Kupyolera mu kukwera ndi kutsika kwa 2023, kuzungulira kwa 2024 kwayamba mwalamulo.Malamulo atsopano angapo opulumuka amakhazikitsidwa pang'onopang'ono, makampani opanga zida zachipatala "nthawi yosintha" yafika.
Mu 2024, zosintha izi zidzachitika m'makampani azachipatala:
01
Kuyambira 1 June, 103 mitundu ya zida "dzina lenileni" kasamalidwe
Mu February chaka chatha, State Drug Administration (SDA), National Health Commission (NHC), ndi National Health Insurance Administration (NHIA) inapereka "Kulengeza pa Gulu Lachitatu la Kukwaniritsidwa kwa Chizindikiritso Chapadera cha Zida Zachipatala".
Malinga ndi kuchuluka kwa chiwopsezo ndi zofunikira pakuwongolera, zinthu zina zogwiritsidwa ntchito kamodzi zomwe zimafunikira kwambiri kuchipatala, kuchuluka kwazinthu zosankhidwa pakati, zinthu zokhudzana ndi kukongola kwachipatala ndi zida zina zachipatala za Gulu II zidadziwika ngati gulu lachitatu la zida zamankhwala zokhala ndi zilembo zapadera.
Mitundu yonse ya 103 ya zipangizo zachipatala zikuphatikizidwa mu kukhazikitsidwa kwapadera kumeneku, kuphatikizapo zida zopangira opaleshoni ya ultrasound, zipangizo zopangira opaleshoni ya laser ndi zowonjezera, zipangizo zamakono zopangira opaleshoni / radioofrequency ndi zowonjezera, zida zogwiritsira ntchito opaleshoni ya endoscopic, zida zopangira opaleshoni ya mitsempha ndi mtima - mtima zida zothandizira, zida zopangira opaleshoni ya mafupa, makina opangira X-ray, zida za phototherapy, zida zowunikira dongosolo, mapampu a syringe, zida za labotale zamankhwala ndi zina zotero.
Malinga ndi Chilengezo, pazida zamankhwala zomwe zikuphatikizidwa mugulu lachitatu la kalozera wokhazikitsidwa, wolembetsa azigwira ntchito zotsatirazi mwadongosolo molingana ndi nthawi yake:
Zipangizo zamankhwala zopangidwa kuchokera pa 1 June 2024 zidzakhala ndi chizindikiro chapadera cha zida zamankhwala;zinthu zomwe zidapangidwa kale pagulu lachitatu lokhazikitsa chizindikiro chapadera sizingakhale ndi chizindikiritso chapadera.Tsiku lopangidwa lizitengera chizindikiro cha chipangizo chachipatala.
Ngati mukufunsira kulembetsa kuyambira pa 1 June 2024, wolembetsa adzapereka chizindikiritso cha malonda ang'onoang'ono kwambiri pazogulitsa zake mumayendedwe olembetsa;ngati kulembetsa kwavomerezedwa kapena kuvomerezedwa pamaso pa 1 June 2024, wolembetsayo adzapereka chizindikiritso cha chinthu chaching'ono kwambiri chazogulitsa zake mu kasamalidwe ka kalembera pomwe katunduyo asinthidwa kapena kusinthidwa kuti alembetse.
Chidziwitso cha malonda si nkhani yowunikiranso kalembera, ndipo zosintha zamunthu pazachidziwitso sizigwera mkati mwa kusintha kwa kalembera.
Pazida zamankhwala zopangidwa kuchokera pa 1 June 2024, zisanayikidwe pamsika ndikugulitsidwa, wolembetsa aziyika zidziwitso zamalonda ang'onoang'ono kwambiri, kuchuluka kwapang'onopang'ono ndi zina zokhudzana nazo ku nkhokwe yazidziwitso zapadera za zida zamankhwala mu molingana ndi zofunikira pamiyezo yoyenera kapena mafotokozedwe, kuonetsetsa kuti zomwe zalembedwazo ndi zoona, zolondola, zathunthu komanso zotsatiridwa.
Pazida zamankhwala zomwe zasunga zambiri m'gulu lazinthu zachipatala za State Medical Insurance Bureau za inshuwaransi yazachipatala, ndikofunikira kuwonjezera ndikuwongolera magawo ndi ma code a inshuwaransi yachipatala mu nkhokwe yapadera yozindikiritsa, komanso nthawi yomweyo, kukonza zambiri zokhudzana ndi chizindikiritso chapadera cha zida zamankhwala pakukonza magawo ndi ma code database a zinthu zogulira zachipatala za inshuwaransi yachipatala ndikutsimikizira kugwirizana kwa deta ndi zomwe zidziwitso zapadera za zida zamankhwala.
02
May-June, gulu lachinayi la zotsatira zogula zinthu za boma zidafika pamsika
Pa 30 Novembala chaka chatha, gulu lachinayi lazinthu zogulira boma zidalengeza zotsatira zopambana.Posachedwa, Beijing, Shanxi, Inner Mongolia ndi malo ena adatulutsa Chidziwitso pa Kutsimikiza kwa Mgwirizano Wogula Volume wa Zinthu Zosankhidwa mu Centralized Banded Purchasing of Medical Consumables for National Organisations, zomwe zimafuna kuti mabungwe azachipatala am'deralo adziwe mgwirizano wogula zinthu monga komanso kuchuluka kwa zogula.
Malinga ndi zofunikira, NHPA, pamodzi ndi madipatimenti oyenerera, idzatsogolera madera ndi mabungwe osankhidwa kuti agwire ntchito yabwino pakufika ndikukwaniritsa zotsatira zomwe zasankhidwa, kuti awonetsetse kuti odwala m'dziko lonselo angagwiritse ntchito zinthu zomwe zasankhidwa mu May-June. 2024 pambuyo pochepetsa mitengo.
Powerengeredwa pamtengo womwe unasonkhanitsidwa kale, kukula kwa msika wazinthu zomwe zasonkhanitsidwa ndi pafupifupi 15.5 biliyoni, kuphatikiza ma yuan biliyoni 6.5 pamitundu 11 yamafuta a IOL ndi ma yuan 9 biliyoni pamitundu 19 yamankhwala amasewera.Ndi kukhazikitsidwa kwa mtengo womwe wasonkhanitsidwa, zilimbikitsanso kukula kwa msika wa IOL ndi mankhwala amasewera.
03
Meyi-June, 32 + 29 zigawo zotsatiridwa ndi kusonkhanitsa zotsatira
Pa Januware 15, Zhejiang Medical Insurance Bureau idapereka Chidziwitso pa Kulengeza Zotsatira Zosankhidwa za Interprovincial Union's Centralized Banded Purchasing of Coronary Intravascular Ultrasound Diagnostic Catheters and Infusion Pampu.Kugula kwapakati pamitundu yonse yazinthu zogwiritsidwa ntchito ndi zaka 3, zowerengedwa kuyambira tsiku lenileni la kukhazikitsidwa kwa zotsatira zosankhidwa m'dera la mgwirizano.Mtengo wogula womwe wagwirizana chaka choyamba udzakhazikitsidwa kuyambira Meyi-June 2024, ndipo tsiku lenileni lokhazikitsidwa lidzatsimikiziridwa ndi dera la mgwirizano.
Mitundu iwiri ya zinthu zogulidwa ndi kugula motsogozedwa ndi Zhejiang nthawi ino imaphatikiza zigawo 32 ndi 29 motsatana.
Malinga ndi tsamba lovomerezeka la Zhejiang Medical Insurance Bureau, pali mabizinesi 67 omwe akutenga nawo gawo pantchito yogula mgwirizanowu, kuchepa kwapakati pamitsempha yamagazi yam'mitsempha yamagazi a ultrasound poyerekezera ndi mtengo wakale wa pafupifupi 53%, kusungitsa kwapachaka kwa mgwirizano wapachaka pafupifupi. 1.3 biliyoni ya yuan;kulowetsedwa mpope zosonkhanitsira poyerekeza ndi mtengo mbiri ya kuchepetsa pafupifupi 76%, m'dera mgwirizano m'dera ndalama pachaka pafupifupi 6.66 biliyoni yuan.
04
Kulimbana ndi katangale pazachipatala kukupitilirabe ndi zilango zokulirapo za chiphuphu chachipatala
Pa July 21 chaka chatha, malinga ndi tsamba lovomerezeka la National Health Commission, kutumizidwa kwa chaka chimodzi cha nkhani za ziphuphu zamtundu wa mankhwala zomwe zimayang'ana pa ntchito yokonzanso.28 July, bungwe loyang'anira chilango ndi kuyang'anira kuti ligwirizane ndi nkhani za ziphuphu zamtundu wa mankhwala zomwe zimayang'ana kukonzanso ntchito yokonza ndi kutumiza kanema msonkhano unachitika, kupititsa patsogolo chitukuko chakuya chamakampani opanga mankhwala m'munda wonse, unyolo wonse, nkhani zonse za utsogoleri mwadongosolo.
Pakali pano kwatsala miyezi isanu kuti ntchito yokonzanso zinthu izi ithe. 2023 Mu theka lachiwiri la chaka, mkuntho wotsutsana ndi katangale wa mankhwala unasesa m'dziko lonselo movutikira kwambiri, zomwe zinachititsa kuti makampaniwa asokonezeke kwambiri.Kuyambira kuchiyambi kwa chaka, msonkhano wa mabungwe ambiri a boma wanena kuti mankhwala odana ndi ziphuphu, anti-corruption granularity adzapitirizabe kukula m'chaka chatsopano.
Pa 29 Disembala chaka chatha, msonkhano wachisanu ndi chiwiri wa Komiti Yoyimilira ya Msonkhano Wachisanu ndi chinayi wa National People's Congress udavomereza "Kusintha kwa Lamulo la Upandu la People's Republic of China (XII)", lomwe lidzayamba kugwira ntchito kuyambira 1 Marichi 2024 kupita mtsogolo.
Kusinthaku kumawonjezera momveka bwino mlandu pazochitika zina zazikulu za ziphuphu.Ndime 390 ya Lamulo la Upandu inasinthidwa kuti: “Aliyense amene wapalamula mlandu wopereka ziphuphu adzaweruzidwa kuti akhale m’ndende kwa nthawi yosapitirira zaka zitatu kapena kukhala m’ndende, ndipo adzalipidwa;ngati zinthu zili zovuta kwambiri ndipo chiphuphucho chikugwiritsidwa ntchito kuti apeze phindu losayenera, kapena ngati zofuna za dziko zitayika kwambiri, adzapatsidwa chilango chokhala m'ndende kwa zaka zosachepera zitatu koma zosapitirira zaka khumi, ndipo kulipiritsidwa;ngati zinthu zili zovuta kwambiri kapena ngati zofuna za dziko zitayika kwambiri, adzapatsidwa chilango chokhala m'ndende kwa zaka zosachepera khumi kapena kukhala m'ndende moyo wonse.kukhala m’ndende kwa zaka zoposa khumi kapena kukhala m’ndende kwa moyo wonse, ndi kulipira chindapusa kapena kulanda katundu.”
Kusinthaku kumatchulanso kuti omwe amapereka ziphuphu pazachilengedwe, zachuma ndi zachuma, kupanga chitetezo, chakudya ndi mankhwala osokoneza bongo, kupewa ndi kupulumutsa masoka, chitetezo cha anthu, maphunziro ndi chithandizo chamankhwala, ndi zina zambiri, komanso omwe amachita zosemphana ndi malamulo ndi zigawenga. ntchito adzapatsidwa zilango zolemera.
05
Kuyendera Kwadziko Lonse kwa Zipatala Zazikulu Zakhazikitsidwa
Kumapeto kwa chaka chatha, National Health Commission idapereka Large Hospital Inspection Work Programme (Chaka cha 2023-2026).M'malo mwake, kuchuluka kwa kuwunikaku ndi kwa zipatala zaboma (kuphatikiza zipatala zaku China zakuchipatala) za level 2 (potengera utsogoleri wa 2) ndi pamwambapa.Zipatala zoyendetsedwa ndi anthu zimayendetsedwa molingana ndi mfundo zoyendetsera.
Bungwe la National Health and Wellness Commission liri ndi udindo woyang'anira zipatala pansi pa Commission (oyang'anira) komanso kuyang'anira ndi kutsogolera kayendetsedwe ka zipatala m'chigawo chilichonse.Zigawo, zigawo zodziyimira pawokha, ma municipalities omwe ali pansi pa Boma la Central ndi Xinjiang Production and Construction Corps Health Commission malinga ndi mfundo ya kasamalidwe ka madera, bungwe logwirizana komanso udindo wapamwamba, kuti agwire ntchito yoyendera chipatala mwadongosolo komanso pang'onopang'ono. .
Mu Januware chaka chino, pamlingo wachiwiri (potengera gawo lachiwiri la kasamalidwe) komanso zipatala zachipatala zaku China (kuphatikiza zipatala zaku China ndi zaku Western zophatikizika ndi zipatala zachipatala za anthu ochepa), Sichuan, Hebei ndi zigawo zina zakhazikitsidwa. adaperekanso kalata, imodzi pambuyo pa inzake, kuti ayambe kuyendera zipatala zazikulu.
Kuyang'ana kokhazikika:
1. Kaya kukhazikitsa ndi kukhazikitsa ntchito yapakati yokonzanso, "zowongolera zisanu ndi zinayi" ndi ndondomeko yoyendetsera ntchito zoyera za njira zenizeni zopititsira patsogolo malamulo oyendetsera ntchito, omwe akukhudzidwa, osavuta kugwiritsa ntchito ndi malamulo, ndikukhazikitsa njira yanthawi yayitali. .
2. Kaya ntchito yokonzanso yapakati yakwaniritsa "zisanu ndi chimodzi" za kuyambika kwa malingaliro, kudzifufuza nokha ndi kudzikonza, kusamutsa zizindikiro, kutsimikizira mavuto, kusamalira bungwe ndi kukhazikitsa njira.Kulimbitsa kuyang'anira "ochepa ochepa" ndi maudindo akuluakulu.Kaya kutsatira mfundo za "kulanga kuteteza, kuchitira kupulumutsa, kusonyeza kulamulira mwamphamvu ndi chikondi, kulekerera ndi kukhwima, ndi kugwiritsa ntchito molondola "njira zinayi" kugwira ntchito.
3. Kaya kulimbikitsa kuyang'anira kuvomereza makomiti a zamalonda, kuchita nawo zachinyengo za inshuwaransi, kufufuza ndi kulandira chithandizo mopitirira muyeso, kulandira zopereka mosaloledwa, kuulula zachinsinsi za odwala, kutumiza phindu, kunyozetsa chilungamo cha chithandizo chamankhwala, kulandira "mapaketi ofiira" kuchokera kumbali ya odwala, ndi kuvomereza zobweza kuchokera ku bizinesi, ndi zina zotero, zomwe zikuphwanya "zitsogozo zisanu ndi zinayi" ndi "zoyera".Kuyang'anira machitidwe aukhondo.
4. Kukhazikitsa ndi kukonza njira zowunikira ndi kuchenjeza koyambirira ndi njira zowongolera zomwe zikukhudza maudindo akuluakulu, ogwira ntchito, machitidwe ofunikira azachipatala, mankhwala ofunikira ndi zinthu zina, zida zazikulu zachipatala, zomangamanga, ntchito zokonza zazikulu ndi zina zazikulu. , komanso kuthana ndi mavuto moyenera ndikusintha mosalekeza.
5. Kukhazikitsa kukhulupirika kwa kafukufuku wamankhwala ndi malamulo okhudzana nawo, ndi kulimbikitsa kuyang'anira kukhulupirika kwa kafukufuku.
06
Kuyambira 1 February, limbikitsani chitukuko cha zipangizo zamankhwala izi
Pa 29 Disembala chaka chatha, Bungwe la National Development and Reform Commission (NDRC) lidatulutsa Gulu Lotsogola la Kusintha kwa Kapangidwe ka Mafakitale (kope la 2024).Mtundu watsopano wa kalozerayu uyamba kugwira ntchito pa February 1, 2024, ndipo Gulu Lotsogola la Industrial Structure Adjustment (kope la 2019) lidzachotsedwa nthawi yomweyo.
Pankhani ya zamankhwala, chitukuko chamakono cha zipangizo zamakono zamakono zimalimbikitsidwa.
Mwachindunji, zikuphatikizapo: jini yatsopano, zida zowunikira mapuloteni ndi ma cell, zida zatsopano zodziwira matenda ndi ma reagents, zida zofananira zachipatala zogwira ntchito kwambiri, zida zapamwamba za radiotherapy, zida zothandizira moyo wa matenda oopsa komanso ovuta, zida zachipatala zopanga nzeru zopanga, zipangizo zogwiritsira ntchito mafoni ndi zakutali zowunikira ndi chithandizo, zipangizo zamakono zothandizira kukonzanso, zopangira zopangira zowonjezera komanso zowonjezera, ma robot opangira opaleshoni, ndi zipangizo zina zopangira opaleshoni ndi zogwiritsira ntchito, zipangizo zamakono, zopangira zowonjezera zamakono zamakono ndi ntchito.chitukuko chaukadaulo ndi kugwiritsa ntchito.
Kuonjezera apo, chithandizo chamankhwala chanzeru, njira yothandizira chithunzi chachipatala, robot yachipatala, zipangizo zovala, ndi zina zotero zikuphatikizidwanso m'buku lolimbikitsidwa.
07
Pofika kumapeto kwa Juni, ntchito yomanga zipatala zolumikizana zachipatala zidzapitirizidwa patsogolo
Kumapeto kwa chaka chatha, National Health Commission ndi madipatimenti ena a 10 pamodzi adapereka Malingaliro Otsogolera pa Kulimbikitsa Mokwanira Kumanga kwa Madera Ogwirizana a Zachipatala ndi Zaumoyo a County.
Ikunena kuti: pofika kumapeto kwa June 2024, ntchito yomanga zipatala zolumikizana bwino za m'chigawochi zidzakankhidwira patsogolo m'zigawo;pofika kumapeto kwa 2025, kupita patsogolo kwakukulu kudzapangidwa pomanga madera azachipatala a m'chigawo, ndipo tidzayesetsa kumaliza madera ogwirizana achipatala omwe ali ndi masanjidwe oyenera, kasamalidwe kogwirizana ka anthu ndi ndalama, mphamvu zomveka ndi maudindo, kugwira ntchito moyenera, kugawikana kwa ogwira ntchito, kupitiliza kwa ntchito, komanso kugawana chidziwitso m'maboma (matauni) opitilira 90% m'dziko lonselo;ndipo pofika chaka cha 2027, ntchito yomanga midzi yachipatala yogwirizana kwambiri idzalimbikitsidwa kwambiri.Pofika chaka cha 2027, madera azachipatala ogwirizana kwambiri m'chigawocho adzapeza chithandizo chokwanira.
Circular ikunena kuti ndikofunikira kukonza maukonde a telemedicine, kuzindikira kufunsira kwakutali, kuzindikira ndi kuphunzitsidwa ndi zipatala zapamwamba, komanso kulimbikitsa kuvomerezana pakuwunika koyambira, kuzindikira kwapamwamba komanso zotsatira zake.Kutenga chigawochi ngati gawo, ntchito ya telemedicine idzakhudza zoposa 80% ya zipatala zamatauni ndi zipatala zachipatala m'chaka cha 2023, ndikukwaniritsa kufalikira kwathunthu mu 2025, ndikulimbikitsa kufalikira kwa kumidzi.
Motsogozedwa ndi kumangidwa kwa madera azachipatala m'chigawo chonse cha dzikolo, kufunikira kwa msika wogula zida zapansi panthaka kukuchulukirachulukira, ndipo mpikisano wamsika womwe ukumira ukukula kwambiri.
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Nthawi yotumiza: Feb-28-2024