Sudden huge profits medicine is exposed the new medical reform in succession awkwardly Ministry of Public Health issues 5 measures newly

Sudden huge profits medicine is exposed the new medical reform in succession awkwardly Ministry of Public Health issues 5 measures newly
Sudden huge profits medicine is exposed the new medical reform in succession awkwardly Ministry of Public Health issues 5 measures newly
South Daily ( Reporter Xie QingYu) Expose profit rate of more than ten twenty time of asparagus stretch, red west ketone of kindness of anticancer drugs in CCTV in succession, break constantly " Sudden huge profits medicine " Record pass. Recently, the data that Guangzhou Municipal Health Bureau website announces reveal, the clinic expenses of public hospital per person of Guangzhou top 190 yuan from behind 2008 for the first time in the first season of this year, " it is difficult to see the doctor " Circumstances last deterioration phenomenon again at reality After the medical reform is pursued for many years, the new medical reform is under the data lefting speechless in clusters too, the ones that appeared and presented really are absurd and awkward. On May 28, the General Secretary Hu Jintao emphasizes while presiding over the study of the Political Bureau of the Central Committee of the Chinese Communist Party: " make the masses take a fancy to the disease, think highly of the disease, see the disease well " ,Pass and carry out 5 key reform tasks, will solve the outstanding problem that the domain of medical and health exists at present effectively, make sure conscientiously the disease is cured to some extent. Accelerate improving the system mechanism of the medical and health, offer the basic guarantee for the fact that the effective norm of the medical and health system operate. In the morning of May 30, announced that will take five pointed measures on the websites of Ministry of Public Health, unreasonable in order to control the medical expenses to increase. Public opinion thinks, this is the concern deeply that medicines sudden huge profits initiate, five measures of Ministry of Public Health manage the high expenses for medicine, can be expected to accelerate the medical reform, each social function of letting public hospital and medicine enterprise come back. The expert points out, if 5 measures can be implemented as soon as possible, some can be expected to get instant result and play function, but the expert thinks, five items of measure influence are limited, need to change the interests pattern of raising medicine with medicine from system, could really achieve the goal of restraining medicines with empty and high price. 1.Improve medical procurement to make in five measures that the favorable fair play Ministry of Public Health announces, article 1 " Further reform and improve the medicines centralized purchasing system " Say: " Ministry of Public Health is revising " medicines centralized purchasing behaviour of medical organization " (hereafter referred to as " behaviour ") together with the related departments ,Emphasize again the work of centralized purchasing should adhere to the open, fair, just principle, having further standardized the workflow at the same time, thinning technical requirement. " behaviour " is still required while evaluating medicines, the principle insisting ' quality having priority, price is reasonable ', adopt and appraise the method scientifically, choose medicines ' of high quality and at a reasonable price '. " As to this, Li ChuYuan defending committee's Deputy Director's medical group's general manager of Guangzhou also as the science and education of Guangdong Province CPPCC applauds repeatedly, "the norm is a good thing to the big enterprise like wide medicine, help to form the fair environment. " He mentions, between place and place, because regulations bade and purchased are different to some extent frequently, do not unify in operation, cause and differ with medicine different local medicine prices, the entry threshold is inconsistent, it is a good thing that the country should standardize. In addition, ChuYuan Li mention, have one sound condemn medical representative or agency company when not promoting medicines to hospital at the society, exist and rebate even the commerce bribes, result in holding the high medicine price in the dark, he thinks this way is can and standardize with transparence, "there are academic development expenses abroad, teach the fee in knowledge, they handed in to the hospital, but foreign country has been already standardization, melt in unison, the confused problem does not exist " . 2.The behavioral key is implementing and contrasting 5 measures of Ministry of Public Health to make a diagnosis in norm, among them " advance the national basic medicine system to implement in a more cost-effective manner " , " service act of making a diagnosis of the strict norm " Two items, the course of writing a prescription that involve doctor's making a diagnosis specifically directly. The behavior of making a diagnosis in order to expect to reach and standardize a doctor, guarantee the medical quality and security, control the purpose of the hospitalization cost. The gold health dispensary general manager Zheng HaoTao says, mentions, " further improve the basic medicine and select and adjust the mechanism like the second measure, standardize the basic medicine and bid and purchase the behavior. Sell a difference rate to the basic medicine, submit an expense account the proportion is obviously higher than the non- basic medicine, and implement corresponding compensation mechanism. " This can have the one that obviously relieves to the masses with expensive price medicine, " sell a difference rate to the basic medicine, wipe out proportion, obviously higher than the non- basic medicine, " This means this sum of money needs the country to pay, the government has increased the input in oneself, will go to supervise more dynamically naturally, adjust and control more rationally. The proportion that and the basic medicine takes the daily medicine is relatively high, it is undoubtedly effective to relieve and buy medicines and bear the masses. However, the basic medicine catalogue (part at the basic level) at present Try hard to recommend in the medical organization at the basic level, still there is not a time table at present to the large hospital edition of basic medicine catalogue of the public hospital. Have medical the intersection of circle and personage think this let a loud hospital of doctors " conveniently " Opened " The great prescription " , " high price medicine " ,The medical fee can not be lowered naturally. Vice Chief of Guangdong Province department of public health Liao XinBo shows too, the introduction of the basic medicine catalogue is one way, there is no cooperation of a plurality of departments. Still mention in the measure of Ministry of Public Health, explore and pursue the administration method of sunshine actively, the ones that strengthened and used medicines were managed and supervised, standardized the prescription behavior strictly. Push into clinical route and single number, charge the intersection of system and reform in a more cost-effective manner, norm make a diagnosis behavior,etc.. Zheng HaoTao and many net friends both think, this is not a fresh statement, it is commonplace, the starting point is certainly good, the key lies in being can be implemented conscientiously. 3.Punish the commercial bribery and give temporary relief, last two measures of Ministry of Public Health that increase the input in medical treatment and get a permanent cure: " case of investigating and prosecuting the commerce and bribing strictly " , " relevant job of cooperating with the responsible institution of prices and doing well " ,Attract people's attention most, because this involves people and talks about sneaking the regular question with medicine price interests roller chain and hospital for a long time. Among them, " remain all the time and punish the high-pressure situation that the commerce bribes, meanwhile, it represents the behavioural norm to discuss and make medicine together with the related departments " With " circulate the intersection of link and price differential rate measure improve high to worth medical the intersection of consumptive material and the intersection of price and forming mechanism through restrain from " Two stated, to medical representative and link of circulating of medicines directly, these are the place where the ordinary person think the medicine price produces the trick. Relevant experts think, not merely for the medicine price, it is a due law enforcement behavior of country governed by law to investigate and prosecute the commerce and bribe strictly, Ministry of Public Health has put emphasis on explaining its resolution of strengthening efforts, but this may " tackle a problem on the surface, not at the root " ,Essentially, change the situation of raising medicine with medicine, realize medicine and break up the family, it is a interests roller chain which cuts off high price medicine. It is reported, the proportion of market share of medicines that dispensary and hospital sells is about 2 - 8 at present, the insider points out, after through a series of links of circulating, medicines are when entering the hospital finally, the hospital should purchase this kind of medicine, the leader of the possible hospital has a say, the person of the pharmacy dept. or chamber committee of medicine has a say, the doctor's prescription issues medicine to the patient finally, open and open little more, he has a say too, " the right to speak determines what medicines can enter the hospital, what medicines can sell in the patient's hands, all these involve interests, the returning often talked about also, this part of money, can only be regarded as medicine Inside the cost of the price. This part has already accounted for 15% to 30% at present. "If the government takes the compulsory measure, force down and circulate the cost price of links, this will violate law on the market, will probably cause a large number of pharmaceutical factories in order to cater to the low price, reduce quality, produce inferior medicines, this is not obviously original intention of government's reform. " Zheng HaoTao thinks. Will grow into ZhaoYun and say just as full-time pair of the medical employer's organization of Guangzhou, should really realize medicine and break up the family, the hospital will not make profits by selling medicines, the doctors and agents at all levels reduce the space for seeking renting ring upon ring, this kind of recessive cost which formed the purchasing price of medicines has dropped too, the doctor can suit the remedy to the case to the patient even more too, not swayed by interests. "The key lies in increasing the input in medical treatment! The fund is implemented completely without disputing over trifles each other " ,Doctor Sun of one large-scale hospital has clicked and gone out of difficult position on the net - --Realize as soon as possible " Medicine is separated " Management, operate seperately. The economic benefits while managing of cutting off hospital, doctor and medicines from source are contacted, guarantee hospital and doctor do not write a prescription in order to make a profit, begin to solve this system from origin. The hospital will develop, the worker wants the welfare, the hospital will look for Ministry of Public Health and want the money, but Ministry of Public Health looks for the Ministry of Finance, by the look of present situation, the country has already taken out some money and paid launching a pilot project, it is to a ridiculously inadequate effort to save a grave situation but look from the whole country, but the hospital will survive and continue, the current situation that this decision raises medicine with medicine must last some time, change " raise medicine with medicine " Still very difficult realization of the current situation. So, the country should accelerate strengthening the input to the medical trade, could solve this problem completely. The view has not " lowered medicine price from source at first, what's the use of even cut down 15% of the price differential? It is the development fund which has cut down the hospital, but the government does not refill to the hospital. " Vice Chief of province department of public health Liao XinBo proposes, in the medicines respect of circulating, " the government controls on the macroscopic, go by the market in microcosmic to regulate perhaps the result is better. " "Punish and bribe and stop? " The intersection of net friend and ShiFeng Liu talk in professional jargon line even, basic medicines (need all medicines either) that hospital use Producer price announce and come out to be all right, be let those not got commissions, exposed to in broad daylight medicineses with great amount of profit, make its profit rate get the supervision of ordinary people like this.


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