| Research Purpose:In order to get rid of the policy which using drug income to mend medicine loss,and establish a new compensation mechanism,Beijing is carrying out the separation of medicine comprehensive reform,the implementation of the separation of medicine comprehensive reform is very important to the hospital of traditional Chinese medicine.In this paper,the operation situation of the separation of medicine comprehensive reform in three grade A Chinese medicine hospitals in Beijing is studied,analyzes the effect of the two hospitals implementing the separation of medicine comprehensive reform,discusses the main problems and reasons existing in the separation of medicine comprehensive reform policy implementation process,according to the existing problems,putting forward measures and suggestions to promote the development of Chinese medicine hospital,to provide reference for the separate reform of medicine in all parts of the country.Research Methods:This study adopts the combination of qualitative and quantitative research,through literature research in the early stage,understanding the mode of separation of medicine at home and abroad.Late selects two traditional Chinese medicine hospitals whose level is three grade A in Beijing as the research object,conducts questionnaire survey on medical staff and outpatients in traditional Chinese medicine hospital,carries out depth interviews with hospital administrators and medical staff.Using Microsoft Excel 2010 to enter the results of the questionnaire,and using SPSS 22 statistical software to analyze hospital data by descriptive statistics analysis,chi square test and so on,exploring and analyzing the achievements,problems and causes of the traditional Chinese Medicine hospitals whose level is three grade A,and putting forward the measures and suggestions.Research Content:Combing the mode of the medicine separate reform at home and abroad,to understand the specific situation,the effect and the existing problems of the medicine separate reform mode at home and abroad,focusing on the analysis of medical service fee in Beijing to sum up the experience;Taking two traditional Chinese Medicine hospitals of three grade A as the object,to understand the current situation of the two traditional Chinese Medicine hospitals implementing the separation of medicine comprehensive reform policy;Analyzing the effect of the two traditional Chinese Medicine hospitals implementing the separation of medicine comprehensive reform policy,discussing the main problems and reasons existing in the separation of medicine comprehensive reform policy implementation process;According to the present situation and existing problems,putting forward reasonable suggestions and measures to the promotion of the medical institutions of medicine separate reform and the development of Chinese medical institutions.Research Results:During the separation of medicine comprehensive reform,the number of emergency visits to the hospital was reduced,Chinese medicine hospital A and B in 4-12 months of 2017 outpatient and emergency visits were compared to the same period in 2016 declined by 19.04%and 18.10%;The medical income of the investigated hospital has a certain influence,the medical income of Chinese medicine hospital A rose 1.72%and the medical income of Chinese medicine hospital B declined by 7.66%in 4-12 months of 2017 compared with the same period in 2016,and both of two Chinese medicine hospitals'outpatient income decreased;The drug income of the investigated hospital declined,the drug income of Chinese medicine hospital A and B in 4-12 months of 2017 compared to the same period in 2016 decreased by 10.93%and 21.09%;Without considering the purchase of drugs in the sun,two hospitals of traditional Chinese Medicine have basically realized the shift of income,the proportion of changes in the medical income of the traditional Chinese Medicine hospital A and B was 4.66%and 2.88%,respectively;The medical staff in the hospital were less satisfied with the rationality of income,working time and rest time,working conditions and environment;The overall satisfaction of the surveyed outpatients to the hospital was higher.Research Conclusion:The two traditional Chinese Medicine hospitals of three grade A in Beijing has made some achievements in implementing the separation of medicine comprehensive reform policy.For example,the service function of the investigated hospital has been gr adually returned,promoted grading diagnosis and treatment;The income compensation structure of the investigated hospital tends to be reasonable;The technical and labor value of medical staff has been reflected;The price of medical services increased and the burden of patients was not significantly increased;Patient satisfaction has been improved But there are still some problems,such as hospital income has been slow and hospital development has had a certain influence,the service function of the investigated hospital has not been fully regressed,the job satisfaction of medical staff has been reduced,the patient's low understanding of the separation of medicine comprehensive reform policy.To solve these problems,the possible reasons are discussed respectively,put forward measures and suggestions from the medical administration,the medical insurance and hospital management.The suggestions for medical administration include:To improve the transparency of medical reform,take more ways and channels to open content of policy.Improve the supervision system of Chinese herbal medicine to guarantee the quality of Chinese herbal medicine.Formulating a scientific pricing mechanism for drug dynamics and gradually eliminating the"medicine supplement" The suggestions for medical insurance include:Improve the medical insurance service system to ensure that the burden of patients does not increase.Improve the reimbursement of traditional Chinese medicine to encourage the treatment of traditional Chinese medicine.Hospital management suggestions include:Strengthen the construction of the subject to improve the core competitiveness of the traditional Chinese medicine hospital.Improve the hospital performance appraisal system and improve the enthusiasm of medical staff.Strengthen hospital cost control and meticulous management.Reasonable arrangements for the work and rest time of the medical staff. |
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