Hunan " a difference rate of medicine " The pilot project of the reform is observed

Hunan " a difference rate of medicine " The pilot project of the reform is observed
Hunan " a difference rate of medicine " The pilot project of the reform is observed
Wang Xin builds and walks haltingly, comes into the clinic of expert of the community health Center. The doctor states and takes blood pressure, examines the heart rate oldly and littly for him. 53 -year-old Wang Xin built apoplexy and hemiplegia not long ago, once because family's financial difficulties planned to give up treating. The east cogongrass mountain range community health Center of Hunan Province Yueyang block calls free twice every month, send prices here " A difference rate " Medicines. Under the nurse with the best of care of the medical worker, he recovers gradually, the activity that not merely can go to the fields, return some slight work of ability. Pursue the comprehensive coordinated reform relying mainly on the fact that a difference rate of basic medicine is sold in the medical health organ of the basic unit in Hunan. The reporter visits some pilot areas, understand doctors and patients' responses of both sides. The medicine price has lowered 33 health clinics in towns and townships of Ningxiang county and sold a difference rate of basic medicine on January 1, 2010, existing stock medicines are sold according to purchasing a difference rate of bid, implement online centralized purchasing, provide and deliver in unison. The pale residents in Maqiao townships in Ningxiang county go to the commune hospital in the township to buy cold drug in the ginger auspicious China. She tells reporters, each price of 0.45 yuan last year of virus thiazole which Fujian one Company of medicine company produced, 0.15 yuan now; Ammonia bromine that Anhui one Company of medicine company produces asks for 15 yuan for each bottle last year of parenteral solution of glucose, 2.7 yuan now. Jiang RuiHua says: "Cured cold last year and typed and took 150 yuan to hang needle,etc. every day, only takes more than 70 yuan with the same medicine this year. The medicine price is much lower compared with last year this year. " Pave the intersection of town and commune hospital in punch, county of Ningxiang, reporter see dispensary put up " the west the intersection of patent medicine and zero the intersection of difference and the intersection of rate and the intersection of price and announcement " at the wall ,Put into different categories according to medicines name, dosage form, specification, bid, retail price,etc., purchase channel and price contrast of announcement. Among them 1 gram which one company of the Northeast produces holds mould plain sodium powder needle original price of 10 yuan of phosphorus, current rate is 1.6 yuan. 1 gram holds parenteral solution powder needle original price of 12 yuan of beautiful Lip river west forest, current rate is 2.8 yuan. Ningxiang county samples and counts, since sold a difference rate of medicines, up to the end of February this year, 33 health clinics in towns and townships of the whole county reduce the medicines expenses of 5 million yuan for the patient. The intersection of Hengyang and until 2010 in the intersection of stone and the intersection of drum and district, the intersection of the Southern Mountain and district in February 1, start, sell the pilot project by rate by zero difference by medicine by city by Changning city. Reporter sees in the central clinic hall of commune hospital of town of the Southern Mountain of city of Hengyang, all basic medicines indicate " real bid " on the announcement card of the price of medicine With " real sale price " ,Two can have found out the basic medicine and already to compare sold a difference rate. Statistics of the street community health Center of the God of fire in the Southern Mountain district reveal, after pilot work is started, the per capita hospitalization cost of the impatient drops to 1157 yuan from original 2050 yuan, clinic expenses of per person are lowered to 31 yuan by original 57.18 yuan, decreasing amplitude reaches 45.8%. The price department of Hunan Province counts, after basic medicine of Hunan instructs the price to be released, have 893 the intersection of medicine and enterprise should mark, win a bid of the intersection of medicine and price 53.21% low price than whom country announce have, current to lower by 47.12% sale price have on average than health clinics in towns and townships. The commune hospital " Enlarge " Because medicine price reduce and outpatient service avoid the registration fee, a lot of patients reflect, now sick to go to a doctor in time, small disease go community, serious disease in hospital. About 50 out patients every day in the past of commune hospital in the Southern Mountain Town, Hengyang, is 90 persons now, reaches 120 persons each day highest; Medicine, county of Zhuzhou, correct, count, indicate community health Center the intersection of clinic and number generally increase than before March, some commune hospitals of centres of villages and towns increase nearly 30%. Yueyang market Yueyang block sets up the complete service group while advancing the reform of integrating and supporting, the organization visits depending on, family's paying a home visit, family nursing,etc. to the doorstep " Six distance services of zero's to the doorstep " . Some patient said, these medical workers at the basic level are the ordinary people's health " goalkeepers " . A difference rate of medicines is sold, the doctor needn't consider creating income for the hospital. Chief of Ningxiang county hospital Yu GuoJun says, from the beginning of this year, doctors and patients' dispute did not take place in the health clinics in towns and townships. The strong points bridge township of Ningxiang county held Wang Liping, villager of village, and caught a cold not long ago forever, the doctor of commune hospital of township gave him spore ammonia one, favourable Palestinian Waring particle at the beginning, still exempt from the registration fee. While closing the expenses for medicine, he only needs to pay 1 yuan. Wang Liping wants to express thanks wholeheartedly, brings 20 eggs from home to the doctor. Sell and have a great effect on medical health organ and market in the basic unit in a difference rate of medicines. Pursue comprehensive coordinated reform in the pilot area, include the health clinics in towns and townships which the government run in the public institution and work out and manage, explore the financial two lines of revenue and expenditure at the same time, set up compensation mechanism, guarantee the medical organization runs well. The changed situation of the market appears with the policy effect, the pattern of rural medical market changes. In yellow the intersection of material and the intersection of town and commune hospital, county of Ningxiang, clinic building register window, arrange get up thirty or forty long team of people. Nie Zan, president of commune hospital, introduces, these days, the window income of commune hospital is average 50,000 yuan. The traditional Chinese medicine pharmacy has increased a person temporarily to still think too busy to do it. Window incomes are about 20,000 yuans every day before the medical reform. There is a private pharmacy opposite to the commune hospital, pass by, patients finish watching the disease going to the private pharmacy to buy medicines in the commune hospital, now because this pharmacy was not implemented " A difference rate of medicines " ,The medicine price is higher than the commune hospital, the persons who patronize have reduced a lot. The expert analyzes, the reason of changes one of the pattern of market is that the pharmacy quantity is increased sharply in recent years, the supply exceeds the demand on the market. Second, the health clinics in towns and townships sell a difference rate of basic medicine in an all-round way, the pharmacy loses competitiveness of market. Huang CaiZhen " Ordinary people's large dispensary " Shopkeeper says, he plans to reduce the selling price of medicines, improves attitude. Give up the share of medicine that a difference rate is sold simply in other pharmacies, open up the marketing channel separately. The ones that are influenced include clinics at village level. Town Guo, block of Yueyang, village from clinic to the intersection of township and 2 of commune hospital, bear the whole the intersection of village and 1400 more than basic medicine supply of people in the Fan. It is introduced that the clinic is thanked contractor to the cypress Hunan, the next clinic is being gone to change and depend on the medicines profit mode progressively, increase, make a diagnosis income, break the whole up into parts and sell more expensive medicines according to the needs of masses at the same time. Yueyang the intersection of block and the intersection of health bureau and Deputy Bureau Director let, cut down introduction, Yueyang block stand, include the intersection of village and clinic, the intersection of community and hygiene in the health clinics in towns and townships or community health Center to manage, change the clinic function in the village at the same time, make it rely mainly on engaged in public health servicing, basic medical treatment, in order to complement. 25 (Xinhua News Agency support the special draft of this newspaper)


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