" try water " in Jinan Basic medicine system Resident's administration of change is used to

" try water " in Jinan Basic medicine system Resident's administration of change is used to
" try water " in Jinan Basic medicine system Resident's administration of change is used to
Municipal Health Bureau knows from Jinan on the 16th the reporter, from March 15, the national basic medicine system is implemented in the pilot unit of 105 medical treatment of this market formally, medicines are implemented without exception " A addition " Sell. It is introduced, this city has chosen 83 in hygiene service organizations of 222 communities as pilot unit, add 2 health clinics in towns and townships of the district of overline bridge and 20 health clinics in towns and townships of Zhangqiu, 105 pilot units take the lead in implementing the basic medicine system, cancel the addition of medicines altogether. At present, the basic medicine that country and province announce amounts to 523 kinds, Jinan will take the lead in implementing " a price differential " in 105 hygiene service organizations at the basic level Sell. During this time, all unit stock medicines of pilot project, sell a addition according to the bid without exception; And should be through guiding, changing resident's administration to get used to, realize progressively that all allocate the basic medicine, no longer allocate and use medicines outside the catalogue. "It is a system engineering related to many departments, many interests subjects to implement the basic medicine system, set up and improve compensation mechanism. " The Jinan person in charge of Municipal Health Bureau reveals, according to calculating, the medicines income accounts for more than 70% of gross income of service organization of hygiene at the basic level at present, and the higher to the proportion at the basic level, even a lot " live on selling medicines " . Cancel the addition of medicines, implement " a difference rate " After selling, the shortfalls of this part of incomes will be solved through the reform. Israel on one hand " The government buys and serves " Way,public health last funds last units pilot, in order to compensate at the basic level the intersection of hygiene and health education, slow the intersection of disease and the intersection of control, immunization campaign, mother and child care,etc. and public health that service organization bear mainly, serve the expenditure; Meanwhile, the government considers many kinds of factors of cancelling the addition of medicines and implementing the salary of performance etc. synthetically, the further reform improves the input compensation mechanism of the medical health organ in the basic unit. To operating cost such as funds of personnel of the service organization of health care at the basic level which the government holds and business funds, government subsidize according to " Task of authorizing, authorize revenue and expenditure, performance examine subsidize " Method check and ratify,through personnel allocation, last personnel,performance examining route, improve the medical worker service ability and engineering level, guarantee operational efficiency. "Medicines sell, enter, produce while being flat while being flat according to bid, the patient is the oldest beneficiary. " The intersection of Zhangqiu and city embroiders and favours Chen ShuHui, president of commune hospital, to introduce, implements basic medicine system this time, medicines make a reduction on average range up to 48% about, only this item, the whole the intersection of institute and income reduce 45% about this year, about 5 million yuan, in fact the patient's medical expenses have reduced this number too. The insider does not think the service organization of the health care has sold interests that medicine brings, the so-called one " Good medicine " , advanced medicines such as expensive medicine, imported medicine,etc. just have no market, the medical worker at the basic level will return to science, reason, norm to the motive of drug use, energy will be turned to preventing, health care too naturally, offer basic medical treatment service for resident. It is reported, this time the basic medicines of Jinan all include in the catalogue of ensuring medicines and submitting an expense account of basic medical treatment, wipe out proportion, obviously higher than the non- basic medicine. Ones that belong to class-A medicines of " national medical insurance medicines catalogue ", include in paying the range fully according to the urban basic medical insurance regulation; Class-B medicines includes in the proportion of paying range and is not lower than 90% according to the urban basic medical insurance regulation, guarantee that personnel can submit an expense account to use the national basic medicine in time to effect an insurance. (clump the people red and general in Ge)


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