Medical reform 4 pilot province medicine recruiting New Deal full decryption
The reform of public hospitals is the focus of attention in the industry. According to Mao Chun’an, a spokesman for several health officials, during the reform of public hospitals, the elimination of drug additions has been clearly defined, and the reform of procurement of drugs for tender has also been made clear. The recent tendering and procurement of medicines has just issued guidance. Besides, what are the new pilots and trends? Let us take a look at the actions of the four pilot provinces of health reform.
Drug purchase
Jiangsu: To further increase the participation of medical institutions in the procurement of pharmaceuticals, the province is responsible for the unified organization of pharmaceuticals, a unified platform, public hospitals may not purchase the products out of the list, and may not conduct "secondary bargaining" with the enterprises.
On the basis of the elimination of drug additions at county-level public hospitals, by 2015 all public hospitals in the city will implement zero-dip sales. Reasonably reduce the price of medicines, high-value medical consumables, and large-scale medical equipment for examination and treatment. By 2017, the proportion of public hospital medicines will be reduced to less than 30%.
Fujian: The total amount of hospital medical insurance is controlled. The social security fund of the Human and Social Department controls the total amount of hospitals and pays monthly advances. Cut off the interests of doctors and medicines, consumables, and big inspections. It is forbidden to set income-generating targets for medical personnel, and it is forbidden that the dean’s income is directly linked to the hospital’s economic income, and it is forbidden that medical staff’s bonuses, wages, etc., are linked to business income such as medicines, consumables, and medical examinations.
Anhui: Adhere to rational drug use, rational use of consumables, reasonable inspections, and establish a list of key drugs, such as high prices, large quantities, and non-therapeutic assistance. The total salary of hospitals is linked to the proportion of medicines, consumables and inspection income.
In the previous three years, the weighted average number was used as the evaluation base. When the percentage was decreased, the total wages increased accordingly, and when the proportion was increased, the total wages decreased accordingly, ensuring that the proportion of medicines, consumables, and inspection income in total hospital revenue decreased year by year. Strengthen internal oversight and harmonize network management of medical practitioners' prescriptions and other medical treatment practices. Strengthen process monitoring, sign sunlight agreements, and implement blacklisting for non-compliant suppliers.
Qinghai: In- depth study on the management system and bidding methods of drug recruitment after the release of drug prices. To carry out provincial-level centralized procurement of high-value medical consumables, establish a sunshine procurement transaction system, establish a sunlight procurement information platform, and implement online transactions for all pharmaceuticals and medical consumables.
Research through medical insurance control fees and tender procurement, so that the actual transaction price of drugs from the market to fully compete to form the lowest price. Gradually reduce the circulation of medicines. Strictly crack down on violations of laws and regulations by drug production and operation enterprises such as affiliate operations, sales of counterfeit and inferior drugs, commercial bribery, and false invoices.
Medicare strengthens hospital control fees, hospitals turn to control drugs and consumables, and Anhui and Qinghai provinces specifically propose management of pharmaceutical companies, especially drug distributors. Will future national healthcare reform policies also include those of drug distributors? ? It is worth paying close attention to.
The automatic biochemical analyzer is an instrument that measures a specific chemical composition in body fluids according to the principle of photoelectric colorimetry. Due to its fast measurement speed, high accuracy and small consumption of reagents, it has been widely used in hospitals, epidemic prevention stations and family planning service stations at all levels. The combined use can greatly improve the efficiency and benefits of routine biochemical testing.
principle
The automatic analyzer is to automatically run all or part of the steps of sampling, mixing, warm bath (37°C) detection, result calculation, judgment, display and printing results and cleaning in the original manual operation process. Today, biochemical tests are basically automated analysis, and there are fully automatic biochemical analysis systems designed for large or very large clinical laboratories and commercial laboratories, which can be arbitrarily configured according to the laboratory's testing volume.
Whether it is the fastest-running (9600Test/h) modular fully automatic biochemical analyzer today, or the original manual-operated photoelectric colorimeter for colorimetry, the principle is the use of absorption spectroscopy in spectroscopic technology. It is the most basic core of the biochemical instrument.
Optical system: is a key part of ACA. Older ACA systems used halogen tungsten lamps, lenses, color filters, and photocell assemblies. The optical part of the new ACA system has been greatly improved. ACA's beam splitting system can be divided into front splitting and rear splitting due to different light positions. The advanced optical components use a set of lenses between the light source and the cuvette to convert the original light source. The light projected by the lamp passes through the cuvette to bring the beam to the speed of light (unlike traditional wedge beams), so that the spot beam can pass through even the smallest cuvette. Compared with traditional methods, it can save reagent consumption by 40-60%. After the spot beam passes through the cuvette, the spot beam is restored to the original beam through this group of restoration lenses (wide difference correction system), and is divided into several fixed wavelengths (about 10 or more wavelengths) by the grating. The optical/digital signal direct conversion technology is used to directly convert the optical signal in the optical path into a digital signal. It completely eliminates the interference of electromagnetic waves to the signal and the attenuation in the process of signal transmission. At the same time, the optical fiber is used in the signal transmission process, so that the signal can achieve no attenuation, and the test accuracy is improved by nearly 100 times. The closed combination of the optical path system makes the optical path without any maintenance, and the light splitting is accurate and the service life is long.
Constant temperature system: Since the temperature of the biochemical reaction has a great influence on the reaction results, the sensitivity and accuracy of the constant temperature system directly affect the measurement results. The early biochemical instruments used the method of air bath, and later developed into a dry bath with constant temperature liquid circulation which combines the advantages of dry air bath and water bath. The principle is to design a constant temperature tank around the cuvette, and add a stable constant temperature liquid that is odorless, non-polluting, non-evaporating and non-deteriorating in the tank. The constant temperature liquid has a large capacity, good thermal stability and uniformity. The cuvette does not directly contact the constant temperature liquid, which overcomes the characteristics of the water bath type constant temperature being susceptible to pollution and the uneven and unstable air bath.
Sample reaction stirring technology and probe technology: The traditional reaction stirring technology adopts magnetic bead type and vortex stirring type. The current popular stirring technology is a stirring unit composed of multiple groups of stirring rods that imitate the manual cleaning process. When the first group of stirring rods is stirring the sample/reagent or mixed solution, the second group of stirring rods performs high-speed and high-efficiency cleaning at the same time. The set of stirring bars also undergoes a warm water washing and air drying process at the same time. In the design of a single stirring rod, a new type of spiral high-speed rotating stirring is adopted, and the rotation direction is opposite to the spiral direction, thereby increasing the stirring force, the stirred liquid does not foam, and reducing the scattering of light by microbubbles. Reagent and sample probes are based on the principle of early capacitive sensing, but slightly improved to increase the alarm of blood clots and protein clots, and re-test results according to the alarm level, reducing sample aspiration errors and improving the reliability of test results. . Large-scale biochemical instruments can detect more than 1,000 tests per hour, so automatic retesting is very important. Subjective evaluation of test results and manual retesting can no longer meet clinical needs.
Other aspects: barcode recognition of reagents and samples and computer login. Due to the lack of barcode recognition function of early biochemical instruments, there are more opportunities for errors. In recent years, both imported and domestic chemical instruments have adopted barcode detection. The use of this technology in biochemical instruments has provided technical support for the development of high-speed ACA, and also made the instrument quite supportive. The software development is simple and easy, therefore, barcode detection is the basis for the intelligence of the instrument. Open reagents, as an important factor for hospitals to choose models, whether the instrument supports open reagents is very important. After the reagents are opened, hospitals and scientific research units can choose their own reagent suppliers, and have a greater degree of freedom in measuring the price, the reliability of the test results, and the validity period of the reagents. Ion Selective Electrode Analysis Accessory (ISE), human serum and urine electrolyte indicators are very important, and hospitals can save money by adding ISE to the ACA system.
Bio Chemistry Analyzer, Clinical Chemistry Analyzer, Blood Chemistry Analyzer,Urine Chemistry Analyzer
Jilin Sinoscience Technology Co. LTD , https://www.jilinsinoscience.com