Ngokunyuka nokuhla kuka-2023, umjikelo ka-2024 uqalile ngokusemthethweni.Inani lemithetho emitsha yokusinda isekwa ngokuthe ngcembe, ishishini lezixhobo zonyango "ixesha lokutshintsha" lifikile.
Ngo-2024, olu tshintsho luya kwenzeka kwishishini lezonyango:
01
Ukususela kwi-1 kaJuni, iintlobo ze-103 zezixhobo "igama lokwenyani" ulawulo
NgoFebruwari kunyaka odlulileyo, i-State Drug Administration (SDA), iKhomishoni yezeMpilo yeSizwe (i-NHC), kunye noLawulo lwe-Inshurensi yezeMpilo yeSizwe (NHIA) yakhupha "Isibhengezo kwiSibhengezo seSithathu sokuPhunyezwa kweSichongi esiKhethekileyo seZixhobo zoNyango".
Ngokwezinga lomngcipheko kunye neemfuno zokulawula, ezinye iimveliso ezisetyenziselwa enye kunye nemfuno enkulu yeklinikhi, umthamo ophakathi wokuthenga iimveliso ezikhethiweyo, iimveliso ezihambelana nobuhle bezonyango kunye nezinye izixhobo zonyango ze-Class II zachongwa njengebhetshi yesithathu yezixhobo zonyango ezinophawu olulodwa.
Iintlobo ze-103 zezixhobo zonyango zibandakanyiwe kolu kuphunyezwa kweelebhile ezikhethekileyo, kubandakanywa izixhobo zotyando lwe-ultrasound, izixhobo zotyando lwe-laser kunye nezixhobo, izixhobo zotyando eziphezulu / ze-radiofrequency kunye nezixhobo, izixhobo ezisebenzayo zotyando lwe-endoscopic, izixhobo zotyando ze-neurological kunye ne-cardiovascular - cardiovascular izixhobo zongenelelo, izixhobo zotyando lwamathambo, oomatshini bokuxilonga i-X-ray, izixhobo ze-phototherapy, izixhobo zokuhlalutya inkqubo yokupakisha, iimpompo zesirinji, izixhobo zelabhoratri yeklinikhi njalo njalo.
Ngokutsho kweSibhengezo, kwizixhobo zonyango ezibandakanyiweyo kwibhetshi yesithathu yekhathalogu yokuphunyezwa, umbhalisi uya kwenza lo msebenzi ulandelayo ngocwangco ngokuhambelana neemfuno zexesha:
Izixhobo zonyango eziveliswe ngomhla woku-1 kuJuni 2024 ziya kuba nophawu olulodwa lwezixhobo zonyango;iimveliso eziveliswe ngaphambili kwibhetshi yesithathu yokuphunyezwa kokumakishwa okukodwa zisenokungabi namanqaku awodwa.Umhla wemveliso uya kusekelwa kwileyibhile yesixhobo sonyango.
Ukuba ufaka isicelo sobhaliso ukususela ngomhla woku-1 kuJuni ngo-2024, umfaki-sicelo wobhaliso uya kungenisa ukuchongwa kwemveliso yeyona yunithi incinci yokuthengisa yemveliso yayo kwinkqubo yolawulo lobhaliso;ukuba ubhaliso lwamkelwe okanye luvunyiwe phambi kwe-1 Juni 2024, umbhalisi uya kungenisa ukuchongwa kwemveliso yeyunithi yokuthengisa encinci yemveliso yayo kwinkqubo yolawulo lobhaliso xa imveliso ihlaziywa okanye iguqulelwe ukubhaliswa.
Ukuchongwa kwemveliso ayingombandela wophononongo lobhaliso, kwaye utshintsho lomntu ekuchongeni imveliso alungeni phakathi kotshintsho lobhaliso.
Kwizixhobo zonyango eziveliswe ukususela ngomhla woku-1 kuJuni ngo-2024, ngaphambi kokuba zibekwe kwimarike kwaye zithengiswe, umbhalisi uya kulayisha ukuchongwa kwemveliso kweyona yunithi incinci yokuthengisa, inqanaba eliphezulu lokupakishwa kunye nedatha ehambelanayo kwisiseko sedatha sokuchongwa okukodwa kwezixhobo zonyango ngokuhambelana neemfuno zemigangatho efanelekileyo okanye iinkcukacha, ukuqinisekisa ukuba idatha iyinyani, ichanekile, iphelele kwaye iyalandeleka.
Kwizixhobo zonyango eziye zagcina ulwazi kwi-classification kunye nekhowudi yedatha yezinto ezidliwayo zonyango ze-State Medical Insurance Bureau kwi-inshurensi yezonyango, kuyimfuneko ukuncedisa kunye nokuphucula ukuhlelwa kunye nekhowudi yeenkalo zokusetyenziswa kwezonyango kwi-inshurensi yonyango kwi-database yokuchonga eyodwa, kwaye kwangaxeshanye, uphucule ulwazi olunxulumene nokuchongwa okukodwa kwezixhobo zonyango ekugcinweni koluhlu kunye nekhowudi yogcino-lwazi lwezinto ezityiwayo zonyango ze-inshorensi yezonyango kunye nokuqinisekisa ukuhambelana kwedatha kunye naleyo yedatha ekhethekileyo yokuchongwa kwezixhobo zonyango.
02
NgoMeyi-Juni, ibhetshi yesine yeziphumo zokuthengwa kwempahla karhulumente yafika kwimarike
Ngomhla wama-30 kweyeNkanga kulo nyaka uphelileyo, ibhetshi yesine yezinto ezisetyenziswayo karhulumente ibhengeze iziphumo ezicetywayo zokuphumelela.Kutshanje, iBeijing, iShanxi, i-Inner Mongolia kunye nezinye iindawo zikhuphe iSaziso sokumiselwa kweSivumelwano sokuThenga uMqulu weeMveliso eziKhethiweyo kwiCentralised Banded Purchasing of Medical Consumables for National Organisations, efuna amaziko ezonyango asekuhlaleni ukuba amisele isivumelwano sokuthenga iimveliso njenge. kunye nomthamo wokuthenga.
Ngokweemfuno, i-NHPA, kunye namasebe afanelekileyo, iya kukhokela iindawo kunye namashishini akhethiweyo ukuba enze umsebenzi omhle ekufikeni nasekuphunyezweni kweziphumo ezikhethiweyo, ukwenzela ukuba kuqinisekiswe ukuba izigulane kulo lonke ilizwe zingasebenzisa iimveliso ezikhethiweyo ngoMeyi-Juni. 2024 emva kokuthotywa kwexabiso.
Kubalwa ngesiseko sexabiso eliqokelelweyo, ubungakanani bemarike yeemveliso eziqokelelweyo malunga ne-15.5 yeebhiliyoni zeeyuan, kubandakanya i-6.5 yeebhiliyoni zeeyuan kwiintlobo ezili-11 ze-IOL kunye ne-9 yeebhiliyoni zeeyuan kwiintlobo ezili-19 zamayeza ezemidlalo.Ngokuphunyezwa kwexabiso eliqokelelweyo, liya kuvuselela ngakumbi ukwandiswa kwesikali semarike ye-IOL kunye namayeza ezemidlalo.
03
Meyi-Juni, 32 + 29 amaphondo iziphumo zokusetyenziswa kokuqokelela
Ngomhla we-15 kuJanuwari, i-Bureau ye-Inshurensi yezoNyango yaseZhejiang ikhuphe iSaziso sokuBhengeza iZiphumo eziKhethiweyo ze-Interprovincial Union's Centralized Banded Purchasing ye-Coronary Intravascular Ultrasound Diagnostic Catheters kunye ne-Infusion Pumps.Umjikelo wokuthengwa kwebhanti ephakathi kuzo zombini iintlobo zezinto ezityiwayo yiminyaka emi-3, ebalwa ukusuka kumhla wokuphunyezwa kweziphumo ezikhethiweyo kwindawo yomanyano.Umthamo wokuthenga ekuvunyelwene ngawo wonyaka wokuqala uya kuphunyezwa ukusuka ngoMeyi-Juni 2024, kwaye umhla othe ngqo wokuphunyezwa uya kumiselwa ngummandla womanyano.
Iindidi ezimbini zokuqokelela izinto ezisetyenziswayo kunye nokuthengwa kwezinto ezikhokelwa nguZhejiang ngeli xesha zigubungela amaphondo angama-32 kunye nama-29 ngokulandelanayo.
Ngokwewebhusayithi esemthethweni ye-Zhejiang Medical Insurance Bureau, kukho amashishini angama-67 athatha inxaxheba ngokukhutheleyo kule ndawo yokuthengwa kwempahla, umyinge wokunciphisa umyinge we-coronary intravascular ultrasound diagnostic catheter collection xa kuthelekiswa nexabiso lembali elimalunga nama-53%, indawo yomanyano yokonga phantse ngonyaka. 1.3 yeebhiliyoni zeeyuan;impompo yokugalela ingqokelela xa kuthelekiswa nexabiso zembali yokunciphisa avareji malunga 76%, indawo yomanyano yokonga ngonyaka phantse 6.66 billion yuan.
04
Ukuchasana norhwaphilizo kwezonyango kuyaqhubeka nezohlwayo eziqatha zokunyoba ngokwamayeza
NgoJulayi 21 kunyaka odlulileyo, ngokwewebhusayithi esemthethweni yeKomishoni yezeMpilo yeSizwe, ukuthunyelwa kwemiba yorhwaphilizo yelizwe lelizwe lonyaka owodwa igxile kumsebenzi wokulungisa.I-28 kaJulayi, ukuhlolwa kokuziphatha kunye nezigqeba zokulawula ukusebenzisana nemiba yorhwaphilizo kwintsimi yezoxubo kazwelonke igxininise ekulungiseni ukuhlanganiswa komsebenzi kunye nokusasazwa kwenkomfa yevidiyo yabanjwa, ibeka phambili kuphuhliso olunzulu loshishino lwamachiza kwintsimi yonke, ikhonkco lonke, lonke ulawulo olucwangcisiweyo.
Okwangoku kusele iinyanga ezintlanu ngaphambi kokuphela komsebenzi wolungiso oluphakathi.2023 Kwisiqingatha sesibini sonyaka, isaqhwithi esichasene norhwaphilizo samayeza satshayela kwilizwe lonke ngoxinzelelo oluphezulu, sidala impembelelo enamandla kakhulu kushishino.Ukusukela ekuqaleni konyaka, intlanganiso karhulumente yamasebe amaninzi ikhankanye ukuchasana norhwaphilizo lwamayeza, ubuqhetseba bokuchasana nobuqhophololo buza kuqhubeka nokunyuka kunyaka omtsha.
Ngomhla wama-29 kweyoMnga kulo nyaka uphelileyo, intlanganiso yesixhenxe yeKomiti eSisigxina yeNkongolo yeSizwe yeSizwe yeshumi elineSine yamkela “iziHlomelo kuMthetho woLwaphulo-mthetho weRiphabhliki yaseTshayina (XII)”, eza kuqala ukusebenza ukususela ngomhla woku-1 kweyoKwindla ngowama-2024 ukuya phambili.
Esi sihlomelo sinyusa ngokucacileyo ubutyala bolwaphulo-mthetho kwiimeko ezithile ezimandundu zokunyoba.ISiqendu 390 soMthetho woLwaphulo-mthetho salungiswa ukuze sifundeke ngolu hlobo: “Nabani na owaphule umthetho ngokunyoba uya kugwetywa ixesha elimiselweyo elingekho ngaphezu kweminyaka emithathu okanye ukuvalelwa ngokwaphula umthetho, yaye uya kuhlawuliswa;ukuba iimeko zinzima kwaye isinyobo sisetyenziselwa ukufumana inzuzo engafanelekanga, okanye ukuba umdla wesizwe ufumene ilahleko enkulu, uya kugwetywa ixesha elimiselweyo lokuvalelwa entolongweni ixesha elingekho ngaphantsi kweminyaka emithathu kodwa lingabi ngaphezu kweminyaka elishumi; ahlawuliswe;ukuba iimeko zinzima kakhulu okanye ukuba umdla wesizwe ufumana ilahleko enkulu, uya kugwetywa ixesha elimiselweyo lokuvalelwa entolongweni ixesha elingekho ngaphantsi kweminyaka elishumi okanye ukuvalelwa ubomi entolongweni.ngaphezulu kweminyaka elishumi ukuvalelwa entolongweni okumiselweyo okanye ukuvalelwa ubomi bonke, kunye nesohlwayo okanye ukuthinjwa kwempahla.”
Isihlomelo sikhankanya ukuba abo bahlawula izinyobo kwimimandla yendalo, imicimbi yezemali kunye neyemali, imveliso yokhuseleko, ukutya kunye neziyobisi, ukuthintela intlekele kunye noncedo, ukhuseleko lwentlalo, imfundo kunye nonyango, njl., kunye nabaqhuba ngokungekho mthethweni kunye nolwaphulo-mthetho. imisebenzi iya kunikwa izohlwayo ezinzima.
05
Uhlolo lweSizwe lwezibhedlele ezikhulu Kwaqaliswa
Ekupheleni konyaka ophelileyo, iKomishoni yezeMpilo yeSizwe yakhupha iNkqubo yoMsebenzi woHlolo lwezibhedlele ezinkulu (uNyaka we-2023-2026).Ngokomgaqo, ububanzi bolu hlolo lwezibhedlele zikarhulumente (kubandakanywa nezibhedlele zamayeza aseTshayina) kwinqanaba lesi-2 (ngokubhekiselele kulawulo lwenqanaba lesi-2) nangaphezulu.Izibhedlele ezilawulwa luluntu ziphunyezwa ngokubhekiselele kwimigaqo yolawulo.
IKomishoni yeSizwe yezeMpilo neMpilo-ntle inoxanduva lokuhlola izibhedlele phantsi kweKomishoni (abalawuli) kunye nokuhlola nokukhokela ukuhlolwa kwezibhedlele kwiphondo ngalinye.Amaphondo, imimandla ezizimeleyo, oomasipala ngokuthe ngqo phantsi koRhulumente oMbindi kunye ne-Xinjiang Production kunye neKomishoni yezeMpilo yeKhomishini yezeMpilo ye-Xinjiang ngokuhambelana nomgaqo wolawulo lwendawo, umbutho ohlangeneyo kunye noxanduva lwe-hierarchical, ukwenza umsebenzi wokuhlolwa kwesibhedlele ngendlela ecwangcisiweyo kunye nesinyathelo-by-step. .
NgoJanuwari kulo nyaka, kwinqanaba lesibini (ngokubhekiselele kwinqanaba lesibini lolawulo) nangaphezulu kwezibhedlele zamayeza aseTshayina (kubandakanywa amayeza aseTshayina kunye nezibhedlele zaseNtshona ezidityanisiweyo kunye nezibhedlele zonyango ezincinci zobuhlanga) ziqalisiwe, iSichuan, iHebei kunye namanye amaphondo baye kwakhona wakhupha ileta, enye emva kwenye, ukuba kuqaliswe ukuhlolwa kwezibhedlele ezikhulu.
Uhlolo olugxile:
1. Nokuba ngaba kuphuhliswa kwaye kuphunyezwe umsebenzi wolungiso oluphakathi, “izikhokelo ezisithoba” kunye nesicwangciso sokusebenza sokucoceka kwamanyathelo athile okuphucula imigaqo nemigaqo esebenzayo, ekujoliswe kuyo, ekulula ukuyisebenzisa, kunye nokusekwa kwendlela yexesha elide. .
2. Ingaba umsebenzi wolungiso oluphakathi uphumelele "ezintandathu endaweni" yokuqaliswa kweengcamango, ukuzivavanya kunye nokuzilungisa, ukudluliselwa kwemikhondo, ukuqinisekiswa kweengxaki, ukuphathwa kwentlangano kunye nokusekwa kweendlela.Nokuba ukomeleza ulongamelo “kweqela elincinane elingundoqo” kunye nezikhundla eziphambili.Enoba kulandelwa imigaqo “yokohlwaya ukuthintela, ukuphatha ukusindisa, ukubonisa ulawulo olungqongqo nothando, ububele nokuba ngqongqo, nokusebenzisa ngokuchanekileyo “iindlela ezine” ukwenza umsebenzi.
3. Ingaba ukomeleza ukonganyelwa kokwamkela iikomishoni zorhwebo, ukuthatha inxaxheba kubuqhophololo bobuqhophololo kwiinshorensi, ukuxilonga nokunyangwa ngokugqithisileyo, ukwamkela iminikelo ngokungekho mthethweni, ukubhengeza ubumfihlo bezigulana, ukuthunyelwa kokwenza ingeniso, ukujongela phantsi ubulungisa bonyango, ukwamkela “iipakethi ezibomvu” ukusuka kwicala lesigulane, kunye nokwamkela ukukhatywa kwe-kickbacks evela kwishishini, njl., ezichasene "nezikhokelo ezisithoba" kunye "nomsebenzi ococekileyo".Ukongamela iindlela zokuziphatha ezicocekileyo.
4. Ingaba ukuseka kunye nokuphucula inkqubo yokubeka iliso kunye nesilumkiso kwangethuba kunye neendlela zokulawula ezibandakanya izikhundla eziphambili, abasebenzi abaphambili, iindlela zokuziphatha eziphambili zonyango, amayeza abalulekileyo kunye nezinto ezisetyenziswayo, izixhobo zonyango ezinkulu, ulwakhiwo lweziseko ezingundoqo, iiprojekthi zolungiso olukhulu kunye nezinye iindawo eziphambili. , kunye nokujongana ngokufanelekileyo neengxaki kunye nokwenza uphuculo oluqhubekayo.
5. Ingaba ukuphumeza imfezeko yophando lwezonyango kunye neekhowudi zokuziphatha ezinxulumeneyo, nokomeleza ulongamelo lwemfezeko yophando.
06
Ukususela ngomhla woku-1 kuFebruwari, khuthaza ukuphuhliswa kwezi zixhobo zonyango
Ngomhla wama-29 kweyoMnga kulo nyaka uphelileyo, iKomishoni yoPhuhliso noHlaziyo yeSizwe (i-NDRC) yakhupha iKhathalogi yesiKhokelo soLungiso loLwakhiwo lwezoShishino (uhlelo luka-2024).Inguqulelo entsha yekhathalogu iya kuqala ukusebenza ngoFebruwari 1, 2024, kwaye iCatalog yeSikhokelo soLungiso lweSakhiwo sezoShishino (uhlelo luka-2019) luya kubhangiswa ngaxeshanye.
Kwintsimi yeyeza, ukuphuhliswa okutsha kwezixhobo zonyango eziphezulu kuyakhuthazwa.
Ngokukodwa, ibandakanya: i-gene entsha, iprotheyini kunye nezixhobo zokuxilonga iiseli, izixhobo ezitsha zokuxilonga kunye ne-reagents, izixhobo zonyango ezisebenza kakuhle, izixhobo zonyango ze-radiotherapy eziphezulu, izixhobo zokuxhasa ubomi kwizifo ezinzima kunye neziyingozi, izixhobo zonyango ezincedisa ubukrelekrele, Izixhobo eziphathwayo zokuxilonga kunye nonyango olukude, izixhobo zokuvuselela izinto eziphezulu, ukuveliswa okuphezulu kunye neemveliso zokungenelela, iirobhothi zotyando, kunye nezinye izixhobo zotyando eziphezulu kunye nezinto ezisetyenziswayo, izinto ze-biomedical, uphuhliso lweteknoloji yokuvelisa kunye nokusetyenziswa.uphuhliso lwetekhnoloji kunye nokusetyenziswa.
Ukongeza, unyango lwezonyango olukrelekrele, umfanekiso wezonyango inkqubo yokuxilonga i-axiliary, irobhothi yonyango, izixhobo ezinxitywayo, njl.
07
Ekupheleni kukaJuni, ulwakhiwo lweendawo zonyango ezisondeleleneyo zedolophu ziya kutyhalelwa phambili ngokubanzi
Ekupheleni konyaka ophelileyo, iKomishoni yezeMpilo yeSizwe kunye namanye amasebe e-10 ngokudibeneyo akhuphe iimbono eziKhokelayo ngokuKhuthaza ngokuBanzi koLwakhiwo lweeNzululwazi zezoNyango kunye nezeMpilo zoLuntu.
Ikhankanya ukuba: ekupheleni kukaJuni ka-2024, ulwakhiwo lweendawo zonyango zengingqi ezidibeneyo ziya kutyhalelwa phambili ngokubanzi ngokwesiseko sephondo;ekupheleni kuka-2025, inkqubela ebonakalayo iya kwenziwa ekwakhiweni koluntu lwezonyango kwisiphaluka, kwaye siya kuzama ukugqitywa koluntu lwezonyango oluhlangeneyo lwelizwe kunye noyilo olufanelekileyo, ulawulo olumanyeneyo lwemithombo yoluntu kunye nemali, amandla acacileyo kunye noxanduva, ukusebenza ngokufanelekileyo, ulwahlulo lwabasebenzi, ukuqhubeka kweenkonzo, kunye nokwabelana ngolwazi ngaphezu kwama-90% eengingqi (oomasipala) kuzwelonke;kwaye ngo-2027, ulwakhiwo lweendawo zonyango zedolophu ezidibeneyo ziya kukhuthazwa ngokubanzi.Ngo-2027, uluntu lwezonyango olusondeleleneyo luza kufumana ukhuseleko olupheleleyo.
ISetyhula ibonisa ukuba kuyimfuneko ukuphucula uthungelwano lwenkonzo ye-telemedicine ye-grassroots, ukuqonda uthethwano olukude, ukuxilongwa kunye noqeqesho kwizibhedlele ezikumgangatho ophezulu, kunye nokukhuthaza ukuvunywa okufanayo kokuhlolwa kwe-grassroots, ukuxilongwa kwinqanaba eliphezulu kunye neziphumo.Xa sithatha eli phondo njengeyunithi, inkonzo yonyango ngefowuni iya kubandakanya ngaphezu kwe-80% yezibhedlele zezempilo zasezilokishini kunye namaziko eenkonzo zempilo yoluntu ngo-2023, kwaye ngokusisiseko iphumeze ukhuseleko olupheleleyo ngo-2025, kwaye ikhuthaze ukwandiswa kokufikelela kwinqanaba lelali.
Iqhutywa kulwakhiwo lweendawo zonyango zelizwe kwilizwe liphela, imfuno yentengiso yokuthengwa kwezixhobo ezisezantsi ikhula ngokukhawuleza, kwaye ukhuphiswano lwemarike ezikayo lukhula ngokushushu.
Ukhathalelo lwaseHongguan malunga nempilo yakho.
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Ukuba kukho naziphi na iimfuno zezinto ezinokusetyenziswa zonyango, nceda uzive ukhululekile ukuqhagamshelana nathi.
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Ixesha lokuposa: Feb-28-2024