The links of circulating cause more medicine prices empty and high The medical personnel has difficult labour value to reflect

The links of circulating cause more medicine prices empty and high The medical personnel has difficult labour value to reflect
The links of circulating cause more medicine prices empty and high The medical personnel has difficult labour value to reflect
The editor is according to December 9, General Office of the State Council announced " sets up and standardizes the government and runs the instruction that purchases the mechanism of basic medicine of medical health organ in the basic unit " to the society. This time change of the medical medical procurement system of health organ of national basic unit including health clinics in towns and townships, city community health Center, whether could really touch " Raise medicine with medicine " System, chop the interests roller chain that has had off, lighten the burden of seeking medical advice of common people conscientiously? A few days ago, brought the doubt, staff reporter's deepening launched a pilot project in province Anhui in advance, have interviewed the local medical health organs of nearly 20 pieces of basic unit of 8 pieces of market on the spot, and interviewed the relevant domain expert. From today, this newspaper will publish the series of reports successively - -" the empty high medicine price could be lowered ". " the medicine price is empty and high " , " the medicine is bade and purchased unstandardly " Wait for the question to endure the public and drugmaker personage to the fullest extent to condemn all the time. In August of 2009, the basic medicine system reform that the new medical reform will be started is being pointed sword at herein, obvious to develop, some new problems appearing can't be ignored either - -One box the intersection of producer price and yuan of the intersection of asparagus and slices only, submit a tender, win a bid, authorize for dispatch, sell behind the a plurality of links through medicines, sell to a patient at 213 yuan for every box finally, among them raise the price and reach 1300% unexpectedly - -The ones that expose in May of this year " One scene of incidents of asparagus " It is one of these. The system should be to play a role in restraining and is supervised in stabilizing the medicine price that medicines call for bid, but in " one scene of incidents of asparagus " China, we see, but it has played the function of adding fuel to the flames in raising the medicine price. The result worth thinking deeply about of making a false countercharge so, what link has gone wrong? It is reported, 1977, World Health Organization (WHO) Having put forward the concept of the basic medicine, namely " most important, most basic, essential, indispensable medicines " . In our country, began to introduce " basic medicine " in 1979 Concept. In August of 2009, our country issues " the medical health organ of basic unit of national basic medicine catalogue allocates and uses some ", including chemical medicines, biological medicines, Chinese medicine and traditional Chinese medicine decoction pieces, it is 307 varieties altogether. "The therefore setting-up of basic medicine system of our country, core and medicines that it is the national medicines policy supply the foundation of the security system, "Economics professor Liu GuoEn of Guanghua School of Management of Peking University introduces, it favorable to to rectify medicines and produce order, normal medical behavior, promotion of circulating and use medicine, lighten masses' burden rationallies to set up these system. "However, the basic medicine of our country also has many kinds of problems to supply. " Liu GuoEn thinks, for example, grade has not bade and purchased yet in the province the realizing amount price has been got in touch, this is unable to make the manufacturing enterprise reduce the price of medicines to the greatest extent through the thin cost of large-scale production stand. Liu GuoEn introduces, the price mechanism of medical care of our country is twisted at present. Medical personnel's labour value at work has not got normal and rational embodiment. " medicines addition policy (raise the price and sell in order to obtain addition incomes on the basis of bid of medicines that this is, maintain normal running) Existing basic reason, the medical organization inclines to compensate incomes by increasing the prescription quantity and using high price medicines, odjective cause that these cause ' medicine price empty and high '. " Liu GuoEn says, therefore the evil consequence that brings is, as to clinical commonly used low priced medicine and little assortment medicine, because there is less addition rate, but is not often adopted by the hospital; The medicine enterprise is unwilling to produce because of lacking scale merit too, lead to the fact medicines " win a bid and die " Appearance of the phenomenon. It is reported, that there is this kind of situation is not merely the large hospital above county level. For a long time, because the local finance is serious and insufficient in input to the medical health organ in the basic unit, so allow the medical organization at the basic level to raise medicine with medicine. Neutralize the investigation of health clinics in towns and townships of places such as the north of Anhui,etc. to find the south, Anhui of Anhui inside the province according to the department of public health of Anhui Province, it is 82% that medicines have the lowest addition rate, the highest one was up to 167% unexpectedly. As the direct beneficiary of profit of the addition, in our country, " main force " that the medical organization sells as medicines ,Its sales amount of medicines accounts for 80% that all medicines are sold, and the annual medicines sales amount of the whole country reaches more than 600 billion yuan. The statistics show, medicines produce and circulate links more, small and breaking up, messy at present in our country, the intersection of medicines and the intersection of manufacturing enterprise and up to 5257, medicines manage 13,000 of enterprise, appear the trade can produce the surplus, structural state supply exceeds demand already. "This is an enormous cake, attract numerous persons who chase the profit. " Zhejiang inferior Thai former hall Wang, director of marketing, Co., Ltd. of medicine company, say richly, medicines are sold to the chief distributor in every area with the producer price by the manufacturing enterprise after being dispatched from the factory, through after each link such as chief distributor, provincial agent, prefecture-level agent and scattered whole sellers of districts and cities, the whole seller of the bottom sells to the hospital by way of what has been contacted bid directly, the number of intermediate link is six or seven at most. Like this, are driven by interests of the medical organization, circulate each of links in medicines and " change hands " And then, how can not the medicine price be high? (In August of this year, in order to expel the fraud of the high medicine price, Anhui Province is regarded as the national pilot project, start the reform of the system of medical procurement formally. In the pilot project of the reform, which kind of resistance is met in Anhui Province? While medicine price is reduced by a wide margin, query why hangs by a thread? Please continue paying close attention to the second of series of reports that " whether the empty high medicine price could be lowered " - -<>. )(gold shakes Yan)


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