Since the implementation of the comprehensive reform of medical separation in April 8th, it has been full of 100 days. Yesterday, the Beijing Municipal Health Planning Commission Director Lei Haichao introduced a hundred days of medical reform related circumstances. 100 days, Beijing completed 60 million people medical service, emergency department in three hospitals was reduced by 12.7%, and the level of grassroots medical and health institutions for treatment increased 10%, three level of hospital average hospitalization days shortened 1.6 days. In the cost, since the reform of health care, Beijing region average daily medical expenses 35 million yuan.

The number of emergency visits in grade three hospitals decreased by 12.7%

Health care reform operation 100 days, the city has completed 60 million people medical service, 3100 medical reform in the medical institutions running smoothly. Daily monitoring information showed that outpatient services at grade three hospitals had decreased by 12.7%, and the highest time had been reduced to 16%." Lei Haichao said, two hospitals also declined, and primary medical and health institutions and the level of hospital diagnosis and treatment volume has increased significantly, an increase of 10%.

In grade three hospitals, the number of doctors in different ranks has also changed. Overall, after the reform, the number of deputy chief physician outpatient visits dropped by 10%, the chief physician dropped by 22.7%, and the number of outpatient visits of well-known experts dropped by 15.2%. "You can see that we are more rational in seeing a doctor, not blindly pursuing the expert number.". It also alleviates the need for registration of patients who really need specialist numbers, making our expert resources more useful for the treatment of difficult and difficult cases than for our specialists to see common diseases and common diseases."

The average length of stay decreased by 1.6 days in 100 days. Lei Haichao said that in March, the average length of stay in Beijing was 8.1 days, and has been stable for 6.5 days. "If there were no reform measures, it would take about 10 years for the average hospitalization rate to be shortened by 1.6 days. The shortening of hospitalization rate is helpful to strengthen the three grade hospitals to pay attention to the treatment of difficult and severe diseases and to improve the medical service in hospital".

An average of 35 million yuan per day to save medical expenses

After the medical reform, acupuncture, massage and other parts of the cost increase, will not bring the overall cost of medical treatment increased? Lei Haichao said, according to estimates, 100 days, Beijing saves medical expenses as high as 3 billion 500 million. "Beijing began to reform in April 8th, and in the second half it is even higher than in the first half.". Around the year, about 9 billion 500 million of the cost will be saved, which means saving medical expenses for the Beijing area 35 million per day." Lei Haichao says.

In addition, the cost of drugs, the procurement of sunlight to achieve the drug savings of 1 billion 370 million, the cumulative average price of drugs dropped more than 8%. Lei Haichao said that after April 8th began medical reform, the procurement of drugs sunshine has generated 17 billion 200 million market transactions. It is estimated that the cost of pharmaceuticals will be over 3 billion yuan in the whole year. Among them, the proportion of drugs in two or three hospitals dropped from 42.2% to 34.4%, the current downward trend is still continuing.

Two months and 8300 prescriptions

Beiqing Bao reporter learned that, for the city's 3 million high blood pressure and diabetes patients commonly used 105 kinds of chronic diseases, in the community has been delivered in place. Lei Haichao said that at present, the community implemented two months long prescription system, the elderly do not go back and forth medical institutions. "Long prescription has opened more than 8300, the family doctor key crowd signing rate has reached 73%, the signing rate in the reform process of 100 days to achieve a significant jump."."

How do patients view this series of reform measures? NBS Survey Office in Beijing recently in two or three hospitals for the intercept interviews of 600 patients visit, 91.7% of the patients expressed support for the comprehensive reform of Beijing medicine separate, the other 82.2% patients that now the reform policy is conducive to the diagnosis and classification. 83.8% of patients had a positive attitude toward medical fees, and 63% felt the cost was flat or lower during the visit.

Medical supplies are expected to further reduce prices

The next year, Beijing will further promote the reform of health care initiatives. For example, the performance evaluation of public medical institutions, has designed 11 key performance indicators to all two or three hospitals in Beijing area were analyzed, including hospital antimicrobial drug use rate and low risk of disease mortality and 30 day readmission rate, average hospitalization days, utilization of beds, outpatient the average patient medical expenses, medical expenses, medical expenses are increased, the proportion of drug and material such as inpatient. At the same time, the salary distribution policy of medical staff in Beijing area will be studied.

In addition, Beijing, Tianjin and medical supplies joint procurement will start, is expected to achieve further decline in supplies. Lei Haichao said: "compared with the organization and coordination of procurement in one place, the difficulty of joint procurement between the three places will be greatly improved.". At present, the city is working closely with Tianjin and Hebei, on the one hand to obtain medical consumables market use information, on the other hand, we should consider how to achieve joint procurement through the efficient organization of three places."