Ndi normalization ndi institutionalization wa dziko centralized kugula mankhwala ndi mankhwala consumables, dziko ndi m'dera centralized zogula zachipatala wakhala mosalekeza kufufuza ndi kulimbikitsa, malamulo centralized zogula akhala wokometsedwa, kuchuluka kwa zogula pakati wakhala zina kukodzedwa, ndi mtengo wazinthu watsika kwambiri. Nthawi yomweyo, ecology yamakampani azachipatala ikukulanso.
Tidzagwira ntchito molimbika kuti migodi ikhale yokhazikika
Mu June 2021, National Medical Insurance Administration ndi madipatimenti ena asanu ndi atatu pamodzi adapereka Malangizo pa The Centralized Procurement and Use of High-value Medical Consumables yokonzedwa ndi Boma. Kuyambira nthawi imeneyo, mndandanda wa zolemba zothandizira zapangidwa ndi kuperekedwa, zomwe zimayika zikhalidwe zatsopano ndi njira zatsopano zogulira pakati pa zinthu zamtengo wapatali zogulira mankhwala ambiri.
Mu Okutobala chaka chomwecho, Gulu Lotsogola Lokulitsa Kusintha kwa Medical and Health System ya The State Council idapereka Malingaliro Othandizira pa Kukulitsa Kusintha kwa Medical and Health System mwa Kulengeza Kwambiri Zomwe Zachitika ku Sanming City ya Fujian Province, zomwe zinasonyeza kuti zigawo zonse ndi mgwirizano wa zigawo zikulimbikitsidwa kuchita kapena kutenga nawo mbali pogula mankhwala ndi zogwiritsidwa ntchito kamodzi pachaka.
Mu Januwale chaka chino, msonkhano Executive wa The State Council anaganiza normalize ndi institutionalize ndi centralized zogula zamtengo wapatali kwambiri mankhwala mu zedi kuti mosalekeza kuchepetsa mitengo mankhwala ndi imathandizira kukulitsa Kuphunzira. Maboma ang'onoang'ono akulimbikitsidwa kuti azigula zinthu m'machigawo kapena zigawo, ndikugula zinthu zogwiritsidwa ntchito ndi mafupa, mabaluni a mankhwala, implants zamano ndi zina zomwe anthu amakhudzidwa nazo m'mayiko ndi zigawo motsatira. Pambuyo pake, ndondomeko ya ndondomeko ya State Council ya ndondomekoyi inafotokozedwa. Pamsonkhanowo, a Chen Jinfu, wachiwiri kwa mkulu wa National Medical Insurance Administration, adati pofika kumapeto kwa chaka cha 2022, mitundu yopitilira 350 yamankhwala ndi mankhwala opitilira 5 amtengo wapatali azigwiritsidwa ntchito m'chigawo chilichonse (chigawo ndi mzinda) kudzera. mabungwe adziko ndi mapangano azigawo.
Mu Seputembara 2021, gulu lachiwiri lazinthu zogwiritsidwa ntchito ndi boma zogulitsira zamtengo wapatali zophatikizana zopangira zidakhazikitsidwa. Mogwirizana ndi mfundo ya "chinthu chimodzi, ndondomeko imodzi", izi zogulira pamodzi zachita kufufuza kwatsopano m'njira yofotokozera kuchuluka kwa ndalama, mgwirizano wa kuchuluka kwa zogula, malamulo osankhidwa, malamulo olemera, mautumiki otsagana ndi zina. Malinga ndi National Medical Insurance Administration, mabizinesi okwana 48 adatenga nawo gawo pagawoli, pomwe 44 mwa iwo adasankhidwa ndi mabanja, omwe adapambana ndi 92 peresenti komanso atsika mtengo ndi 82 peresenti.
Panthawi imodzimodziyo, akuluakulu a boma akugwiranso ntchito mwakhama. Malinga ndi ziwerengero, kuyambira Januware 2021 mpaka February 28 chaka chino, ma projekiti 389 ogula zinthu zachipatala (kuphatikiza ma reagents) adakhazikitsidwa m'dziko lonselo, kuphatikiza ma projekiti 4 adziko lonse, ma projekiti 231 akuchigawo, ma projekiti 145 am'matauni ndi ntchito zina 9. Okwana 113 ntchito zatsopano (kuphatikizapo consumables mankhwala 88 ntchito yapadera, reagents 7 ntchito yapadera, consumables mankhwala + reagents 18 ntchito yapadera), kuphatikizapo 3 ntchito zapadziko lonse, 67 zigawo zigawo, 38 ntchito tapala, 5 ntchito zina.
Zitha kuwoneka kuti chaka cha 2021 sichaka chokha chowongolera ndondomeko ndikukonzekera dongosolo logulira pakati pa zinthu zachipatala, komanso chaka chotsatira ndondomeko ndi machitidwe oyenera.
Mitundu yosiyanasiyana yawonjezeredwa
Mu 2021, zida zina 24 zachipatala zidasonkhanitsidwa mozama, kuphatikiza 18 zamtengo wapatali zogulira ndi 6 zotsika mtengo zachipatala. Kuchokera kumalingaliro a mitundu yosiyanasiyana yamitundu, coronary stent, ochita kupanga olowa ndi zina zotero akwaniritsa Kuphunzira dziko lonse; Malinga ndi mitundu yazigawo, baluni ya coronary dilatation, iOL, cardiac pacemaker, stapler, coronary guide waya, singano yokhalamo, mutu wa mpeni wa akupanga ndi zina zotero zakhala zikuzungulira zigawo zambiri.
Mu 2021, zigawo zina, monga Anhui ndi Henan, adafufuza zogula zapakati pamankhwala oyesa zamankhwala ambiri. Shandong ndi Jiangxi aphatikizanso zoyezetsa zamankhwala pakukula kwa netiweki. Ndikoyenera kunena kuti chigawo cha Anhui chasankha ma chemiluminescence reagents, gawo lalikulu la msika pantchito ya immunodiagnosis, kuti achite zogula zapakati ndi zinthu 145 m'magulu 23 amagulu asanu. Mwa iwo, zinthu 88 zamabizinesi 13 zidasankhidwa, ndipo mtengo wapakati wazinthu zofananira unatsika ndi 47.02%. Kuphatikiza apo, Guangdong ndi zigawo zina 11 apanga mgwirizano wogula ma reagents oyesa a Coronavirus (2019-NCOV). Pakati pawo, mitengo avareji ya ma nucleic acid kuzindikira reagents, nucleic acid kuzindikira mwachangu reagents, IgM/IgG antibody kuzindikira reagents, odana detection reagents ndi antigen kuzindikira reagents anatsika pafupifupi 37%, 34.8%, 41%, 29% ndi 44. %, motero. Kuyambira nthawi imeneyo, zigawo zoposa 10 zayamba kugwirizanitsa mitengo.
Ndizofunikira kudziwa kuti ngakhale kugulidwa kwapakati pazamankhwala ndi ma reagents kumachitika pafupipafupi m'zigawo zosiyanasiyana, kuchuluka kwa mitundu yomwe ikukhudzidwayo sikukwanira poyerekeza ndi zosowa zachipatala. Mogwirizana ndi zofunika za “Mapulani a zaka 14 a Universal Medical Security” operekedwa ndi The General Office of the State Council, katundu wamankhwala wamtengo wapatali m’dziko lonse ndi m’chigawo ayenera kuwonjezedwanso mtsogolo.
Kupeza kwa Alliance kukuchulukirachulukira
Mu 2021, mgwirizano wapakati pazigawo udzatulutsa mapulojekiti 18, okhudza zigawo 31 (zigawo zodzilamulira ndi ma municipalities) ndi Xinjiang Production and Construction Corps. Pakati pawo, mgwirizano waukulu wa Beijing-Tianjin-Hebei "3 + N" (ndi chiwerengero chachikulu cha mamembala, 23), zigawo za 13 zotsogozedwa ndi Inner Mongolia Autonomous Region, zigawo za 12 zotsogoleredwa ndi zigawo za Henan ndi Jiangsu, zigawo za 9 zotsogoleredwa ndi Jiangxi. Chigawo; Kuphatikiza apo, palinso Chongqing-Guiyun-Henan Alliance, The Shandong jin-Hebei-Henan Alliance, Chongqing-Guiqiong Alliance, Zhejiang-Hubei Alliance ndi Yangtze River Delta Alliance.
Malinga ndi zomwe zigawo zikuchita nawo mu mgwirizano wa zigawo, chigawo cha Guizhou chidzachita nawo mgwirizano waukulu kwambiri mu 2021, mpaka 9. Chigawo cha Shanxi ndi Chongqing chinatsatira kwambiri migwirizano 8 yomwe ikuchita nawo. Ningxia Hui Autonomous Region ndi Henan Province onse ali ndi migwirizano 7.
Kuphatikiza apo, mgwirizano wapakati pamizinda wapitanso patsogolo. Mu 2021, padzakhala ntchito 18 zogulira mgwirizano pakati pa mizinda, makamaka ku Jiangsu, Shanxi, Hunan, Guangdong, Henan, Liaoning ndi zigawo zina. Chochititsa chidwi ndichakuti mawonekedwe a mgwirizano wachigawo ndi mzinda adawonekera koyamba: Mu Novembala 2021, Huangshan City ya Chigawo cha Anhui adalowa nawo mgwirizano wa zigawo 16 motsogozedwa ndi Chigawo cha Guangdong kuti agule pakatikati pamutu wa ultrasonic cutter.
Titha kunena kuti, motsogozedwa ndi ndondomeko, migwirizano yam'deralo idzakhala ndi njira zosiyanasiyana zogulira zinthu ndipo mitundu yambiri idzalembedwa mu 2022, zomwe sizingalephereke komanso zofala.
Kuchita migodi mwachizolowezi kudzasintha chilengedwe chamakampani
Pakalipano, kugulidwa kwapakati kwa mankhwala opangira mankhwala akulowa pang'onopang'ono nthawi yochuluka: dziko likukonzekera zogula zapakati zamtengo wapatali zachipatala ndi mlingo waukulu wamankhwala ndi mtengo wapamwamba; Pachigawo chachigawo, zinthu zina zachipatala zapamwamba komanso zotsika mtengo ziyenera kugulidwa mwamphamvu. Kugula zinthu m'chigawochi ndi kwa mitundu ina osati ntchito zapadziko lonse komanso zigawo. Magulu atatuwa amasewera maudindo awo ndipo amagula zinthu zambiri zachipatala kuchokera kumagulu osiyanasiyana. Wolembayo akukhulupirira kuti kukwezedwa mozama kwa zinthu zogulira zamankhwala ku China kudzalimbikitsa kupititsa patsogolo kwachilengedwe kwamakampani, ndipo kudzakhala ndi njira zotsatirazi zachitukuko.
Choyamba, monga cholinga chachikulu cha kusintha kwachipatala ku China pakalipano ndikuchepetsa mitengo ndi kuwongolera ndalama, kugula zinthu pakati kwakhala kofunikira poyambira komanso kuchita bwino. Kulumikizana pakati pa kuchuluka ndi mtengo ndi kuphatikiza kwa anthu olemba anthu ntchito ndi kupeza kudzakhala mikhalidwe yayikulu yogulira zinthu zachipatala mwachangu, komanso kufalikira kwa madera ndi mitundu yosiyanasiyana kudzakulitsidwa.
Chachiwiri, kugula zinthu m'magwirizano kwakhala njira yothandizira ndondomeko ndipo njira yoyambitsira yogula zinthu za mgwirizano wa dziko yakhazikitsidwa. Mlingo wa kugula kwamagulu a zigawo zapakati pa zigawo zipitilira kukula ndikukhazikika pang'onopang'ono, ndipo zipitilira kukhazikika. Kuonjezera apo, monga chowonjezera chofunikira pamtundu wa migodi yogwirizana, migodi ya inter-city alliance collective mining idzalimbikitsidwanso pang'onopang'ono.
Chachitatu, zogwiritsidwa ntchito pachipatala zidzasonkhanitsidwa ndi stratification, batch ndi magulu, ndipo malamulo owunikira mwatsatanetsatane adzakhazikitsidwa. Kufikira pa netiweki kudzakhala njira yofunikira yowonjezera yogulira pamodzi, kuti mitundu yambiri yamankhwala igulidwe kudzera papulatifomu.
Chachinayi, malamulo ogulira pamodzi adzasinthidwa nthawi zonse kuti akhazikitse zoyembekeza za msika, mitengo yamtengo wapatali ndi zofuna zachipatala. Limbikitsani kugwiritsidwa ntchito kuti mugwiritse ntchito, wonetsani zosankha zachipatala, lemekezani mawonekedwe amsika, sinthani kutenga nawo gawo kwa mabizinesi ndi mabungwe azachipatala, onetsetsani kuti zinthu zili bwino komanso kupezeka kwazinthu, kuperekeza kugwiritsa ntchito zinthu.
Chachisanu, kusankha kwamitengo yotsika komanso kulumikizana kwamitengo kudzakhala njira yofunikira pakutolera zinthu zachipatala. Izi zithandizira kuyeretsa malo ogwiritsira ntchito mankhwala ogwiritsidwa ntchito pachipatala, kufulumizitsa kulowetsa m'malo mwazinthu zachipatala zapakhomo, kukonza msika wamakono, ndikulimbikitsa chitukuko cha zipangizo zamakono zachipatala zapakhomo pazachuma chaumoyo.
Chachisanu ndi chimodzi, zotsatira zowunika ngongole zizikhala mulingo wofunikira kuti mabizinesi ogula zinthu azachipatala azitenga nawo gawo pazogula ndi mabungwe azachipatala kuti asankhe zinthu. Kuphatikiza apo, dongosolo lodzipatulira, njira yoperekera malipoti mwaufulu, njira yotsimikizira zidziwitso, dongosolo lachilango chaulamuliro, dongosolo lokonzekera ngongole lidzapitiriza kukhazikitsa ndi kukonza.
Chachisanu ndi chiwiri, kugulidwa pamodzi kwa zinthu zachipatala kudzapitilizidwa kulimbikitsidwa mogwirizana ndi kukhazikitsidwa kwa dongosolo la "surplus" la ndalama za inshuwaransi yachipatala, kusintha kwa mndandanda wa inshuwaransi yazachipatala, kukonzanso njira zolipirira inshuwaransi yachipatala, komanso kusintha mitengo ya chithandizo chamankhwala. Zimakhulupirira kuti pansi pa kugwirizanitsa, kuletsa ndi kuyendetsa ndondomeko, chidwi cha mabungwe azachipatala kuti atenge nawo mbali pogula pamodzi chidzapitirira kusintha, ndipo khalidwe lawo logula lidzasintha.
Chachisanu ndi chitatu, kugulidwa kwambiri kwa zinthu zachipatala kudzalimbikitsa kumangidwanso kwamakampani, kukulitsa kwambiri kuchuluka kwa mafakitale, kupititsa patsogolo chilengedwe cha bizinesi, ndikukhazikitsa malamulo azogulitsa.
(Kuchokera: Medical Network)
Nthawi yotumiza: Jul-11-2022