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CHINA

Healthcare System Reform

For the purpose of realizing the goal that everyone is entitled to basic healthcare services, and of raising the health of Chinese people, a new healthcare system reform is starting from 2017.

 

Here are some highlights of this reform.

 

End markup of drugs

Public hospitals will end markups on drug prices to separate medical treatment and drug sales, and to lower costs to patients. Drug prices were previously marked up by up to 15% but this will be discontinued over the whole country gradually. Treatment fees will be replaced by medical service fee.

Separating treatment and drug sales will cut off the channel of making money through over-prescription, and help medical practitioners provide more and better treatment services.

 

Establish hierarchical medical system

We don’t have referral system in China previously, big hospitals (T3) often crowded with patients. Hence the government encourages patients to visit lower level hospitals (T2 and T1), and the reimbursement percentage is higher than go to big hospitals directly.

To build the referral system in order to make full use of each tier of hospital. Complete medical facility and service in primary hospital, so that they can be the first-visited place for patients. Primary hospital refer acute/critical patient to T3 hospital, T3 hospital refer chronic patient/convalescent to primary hospital.

 

Promote practicing at multiple facilities

In order to solve lack of medical professionals/talents in different hospitals, the government steadily promotes flow of medical professionals, facilitates exchange of medical talents among different healthcare facilities. But the reality is very few would do so, because the hospital medical professional/talent doesn’t want them to do so, for concerning of this would influence quality of work.

 


2018/05/26 21:41
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