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2024, izinguquko ezinkulu eziyisikhombisa embonini yemishini yezokwelapha

Ngokukhuphuka nokwehla kwango-2023, umjikelezo ka-2024 usuqalile ngokusemthethweni.Imithetho eminingi emisha yokuphila iyamiswa kancane kancane, imboni yemishini yezokwelapha “isikhathi soshintsho” sesifikile.

微信截图_20240228091730
Ngo-2024, lezi zinguquko zizokwenzeka embonini yezokwelapha:

 

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Kusukela ngomhlaka-1 Juni, 103 izinhlobo zamadivayisi zokuphatha "igama langempela".

NgoFebhuwari wonyaka odlule, i-State Drug Administration (SDA), Ikhomishana Yezempilo Kazwelonke (NHC), kanye Nokuphathwa Kwezomshuwalense Wezempilo Kazwelonke (NHIA) bakhiphe "Isimemezelo Ngeqoqo Lesithathu Lokusetshenziswa Kokuhlonza Okuyingqayizivele Kwamadivayisi Wezokwelapha".
Ngokwezinga lengozi nezidingo zokulawula, eminye imikhiqizo esetshenziswa kanye enesidingo esikhulu somtholampilo, umthamo ophakathi nendawo othenga imikhiqizo ekhethiwe, imikhiqizo ehlobene nobuhle bezokwelapha kanye nezinye izisetshenziswa zezokwelapha ze-Class II zihlonzwe njengeqoqo lesithathu lamadivayisi ezokwelapha anamalebula ahlukile.
Ingqikithi yezinhlobo ezingu-103 zemishini yezokwelapha ifakiwe kulokhu kuqaliswa kokulebula okuyingqayizivele, okuhlanganisa okokuhlinza nge-ultrasound, okokuhlinza nge-laser nezinye izesekeli, izinto zokuhlinza ze-high-frequency/radiofrequency surgical and accessories, amathuluzi asebenzayo okuhlinzwa kwe-endoscopic, amathuluzi okuhlinzwa emizwa nenhliziyo - inhliziyo nemithambo yegazi. amadivaysi okungenelela, amathuluzi okuhlinza amathambo, imishini ye-X-ray yokuxilonga, imishini ye-phototherapy, imishini yokuhlaziya uhlelo lokuhamba kancane, amaphampu esirinji, amathuluzi aselabhorethri yasemtholampilo nokunye.
Ngokwesimemezelo, kumishini yezokwelapha efakwe kuqeqebana lesithathu lekhathalogi yokusetshenziswa, obhalisiwe uzoqhuba umsebenzi olandelayo ngendlela ehlelekile ngokuhambisana nezidingo zesikhathi:
Imishini yezokwelapha ekhiqizwe kusukela mhla lu-1 kuNhlangulana wezi-2024 izoba nokumakwa okuyingqayizivele kwemishini yezokwelapha;imikhiqizo ekhiqizwe ngaphambilini ngeqeqebana lesithathu lokusetshenziswa kokumaka okuhlukile kungenzeka ingabi nokumaka okuhlukile.Idethi yokukhiqiza izosuselwa kulebula yensiza yezokwelapha.
Uma efaka isicelo sokubhaliswa kusukela mhla lu-1 kuJuni 2024, umfakisicelo wokubhaliswa uzohambisa ukuhlonza umkhiqizo weyunithi yokuthengisa encane yomkhiqizo wayo ohlelweni lokuphatha ukubhalisa;uma ukubhaliswa kwamukelwe noma kuvunyiwe ngaphambi komhla ka-1 Juni 2024, obhalisiwe uzohambisa ukuhlonza umkhiqizo weyunithi yokuthengisa encane yomkhiqizo wayo ohlelweni lokuphatha ukubhalisa lapho umkhiqizo uvuselelwa noma ushintshwa ukuze ubhaliswe.
Ukuhlonzwa komkhiqizo akuyona indaba yokubuyekezwa kokubhaliswa, futhi izinguquko zomuntu ngamunye ekuhlonzweni komkhiqizo aziweli ngaphakathi kohlelo lwezinguquko zokubhalisa.
Emishinini yezokwelapha ekhiqizwe kusukela mhla lu-1 kuJuni 2024, ngaphambi kokuthi ifakwe emakethe futhi idayiswe, obhalisiwe uzolayisha ukuhlonza umkhiqizo weyunithi yokuthengisa encane kakhulu, izinga eliphezulu lokupakishwa nedatha ehlobene kusizindalwazi sokuhlonza okuyingqayizivele kwemishini yezokwelapha ku- ngokuhambisana nezidingo zamazinga afanelekile noma ukucaciswa, ukuze kuqinisekiswe ukuthi idatha iyiqiniso, inembile, iphelele futhi iyalandeleka.
Ezinsizakalweni zezokwelapha ezigcine ulwazi kusigaba kanye nesizindalwazi sekhodi yezinto ezisetshenziswayo zezokwelapha ze-State Medical Insurance Bureau kumshwalense wezokwelapha, kuyadingeka ukwengeza nokuthuthukisa izinkambu zokuhlukanisa kanye nekhodi zezinto ezisetshenziswayo zezokwelapha zomshwalense wezokwelapha kusizindalwazi sokuhlonza esiyingqayizivele, futhi ngesikhathi esifanayo, sithuthukise ulwazi oluhlobene nokuhlonza okuyingqayizivele kwemishini yezokwelapha ekugcinweni kwesigaba kanye nesizindalwazi sekhodi yezinto ezisetshenziswayo zezokwelapha zomshwalense wezokwelapha futhi siqinisekise ukuhambisana kwedatha naleyo yesizindalwazi sokuhlonza esiyingqayizivele semishini yezokwelapha.

 

02

Meyi-Juni, iqoqo lesine lemiphumela yokuthengwa kwempahla yezwe lafika emakethe
Ngomhla zingama-30 kuLwezi ngonyaka odlule, iqoqo lesine lezinto ezithengwayo zombuso zamemezela imiphumela ehlongozwayo yokuwina.Muva nje, i-Beijing, i-Shanxi, i-Inner Mongolia nezinye izindawo zikhiphe Isaziso Sokunqunywa Kwevolumu Yokuthenga Isivumelwano Semikhiqizo Ekhethiwe Ekuthengeni Okuhlanganisiwe Okuhlanganisiwe Kwezinto Zokwelashwa Zezinhlangano Zikazwelonke, esidinga ukuthi izikhungo zezokwelapha zendawo zinqume isivumelwano sokuthenga imikhiqizo njenge kanye nevolumu yokuthenga.
Ngokwezidingo, i-NHPA, kanye neminyango efanele, izoqondisa izindawo kanye namabhizinisi akhethiwe ukwenza umsebenzi omuhle ekutholeni nasekusebenziseni imiphumela ekhethiwe, ukuze kuqinisekiswe ukuthi iziguli ezweni lonke zingasebenzisa imikhiqizo ekhethiwe ngoMeyi-Juni. 2024 ngemva kokwehliswa kwentengo.
Kubalwa ngesisekelo senani eliqoqwe ngaphambilini, usayizi wemakethe wemikhiqizo eqoqiwe cishe uyizigidi eziyizinkulungwane ezingu-15.5, okuhlanganisa ama-yuan ayizigidi eziyizinkulungwane ezingu-6.5 ngezinhlobo ezingu-11 zezinto ezisetshenziswayo ze-IOL kanye nama-yuan ayizigidi eziyizinkulungwane ezingu-9 ezinhlotsheni ezingu-19 zemithi yezemidlalo esetshenziswayo.Ngokusetshenziswa kwentengo eqoqiwe, kuzophinde kugqugquzele ukwanda kwesikali semakethe se-IOL nemithi yezemidlalo.
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May-June, 32 + 29 izifundazwe ukusetshenziswa kwemiphumela yokuqoqwa kokuqaliswa
Ngomhla ziyi-15 kuMasingana, Ihhovisi Lomshuwalense Wezokwelapha lase-Zhejiang lakhipha Isaziso Ngesimemezelo Semiphumela Ekhethiwe Ye-Interprovincial Union's Centralized Banded Banded Purchasing of Coronary Intravascular Ultrasound Diagnostic Catheters and Infusion Pumps.Umjikelezo wokuthenga webhande elimaphakathi wazo zombili izinhlobo zezinto ezisetshenziswayo iminyaka emi-3, ibalwa kusukela osukwini lwangempela lokusetshenziswa lwemiphumela ekhethiwe endaweni yomfelandawonye.Umthamo wokuthenga okuvunyelwene ngawo wonyaka wokuqala uzosetshenziswa kusukela ngoMeyi-Juni 2024, futhi usuku oluqondile lokuqalisa luzonqunywa isifunda sombimbi.

 

Izinhlobo ezimbili zokuqoqwa kwezinto ezisetshenziswayo kanye nokuthengwayo okuholwa ngu-Zhejiang kulokhu zihlanganisa izifundazwe ezingama-32 nezingu-29 ngokulandelana kwazo.
Ngokwesizindalwazi esisemthethweni se-Zhejiang Medical Insurance Bureau, kunamabhizinisi angama-67 abamba iqhaza elikhulu kulesi siza somfelandawonye wokuthengwa kwempahla, ukuncishiswa okumaphakathi kweqoqo le-coronary intravascular ultrasound diagnostic catheter uma kuqhathaniswa nentengo yomlando ecishe ibe ngama-53%, indawo yomfelandawonye yokonga cishe ngonyaka. ama-yuan ayizigidi eziyizinkulungwane eziyi-1,3;ukumnika futha iqoqo kuqhathaniswa intengo zomlando ukuncishiswa isilinganiso mayelana 76%, indawo umfelandawonye ukonga ngonyaka cishe 6.66 bhiliyoni yuan.

 

04

Ukulwa nenkohlakalo kwezokwelapha kuyaqhubeka nezijeziso ezinzima kakhulu zokugwazisa ngokwelashwa
NgoJulayi 21 ngonyaka odlule, ngokusho kwesizindalwazi esisemthethweni seKhomishana Yezempilo Kazwelonke, ukuthunyelwa kwezindaba zenkohlakalo zenkundla yezemithi yonyaka owodwa kugxile emsebenzini wokulungisa.Ngomhla zingama-28 kuJulayi, kwabanjwa izinhlaka zokuhlola isiyalo kanye nokuqondisa ukuze zisebenzisane nezindaba zenkohlakalo kazwelonke ezigxile ekugqugquzeleni umsebenzi wokulungisa kanye nengqungquthela yevidiyo yokusatshalaliswa kwevidiyo, yaphonswa phambili ekuthuthukisweni okujulile kwemboni yezemithi kuwo wonke umkhakha, lonke uchungechunge, lonke udaba lokubusa okuhlelekile.
Njengamanje sekusele izinyanga ezinhlanu ngaphambi kokuphela komsebenzi wokulungisa owenziwe endaweni eyodwa.2023 Engxenyeni yesibili yonyaka, isivunguvungu sokulwa nenkohlakalo sezemithi sahlasela izwe lonke ngengcindezi enkulu, sadala umthelela onamandla ngokwedlulele embonini.Kusukela ekuqaleni konyaka, umhlangano kahulumeni weminyango eminingi uthe ukulwa nenkohlakalo kwezemithi, imbudumbudu yokulwa nenkohlakalo izoqhubeka nokudlondlobala onyakeni omusha.
Mhla zingama-29 kuZibandlela ngonyaka odlule, umhlangano wesikhombisa weKomidi Elimisiwe LeNgqungquthela Yeshumi Nane Yesizwe Yabantu wamukela “Izichibiyelo Zomthetho Wobugebengu WeRiphabhulikhi Yabantu YaseShayina (XII)”, ezoqala ukusebenza kusukela mhla lu-1 kuNdasa wezi-2024 kuye phambili.
Lesi sichibiyelo sinyusa ngokusobala icala lobugebengu kwezinye izimo ezibucayi zokufumbathisa.I-Article 390 yoMthetho Wobugebengu yachitshiyelwa ukuze ifundeke kanje: “Noma ubani owenza icala lokufumbathisa uyogwetshwa isikhathi esinqunyiwe esingeqile iminyaka emithathu noma aboshwe ngobugebengu, futhi uyohlawuliswa;uma izimo zizimbi futhi isifumbathiso sisetshenziselwa ukuthola inzuzo engafanele, noma uma inzuzo yesizwe ilahlekelwa kakhulu, uyogwetshwa isikhathi esinqunyelwe ejele isikhathi esingekho ngaphansi kweminyaka emithathu kodwa singeqi iminyaka eyishumi, futhi hlawuliswa;uma izimo zibucayi kakhulu noma uma inzuzo yezwe ilahlekelwa kakhulu, uyogwetshwa isikhathi esinqunyiwe esingengaphansi kweminyaka eyishumi noma ukudilikelwa yijele.iminyaka engaphezu kweyishumi ejele isikhathi esinqunyiwe noma udilikajele, kanye nenhlawulo noma ukudliwa kwempahla.”
Isichibiyelo sisho ukuthi labo abakhokha izifumbathiso emkhakheni wemvelo, izindaba zezimali nezezimali, ukukhiqizwa kwezokuphepha, ukudla nezidakamizwa, ukuvimbela nokusiza izinhlekelele, ukuphepha komphakathi, imfundo nokunakekelwa kwezokwelapha, njll., futhi abenza okungekho emthethweni nobugebengu. imisebenzi izonikezwa izinhlawulo ezinzima.

 

05

Kwethulwa Ukuhlolwa Kukazwelonke Kwezibhedlela Ezinkulu
Ekupheleni konyaka odlule, Ikhomishana Yezempilo Kazwelonke yakhipha Uhlelo Olukhulu Lokuhlolwa Kwezibhedlela (Unyaka wezi-2023-2026).Empeleni, ububanzi balokhu kuhlolwa okwezibhedlela zikahulumeni (kuhlanganise nezibhedlela zemithi yamaShayina) ezisezingeni 2 (ngokubhekiselwa kubaphathi bezinga lesi-2) nangaphezulu.Izibhedlela eziphethwe umphakathi zisetshenziswa ngokuhambisana nemigomo yokuphatha.
IKhomishana Kazwelonke Yezempilo Nezempilo inesibopho sokuhlola izibhedlela ngaphansi kweKhomishana (abaphathi) kanye nokuhlola nokuqondisa ukuhlolwa kwezibhedlela esifundazweni ngasinye.Izifundazwe, izifunda ezizimele, omasipala ngaphansi kukaHulumeni Omkhulu kanye ne-Xinjiang Production and Construction Corps Health Commission ngokuhambisana nomgomo wokuphathwa kwendawo, inhlangano ebumbene kanye nomthwalo wemfanelo wesigaba, ukwenza umsebenzi wokuhlola isibhedlela ngendlela ehleliwe nesinyathelo ngesinyathelo. .
NgoJanuwari kulo nyaka, sekuqalwe izinga lesibili (ngokubhekiselwa ezingeni lesibili lokuphatha) nangaphezulu kwezibhedlela zomphakathi zaseShayina (kuhlanganise nezibhedlela ezihlangene zemithi yamaShayina kanye nezaseNtshonalanga kanye nezibhedlela zezokwelapha zezinhlanga ezincane), sekuqalisiwe iSichuan, Hebei nezinye izifundazwe. baphinde bakhipha incwadi, ngokulandelana, ukuthi kuqalwe ukuhlolwa kwezibhedlela ezinkulu.
Ukuhlola okugxilile:
1. Ukuthi kuthuthukiswe futhi kuqaliswe umsebenzi wokulungisa ophakathi nendawo, “imihlahlandlela eyisishiyagalolunye” kanye nohlelo lokusebenza lwezinyathelo ezihlanzekile zokwenziwa ngcono kwemithetho nemithethonqubo esebenzayo, ehlosiwe, esebenza kalula, kanye nokusungulwa kwendlela yesikhathi eside. .
2. Ukuthi umsebenzi wokulungisa ophakathi nendawo usuzuze “okuyisithupha endaweni” yokuqalwa kwemibono, ukuzihlola nokuzilungisa, ukudluliswa kwemikhondo, ukuqinisekiswa kwezinkinga, ukuphathwa kwenhlangano nokusungulwa kwezinqubo.Ukuthi kuqiniswe yini ukugadwa “kwabambalwa ababalulekile” nezikhundla ezibalulekile.Ukuthi kufanele kulandelwe izimiso “zokujezisa ukuvimbela, ukuphatha ukusindisa, ukubonisa ukulawula okuqinile nothando, ukuyekelela nokuba lukhuni, nokusebenzisa ngokunembile “amafomu amane” ukwenza umsebenzi.
3. Ukuthi kuqiniswe yini ukugadwa kokwamukela amakhomishana ezentengiselwano, ukubamba iqhaza ekukhwabaniseni komshwalense, ukuxilonga nokwelashwa ngokweqile, ukwamukela iminikelo ngokungemthetho, ukudalula ubumfihlo beziguli, ukudluliselwa kokwenza inzuzo, ukubukela phansi ukulunga kokwelashwa, ukwamukela “amaphakethe abomvu” ohlangothini lwesiguli, nokwamukela izinxephezelo ezivela ebhizinisini, njll., eziphula "izinkombandlela eziyisishiyagalolunye" kanye "nomkhuba ohlanzekile".Ukugadwa kokuziphatha okuhlanzekile.
4. Ukuthi kusungulwe futhi kuthuthukiswe uhlelo lokuqapha kanye nokuxwayisa kusenesikhathi kanye nendlela yokulawula ehlanganisa izikhundla ezibalulekile, izisebenzi ezibalulekile, ukuziphatha okubalulekile kwezokwelapha, imithi ebalulekile nezinto ezisetshenziswayo, imishini yezokwelapha emikhulu, ukwakhiwa kwengqalasizinda, amaphrojekthi amakhulu okulungisa nezinye izindawo ezibalulekile. , kanye nokubhekana kahle nezinkinga nokwenza intuthuko eqhubekayo.
5. Ukuthi kufanele kusetshenziswe ubuqotho bocwaningo lwezokwelapha kanye namakhodi okuziphatha ahlobene, nokuqinisa ukugadwa kobuqotho bocwaningo.
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Kusukela mhla lu-1 kuNhlolanja, khuthaza ukuthuthukiswa kwale mishini yezokwelapha
Mhla zingama-29 kuZibandlela ngonyaka odlule, Ikhomishana Kazwelonke Yokuthuthukiswa Nezinguquko (i-NDRC) yakhipha Uhlu Lweziqondiso Zokulungiswa Kwesakhiwo Sezimboni (ushicilelo luka-2024).Inguqulo entsha yekhathalogi izoqala ukusebenza ngoFebhuwari 1, 2024, futhi Ikhathalogi Yesiqondiso Yokulungiswa Kwesakhiwo Sezimboni (uhlelo luka-2019) izosulwa ngesikhathi esifanayo.
Emkhakheni wezokwelapha, ukuthuthukiswa okusha kwemishini yezokwelapha ephezulu kuyakhuthazwa.
Ngokukhethekile, kuhlanganisa: isakhi sofuzo esisha, amaprotheni kanye nemishini yokuxilonga amangqamuzana, imishini emisha yokuxilonga kanye nama-reagents, imishini yezokwelapha esebenza kahle kakhulu, imishini ye-radiotherapy esezingeni eliphezulu, izinto ezisekela impilo yezifo ezibucayi nezibucayi, imishini yezokwelapha esiza ubuhlakani bokwenziwa, imishini yokuxilonga nokwelapha ephathwayo nekude, izinsiza zokuvuselela ezisezingeni eliphezulu, imikhiqizo ephezulu efakelwayo nengenelelayo, amarobhothi okuhlinzwa, nezinye izinto ezisetshenziswayo zokuhlinza nezisetshenziswayo, izinto ezisetshenziswa yi-biomedical, ukuthuthukiswa kobuchwepheshe bokukhiqiza okungeziwe kanye nokusetshenziswa.ukuthuthukiswa kobuchwepheshe nokusebenzisa.
Ngaphezu kwalokho, ukwelashwa okuhlakaniphile, uhlelo lokuxilonga olusiza isithombe sezokwelapha, irobhothi lezokwelapha, izinto ezigqokekayo, njll. nazo zifakiwe kukhathalogi ekhuthazwayo.
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Ekupheleni kukaJuni, ukwakhiwa kwemiphakathi yezempilo yesifunda ebumbene kuzoqhutshekelwa phambili ngokuphelele
Ekupheleni konyaka odlule, Ikhomishana Yezempilo Kazwelonke kanye neminye iminyango eyi-10 ngokuhlanganyela yakhipha Imibono Eqondisayo Yokuthuthukisa Ngokuphelele Ukwakhiwa Kwemiphakathi Ehlangene Yezokwelapha Nezempilo Yesifunda.
Iphawula ukuthi: ekupheleni kukaJuni 2024, ukwakhiwa kwemiphakathi yezokwelapha yesifunda esihlangene kuzoqhutshelwa phambili ngokugcwele ngokwesisekelo sesifundazwe;ekupheleni kuka-2025, kuzokwenziwa inqubekelaphambili ebalulekile ekwakhiweni kwemiphakathi yezokwelapha yesifunda, futhi sizolwela ukuphothulwa kwemiphakathi yezokwelapha yesifunda ebumbene enezakhiwo ezinengqondo, ukuphathwa okuhlangene kwezinsiza zabantu nezezimali, amandla acacile nezibopho, ukusebenza kahle, ukuhlukaniswa kwabasebenzi, ukuqhubeka kwezinsizakalo, nokwabelana ngolwazi ezindaweni ezingaphezu kwama-90% ezifundeni (zomasipala) kuzwelonke;futhi ngo-2027, ukwakhiwa kwemiphakathi yezokwelapha yesifunda esihlangene kuzothuthukiswa ngokuphelele.Ngo-2027, imiphakathi yezokwelapha yesifunda ebumbene ngokuyisisekelo izozuza ngokugcwele.
I-Circular iveza ukuthi kuyadingeka ukuthuthukisa inethiwekhi yesevisi ye-telemedicine emazingeni aphansi, ukubona ukubonisana okukude, ukuxilonga nokuqeqeshwa ezibhedlela ezisezingeni eliphezulu, futhi kukhuthaze ukuqashelwa okufanayo kokuhlolwa okuphansi, ukuxilongwa kanye nemiphumela ephezulu.Uma sithatha isifundazwe njengophiko, lo msebenzi wokwelapha ngezingcingo uzobandakanya ngaphezu kuka-80% wezibhedlela zezempilo zasemalokishini kanye nezikhungo zezempilo zomphakathi ngo-2023, futhi ngokuyisisekelo ufinyelele ngokugcwele ngo-2025, futhi ukhuthaze ukwandiswa kokufinyelela ezingeni lamadolobhana.
Iqhutshwa ukwakhiwa kwemiphakathi yezokwelapha yesifunda ezweni lonke, isidingo semakethe sokuthengwa kwemishini emazingeni aphansi sikhula ngokushesha, futhi ukuncintisana kwemakethe ezikayo ukhula kakhulu.

 

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Isikhathi sokuthumela: Feb-28-2024