospitals; Reduce the inflated price of medical consumables, and encourage the use of domestic high-value medical consumables with high quality, low price and high cost performance on the premise of ensuring quality, and strive to control the growth rate of medical expenses in public hospitals in the province below 10% by the end of 2017.
In response to netizens’ questioning that stopping medical consumables will affect the treatment effect, the Guizhou Provincial Health Planning Commission explained that controlling the unreasonable increase in medical expenses does not mean not accepting patients, prescribing drugs or treating diseases. Instead, "on the one hand, advocate public hospitals to standardize treatment and reduce unnecessary medical expenses for patients; On the other hand, guide patients to seek medical treatment scientifically, give full play to the role of medical institutions at all levels, and promote the establishment of a graded diagnosis and treatment system. "
In addition, regarding the speculation that "medical insurance bottomed out" mentioned by netizens, the person in charge of the Propaganda Department of the Guizhou Provincial Health Planning Commission told the media yesterday that the medical insurance fund in Guizhou Province is running smoothly at present, and there is no situation that "the income cannot meet the expenditure".
Text/reporter Kong Lingqi