Starting in September, these policies will affect doctors nationwide

　　September, really is the point in time for the big changes in healthcare in 2017, recently I found that many of the heavy policies from the beginning of the year have been implemented this month, and if you didn't notice, you can only be just in the middle of the mountain.
　　But these things are definitely historic events in healthcare reform, affecting all doctors, nurses, pharmacists - every one of us medical workers.
　　The following Cyberland brings you an inventory of these earth-shattering changes in the medical circle in September:
　　From September, all public hospitals zero price difference in drugs, medical service price adjustment
　　In April, the Development and Reform Commission had held a forum on medical service price reform, the deployment of all the abolition of public hospital drug markups, followed by the National Health and Planning Commission also ordered the implementation of this policy: "September 30 before the country's all urban public hospitals to abolish the drug markup (except for traditional Chinese medicine tablets). Gradually increase the proportion of medical service income in total hospital income."
　　And September just out of the head, all over the country in recent days have been busy implementing public hospitals to abolish the drug markup this matter. Such as: September 9, public hospitals in Jiangxi Province will abolish the drug markup, comprehensive reform to achieve full coverage; August 31, Henan Province, the full line of zero-differential rate sales of medicines, while adjusting the price of 3700 medical services, and so on.
　　In September, it can be said that in order to implement the zero-differential sales of drugs, adjust the price of medical services, recently, hospitals around the world are busy as a pot of porridge. This also means that the 'medicine for medicine' policy, which lasted more than half a century, will be completely dismantled, which is a milestone in the course of China's health development.
　　From September, more hospital pharmacies face being hosted
　　Zero price difference in September, the hospital pharmacy will be from a profitable sector, into a loss-making sector, after all, before the profits of drugs but the hospital's "pure profit.
　　Recently, in a hospital development and reform forum, the leadership of a tertiary hospital in Shanghai divulged that the hospital was affected by the zero-differential pricing policy is still very large, because the abolition of the zero-differential pricing, the hospital's income will be reduced by more than 70 million a year, and the hospital's 10,000 or so employees, a reduction of more than 70 million, the income of each employee is equivalent to a reduction of 7,000. Although the price of medical services will be adjusted to compensate, but also need a process, and in the absence of financial compensation, most of the losses will have to be their own through cost-cutting and digestion.
　　Above is the industry is about to face the reality of the situation, the hospital revenue fell sharply, also means that the doctor's income is difficult to raise up in the short term; and because the pharmacy does not make a profit, so many hospitals directly to the pharmacy hosting out of the hosting both the solution to save the hospital's pharmacy operating costs, but also receive hosting companies to the hospital a certain amount of compensation, is a piece of one-shot cooperation.
　　So the hospital pharmacy staff, pharmacists worried about the hosting model, is likely to rise.
　　September, the implementation of a new version of the medical insurance catalog, Chinese medicine injections, pCms difficult to reimbursement
　　At present Beijing, Zhejiang, Anhui, Jiangsu, Hubei, Hunan, Jilin, Xinjiang, Chongqing, Liaoning, Inner Mongolia, Ningxia and other more than 20 provinces and municipalities of the human resources department announced, September 1, the synchronization of the implementation of the new national health insurance directory. As a result, these areas are the first to complete the provincial (municipal) level health insurance catalog adjustment and convergence with the national health insurance catalog.
　　And the 2017 version of the medical insurance drug catalog clearly stipulates more than 20 kinds of traditional Chinese medicine injections, which can only be restricted to secondary hospital medical institutions to use. Primary care physician communes according to the 2017 version of the medical insurance drug catalog compiled these primary hospitals can not be reimbursed 26 varieties of traditional Chinese medicine injections:
　　Shuanghuanglian injection, injection of Shuanghuanglian (lyophilized), Qingkailing injection , Lianbizhi injection, Heat Toxin Ning injection, Xiyanping injection, Phlegm Heat Clearing injection, Cichlids injection, Bitter Yellow injection, Ginseng and Epiphyllum injection, Wake up the brain static injection, Ginseng and Mai injection, Sheng pulse injection, Xiangdan injection, Dangshen injection, Danghong injection, Pulsatilla injection, Safflower injection, Bitter Dish injection, Danshen Polyphenolates for Injection, Panax Ginseng Saponin Injection Preparation, Lanxess Injection Preparation, Coronary Heart Ning Injection, Blood Thinning Injection, Ginkgo Biloba Injection Preparation, Gua Piper Berry Injection, Renkang Injection.
　　Since September, not only these Chinese medicine injection grass-roots can not be reimbursed, and the new health insurance catalog also more than 40 kinds of common proprietary Chinese medicine reimbursement to do the limitation of the disease, such as: Compound Colla Corii Asini: limited to severe anemia test evidence; Pulse, pulse through the tablets (capsules, granules): limited to peripheral vascular thrombotic lesions; Brain heart pills (tablets, capsules): limited to moderate and severe cerebral infarction, coronary heart disease angina pectoris patients; Compound Thrombolytic Tablet (granules, soft capsules): limited to have a clear diagnosis of retinal vein occlusion.
　　In short, from September, Chinese medicine injections, pCms at the grassroots level many can not be reimbursed, we need to change the prescription habits.
　　From September, pharmacies and clinics in rural areas across the country face major inspections
　　According to the State Food and Drug Administration issued "General Office of the General Administration on the urban-rural interface and rural areas of pharmacies and clinics drug quality and safety concentrated rectification of the notice" late September - mid-November 2017, the General Administration of the provincial bureaus to carry out concentrated rectification of the situation of the inspection, and urged the provincial bureaus of the inspection of the problems found to be seriously dealt with and thoroughly rectified. The General Administration carried out flight inspections of pharmacies and clinics in due course.
　　Self-inspection, verification, finally ushered in the September spot check, manage your clinic, pharmacy it.
　　From September, the medical association blossomed everywhere
　　As the key hand of hierarchical diagnosis and treatment of medical association, it has been also shouted for a long time, but it is obvious that this year, medical association has been implemented on a large scale in various parts of the world.
　　In addition to the goal of the medical association in 2017: "basically build the framework of the medical association system, comprehensively launch a variety of forms of medical association construction pilot, the three-tier public hospitals should all participate and play a leading role,"
　　On August 30, the National Health and Planning Commission also released the "Notice on Determining the First Batch of National Demonstration Cities and the Second Batch of National Demonstration Counties for Comprehensive Reform of Public Hospitals," which identifies 26 counties (districts, cities, and banners) such as Beichen District of Tianjin as the second batch of national demonstration counties (districts, cities, and banners) and that these pilot counties are to be set up in accordance with the actual situation of construction of the local hierarchical diagnosis and treatment system, and according to the local situation, and to form by area and by level Various forms of medical associations. Explore the vertical cooperation of the medical association and other division of labor mode of implementation of medical insurance total payment and other payment methods.
　　This also means that after September, no matter whether it is a three-tier hospital or a large number of county hospitals, are actively joining the army of the medical association, exploring the model that suits them.
　　After reading these policies, we find that it is different from the beginning of the year. At the beginning of the year we were greeted with some big liberalization policies, such as working doctors can open clinics, physicians multi-practice and other big benefits, while in September near the end of the year, we see more heavy changes and strict regulation.
　　It can be said that all public hospitals and doctors are under great pressure in the next few days to ensure that the hospitals are profitable, but also to change the mode of diagnosis and treatment, and to ensure that their personal incomes are not reduced. Therefore, every medical staff must make timely adjustments in terms of actions and psychology in order to keep pace with the healthcare reform.