Jinan medicines " A difference rate " Next day The out patient of the community increases sharply
Jinan medicines " A difference rate " Next day The out patient of the community increases sharply
Staff reporter stone study in army national basic the intersection of medicine and system 105 community health Center with health clinics in towns and townships launch the pilot project in Jinan, bring a succession of doubt and challenge too while bringing material benefit to common people at the basic level. On the 16th, the reporter hurries to many pilot community hygiene service organizations and interviews to learn again: Try the basic medicine " A difference rate " The first day ( The 15th) ,Much to launch a pilot project the quantity of patient of community's clinic present the growth of a larger scale. National in Jinan the increasing degree of the clinic quantity of the same day of community health Center is even close one time in the past. "Many residents know that try the basic medicine systems on the same day, so is all rushing to have a look. " Generally demonstrate great concern enthusiasm as to basic medicine system masses. In fact, the public has some worry too: The pilot unit can only use 523 kinds of basic medicines, what if patients at the basic level can not buy medicines needed? Whether go back to large hospitals and line up to buy " High price medicine " ? The medicines catalogue is limited, receive treatment to go back to the serious disease patient who the community recovered in the large hospital, how could enjoy material benefit? Why try " A difference rate " Later, was the medicines price of community's clinic still higher than the private pharmacy? Change dressings The medicine community that accustomed to the use of originally will not sell Old woman Liu to suffer from coronary heart disease have to change dressings temporarily " six flavor can subdue pills " How to have? The old man of Liu ZengLan has been seeing the doctor, taking medicines in worker's north village community health Center of residential district all the time. She suffering from coronary heart disease takes throughout the year " The blood office chases silt capsule " With " six flavor Yes subdue pills " Two kinds of medicines. " the blood office chases silt capsule " 27.6 one box, cancel current rate of 24 yuan after the addition originally. But she finds at the same time: " six flavor can subdue pills " No, not in the basic medicine catalogue, the community will not sell! The intersection of community and doctor of clinic very patient fortunately, after the some explanation, old man agree, transfer, change into another medicine: " health of fat of blood " . One that is with more than 30 yuan " Six flavor can subdue pills " Compare, the current rate of the latter is only 12 yuan. "Cheap and getting good, but how about does it wipe out specifically, must have a look. " Though doctor tell her two curative effect about equal medicine these constantly, old woman Liu have some the doubt. It is not unique. Because bronchiectasis, cough blood, embroider, favour commune hospital, embroider, favour villager of town Huayuancun ޕ's peak, find too in hospital in Zhangqiu: The hemorrhage that using, do not have in the basic medicine catalogue, can't use. According to embroidering the new introduction of Zhang Bing, Vice President of commune hospital of the favor, in fact there are 985 kinds of medicines in all in the dispensary of our institute, only 485 kinds in the basic medicine catalogue were provided for patient at present, 500 kinds of other non- catalogue medicines have been already all lower shelves, use no longer, until the intersection of patient and the intersection of proportion and high cerebral thrombosis, senile patient of lung worry treatment have a certain influence in hospital at present. "Medicines it makes a reduction to be good thing, medicine that can accustomed to the use of originally, suddenly, give, turn on the basic medicine catalogue only, always feel a little awkward to let in the heart. " Some patients at the basic level say. " it is good, though I do not understand any is basic medicine system that the medicines bid of the medicine price is sold but still a bit more expensive than that of the pharmacy, but so long as the medicine price has been lowered, prove this system is good. " While interviewing, many citizens say like this. In fact, compared with some social large-scale chain pharmacies, carry out " a difference rate " And then some community clinic getting getting higher more relatively still in price in medicine. That is to say, " a difference rate " Basic medicine price still have " The moisture " Can press. Through comparing with gathering it from basic medicine price of national community health Center and ordinary people retail price of the large dispensary of Jinan, the reporter notices: Depressurization medicines " It is gentle to take the place of " (Beijing Novartis produces) ,The original price of national community health Center is 44.4 yuan in Jinan, tries " a difference rate " And then current rate 40.8 yuan,there are large price of dispensary is for 38 yuans on but ordinary people. And then such as same the intersection of cloth and fragrant Lip river ' Shandong Xinhua produces) ,In the pilot project " A difference rate " Community clinic,last 4.2 yuans though since 4.8 yuans, be higher than ordinary people by 3.7 yuans of dispensaries larged. 1.0g very beginning spore's Qusong which new asia and Shanghai produces, is trying " a difference rate " Clinic though last 3.0 yuans since 7.0 yuans,there are getting more oldest nearly in decreasing amplitude on products single, but is only lack of one mao compared with ordinary people's price of 3.1 yuan of the large dispensary. "The reason why the price still has a difference, mainly because the bid is different from purchase channel. " Ministry of Health personage say frankly moreover, because unified basic medicine of the whole province purchases the platform and has not launched formally yet, even if is between pilot organizations and pilot organizations, with " a difference rate " of a basic medicine The price has a difference too. "After the whole province purchases in unison, while unifying the price of basic medicine, the bid of basic medicine is likewise expected to further drop. After all, after the amount of purchase is enlarged, the mechanism of the negociation price will further strengthen too. " Change the place of examination medicines reduce, afraid from large the intersection of hospital and the intersection of patient and administration come to change the place of examination national basic medicine systems are on two days of pilot project of Jinan, " how residents the habit used medicine not to have " Sound can be heard without end. Common people are anxious: There are few medicines, whether just mean reducing the service level of community's clinic in a disguised form? "I do not have good heart, several supports were put three years ago. Medicine of this side of ours is cheap later, may I select the rule of the door in this side of our too? " Having listened to the doubt of aunt Zhao 68 years old, the national community health Center staff members of Jinan tell her: "Whether had better go to the large hospital, no matter check or not do very much in this side of ours of medicine. " According to making a reservation at present, the task of recovering that the medical organization of the community undertakes to change the place of examination in the patient's community bidirectionally to a great extent. These change the place of examination patient after the large hospital rotate over bidirectionally, still by large guidance, doctor of hospital, subsequent rehabilitation. "Large hospital medicines are various in style, the prescription medicines that doctors opened can not be often bought in the medical organization of the community, the medical organization of the community could take ' the order ' way in the past, the patient specially stocked up in order to change the place of examination. " While interviewing, a clinic personage of community says frankly, after trying the national basic medicine system, medicines outside 523 kinds of basic medicines are forbidden to sell without exception. This to a certain extent but speech,in fact it is it reduce in a disguised form community the service levels of the clinics. "A lot of chronic patients will feel inconvenient, they may have to get back to large hospitals to line up to buy medicines again. " Person in charge of pilot organization thinks, the function that this one that will undoubtedly weaken the medical organization of the community greatly changes the place of examination bidirectionally. It is chained that relevant Medicines " a difference rate " ,Break " raise medicine with medicine " The strange circle " sees the doctor in the community and buys medicines, really much cheaper. " In the afternoon of October 30 of last year, in gulf community health Center on the road of peace district, Cui TieSen infusing can be regarded as an account: "It is likewise erythromycin, inject once and only need more than 10 yuan here, more suitable than the large hospital ; Inject the expenses of one week here, has not all passed in the large hospital for two days. " He tells reporters, this 10 yuan includes: Inject three pieces of erythromycin once, the expenses are 3.6 yuan; In addition, handle fee of 6 yuan and liquid expenses of other injections. 52 -year-old Cui Tie is full of trees to sigh over one with feeling, this benefits from medicines " a difference rate " that the peaceful district pursues . "Originally, ' community's hospital ' was mainly alive by selling medicines, mainly ensure surviving by the government finance now. " The relevant person tells reporters. (according to " Liaoning Daily ")
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