Muva nje, i-National Health Insurance Bureau ikhiphe isaziso ememezela ukuthi kusukela ngo-Okthoba 1, 2023, izosebenzisa ukuqedwa kwelungelo lezibhedlela lokubuya ezweni lonke.
Le nqubomgomo ithathwa njengenye igxathu elikhulu lenguquko yomshwalense wezempilo, okuhloswe ngayo ukujulisa uguquko lokunakekelwa kwezempilo, ukukhuthaza ukuthuthukiswa kwe-synergistic kanye nokulawulwa komshwalense wezempilo, ukunakekelwa kwezempilo kanye nemithi, ukuthuthukisa ukusebenza kahle kokusetshenziswa kwesikhwama somshwalense wezempilo. , ukunciphisa izindleko zokujikeleza kwemithi, futhi kuphinde kuxazulule inkinga yobunzima bokubuyisela amabhizinisi emithi.
Ngakho-ke, kusho ukuthini ukukhansela ilungelo lesibhedlela lokubuya?Yiziphi izinguquko ezintsha ezizoziletha embonini yezokwelapha?Ngicela ungihlanganise nami ekuxazululeni le mpicabadala.
**Kuyini Ukuqedwa Kwamalungelo Okubuyiselwa Kwesibhedlela?**
Ukuqedwa kwelungelo lesibhedlela lokubuyisela kusho ukuqedwa kwendima embaxambili yezibhedlela zikahulumeni njengabathengi nabahlali, kanye nokukhokhwa kwezinkokhelo ezinkampanini ezithaka imithi yizinhlangano zomshwalense wezokwelapha egameni lazo.
Ikakhulukazi, izinkokhelo zomfelandawonye kazwelonke, wezifundazwe, imikhiqizo ekhethiwe yokuthengwa kwempahla ehlanganisiwe yesifundazwe kanye nemikhiqizo yokuthengwa kwempahla nge-inthanethi ethengwe izibhedlela zikahulumeni izokhokhwa ngokuqondile esikhwameni somshwalense wezokwelapha iye ezinkampanini ezithaka imithi futhi idonswe emalini yokukhokhela umshwalense wezempilo ohambisanayo ezibhedlela zikahulumeni. izimali zenyanga elandelayo.
Ububanzi balokhu kuqedwa kwelungelo lembuyiselo buhlanganisa zonke izibhedlela zikahulumeni kanye nawo wonke amazwe, umfelandawonye wezifundazwe, kanye nokuthenga okuhlanganisiwe kwesifundazwe okukhethiwe imikhiqizo ekhethiwe kanye nemikhiqizo yokuthengwa kwe-inthanethi.
Imikhiqizo ekhethiwe ekuthengeni okuhlanganisiwe ibhekisela emithini egunyazwe iziphathimandla ezilawula izidakamizwa, enezitifiketi zokubhaliswa kwezidakamizwa noma izitifiketi zokubhaliswa kwezidakamizwa ezingenisiwe, kanye namakhodi ekhathalogi yezidakamizwa kazwelonke noma yesifundazwe.
Imikhiqizo yokuthengwa kwempahla esohlwini ibhekisela ezintweni ezisetshenziswayo ezigunyazwe umnyango wokuqondisa nokuphatha izidakamizwa, nesitifiketi sokubhaliswa kwemishini yezokwelapha noma isitifiketi sokubhaliswa kwamadivayisi ezokwelapha angenisiwe, kanye nekhodi yekhathalogi yezinto ezisetshenziswayo ezingeni likazwelonke noma lesifundazwe, kanye nemikhiqizo ye-in vitro diagnostic reagents ephethwe ngokuhambisana nokuphathwa kwemishini yezokwelapha.
**Iyini inqubo yokususa ilungelo lesibhedlela lokubuya?**
Inqubo yokukhansela ilungelo lesibhedlela lokubuyisela ngokuyinhloko ihlanganisa izixhumanisi ezine: ukulayishwa kwedatha, ukubuyekezwa kwebhili, ukubuyekezwa kokubuyisana kanye nenkokhelo yenkokhelo.
Okokuqala, izibhedlela zikahulumeni kudingeka ukuthi ziqedele ukulayishwa kwedatha yokuthengwa kwempahla yenyanga edlule kanye nezikweletu ezihlobene nazo “Ohlelweni Lukazwelonke Lokulawula Ukuthengwa Kwezidakamizwa Nokuthengwa” ngomhla ka-5 wenyanga ngayinye.Ngaphambi kosuku lwesi-8 lwenyanga ngayinye, izibhedlela zizoqinisekisa noma zenze idatha yokusungula yenyanga edlule.
Khona-ke, ngaphambi kosuku lwe-15 lwenyanga ngayinye, inkampani izoqedela ukucwaningwa kwamabhuku kanye nokuqinisekiswa kwedatha yokuthenga yenyanga edlule nezikweletu ezihlobene, futhi ibuyisele noma yiziphi izikweletu eziphikisayo ezinkampanini ezithaka imithi ngesikhathi esifanele.
Okulandelayo, ngaphambi komhla ziyisi-8 wenyanga ngayinye, amabhizinisi emithi agcwalisa ulwazi olufanele futhi alayishe izikweletu zokuthengiselana ngokuvumelana nezidingo ezisekelwe olwazini lwe-oda lokuthengwa nokusabalalisa kwangempela ezibhedlela zikahulumeni.
Ulwazi lwebhili kufanele luhambisane nedatha yesistimu, njengesisekelo sokuthi izibhedlela zikahulumeni zihlole ukukhokhelwa.
Bese kuthi, ngaphambi komhla zingama-20 enyangeni ngayinye, i-ejensi yomshwalense wezempilo ikhiqize isitatimende sokubuyisana senkokhelo yenyanga edlule ohlelweni lokuthengwa kwempahla ngokususelwa emiphumeleni yocwaningomabhuku yesibhedlela sikahulumeni.
Ngaphambi kosuku lwama-25 enyangeni ngayinye, izibhedlela zikahulumeni kanye nezinkampani ezithaka imithi zibuyekeza futhi ziqinisekise isitatimende sokubuyisana ngohlelo lokuthengwa kwempahla.Ngemva kokubuyekezwa nokuqinisekiswa, idatha yesinxephezelo kuvunyelwana ngayo ukuthi ikhokhwe, futhi uma ingaqinisekisiwe ngesikhathi, kuvunyelwana ngayo ukuthi ikhokhwe ngokuzenzekelayo.
Ukuze uthole idatha yokuxazulula ngokuphikisa, izibhedlela zikahulumeni kanye namabhizinisi emithi azogcwalisa izizathu zokuphikisa futhi azibuyisele komunye nomunye, futhi ziqale isicelo sokucutshungulwa ngaphambi komhla ziyisi-8 wenyanga elandelayo.
Okokugcina, mayelana nokukhokhwa kwenkokhelo yezimpahla, inhlangano ephetheyo ikhiqiza ama-oda okukhokha isinxephezelo ngohlelo lokuthenga futhi iphushele idatha yokukhokha ekukhokheleni izimali zomshwalense wezempilo wendawo kanye nohlelo lwebhizinisi lokusingatha okuyinhloko.
Lonke uhlelo lokukhokha izinkokhelo luzophothulwa ekupheleni kwenyanga ngayinye ukuze kuqinisekiswe ukuthi izinkokhelo ezifika ngesikhathi zikhokhwa ezinkampanini ezithaka imithi futhi zisuswe emalini yokukhokhela umshwalense wezempilo wezibhedlela zikahulumeni ezihambisanayo zenyanga elandelayo.
**Iziphi izinguquko ezintsha ezizolethwa ukususwa kwelungelo lezibhedlela lokukhokha embonini yezokunakekelwa kwempilo?**
Ukuqedwa kwelungelo lezibhedlela lokubuyisela kuyisinyathelo senguquko esibaluleke kakhulu, esizolungisa kabusha indlela yokusebenza kanye nephethini yentshisekelo yemboni yokunakekelwa kwezempilo, futhi kuzoba nomthelela omkhulu kuzo zonke izinhlangothi.Kuboniswa ngokukhethekile kulezi zici ezilandelayo:
Okokuqala, ezibhedlela zikahulumeni, ukuqedwa kwelungelo lokubuyisela kusho ukulahlekelwa yilungelo elibalulekile lokuzimela kanye nomthombo wemali engenayo.
Esikhathini esedlule, izibhedlela zikahulumeni zazingathola imali eyengeziwe ngokuxoxisana ngezikhathi zokukhokha namabhizinisi ethaka imithi noma ngokucela izinkokhelo.Kodwa-ke, lo mkhuba uphinde waholela ekungqubuzaneni kwezithakazelo kanye nokuncintisana okungafanele phakathi kwezibhedlela zikahulumeni kanye namabhizinisi emithi, okufaka engozini ukuhleleka kwemakethe kanye nezithakazelo zeziguli.
Ngokuqedwa kwelungelo lokubuyisela inkokhelo, izibhedlela zikahulumeni ngeke zikwazi ukuthola inzuzo noma izaphulelo ekukhokhweni kwezimpahla, futhi ngeke zisebenzise inkokhelo yezimpahla njengezaba zokungakhokhi noma zokwenqaba ukukhokha ezinkampanini ezithaka imithi.
Lokhu kuzophoqa izibhedlela zikahulumeni ukuthi ziguqule indlela ezicabanga ngayo nokusebenza kwazo, zithuthukise ukusebenza kahle kwangaphakathi kanye nezinga lezinsiza, futhi zithembele kakhulu exhasweni likahulumeni nasezinkokhelweni zeziguli.
Ezinkampanini ezithaka imithi, ukuqedwa kwelungelo lokubuyisela kusho ukuxazulula inkinga edala enzima ukuyibuyisela.
Esikhathini esedlule, izibhedlela zikahulumeni zibamba isinyathelo kanye nelungelo lokukhuluma ekukhokheni izinkokhelo, ngokuvamile ngenxa yezizathu ezihlukahlukene zokungakhokhi noma ukudonsa inkokhelo yempahla.Khansela ilungelo lembuyiselo, izinkampani ezenza imithi zizophuma ngokuqondile esikhwameni somshwalense wezokwelapha ukuze zithole inkokhelo, zingasalawulwa yithonya lezibhedlela zikahulumeni kanye nokuphazanyiswa.
Lokhu kuzonciphisa kakhulu ingcindezi yezezimali emabhizinisini emithi, kuthuthukise ukuhamba kwemali kanye nenzuzo, futhi kusize ukwanda kokutshalwa kwezimali ku-R&D kanye nokusungula izinto ezintsha ukuze kuthuthukiswe ikhwalithi yomkhiqizo nokuncintisana.
Ukwengeza, ukuqedwa kwelungelo lembuyiselo kusho nokuthi amabhizinisi emithi azobhekana nokugadwa nokuhlola okuqinile nokujwayelekile, futhi angeke esakwazi ukusebenzisa izimbuyiselo nezinye izindlela ezingafanele ukuze athole isabelo semakethe noma anyuse amanani, futhi kufanele athembele ezindlekweni- ukusebenza kahle komkhiqizo kanye nezinga lesevisi ukuze uwine amakhasimende kanye nemakethe.
Kubasebenzi bomshwalense wezempilo, ukuqedwa kwelungelo lokubuyisela kusho isibopho nemisebenzi eyengeziwe.
Esikhathini esidlule, opharetha bomshwalense wezempilo babedinga kuphela ukuhlala nezibhedlela zikahulumeni futhi babengadingi ukubhekana ngqo nezinkampani ezithaka imithi.
Ngemuva kokuqedwa kwelungelo lokubuyisela, i-ejensi yomshwalense wezempilo izoba indikimba enkulu yokukhokhwa kwezinkokhelo, futhi idinga ukusebenzisana nezibhedlela zikahulumeni nezinkampani zemithi ukwenza ukudotshwa kwedatha, ukucwaningwa kwamabhuku, ukubuyekezwa kokubuyisana kanye nokukhokhwa kwezimpahla kanye njalonjalo.
Lokhu kuzokhulisa umsebenzi kanye nobungozi bezikhungo zomshwalense wezempilo, futhi kudinga ukuthi zenze ngcono amazinga azo okuphatha kanye nolwazi, futhi zisungule indlela yokuqapha nokuhlola ephusile ukuze kuqinisekiswe ukukhokhwa kwezinkokhelo ezinembile, ngesikhathi futhi ezivikelekile.
Okokugcina, ezigulini, ukuqedwa kwelungelo lokubuyisela kusho ukujabulela izinsizakalo zezokwelapha ezinobulungiswa nezisobala.
Esikhathini esidlule, ngenxa yokudluliselwa kwezinzuzo kanye nokuhlehla phakathi kwezibhedlela zikahulumeni nezinkampani ezenza imithi, iziguli ngokuvamile zazingakwazi ukuthola amanani avumayo kakhulu noma imikhiqizo efaneleke kakhulu.
Ngokuqedwa kwelungelo lokubuyiselwa imali, izibhedlela zikahulumeni zizolahlekelwa isisusa kanye nendawo yokuthola inzuzo noma izimbuyiselo ekukhokhweni kwezimpahla, futhi ngeke zikwazi ukusebenzisa ukukhokhelwa kwezimpahla njengezaba zokwenqaba ukusebenzisa imikhiqizo ethile noma ukukhangisa okuthile. imikhiqizo.
Lokhu kwenza iziguli zikwazi ukukhetha imikhiqizo nezinsizakalo ezifanele kakhulu ngokwezidingo nezimo zazo endaweni yemakethe engenzeleli futhi esobala.
Kafushane, ukuqedwa kwelungelo lezibhedlela lokubuya kuwuhlelo olukhulu lwezinguquko oluzoba nomthelela omkhulu emkhakheni wezempilo.
Ayigcini nje ngokulungisa indlela yokusebenza yezibhedlela zikahulumeni, kodwa futhi ilungisa indlela yokuthuthukisa amabhizinisi emithi.
Ngesikhathi esifanayo, ithuthukisa izinga lokuphatha lezinhlangano zomshuwalense wezempilo kanye nezinga lezinsizakalo zesiguli.Izogqugquzela ukuthuthukiswa kokubambisana kanye nokubusa komshwalense wezempilo, ukunakekelwa kwezokwelapha kanye nemithi, ithuthukise ukusebenza kahle kokusetshenziswa kwesikhwama somshwalense wezempilo, yehlise izindleko zokusatshalaliswa kwemithi, futhi ivikele amalungelo asemthethweni nezithakazelo zeziguli.
Asibheke ngabomvu ukuqaliswa ngempumelelo kwalolu shintsho, oluzoletha ikusasa elingcono embonini yezokwelapha!
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Isikhathi sokuthumela: Sep-06-2023