The medicine price of medical organization at the basic level of Jinan is lowered big The large hospital medicine price is still empty and high

The medicine price of medical organization at the basic level of Jinan is lowered big The large hospital medicine price is still empty and high
The medicine price of medical organization at the basic level of Jinan is lowered big The large hospital medicine price is still empty and high
Gentle / slices of the intersection of staff reporter and Guo quiet steel Li On September 1, medicine of the State Council is corrected and announced: Basic medicine system that the whole country has already been set up tentatively. In fact, this system lets the masses receive certain material benefit, but the expensive problem of seeing the doctor has not been solved completely. Because the basic medicine system is implemented only in the medical organization at the basic level, in the empty and high large hospital of severely afflicated area of the medicine price, but not appearance instead of the related base medicine catalogue. The end of 2009 begin, the national relevant department claims the large hospital edition base medicine catalogue will be issued, but two years passed by, this catalogue still has difficult labour, why is this? Basic medicines are all very cheap, 100 plain films of the rhizome of Chinese goldthread are 5.4 yuan, gastropine is 1.6 yuan for 100 sheets, but, but it is very difficult to see in the large tertiary hospital in these medicines. " whether light engaged in the basic medicine hold vital part no in at the basic level medical organization, " The expert of division of endocrinology of hospital of a the first, second and third says, even if the doctor requires the first-selected basic medicine while prescribing, but to a lot of difficult diseases, " even if the current base medicine catalogue mixes completely, can't meet large hospital's demands either. " Jinan goes through lower district the People's Hospital doctor and shows the basic medicine of this hospital. When can medicine price of the large hospital drop by more than forty percent too? Recently, Jinan has gone through the pharmacy/dispensary director Fan Qi of the People's Hospital of lower district and busy comparing with hospital medicines and basic medicine catalogue, see the basic medicine allocates and reaches relevantly requiring. "The department of public health of the province makes the notice, require second hospital to allocate the basic medicine variety and count 80% lower than the total number of basic medicines, the basic sales amount of medicine is not lower than 35% of the total sales amount of medicines. " Fan Qi introduces. At this hospital the intersection of medicine and shelf of pharmacy/dispensary, reporter see have gastropine, the intersection of the rhizome of Chinese goldthread and plain, the intersection of erythromycin and the intersection of eyes and the intersection of lotion,etc. and basic medicine. "These medicines are all very cheap, 100 plain films of the rhizome of Chinese goldthread are 5.4 yuan, gastropine is 1.6 yuan for 100 sheets. " However, these medicines seldom appear in the large tertiary hospital. "I go to a large hospital once, want to take the rhizome of Chinese goldthread plainly, but the doctor says there are side effects in the rhizome of Chinese goldthread, not so good as taking better medicine, opened more than ten yuan for a box finally. " Residential Area resident Mr. Huang of mountain path of ring says, " the same disease, the large hospital uses medicine generally a little more expensive than that of community's hospital. " Reporter be gone to a doctor to be provincial capital the first, second and third hospital be reached rhinitis onced,inquiries tests simple, check after, the doctor prescribes medicine at more than 80 yuan of a box, much more expensive than pharmacy and community's hospital. The medical organization at the basic level basically realizes a difference rate of basic medicine to sell at present, grade has bade and purchased and reduced the medicine price greatly too in unison in the province, the average decreasing amplitude of medicine price of medical organization at the basic level of Shandong reaches more than forty percent. But the difficulty and high cost of getting medical treatment of large hospital is the focus that patients pay close attention to even more. "Community's hospital saw the doctor and spent money being not many, it was still in the large hospital that spent money most, "Gentleman Huang say " when large medicine price of hospital can drop by more than forty percent too, we can feel material benefit even more. " Also there are basic medicines, but the large hospital is unwilling to sell cheap medicine At present, medicines income occupy the not light proportion in large gross income of hospital, there is not the basic medicine which the large hospital allocates " A difference rate " Sell, they must not purchase the basic medicine to call for bid in unison either, so, it is unrealistic to expect the large hospital to sell more cheap medicines voluntarily. Province the intersection of department of public health and the intersection of medicine and the intersection of policy and responsible for, call, province drawing room, for regulation this, tertiary general hospital, institute of traditional Chinese medicine allocate basic the intersection of medicine and variety count, lower than basic the intersection of medicine and 70% of total number, the basic sales amount of medicine is not lower than 17% of the total sales amount of all medicines. But because basic medicine price is mostly on the low side, even allow the large hospital addition 15% to be sold, a lot of large hospitals are still difficult to meet the requirement of sales amount. " the basic medicine is popularized hard to get along withly in the large hospital, " The Vice President of hospital of a the first, second and third in the provincial capital says, " the hospital at the basic level is mainly common disease, frequently-occurring disease, large hospitals have concentrated difficult disease and critical patient, and will differ naturally traditionally with the medicines rule. For example the patient, may have already been to community's hospital when getting to the large hospital for generating heat, the administration will be changed to some extent naturally. " To the basic medicine of the low price, the large many hospital is unwilling to select for use because of worrying about its quality. The Vice President of hospital of another the first, second and third of provincial capital says, " one bottle of parenteral solution of vial sodium chloride of 250 ml of some wins a bid of just 0.87 yuan of price, it is estimated that even cost is not enough, how to ensure the quality of products? " A person in charge of manufacturing enterprise of medicines winning a bid does not approve this, after grade calls for bid in unison in the province, the profit space of medicine enterprise is really compressed seriously. But because bid and purchase a product one and a rule of factory, factory's home profit rate brings the market. "After we get the market share of the whole province, the sales volume drives the production at full capacity of the workshop, have reduced the unit cost. " In addition he also reveals, the loss of some medicines should make profits to remedy by other medicines, "this is a choice of the bid tactics. " " whether light engaged in the basic medicine in the medical organization at the basic levels, has not hold vital part no " "Type snake, play seven, light engaged in the basic medicine in the medical organization at the basic levels, has not hold vital part no. " The expert of division of endocrinology of hospital of a the first, second and third says, even if the doctor requires the first-selected basic medicine while prescribing, but to a lot of difficult diseases, " even if the current base medicine catalogue mixes completely, can't meet large hospital's demands either. " The base medicine catalogue of the edition at the basic level is not totally suitable for the large hospital, whether can then set up the basic medicine catalogue of the large hospital edition? In fact, at the news briefing when the base medicine catalogue of the medical organization at the basic level will be issued in 2009, Ministry of Public Health relevant personnel show base the intersection of medicine and the intersection of catalogue and loud the intersection of hospital and edition cooperate with the public hospital reform pilot project to issue as soon as possible publicly. According to original planning, the large hospital edition is different from the edition at the basic level, main characteristics are the number covered more, especially add the medicine to treat cancer, parkinsonism and difficult and complicated cases, will list some medicines higher in price in the catalogue at the same time. In the past two years, the public hospital reform scheme has already been issued, has not seen the trace even after stalling for a long time in but the large hospital edition base medicine catalogue. And according to media, in April of this year, medicine policy and basic medicine system department's chief Zheng Hong of Ministry of Public Health show, "the common understanding formed at present is, the basic medicine only pushes into the basic unit, the catalogue of the hospital edition has not been put out temporarily. " This lets the public quite feel disappointed, but still some are had fantasies of too. " it is not put out that it has not said that after all, " Patient Mr. Ma that the hospital is in hospital says in Shandong, " hope this one ' temporarily ' will be a little shorter. " Do not change to " raise medicine with medicine " Large hospital difficult to lower insider, price of medicine, say, have already expected " large hospital edition " The basic medicine catalogue will postpone issuing. The public health Xu LingZhong, professor of institute of Shandong University says, " raises medicine with medicine " at present Situation change,to pursue basically in industry The medicine system has been holding a pessimistic attitude all the time. The basic medicine expenses are mainly made up of the country has replenished, medical insurance, three parts of individual at present, involve the finance? Suck! Lang � discusses oh squid's low field! �'s dregs of Ze's leg of ancient wine vessel of tool instrument milk of the dam all cut off from the wasteland Kui Fat cane official document or note eyebrow father's flounder's tomb �ȡ��� Sweet-smelling to reflect the intersection of mulberry and �˭� rush tool instrument H Shang large to sigh �� beautiful to kill Qiang's shaddock, revitalize idly hook Mou? But think while insulting slowly, " large hospital edition " The basic medicine catalogue can be made and pursued in theory. "See policy efforts and supervision in key, just as in the medical organization at the basic level force the lower shelf of non- basic medicine. " "Pursue really, need, carry on tube do separate, the intersection of medicine and the intersection of person who break up the family and comprehensive reform in advance too. " A head of the department of medicine of hospital of the first, second and third insisting on anonymity says, according to the regulation, the above- second -class hospital should cancel the medicines addition of basic medicine progressively. "But under the situation that the condition does not still possess, every large hospital takes the measure of addition now. " "No matter which kind of basic medicine catalogue to make, a principle is the clinical applicability at first. " Xu LingZhong says, the base medicine catalogue of the edition at the basic level has already exposed many defects at present, for example the medicines kind can't meet demands of masses,etc.. As to " large hospital edition " The formulation of the basic medicine catalogue, he thinks and should enlarge prescription investigation and out patient of the hospital and use medicine first the demand is investigated, "in any case, meet patient's demand, let common people experience material benefit is the most important. "


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