Nekumisikidzwa uye hurongwa hwekutengwa kwepakati penyika kwezvinodhaka uye zvekushandisa pakurapa, kutengwa kwenyika uye yemuno kwepakati pezvekushandisa pakurapa kwakaramba kuchiongororwa nekusimudzirwa, mitemo yepakati pekutenga yakagadziridzwa, chiyero chekutengwa kwepakati chakawedzerwa, uye mutengo wezvigadzirwa wakaderera zvikuru.Panguva imwecheteyo, iyo indasitiri yezvigadzirwa zvekurapa ecology iri kuwedzerawo.
Tichashanda nesimba kugadzirisa migodhi yemubatanidzwa
Muna Chikumi 2021, National Medical Insurance Administration uye mamwe madhipatimendi masere akabatana akaburitsa Mitemo paThe Centralized Procurement uye Kushandisa Kwepamusoro-kukosha Medical Consumables yakarongwa neHurumende.Kubva ipapo, nhevedzano yemagwaro anotsigira akagadzirwa uye akaburitswa, ayo anoisa mberi miitiro mitsva uye mitsva mitsva yekutengwa kwepakati kwepamusoro-kukosha kwemishonga inoshandiswa muhuwandu.
Muna Gumiguru wegore rimwe chetero, Boka Rinotungamira reKudzamisa Reform yeMedical and Health System yeThe State Council yakapa Implementation Opinion on Deepening the Reform of the Medical and Health System by Deely popularizing the Experience of Sanming City of Fujian Province, izvo zvakaratidza kuti mapurovhinzi ose nemabatanidzwa ematunhu akakurudzirwa kuita kana kutora chikamu mukutenga zvinodhaka nezvinodyiwa kamwe chete pagore.
Muna Ndira gore rino, musangano weExecutive weThe State Council wakafunga kugadzirisa uye kusimudzira kutengwa kwepakati-kukosha kwemishonga yekurapa yakawanda kuti irambe ichidzikisira mitengo yemishonga uye kukurumidze kuwedzera kwekupa.Hurumende dzematunhu dzinokurudzirwa kuita purovhinzi kana pakati pematunhu emubatanidzwa, uye kuita mubatanidzwa wekutenga zvinhu zvinoshandiswa nemapfupa emapfupa, mabharumu emishonga, ma implants emazino nezvimwe zvinogadzirwa zvinonetsa veruzhinji munyika nematunhu zvichiteerana.Mushure mezvo, The State Council policy routine briefing for this system yakatsanangurwa.Pamusangano uyu, Chen Jinfu, mutevedzeri wemukuru weNational Medical Insurance Administration, akataura kuti panopera gore ra2022, marudzi emishonga anopfuura mazana matatu nemakumi mashanu uye zvinopfuura zvishanu zvemishonga zvemhando yepamusoro zvichange zvavharirwa mudunhu rega rega (dunhu neguta) kuburikidza. masangano enyika nemibatanidzwa yematunhu.
MunaGunyana 2021, chikamu chechipiri chekuunganidzwa-kwakarongeka kwehurumende kwezvekukosha-kukosha kwekushandisa mukurapa kwemajoini ekugadzira kuchatangwa.Zvinoenderana nemusimboti we "chigadzirwa chimwe, mutemo mumwe", iyi yekutenga yakaunganidzwa yakaita tsvakiridzo yehunyanzvi munzira yekuzivisa huwandu, chibvumirano chehuwandu hwekutenga, mitemo yekusarudza, uremu mitemo, inoperekedza masevhisi uye zvimwe zvinhu.Sekureva kweNational Medical Insurance Administration, mabhizinesi makumi mana nemasere akapinda munharaunda iyi, makumi mana nemana akasarudzwa nedzimba, aine huwandu hwekuhwina hwe92 muzana uye avhareji yakaderedzwa mutengo we82 muzana.
Panguva imwe cheteyo, zviremera zvomunzvimbomo zviri kushingairawo kuita basa rokuongorora.Sekureva kwehuwandu, kubva muna Ndira 2021 kusvika Kukadzi 28 gore rino, 389 pamwe chete mapurojekiti ekutenga zvinhu zvekurapa (kusanganisira reagents) akaitwa munyika yose, kusanganisira mapurojekiti mana enyika, 231 mapurojekiti epurovhinzi, 145 mapurojekiti ekanzuru uye 9 mamwe mapurojekiti.Huwandu hwezvirongwa zvitsva 113 (zvinosanganisira zvekurapa zvinodyiwa 88 mapurojekiti akakosha, reagents 7 mapurojekiti akakosha, zvigadzirwa zvekurapa + reagents 18 mapurojekiti akakosha), kusanganisira 3 mapurojekiti enyika, 67 epurovhinzi zvirongwa, 38 mapurojekiti emanisipala, 5 mamwe mapurojekiti.
Zvinogona kuonekwa kuti 2021 harisi chete gore rekuvandudza mutemo uye kugadzira sisitimu yekutengwa kwepakati pezvekushandisa zvekurapa, asiwo gore rekushandisa kwakakodzera marongero nehurongwa.
Mhando yemhando dzakasiyana-siyana yakawedzerwa
Muna 2021, makumi maviri nemana ezvekushandisa mukurapa akaunganidzwa zvakanyanya, kusanganisira gumi nesere zvemhando yepamusoro-soro uye 6 yakaderera-mutengo wekurapa.Kubva pakuona kwekuunganidzwa kwemarudzi akasiyana-siyana, coronary stent, artificial joint uye zvichingodaro zvakawana kufukidzwa kwenyika;Kubva pamaonero emhando dzepurovhinzi, coronary dilatation balloon, iOL, cardiac pacemaker, stapler, coronary guide waya, inogara tsono, ultrasonic banga musoro uye zvichingodaro zvakafukidza matunhu mazhinji.
Muna 2021, mamwe mapurovhinzi, akadai seAnhui neHenan, akaongorora kutengwa kwepakati kwekiriniki yekuongororwa reagents muhuwandu.Shandong neJiangxi vakasanganisira kiriniki yekuyedza reagents muchikamu chetiweki.Zvakakodzera kutaura kuti mudunhu reAnhui rakasarudza chemiluminescence reagents, chikamu chikuru chemusika mumunda we immunodiagnosis, kuita kutenga pakati nepakati pezvigadzirwa zve145 muzvikamu makumi maviri nezvitatu zvezvikamu zvishanu.Pakati pavo, 88 zvigadzirwa zvemabhizinesi gumi nematatu zvakasarudzwa, uye mutengo wepakati wezvigadzirwa zvine hukama wakaderera ne47.02%.Pamusoro pezvo, Guangdong nemamwe matunhu gumi nerimwe vakaita mubatanidzwa kutenga zvinyorwa zveCoronavirus (2019-NCOV) bvunzo reagents.Pakati pazvo, mitengo yeavhareji yemanucleic acid ekucherekedza reagents, nucleic acid kukurumidza kuona reagents, IgM/IgG antibody kuona reagents, zvachose anti-detection reagents uye antigen kuona reagents yakadzikira anosvika 37%, 34.8%, 41%, 29% ne44. %, zvichiteerana.Kubva ipapo, anopfuura matunhu gumi akatanga mutengo linkage.
Zvinokosha kuziva kuti kunyangwe kutengwa kwepakati kwezvekushandisa mukurapa uye reagents kuchiitwa kakawanda mumatunhu akasiyana, huwandu hwemhando dzakabatanidzwa hahuna kukwana kana zvichienzaniswa nezvinodiwa zvekiriniki.Zvinoenderana nezvinodiwa zve "Chirongwa chemakore gumi nemana che Universal Medical Security" chakapihwa neThe General Hofisi yeState Council, zvigadzirwa zvemunyika neprovince zvakakosha zvekurapa zvinofanirwa kuwedzerwa mune ramangwana.
Alliance sourcing iri kuwedzera kusiyana
Muna 2021, mubatanidzwa wepurovhinzi uchagadzira mapurojekiti gumi nemasere ekutenga, anofukidza matunhu makumi matatu nerimwe (anozvitonga ematunhu nemanisiparati) uye Xinjiang Production uye Construction Corps.Pakati pavo, iyo yakakura yeBeijing-Tianjin-Hebei "3+N" mubatanidzwa (ine nhamba huru yenhengo, makumi maviri nenhatu), matunhu gumi nematatu anotungamirwa neInner Mongolia Autonomous Region, matunhu gumi nemaviri anotungamirwa nematunhu eHenan neJiangsu, matunhu mapfumbamwe anotungamirwa naJiangxi. Province;Pamusoro pezvo, kune zvakare Chongqing-Guiyun-Henan Alliance, Iyo Shandong jin-Hebei-Henan Alliance, Chongqing-Guiqiong Alliance, iyo Zhejiang-Hubei Alliance uye Yangtze River Delta Alliance.
Kubva pamaonero ekutora chikamu kwematunhu mumubatanidzwa wemapurovhinzi, purovhinzi yeGuizhou ichatora chikamu muhuwandu hukuru hwemibatanidzwa muna 2021, kusvika pa9. Purovhinzi yeShanxi neChongqing dzakatevera zvakanyanya nemibatanidzwa 8 iri kutora chikamu.Ningxia Hui Autonomous Dunhu uye Henan Province vese vane 7 mibatanidzwa.
Pamusoro pezvo, mubatanidzwa wemadhorobha wakafambirawo zvakanaka.Muna 2021, pachave nemapurojekiti gumi nemasere ekutenga madhorobha, kunyanya muJiangsu, Shanxi, Hunan, Guangdong, Henan, Liaoning nemamwe matunhu.Chinocherekedza ndechekuti nzira yekudyidzana yepurovhinzi neguta yakaonekwa kekutanga: Muna Mbudzi 2021, Huangshan Guta reAnhui Province rakabatana nemubatanidzwa wematunhu gumi nematanhatu anotungamirwa neGuangdong Province kuita pakati pekutenga ultrasonic cutter musoro.
Zvinogona kufanotaurwa kuti, zvichitungamirwa nemitemo, mibatanidzwa yemuno ichave nemhando dzakasiyana siyana dzekutenga uye mamwe marudzi achatorwa muna 2022, inova maitiro asingadzivisiki uye akajairika.
Kuchera kwakasimba kwakajairika kuchachinja indasitiri yezvipenyu
Parizvino, kutengwa kwepakati kwezvigadzirwa zvekurapa zvishoma nezvishoma kunopinda munguva yakanyanyisa: nyika inoronga kutenga kwepakati kwepamusoro-kukosha kwezvokurapa zvekushandisa nehombe yekliniki dosage uye mari yakakwirira;Padanho repurovhinzi, zvimwe zvekushandisa zvekurapa zvakakwirira uye zvakaderera zvinofanirwa kutengwa zvakanyanya.Prefecture-level procurement inonyanya kuitirwa marudzi asiri emunyika neprovincial collective procurement mapurojekiti.Mapato matatu aya anoita mabasa awo akateerana uye anoita zvekutenga zvakanyanya zvekushandisa mukurapa kubva kumatanho akasiyana.Munyori anotenda kuti kukwidziridzwa kwakadzama kwekutenga kwekurapa kwakanyanya muChina kuchasimudzira kuenderera mberi kwekuvandudzwa kweindasitiri yezvipenyu, uye ichave neanotevera maitiro ebudiriro.
Chekutanga, sezvo chinangwa chikuru chekuvandudzwa kwehurongwa hwekurapa kweChina pari zvino chichiri kuderedza mitengo nekudzora mitengo, kutenga kwepakati kwave chinhu chakakosha chekutanga uye kubudirira.Kubatana pakati pehuwandu uye mutengo uye kubatanidzwa kwekutora uye kutora kuchava hunhu hukuru hwezvokurapa zvekushandisa zvakanyanya kutenga, uye kufukidzwa kwenzvimbo yedunhu uye akasiyana siyana achawedzerwa.
Chechipiri, kutenga kwemubatanidzwa kwave kutungamirwa nerutsigiro rwemitemo uye nzira yekutanga yekutengwa kwemubatanidzwa wenyika yakaumbwa.Kuwanda kwekutenga pakati peprovincial alliance pamwe chete kutenga kucharamba kuchiwedzera uye zvishoma nezvishoma kutarisisa, uye kuchaenderera mberi nekusimudzira.Pamusoro pezvo, sechimwe chinhu chakakosha pachimiro chemigodhi yemubatanidzwa, iyo inter-city alliance collective mining ichasimudzirwawo zvishoma nezvishoma.
Chechitatu, zvinodyiwa zvekurapa zvinounganidzwa ne stratification, batch uye kupatsanura, uye yakadzama yekuongorora mitemo ichamiswa.Kuwana kune network kuchave yakakosha yekuwedzera nzira yekutenga pamwe chete, kuitira kuti mamwe marudzi ezvekurapa anogona kutengwa kuburikidza nepuratifomu.
Chechina, mitemo yekutenga pamwe chete icharamba ichivandudzwa kuti igadzikane zvinotarisirwa pamusika, mazinga emitengo uye kudiwa kwekliniki.Simbisa kushandiswa kwekushandisa, simbisa kusarudzwa kwekiriniki, remekedza maitiro emusika, vandudza kutora chikamu kwemabhizinesi nemasangano ekurapa, simbisa chigadzirwa chemhando uye kuwanikwa kwechigadzirwa, kuperekedza kushandiswa kwezvigadzirwa.
Chechishanu, kusarudzwa kwemutengo wakaderera uye kubatanidza kwemitengo kuchava gwara rakakosha rekuunganidza zvinodyiwa zvekurapa.Izvi zvichabatsira kuchenesa nharaunda yekushanda yezvinhu zvinodyiwa zvekurapa, kukurumidza kutsiva kunze kwezvinhu zvekurapa zvemumba, kuvandudza chimiro chemusika wemasheya, uye kukurudzira kuvandudzwa kwemidziyo yekurapa yemumba mumunda wezvehutano hwehupfumi.
Yechitanhatu, mhedzisiro yekuongorora kiredhiti ichave chiyero chakakosha kuti mabhizinesi ezvekurapa atore chikamu mukutenga pamwe chete uye masangano ekurapa kusarudza zvigadzirwa.Uye zvakare, yekuzvipa system, yekuzvidira yekuzivisa hurongwa, ruzivo rwekusimbisa hurongwa, hierarchical punishment system, kiredhiti yekugadzirisa system icharamba ichimisa nekuvandudza.
Chechinomwe, kutengwa kwakabatanidzwa kwezvinhu zvekurapa kucharamba kuchisimudzirwa mukubatana nekuitwa kwe "surplus" system yemari yeinishuwarenzi yekurapa, kugadziridzwa kweinishuwarenzi yekurapa runyorwa rwezvekurapa, kuvandudzwa kwenzira dzekubhadhara inishuwarenzi yekurapa, uye kuvandudzwa kwemitengo yebasa rekurapa.Zvinotendwa kuti pasi pekubatana, kudziviswa uye kufambiswa kwemitemo, kufarira kwemasangano ekurapa kutora chikamu mukutenga pamwe chete kucharamba kuchivandudzika, uye maitiro avo ekutenga achachinjawo.
Yesere, kutengwa kwakanyanya kwezvinhu zvinoshandiswa pakurapa kuchasimudzira kuvakwazve kweiyo indasitiri maitiro, kuwedzera zvakanyanya kusungwa kwemaindasitiri, kuwedzera kuvandudza bhizinesi ecology, uye kumisikidza mitemo yekutengesa.
(Kwakabva: Medical Network)
Nguva yekutumira: Jul-11-2022