The hospital of community of Hangzhou: First does not try by the hospital that sell medicines and make money

The hospital of community of Hangzhou: First does not try by the hospital that sell medicines and make money
The hospital of community of Hangzhou: First does not try by the hospital that sell medicines and make money
Staff reporter Zhang Ran Mr. Xu suffering from diabetes should have four injection every week " The promise is and efficacious " ,This kind of needle retail price is about 70 yuan for each one, it is class-A medicine of medical insurance. The same injection, mix in different hospitals, but the price is different. If in the large provincial hospital, needs to bear more than 10 yuan, if mix in the ordinary community hospital oneself, since will have already paid more than 5 yuan, and is carrying out " a price differential " Celebrate the tide to chirp in community's hospital long in Hangzhou that medicines are sold, so long as less than 4 yuan. Hangzhou long to celebrate tide chirp the intersection of community and hospital take out first make according to medicines catalogue that bid sell by oneself as early as three years ago, do not try by the hospital that sold medicines and made money as the first of the whole country. The act that the national basic medicine system, this medical reform, opened ice has been just tried, the medical reform experiment report over the past three years of this hospital can answer all sorts of queries whether people could cure the medical system persistent ailment to the new medical reform exactly. " a price differential " : The scalpel is directed at " Raise medicine with medicine " Analyse and explain and see the doctor expensively, should solve the medicine price high first. And it is high to analyse and explain the medicine price, and also solve " raise medicine with medicine " first ,This is one and a chain of rings. A price differential seemed to be the hospital to only make concessions on 300 kinds of daily medicines, but the profound level that its back is the whole medical system is reformed. This lies in the community hospital in an ordinary small building of three storeys of urban area under Hangzhou, having made the first daily medicine catalogue of the whole country in May of 2006, the medicines hospital which entered the catalogues all sold according to the bid, do not add by one fen, does not make one fen. This catalogue involves 17 big classes and 300 kinds of clinic and basically uses medicine, including common medicines such as acute disease, hypertension, diabetes, cardiovascular chronic disease, cold, inflammation,etc., generally the medicine needed to see the small disease in the community is nearly all included. "The hospital generally adds by 15-20% and sells on the basis of bid of medicines, this is different reasons of medicine price of different hospitals, "Long to celebrate tide chirp secretary of community hospital Zhu YueWei say " and if the hospital can make sure to sell according to the bid, the patient can enjoy the relatively cheap medicine price. " Make the urban health bureau introduction according to municipal Hangzhou, this catalogue revises several times too according to the request of patient. Implement, come down three year, material benefit that patient receive, obviously, a most benefited one want, belong to the intersection of chronic disease and patient, for example long-term each patient needing to take medicine in month such as hypertension, diabetes, so long as they choose medicines in the catalogue, it can be with one hundred yuan of minority to come down in one year. It is reported, one storey of medical organizations of foundation such as Beijing, Shanghai, Chengdu begin to try a price differential medicines to sell in succession too at present. 307 kinds of basic administration involve thousands of medicine varieties, has contained almost all the daily medicines. The hospital if the single cent is not earned, by what to survive, develop? "Community's hospital was subsidized by some difference in the country originally, the majority should support oneself by one's own creating income, expensive situation of creating income in order to see the doctor mainly. " Zhu YueWei says " funds of all of hospitals are the budget management now, the pressure that do not create income. " It is reported, Ministry of Public Health began to put out the hospital ' accepted, propped up two lines ' at the basic level to reform in 7 provinces and cities including Zhejiang in 2006, the hospital income is submitted to the finance, the necessary expenses of the hospital is appropriated separately by the finance. "Budget management stand up, become favourable behavior, contain hospital and the intersection of doctor and provision medical some of system. " Zhu YueWei says " this is basic motive force and foundation of pursuing a price differential of national basic medicine. " It is reported after hospital create income by oneself no longer, finance want, replenish hospital to be 1 million yuan about every year. "The finance will be rich in the future, don't talk about 300 kinds of medicines, 400, 500 kinds of medicines and a price differential will all do. " The financial personnel of the hospital of this community say. The small hospital goes ahead of the rest: " have a headache and cure the foot " Its act? It is reported national at county level under medical organization use medicine quantity account for 15% about only in whole medical system, and the national basic medicine catalogue pursues only within this range at present. Many people suspect, such a basic medicine catalogue is only a " image project " ,The form is greater than the content, " have a headache and cure the foot " ,Can't shake fundamentally " It is difficult to see the doctor " Difficult problem of this people's livelihood. Some patients point out, see the doctor and is valued for the large hospital expensively, diagnose a disease in the clinic or medical organization at the basic level, the cost of small disease is not very large. The national basic medicine system is only directed against the medical organization at the basic level of the following at county level at present, expect the medicine price to really come back now, it is early. But long to celebrate tide chirp the intersection of community and the intersection of hospital and a group of statistic in most recent three years let the experimenter see the hope - --Pursue a price differential medicines to sell, because there are 300 kinds of daily cheaper than other hospitals especially large hospital medicines, the clinic quantity of the hospital of these community is increasing at 20% of the speeds of every year. There are very few callers in the hospital at the basic level, the large hospital is overstaffed, ordinary people, when complain that it is difficult to see the doctor, a large number of medical resources are actually in course of leaving unused. Small disease, common disease, chronic disease, frequently-occurring disease that and the general orientation of the medical reform is exactly to let and diagnosing clear chronic disease is treated in community's hospital nearby, let the limited high-quality resources of large hospital can serve patient needing badly it. "The patient comes back to the small hospital, small disease does not go out of the community, it is difficult and essential for this pair to analyse and explain and see the doctor. " Zhu YueWei says. In fact, though the national basic medicine system is only directed against the hospital at the basic level at present, can only limit great prescription phenomenon of the hospital at the basic level, but the medicine catalogue of this edition at the basic level one tries water, just for the real implementation of the national basic medicine system in two tertiary medical organizations. Initiate in the whole country " Zero is paid for itself " In fact, it is only one of the special treatment which the local enjoys to buy medicines in a price differential. In long to celebrate tide, chirp the intersection of community and hospital, many patient show their " reduce or remit Carlos " to reporter ,So long as has applied for this Hangzhou that reduces or remits the card and played urban residents, still can enjoy greater favour: 307 kinds of basic medicines of the national regulation, the hospital not only sells with the bid, but also patient bears 8% part and all reduces or remits, this celebrates the tide to chirp in community's hospital and initiate in the whole country " Zero is paid for itself " . In community's hospital, the personal conceited proportion of class-A medicine is in 8%, 300 kinds of medicines, 200 multi-type is all class-A medicine, in other words residents don't pay while mixing these medicines. Want conceited diabetic injection at 10 yuan in the large hospital " The promise is and efficacious " ,Hangzhou makes the urban deductions and exemptions card, patients do not need to pay the single cent. The reporter plays the urban health bureau to know from municipal Hangzhou, begin to play the hospitals of six urban communities to all implement " zero is paid for itself " in January of this year ,Has already released and reduced or remitted 160586 cards totally in the lower urban area, medicines use the total of more than 12,600,000 yuan of amount of money in the catalogue, reduce or remit and the amount of money of interest concessions Reach more than 1,520,000 yuan. Compared with a price differential, a temptation paid for itself is greater. But reducing or remitting the money lost will undertake by the district government, playing this urban exploration can be popularized on a large scale, depend on the financial capability of all parts. Only chirp in a point of the hygiene centre of the community damply, will estimate in 2009 the district government replenishes and reaches 1 million yuan.


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