Scientific and appropriate medical service pricing mechanism is one of the important factors affecting the wide application of new medical technology.On the basis of reviewing the policies related to the management of new medical service price items at the national level and combining with local practices,it sorts out the factors affecting the independent pricing of new medical service price items in public hospitals:according to the mechanism of action,it is divided into promoting factors(estimated cost,technical difficulty,risk degree)and restricting factors(price of items with similar technical difficulty and risk degree,material consumption,equipment depreciation ratio,price of new medical service items approved by foreign provinces,hospital grade,doctor grade,financial subsidy,local economic development level,patient affordability).The policy suggestions to give play to the role of the anchor point of the price of new medical service items and promote the reasonable formation of prices include:issuing guidance opinions on the management of new medical service price items,and unifying the sample table of cost calculation and the aperture of taking numbers;evaluate the value of new medical service price items,and review major innovative technologies according to the green channel and allow premium;monitor and report the service volume and operating cost of the new medical service price items during the pilot period,and promote the pricing of the new medical service items.

Pharmaceutical care plays an important role in promoting rational drug use,improving medical quality and ensuring drug safety for patients.On the basis of defining the scope of pharmaceutical medical services provided by clinical pharmacists and sorting out the status quo of the establishment of pharmaceutical medical service price items at the national level,it reviewed the transformation process of typical areas from the pilot establishment of"pharmaceutical service fee"items or the revision of existing items to the stage of adding fees in a compatible way according to the existing price items.Taking pharmacy outpatient examination fee,inpatient examination fee(clinical pharmacy plus charge)and intravenous drug dispensing fee as examples,the factors and charging levels of pharmaceutical price items in sample provinces were compared.The typical regional practice has the following implications for other provinces and cities to standardize the pharmaceutical price project management:rationally adding new pharmacy price items based on clinical value and independent service output;clarifying the criteria for charging additional fees in different application scenarios;and rationally revising compatible pharmacy price items.

Effective internal control plays an important role in ensuring the orderly development of public hospitals'economic activities and related business activities.The internal control of public hospitals has experienced the development stages of trial exploration,comprehensive promotion to strengthening and deepening,and dynamically adjusted with the change of environment and risk.Looking forward to the future,the internal control of public hospitals shows the following development trends:pay attention to evaluation and reporting,strengthen the responsibility of hospital management,promote the establishment and effective implementation of internal control system;accelerate the transformation of data intelligence,automatically prevent the risk of key nodes according to the pre-rules,and improve the control efficiency and effect;expand the scope of control,achieve full coverage of internal control of economic and business activities of public hospitals in the integration of business and finance;focus on key businesses and key positions to prevent and resolve major risks in the economic operation and business activities of public hospitals;multi-department coordination,multi-mechanism linkage,all-round joint efforts to urge the establishment and implementation of public hospital internal control.

Scientific and appropriate medical service pricing mechanism is one of the important factors affecting the wide application of new medical technology.On the basis of reviewing the policies related to the management of new medical service price items at the national level and combining with local practices,it sorts out the factors affecting the independent pricing of new medical service price items in public hospitals:according to the mechanism of action,it is divided into promoting factors(estimated cost,technical difficulty,risk degree)and restricting factors(price of items with similar technical difficulty and risk degree,material consumption,equipment depreciation ratio,price of new medical service items approved by foreign provinces,hospital grade,doctor grade,financial subsidy,local economic development level,patient affordability).The policy suggestions to give play to the role of the anchor point of the price of new medical service items and promote the reasonable formation of prices include:issuing guidance opinions on the management of new medical service price items,and unifying the sample table of cost calculation and the aperture of taking numbers;evaluate the value of new medical service price items,and review major innovative technologies according to the green channel and allow premium;monitor and report the service volume and operating cost of the new medical service price items during the pilot period,and promote the pricing of the new medical service items.

Pharmaceutical care plays an important role in promoting rational drug use,improving medical quality and ensuring drug safety for patients.On the basis of defining the scope of pharmaceutical medical services provided by clinical pharmacists and sorting out the status quo of the establishment of pharmaceutical medical service price items at the national level,it reviewed the transformation process of typical areas from the pilot establishment of"pharmaceutical service fee"items or the revision of existing items to the stage of adding fees in a compatible way according to the existing price items.Taking pharmacy outpatient examination fee,inpatient examination fee(clinical pharmacy plus charge)and intravenous drug dispensing fee as examples,the factors and charging levels of pharmaceutical price items in sample provinces were compared.The typical regional practice has the following implications for other provinces and cities to standardize the pharmaceutical price project management:rationally adding new pharmacy price items based on clinical value and independent service output;clarifying the criteria for charging additional fees in different application scenarios;and rationally revising compatible pharmacy price items.

Effective internal control plays an important role in ensuring the orderly development of public hospitals'economic activities and related business activities.The internal control of public hospitals has experienced the development stages of trial exploration,comprehensive promotion to strengthening and deepening,and dynamically adjusted with the change of environment and risk.Looking forward to the future,the internal control of public hospitals shows the following development trends:pay attention to evaluation and reporting,strengthen the responsibility of hospital management,promote the establishment and effective implementation of internal control system;accelerate the transformation of data intelligence,automatically prevent the risk of key nodes according to the pre-rules,and improve the control efficiency and effect;expand the scope of control,achieve full coverage of internal control of economic and business activities of public hospitals in the integration of business and finance;focus on key businesses and key positions to prevent and resolve major risks in the economic operation and business activities of public hospitals;multi-department coordination,multi-mechanism linkage,all-round joint efforts to urge the establishment and implementation of public hospital internal control.

Scientific and appropriate medical service pricing mechanism is one of the important factors affecting the wide application of new medical technology.On the basis of reviewing the policies related to the management of new medical service price items at the national level and combining with local practices,it sorts out the factors affecting the independent pricing of new medical service price items in public hospitals:according to the mechanism of action,it is divided into promoting factors(estimated cost,technical difficulty,risk degree)and restricting factors(price of items with similar technical difficulty and risk degree,material consumption,equipment depreciation ratio,price of new medical service items approved by foreign provinces,hospital grade,doctor grade,financial subsidy,local economic development level,patient affordability).The policy suggestions to give play to the role of the anchor point of the price of new medical service items and promote the reasonable formation of prices include:issuing guidance opinions on the management of new medical service price items,and unifying the sample table of cost calculation and the aperture of taking numbers;evaluate the value of new medical service price items,and review major innovative technologies according to the green channel and allow premium;monitor and report the service volume and operating cost of the new medical service price items during the pilot period,and promote the pricing of the new medical service items.

Pharmaceutical care plays an important role in promoting rational drug use,improving medical quality and ensuring drug safety for patients.On the basis of defining the scope of pharmaceutical medical services provided by clinical pharmacists and sorting out the status quo of the establishment of pharmaceutical medical service price items at the national level,it reviewed the transformation process of typical areas from the pilot establishment of"pharmaceutical service fee"items or the revision of existing items to the stage of adding fees in a compatible way according to the existing price items.Taking pharmacy outpatient examination fee,inpatient examination fee(clinical pharmacy plus charge)and intravenous drug dispensing fee as examples,the factors and charging levels of pharmaceutical price items in sample provinces were compared.The typical regional practice has the following implications for other provinces and cities to standardize the pharmaceutical price project management:rationally adding new pharmacy price items based on clinical value and independent service output;clarifying the criteria for charging additional fees in different application scenarios;and rationally revising compatible pharmacy price items.

Effective internal control plays an important role in ensuring the orderly development of public hospitals'economic activities and related business activities.The internal control of public hospitals has experienced the development stages of trial exploration,comprehensive promotion to strengthening and deepening,and dynamically adjusted with the change of environment and risk.Looking forward to the future,the internal control of public hospitals shows the following development trends:pay attention to evaluation and reporting,strengthen the responsibility of hospital management,promote the establishment and effective implementation of internal control system;accelerate the transformation of data intelligence,automatically prevent the risk of key nodes according to the pre-rules,and improve the control efficiency and effect;expand the scope of control,achieve full coverage of internal control of economic and business activities of public hospitals in the integration of business and finance;focus on key businesses and key positions to prevent and resolve major risks in the economic operation and business activities of public hospitals;multi-department coordination,multi-mechanism linkage,all-round joint efforts to urge the establishment and implementation of public hospital internal control.

Scientific and appropriate medical service pricing mechanism is one of the important factors affecting the wide application of new medical technology.On the basis of reviewing the policies related to the management of new medical service price items at the national level and combining with local practices,it sorts out the factors affecting the independent pricing of new medical service price items in public hospitals:according to the mechanism of action,it is divided into promoting factors(estimated cost,technical difficulty,risk degree)and restricting factors(price of items with similar technical difficulty and risk degree,material consumption,equipment depreciation ratio,price of new medical service items approved by foreign provinces,hospital grade,doctor grade,financial subsidy,local economic development level,patient affordability).The policy suggestions to give play to the role of the anchor point of the price of new medical service items and promote the reasonable formation of prices include:issuing guidance opinions on the management of new medical service price items,and unifying the sample table of cost calculation and the aperture of taking numbers;evaluate the value of new medical service price items,and review major innovative technologies according to the green channel and allow premium;monitor and report the service volume and operating cost of the new medical service price items during the pilot period,and promote the pricing of the new medical service items.