Half-year Outcome of Comprehensive Reform of Medical Consumable Linkage in Beijing: Increased by 40% for Primary-level Clinics

  • 2019-12-19
Since the comprehensive reform of medical consumable linkage in Beijing is implemented on June 15 this year, 3,700 medical institutions have handled more than 100 million emergency visits and nearly 2.5 million people discharged. Where, the outpatient visits of primary level has increased for 32 consecutive months higher than those of secondary and tertiary hospitals, showing a good trend that the outpatient service diverts to the primary-level organizations. The value of technical service is reflected, and the weak medical subject is supported.

The number of emergency visits in Beijing increased by 2.1% compared with that before the comprehensive reform of separation of clinic from pharmacy. Among them, primary hospitals and community health service institutions increased by 40.4%, secondary hospitals increased by 3.3%, and tertiary hospitals decreased by 5.4%. It shows a good trend that the outpatient service diverts to the primary-level organizations. At the same time, in-patient services are concentrated in tertiary hospitals. And the structural changes in outpatient service and discharges of medical institutions at all levels are in line with the direction and requirements of hierarchical medical system.

Since the implementation of comprehensive reform of separation of clinic from pharmacy of Beijing in 2017, the annual increase of medical expense has been controlled at about 8%. Since the implementation of the comprehensive reform of medical consumable linkage in Beijing in June this year, medical expenses have increased by 6.2% over the same period last year. The coordination between the growth rate and economic and social development has been further improved. And after canceling the price markup of medical consumables, CNY 1.1 billion has been saved.

The comprehensive reform of medical consumable linkage in Beijing was the consolidation of the comprehensive reform of separation of clinic from pharmacy of Beijing in 2017. It focused on the cancellation of the price markup of medical consumables and the standardization of medical services, and it standardized and adjusted 6,621 medical services items. The share of income from technical labor increased by 2.1%, while the share of income from inspection, hygienic material and expenses for medicine decreased by 1.7%.

Beijing has actively yet prudently implemented the national pilot program for centralized purchasing and use of pharmaceuticals. The price of centralizedly-purchased drugs for 25 countries has been decreased by an average of 52%, which is expected to save CNY 1.5 billion a year in drug costs. The joint purchasing of medical consumables in the Beijing-Tianjin-Hebei Region involves six categories, including intravascular stent of heart, with an average price reduction of 15%, saving CNY 550 million in consumables expense a year.

According to data from the Beijing Municipal Bureau of Statistics, (1): 94.4% residents support the comprehensive reform of medical consumable linkage; (2) 84.9% residents are satisfied with it; (3) 77.8% residents think their burden is lightened; (4) 78.2% residents feel the reduction of consumables inspection expense; (5) 77.8% residents believe that the medical services have been improved; and (6) 77.8% residents consider that they can bear the expense. In terms of willingness of medical institutions, 42.4% patients chose service institutions of primary health care and that 39% patients the tertiary medical institutions. For the first time, patients chose primary institutions as their first choice for medical treatment, indicating that the trust of people in primary health services has been strengthened and the policy of strengthening the primary level has achieved good results.

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