Kutshanje, iNational Health Insurance Bureau ikhuphe isaziso esithi ukususela ngo-Oktobha 1, 2023, iza kuphumeza ukupheliswa kwelungelo lezibhedlele lokubuyela kwilizwe lonke.
Lo mgaqo-nkqubo uthathwa njengenye inyathelo elikhulu lokuguqulwa kwe-inshurensi yezempilo, ejolise ekugxininiseni ukulungiswa kwezempilo, ukukhuthaza uphuhliso lwe-synergistic kunye nokulawulwa kwe-inshurensi yezempilo, unyango kunye namayeza, ukuphucula ukusebenza kakuhle kokusetyenziswa kwe-inshurensi yezempilo. , ukunciphisa iindleko zokujikeleza kweyeza, kunye nokusombulula ingxaki yobunzima bokubuyisela amashishini amayeza.
Ngoko, kuthetha ukuthini ukurhoxisa ilungelo lesibhedlele lokubuya?Loluphi utshintsho olutsha oluya kuluzisa kushishino lwezonyango?Ndicela undikhaphe ekutyhileni lo mnqa.
**Yintoni ukupheliswa kwamaLungelo eSaphulelo seSibhedlele?**
Ukupheliswa kwelungelo lesibhedlele lembuyekezo kubhekiselele ekuyekisweni kwendima emibini yezibhedlele zikarhulumente njengabathengi nabahlali, kunye nokuhlawulwa kweentlawulo kumashishini oxubo-mayeza yimibutho ye-inshorensi yezonyango egameni labo.
Ngokukodwa, iintlawulo zomfelandawonye wesizwe, phakathi kwamaphondo, iphondo kunye neemveliso ezithengwe kwi-intanethi ezithengwe zizibhedlele zikarhulumente ziya kuhlawulwa ngokuthe ngqo kwingxowa-mali ye-inshorensi yonyango ukuya kumashishini axuba amayeza kwaye itsalwe kwintlawulo ye-inshorensi yonyango ehambelana nezibhedlele zikarhulumente. imirhumo yenyanga elandelayo.
Umda woku kususwa kwelungelo lembuyekezo ubandakanya zonke izibhedlele zikawonke-wonke kunye nayo yonke imbumba yesizwe, yamaphondo, kunye nokuthenga okuhlanganisiweyo kwephondo iimveliso ezikhethiweyo kunye neemveliso ezithengwa kwi-intanethi.
Iimveliso ezikhethiweyo ekuthengeni okukwibhendi ephakathi zibhekisa kumachiza avunywe ngoogunyaziwe abalawula amachiza, anezatifikethi zobhaliso lwamachiza okanye izatifikethi zobhaliso lwamachiza asuka kumazwe angaphandle, kunye neekhowudi zekhathalogu yesizwe okanye yephondo.
Iimveliso zokuthengwa kwempahla edwelisiweyo zibhekiselele kwizinto ezityiwayo ezivunywe lisebe lolawulo kunye nelolawulo lweziyobisi, kunye nesiqinisekiso sokubhaliswa kwezixhobo zonyango okanye isatifikethi sobhaliso lwezixhobo zonyango ezithunyelwa kumazwe angaphandle, kunye nekhowudi yekhathalogu yezinto ezityiwayo kwinqanaba lesizwe okanye lephondo, kunye neemveliso ze-in vitro diagnostic reagents ezilawulwa ngokuhambelana nolawulo lwezixhobo zonyango.
**Ithini inkqubo yokususa ilungelo lesibhedlele lokubuya?**
Inkqubo yokurhoxisa ilungelo lesibhedlele lokubuyisela ikakhulu ibandakanya amakhonkco amane: ukufakwa kwedatha, ukuphononongwa kwebhili, ukuphononongwa koxolelwaniso kunye nokukhutshwa kwentlawulo.
Okokuqala, izibhedlele zikarhulumente kufuneka zigqibe ukufakwa kwedatha yokuthengwa kweempahla neenkonzo zenyanga edlulileyo kunye namatyala anxulumeneyo “kwiNkqubo yoLawulo lokuThenga iDrugs and Consumables Procurement” esemgangathweni kuzwelonke ngowe-5 wenyanga nganye.Ngaphambi komhla we-8 wenyanga nganye, izibhedlele ziya kuqinisekisa okanye zenze idatha ye-inventory yenyanga edlulileyo.
Emva koko, ngaphambi komhla we-15 wenyanga nganye, inkampani iya kugqiba uphicotho-zincwadi kunye nokuqinisekiswa kwedatha yokuthenga yenyanga ephelileyo kunye namatyala anxulumeneyo, kwaye ibuyisele nawaphi na amatyala achasayo kumashishini axuba amayeza ngexesha elifanelekileyo.
Okulandelayo, ngaphambi komhla we-8 kwinyanga nganye, amashishini amayeza agcwalisa ulwazi olufanelekileyo kwaye alayishe iindleko zokuthengiselana ngokweemfuno ezisekelwe kwi-odolo yolwazi lokuthengwa kwangempela kunye nokuhanjiswa kwezibhedlele zikarhulumente.
Ulwazi lwebhili kufuneka luhambelane nedatha yenkqubo, njengesiseko sokuba izibhedlele zikarhulumente ziphicothe ukulungiswa.
Emva koko, phambi komhla wama-20 kwinyanga nganye, i-arhente ye-inshorensi yezempilo yenza ingxelo yoxolelwaniso yentlawulo yenyanga edlulileyo kwinkqubo yokuthengwa kwempahla neenkonzo ngokusekwe kwiziphumo zophicotho-zincwadi lwesibhedlele sikarhulumente.
Ngaphambi komhla wama-25 wenyanga nganye, izibhedlele zikawonke-wonke kunye neenkampani ezixuba amayeza zihlola kwaye ziqinisekisa inkcazo yoxolelwaniso lwentlawulo kwinkqubo yokuthengwa kwempahla.Emva kokuphononongwa kunye nokuqinisekiswa, idatha yokuhlawula iyavunyelwa ukuba ihlawulwe, kwaye ukuba ayiqinisekiswanga ngexesha, kuvunyelwene ukuba ihlawulwe ngokungagqibekanga.
Ukufumana idatha yokulungisa kunye nezichaso, izibhedlele zikawonkewonke kunye namashishini amayeza aya kuzalisa izizathu zenkcaso kwaye azibuyisele omnye komnye, kwaye aqalise isicelo sokuqhutyelwa phambili ngaphambi kwe-8 kwinyanga elandelayo.
Ekugqibeleni, ngokumalunga nokukhutshwa kwentlawulo yeempahla, umbutho ophetheyo uvelisa imiyalelo yokuhlawula intlawulo ngenkqubo yokuthengwa kwempahla kwaye ityhale idatha yentlawulo kwi-inshurensi yezempilo yendawo yokuhlala kunye nenkqubo yoshishino oluphambili.
Yonke inkqubo yokukhutshwa kwentlawulo iya kuqukunjelwa ekupheleni kwenyanga nganye ukuqinisekisa ukuba iintlawulo zenziwa ngexesha elifanelekileyo kwiinkampani ezixuba amayeza kwaye zihlawulwe kwimirhumo ehambelana ne-inshorensi yezempilo ye-inshorensi yezempilo kwinyanga elandelayo.
**Loluphi utshintsho olutsha oluya kuthi ukususwa kwelungelo lezibhedlele lokubuyisela intlawulo kuzise kwishishini lezempilo?**
Ukupheliswa kwelungelo lezibhedlele lembuyekezo linyathelo lohlaziyo olubaluleke kakhulu, oluya kuthi ngokusisiseko lumise ngokutsha indlela yokusebenza kunye nepateni yomdla kushishino lwezempilo, kwaye luya kuba nefuthe elibonakalayo kuwo onke amaqela.Ibonakaliswa ngokukodwa kule miba ilandelayo:
Okokuqala, kwizibhedlele zikarhulumente, ukupheliswa kwelungelo lokubuyisela kuthetha ukulahleka kwelungelo elibalulekileyo lokuzimela kunye nomthombo wengeniso.
Ngaphambili, izibhedlele zikawonke-wonke bezinokufumana ingeniso eyongezelelekileyo ngokuthethathethana ngamaxesha okuhlawula kunye namashishini axuba amayeza okanye ukucela intlawulo.Nangona kunjalo, olu qheliselo lukwakhokelele kungquzulwano lweminqweno kunye nokhuphiswano olungafanelekanga phakathi kwezibhedlele zikarhulumente kunye namashishini axuba amayeza, ebeka emngciphekweni ulungelelwaniso lwemarike kunye nomdla wezigulane.
Ngokuyekiswa kwelungelo lokubuyisela intlawulo, izibhedlele zikawonke-wonke aziyi kukwazi ukufumana inzuzo okanye izaphulelo kwintlawulo yeempahla, kwaye azinakusebenzisa intlawulo yeempahla njengesizathu sokusilela okanye ukwala ukuhlawula kumashishini axuba amayeza.
Oku kuya kunyanzela izibhedlele zikarhulumente ukuba zitshintshe indlela ezicinga ngayo nokusebenza kwazo, ziphucule ukusebenza kakuhle kwangaphakathi kunye nomgangatho wenkonzo, kwaye zithembele ngakumbi kwinkxaso-mali karhulumente kunye neentlawulo zezigulane.
Kwiinkampani zamachiza, ukutshitshiswa kwelungelo lokubuyisela kuthetha ukuxazulula ingxaki ehlala ixesha elide kunzima ukuyibuyisela.
Ngaphambili, izibhedlele zikawonke-wonke zibambe inyathelo lokuqala kunye nelungelo lokuthetha ekuhlawuleni iintlawulo, amaxesha amaninzi ngenxa yezizathu ezahlukeneyo zokusilela okanye ukutsala intlawulo yeempahla.Ukurhoxisa ilungelo lokubuyisela, iinkampani zamachiza ziya kuvela ngokuthe ngqo kwi-inshurensi ye-inshurensi yezonyango ukufumana intlawulo, ayisasekho phantsi kwempembelelo yezibhedlele zikawonkewonke kunye nokuphazamiseka.
Oku kuya kunciphisa kakhulu uxinzelelo lwezemali kumashishini axuba amayeza, kuphucule ukuhamba kwemali nengeniso, kwaye kuququzelele utyalo-mali olwandisiweyo kwi-R&D kunye nokuveliswa kwezinto ezintsha ukonyusa umgangatho wemveliso kunye nokhuphiswano.
Ukongeza, ukubhangiswa kwelungelo lembuyekezo kukwathetha ukuba amashishini axuba amayeza aya kujongana nolawulo novavanyo olungqongqo kunye nomgangatho ofanayo, kwaye akasayi kuphinda asebenzise intlawulo ekhatywayo kunye nezinye iindlela ezingafanelekanga zokufumana isabelo semarike okanye ukonyusa amaxabiso, kwaye kufuneka athembele kwiindleko- ukusebenza kwemveliso kunye nenqanaba lenkonzo ukuphumelela abathengi kunye nemarike.
Kubaqhubi be-inshorensi yezempilo, ukupheliswa kwelungelo lokubuyisela kuthetha uxanduva kunye nemisebenzi engaphezulu.
Ngaphambili, abaqhubi be-inshurensi yezempilo babedinga kuphela ukuhlala nezibhedlele zikawonkewonke kwaye abazange bafune ukujongana ngqo neenkampani zamachiza.
Emva kokupheliswa kwelungelo lokubuyisela, i-arhente ye-inshurensi yezempilo iya kuba ngumzimba oyintloko wokuhlaliswa kweentlawulo, kwaye kufuneka isebenze nezibhedlele zikarhulumente kunye neenkampani zamachiza ukwenza i-data docking, uphicotho lokuhlawula, ukuphononongwa koxolelwaniso kunye nokuhlawula iimpahla kunye njalo njalo.
Oku kuya kwandisa umsebenzi kunye nomngcipheko wee-arhente ze-inshorensi yezempilo, kwaye kufuna ukuba ziphucule ulawulo lwazo kunye namanqanaba olwazi, kwaye ziseke indlela ephilileyo yokubeka iliso kunye nokuvavanya ukuqinisekisa ukuhlawulwa kweentlawulo ezichanekileyo, ngexesha kunye nezikhuselekileyo.
Ekugqibeleni, kwizigulane, ukupheliswa kwelungelo lokubuyisela kuthetha ukonwabela iinkonzo zonyango ezinobulungisa kunye nezicacileyo ngakumbi.
Kwixesha elidlulileyo, ngenxa yokudluliselwa kwezibonelelo kunye nokukhatywayo phakathi kwezibhedlele zikarhulumente kunye neenkampani zamachiza, izigulane zazisoloko zingakwazi ukufumana amaxabiso afanelekileyo okanye iimveliso ezifanelekileyo.
Ngokuyekiswa kwelungelo lokubuyisela intlawulo, izibhedlele zikawonke-wonke ziya kuphulukana nenkuthazo kunye negumbi lokufumana inzuzo okanye ukukhatywa kwentlawulo yeempahla, kwaye aziyi kukwazi ukusebenzisa intlawulo yeempahla njengesizathu sokwala ukusebenzisa iimveliso ezithile okanye ukukhuthaza okuthile. iimveliso.
Oku kwenza ukuba izigulane zikhethe ezona mveliso zifanelekileyo kunye neenkonzo ngokweemfuno zabo kunye neemeko kwindawo yemarike enobulungisa necacileyo.
Ngamafutshane, ukupheliswa kwelungelo lezibhedlele lembuyekezo linyathelo elikhulu lohlengahlengiso eliya kuba nempembelelo enkulu kwicandelo lokhathalelo lwempilo.
Ayilungisi nje kuphela indlela yokusebenza kwezibhedlele zikawonke-wonke, kodwa iphinda ihlengahlengise indlela yophuhliso lwamashishini axuba amayeza.
Ngelo xesha, iphucula inqanaba lolawulo lwemibutho yomshuwalense wezempilo kunye nenqanaba leenkonzo zesigulane.Iya kukhuthaza uphuhliso lwe-synergistic kunye nolawulo lwe-inshurensi yezempilo, ukhathalelo lwezonyango kunye namayeza, ukuphucula ukusebenza kakuhle kokusetyenziswa kwengxowa-mali ye-inshorensi yezempilo, ukunciphisa iindleko zokujikeleza amayeza, kunye nokukhusela amalungelo asemthethweni kunye nomdla wezigulane.
Masijonge phambili ekuphunyezweni ngempumelelo kolu hlaziyo, oluya kuzisa ingomso elingcono kushishino lwezonyango!
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Ixesha lokuposa: Sep-06-2023