• 新聞動態:

    您當位置:走進云龍-云龍動態-行業動態

    行業動態

    國務院發文,5點影響所有醫院!

    發布時間: 2017-07-28 瀏覽次數: 2096

    醫藥網7月26日訊 7月25日,國務院辦公廳發布《關于建立現代醫院管理制度的指導意見》(下稱意見)。
     
    ▍2017醫改任務,逐個完成
     
    《意見》從5個大方向26措施給建立現代化醫院管理制度指出了方向。這個綱領性的文件,囊括了醫院去編制、管辦分離、回扣監管等行業比較關注的內容。
     
    同時也要注意到,《意見》的發布,實際上是在《深化醫藥衛生體制改革2017年重點工作任務》的計劃之中。
     
    今年5月5日,國務院辦公廳印發了《關于深化醫藥衛生體制改革2017年重點工作任務的通知》(下稱通知)。在《通知》要求國家衛計委負責在6月底完成制定《意見》。同時,2017 醫改任務中短缺藥保障機制的文件,此前也已經發布。
     
    ▍藥代備案,箭在弦上
     
    按照這個時間有序推進,在12月底之前,由食藥監總局負責的“藥代備案制度”也會制定完成。有消息稱,快的話,2018年的第一個月就會發布。
     
    關于藥品回扣的管理,在國務院25日的《意見》中,也有提到要“明確政府對醫院的監管職能”。要建立綜合監管制度,重點加強對各級各類醫院醫療費用以及大處方、欺詐騙保、藥品回扣等行為的監管,建立“黑名單”制度,形成全行業、多元化的長效監管機制。
     
    另外,關于藥代備案的話題。自從國務院發布文件,要求制定備案制度以來,討論和預測就一致存在。其中,有行業人士認為,在實行備案制后,藥代可能會持證上崗,接受社會的監管。
     
    隨著備案制越來越近,這種預測逐步為業界認可。此前,賽柏藍發布藥代備案的資訊后,關于藥代持證上崗的話題,和微友的互動交流中,有不少藥代表示出了歡迎,期待工作在陽光下。
     
    以下是7月25日國務院《意見》中,行業比較關注的內容。原文閱讀請登錄國務院網站。
     
    管辦分離,從直接管理轉為行業管理
     
    堅持政事分開、管辦分開。各級行政主管部門要創新管理方式,從直接管理公立醫院轉為行業管理,強化政策法規、行業規劃、標準規范的制定和對醫院的監督指導職責。
     
    三級公立醫院要全部參與醫療聯合體建設并發揮引領作用。資產多元化、實行托管的醫院以及醫療聯合體等,可在醫院層面成立理事會。
     
    探索目標年薪制
     
    公立醫院在核定的薪酬總量內進行自主分配,體現崗位差異,兼顧學科平衡,做到多勞多得、優績優酬。按照有關規定,醫院可以探索實行目標年薪制和協議薪酬。醫務人員薪酬不得與藥品、衛生材料、檢查、化驗等業務收入掛鉤。
     
    醫院行政級別要取消
     
    逐步取消公立醫院的行政級別,各級衛生計生行政部門(含中醫藥管理部門,下同)負責人一律不得兼任公立醫院領導職務。
     
    監管藥品回扣,建立“黑名單”制度
     
    明確政府對醫院的監管職能。建立綜合監管制度,重點加強對各級各類醫院醫療質量安全、醫療費用以及大處方、欺詐騙保、藥品回扣等行為的監管,建立“黑名單”制度,形成全行業、多元化的長效監管機制。
     
    對造成重大社會影響的亂收費、不良執業等行為,造成重大醫療事故、重大安全事故的行為,嚴重違法違紀案件,嚴重違反行風建設的行為,要建立問責機制。
     
    嚴禁豪華裝修,特需服務比例降低
     
    從嚴控制公立醫院床位規模、建設標準和大型醫用設備配備,嚴禁舉債建設和豪華裝修,對超出規模標準的要逐步壓縮床位。控制公立醫院特需服務規模,提供特需服務的比例不超過10%。
    云南云龍制藥股份有限公司 版權所有 互聯網藥品信息服務資格證書:(滇)-非經營性-2017-0001 ICP經營許可證號:滇ICP備12001237號-1
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