The decoction pieces prescription of Hangzhou " Pair is accused of " Face the predicament

The decoction pieces prescription of Hangzhou " Pair is accused of " Face the predicament
The decoction pieces prescription of Hangzhou " Pair is accused of " Face the predicament
Staff reporter Cui Fang Half a year ago, directed against traditional Chinese medicine decoction pieces " great prescription " Messy like,issue Zhejiang Province Hangzhou city " whether accuse of pair " It is it opened of medical organization traditional Chinese medicine decoction pieces prescription let's control flavour of a drug not to be counted after stipulating whether it requiring ' within 18 bad smell /clothes) , write out a prescription price ' 40 yuan / clothes) . The government claims this is one " Flexibility " New policies, the medical organization can relax the requirement appropriately according to the actual conditions. Half a year later, " flexibility " The new policies are stranded " Rigidity " Interests drive, obey yuan of prescriptions, exist still each time, too until " pair is accused of " the policy is challenged " the intersection of decoction pieces and price that soar successively. The new policies issue original intention Hangzhou makes " Pair is accused of " Stipulate, know the real situation and survey and study once because of the end of 2010. At that time, the traditional Chinese medicine decoction pieces " great prescription " reflecting strongly to citizens, the expert The phenomenon, discussing, expert concentrates on commenting on methods such as the prescription,etc. through looking over, nearly specific live in this Municipal Health Bureau, 23 public and private Chinese medicine medical organizations carry on the investigation and know the real situation inside to the main urban area, spot check traditional Chinese medicine more than 3500 pieces of decoction pieces prescription together. The result reveals, the traditional Chinese medicine decoction pieces prescription of this market is generally counted, leant towards many phenomena with the flavour of a drug. The decoction pieces prescription administration of each traditional Chinese medicine was smaller than 10 flavor, only accounted for 1%; Use medicine from 10 flavor to 20 flavor, accounts for 46%; Use medicine 30 flavor in 20 flavor, has accounted for 47%; Ones that are greater than 30 flavor, accounts for 6%. Spot check finding, the greatest prescription administration is even up to more than 40 flavor, " great prescription " The question is especially stressed in the private medical organization. On the other hand, the general price of traditional Chinese medicine decoction pieces prescription is a bit high. View from the point of spotting check the price of the prescription, it is rational overall for the square value of the public medical organization to control, the average side value is less than 50 yuan / clothes, the price that the overwhelming majority unit 7 obeys the prescription is limited to 200 yuan. And the average side value of the private medical organization goes beyond 50 yuan / clothes, 7 prices taking medicine are accounting for 27.8% of 500 yuan in 300 yuan, higher than accounting for 33.8% of 500 yuan, the highest one goes beyond 1500 yuan. Analyze and discover after the prescription, the prescription of high price not only uses several more than of flavour of a drug, but also the frequency which uses rare medicinal herbs is high. Some private Chinese herbalist clinics even regard rare medicinal herbs such as Squama Manis, wild Radix Polygoni Multiflori,etc. as the basic side, nearly each patient uses. The method that some clinics adopt evolution to deduct a percentage, induce and sit the hall doctor and write a prescription, use famous and precious medicine more. Through numerous discussion, in the last ten days of January of this year, Hangzhou Municipal Health Bureau issues the notice formally, use for traditional Chinese medicine decoction pieces and management are implemented " Pair is accused of " Manage, namely count the prescription with the flavour of a drug, the prescription price is controlled, will treat the prescriptions of common disease, frequently-occurring disease, take medicines to count and generally limit to 18 flavor each time, the price is limited to 40 yuan; Meanwhile, know using indication of rare crude drugs strictly; Various malignant tumour, systemic lupus erythematosus, hemophilia, regenerated obstacle anaemia, schizophrenia, renal function are depleted,etc. the medical insurance stipulates treatment prescription of number can be relaxed appropriately, take medicine and does not exceed 50 yuan each time in principle. Hangzhou Municipal Health Bureau says when its official site explains the meaning of this new rule: "Traditional Chinese medicine ' big prescription ' has increased the patient's burden, has wasted the crude drugs resource. The specific medical organization spurts the famous and precious lotion and then disassembles and includes in the behavior that the medical insurance submits an expense account, also damaged the interests of other medical insurance patients. Issuing will stipulate in order to advocate constructing and curing due to illness, will fully reflect characteristic and advantage with safe, effective, economic traditional Chinese medicine. " According to the inspection situation of this Municipal Health Bureau, from January of this year to June, the sales volume of this city traditional Chinese medicine decoction pieces falls a little after rise compared with last year, some clinic sales volume is even reduced by nearly 1/4; In a situation that many kinds of crude drugs of this year rise in price, sign that obviously rise did not appear either in prescription value. The actual effect is queried But the new rule attracts a great deal of questions: The specific unit adopts in execution " Make it rigidly uniform " ,Ignore condition, number, all the intersection of traditional Chinese medicine and the intersection of decoction pieces and prescription of patient " pair is accused of " without exception Citizens query, if a patient suffers from many kinds of diseases such as hypertension, heart disease, diabetes, exercise restraint in, use medicine behind the variety, will it in charge ofs to be so many kinds of disease? Will the doctor decompose the prescription? A patient worries even more, the medicine price is cheap will influence the therapeutic effect. For this reason, some Chinese medicine classics of Zhejiang Province come out to recommend " pair is accused of " one after another Basis: The traditional one uses medicine 7 flavor in 6 flavor through the square, proved recipe; Advocated using medicine in the textbook of Chinese Medicine University 16 flavor in 14 flavor, this fixed limit can meet most patients' demands. Meanwhile, this Municipal Health Bureau convenes persons in charge of more than 40 medical organizations of city to understand the file, will require while operating specifically " Generally " With " special " Distinguished, if the patient suffered from a plurality of diseases, can treat with a certain discrimination, relax appropriately. Stipulate that can " relax appropriately, does not exceed 50 yuan in principle " as to the file Number,should interpreted as: So long as the condition treatment needs, construct and cure, use medicine rationally, does not need to limit within 50 yuan due to illness. It doesn't matter either that traditional Chinese medicine prescription limit and medical insurance submit an expense account. "Under the existing prerequisite of deducting a percentage of evolution, the understanding of the expert's opinion and health bureau, have given it to the doctor, medical organization to the reason of the evolution of ' the priviledges ' of special number exactly. The space of ' flexibility ' of prominent regulation of these statements, I'm afraid that will bring the excuse regarded as going on and opening ' great prescription ' as some medical organizations which trend towards the profit. And the sickly patient, if can't carry on pointed subdivision to the policy for suffering from, strengthen supervision at the same time, there will be more and more situations which disassembles the prescription. " A reputable media person in the locality says to the reporter, if develop according to such a trend, these regulations may become " Furnish " . It's reported by local media that, " pair is accused of " Make after implementing for one month, this city takes medicine each time to exceed 20 flavor, 7 to take medicine the situation of thousands of yuan still exist. The single aspect controls large Hangzhou Municipal Health Bureau of the difficulty to be correlated with taking charge of being called, another difficult point that this job faces is that traditional Chinese medicine decoction pieces rises in price. It is introduced, from the beginning of this year, several of amount of the increase of Chinese medicinal materials price that mainly sells the decoction pieces hall hall of traditional Chinese medicine in Hangzhou are more than 70% equally. The moustache of shop with a history of a century of Israel celebrates Yu Tang as the example, compared with the same period last year, 70 multi-type crude drugs prices obviously rise, the rising range of price that dangshen, crown prince join is up to 400%. "We are reviewing too, under the situation of traditional Chinese medicine decoction pieces with continuously upward price at present, whether it is really necessary to limit prices to the prescription. " Person in charge this say " because limit side in passive status all the time. The standard of this forced quotation is rational today, as soon as the medicine price will rise tomorrow, this standard is unreasonable. " As to this, Wang Guoqiang, Vice Minister of Ministry of Public Health and chief of State Administration of Traditional Chinese Medicine says, what Hangzhou faces is asked The question is representative. The national relevant department will set about stabilizing the price of Chinese medicinal materials, raising Chinese medicinal materials quality, standardizing the reasonable ordered development of the market through the multiple channel too.


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