Traditional Chinese medicine of Hangzhou - forced quotation order - full moon One hundred yuan for each piece of reality still exists

Traditional Chinese medicine of Hangzhou - forced quotation order - full moon One hundred yuan for each piece of reality still exists
Traditional Chinese medicine of Hangzhou - forced quotation order - full moon One hundred yuan for each piece of reality still exists
Yesterday afternoon, one druggist of traditional Chinese medicine pharmacy in Hangzhou was making up the prescription. Yesterday morning, on the corridor of department of traditional Chinese medicine of Red Cross, Hangzhou hospital, the patient waiting for going to a doctor sat, the topic that everybody had a chat most is the traditional Chinese medicine forced quotation order that Hangzhou implements at the end of January this year. At the end of January of 2011, Hangzhou Municipal Health Bureau issues the notice on strengthening decoction pieces prescription management of traditional Chinese medicine, for treating the prescriptions of common disease, frequently-occurring disease, require each piece of administration to be limited to 18 flavor, limited to 40 yuan at the price, the purpose is to lighten the seeing the doctor and bearing of ordinary people. Traditional Chinese medicine forced quotation make namely the full moon in an instant. In this month, how is the implementation to the new regulation of every large hospital? What response does the patient have? New contradiction and question have appeared Yesterday, the staff reporter visited many medical organizations of Hangzhou, did an investigation to the implementation of the new regulation. Find the public hospital basically up to standard, but the private hospital encounters awkwardness. [Public medical organization ] is 27 yesterday mornings for each piece for 10 prescriptions, Hangzhou knew department of traditional Chinese medicine of hospital red. "I often feel that there is not strength all over, look for the old docter of TCM to write a traditional Chinese medicine prescription and eat and eat. Already several times, it is very efficacious. If change into Western medicine, it is estimated that a doctor does not know what medicine is for me to prescribed either and deserve. " One seemed to be just waiting for going to a doctor to the master worker of the retired age, he said generally more than ten yuan for each piece of traditional Chinese medicine that a doctor prescribed oneself, "we are older, relatively believe Chinese medicine, pays close attention to very much as soon as Hangzhou issues traditional Chinese medicine forced quotation to make. It should be a good thing, the starting point is saving money for us at least. " The master worker says, the daily medicine recuperating the body that oneself opened, and all enter the medical insurance, do not have several yuan partly to pay for itself. Reporter in red to know the traditional Chinese medicine pharmacy of the hospital, bring 10 prescriptions turn on on February 18 at random subsequently, calculate briefly, find average price of each piece is 27.59 yuan, far lower than the forced quotation of 40 yuan / card; But in the flavor is counted, two exceed 18 flavor. "To our public hospital, forced quotation and limit medicine of traditional Chinese medicine decoction pieces do not have very obvious influence, because before appearing on the stage in new regulation, our medicine price is lower. " Traditional Chinese medicine pharmacy director Wang Bin of the hospital says that it is known that red. (auspicious to see the following form) [Seven pieces of medicines and thousands of yuan situation of private medical organization ] still exist for yesterday afternoon, monarch's hall traditional chinese medical science clinic of general term for paulownia, phoenix tree and tung tree of Hangzhou, the patient waiting for going to a doctor is likewise numerous. Will it be about 4 o'clock afternoon, live lady Xiao, stadium of way propose a big bag of traditional Chinese medicines, go home. "I am that a heart is not good, the stomach is rotten, and there is serious vascular sclerosis, have already seen for more than one year at y doctor's place. " Ms. Xiao says, " when seeing traditional Chinese medicine forced quotation news before year, I am extremely worried, the sickly person as I, each piece of medicines had more than 20 flavor in the past, reduce to 18 flavor now, certain some diseases can not be cured. So I require the doctor repeatedly today, must open as before. " Finally, doctor give medicine that Ms. Xiao turn on have obvious difference with before, each medicine still have 20 more than bad smell traditional Chinese medicine, more than 1000 yuan of price for seven pieces of medicines. Have such as resembling ladies the patient of the idea is not small number. A pair of old couple coming from Huzhou, one has hypertension, one has coronary heart diseases, see the doctor at the hall y doctor's place of monarch of general term for paulownia, phoenix tree and tung tree for a long time. "Seven pieces of medicines of ours are generally all about 1500 yuan. " What husband and wife worried about together is: The medicine price is cheap, whether will influence one's own therapeutic effect? [Famous old docter of TCM ] Marked price of the commission that the private doctor of medical organization writes a prescription Since the health bureau has already said clearly that opens " The great prescription " There is any consequence, why also have doctors intentionally? The requiring a factor among them of the patient, but the interests trend towards making it may be still more important reason. Have been the insider for decades in medical trade according to one to reveal, the doctor of the public medical organization writes a prescription, will try hard to help patients to save money generally, because medicine is prescribed and prescribed little more, does not have a direct relation with him. But private medical organizations are different, each commission which doctors can get after writing a prescription, all marked price, the low one, about 8%, the high one is among 13%-15%. 40 yuan for each piece solves the general disease enough " each piece of medicines does not exceed 18 flavor, 40 yuan, has already solved the patient's general problem enough. " The expert of dept. of dermatology of institute of traditional Chinese medicine of Hangzhou, provincial famous Chinese medicine Wu are said as continuous heavy rain, practise medicine for decades, they are doing so, will not influence because of new regulation at all. National-level famous Chinese medicine, famous Vice President of academy of traditional Chinese medicine Professor Chen Italy of Zhejiang Province, except thinking the new regulation is rational and essential, also explain the reason to support. "Chinese medicine prescription on it is traditional from ' you, official, assist, make ' make up, exceed 18 flavor generally, very rigorous. According to present level, 18 medicines, 40 yuan forced quotation, can already deal with the general internal medicine department. So, carry out according to this regulation now, it should be more rational. " Italy Chen say, " flavour of a drug and dosage of traditional Chinese medicine, are not directly proportional to with the drug effect sometimes. Take decocting medicinal herbs as an example, there is a degree of saturation while decocting medicinal herbs, when the medicine juice reach saturation, the traditional Chinese medicine that it is much famous and more precious to be put goes down, the drug effect will not increase at all, just waste. " Moreover, it is entered, fried if too much traditional Chinese medicine put in a pot quickly, mineral medicine is sinking the followingly, the grass medicine floats above, make some traditional Chinese medicine unable sufficient boiling in this way, influence curative effect. [Advise ] forced quotation should adjust the director of traditional Chinese medicine pharmacy as Red Cross, Hangzhou hospital with the price, Wang Bin has already made the dealings for more than 40 years with traditional Chinese medicine, in his view, Hangzhou Municipal Health Bureau gives traditional Chinese medicine decoction pieces forced quotation and limit medicine, it is viable in general cases, but can't make it rigidly uniform either. "Traditional Chinese medicine decoction pieces is the agricultural byproducts, can follow composition and matching like Western medicine, produce at random. Influenced by natural environment and social environment, the price will be produced and fluctuated greatly. " So, director Wang thinks, the health bureau should carry on the adjustment in time according to decoction pieces quotations of traditional Chinese medicine to the forced quotation amount of traditional Chinese medicine decoction pieces. In addition, Chen Italy a bit more supplementary Professor: "Disease met on clinic is very strange, will unavoidably present each piece of prescriptions over 40 yuan sometimes. When meeting this kind of special circumstances, I think the health bureau should make a piece of corresponding examination and approval procedures too. " [Health bureau ] determines whether to adjust the new regulation as deserving the main administrative department that Xiang Xin stipulates or not according to actual circumstances, yesterday, the Hangzhou person in charge of the place of doctor of traditional Chinese medicine of Municipal Health Bureau said, up till now, the new and fixed overall performance is fairly all right. But now is still at each medical organization checking, correcting stage. After until March, the health bureau will carry on a summary and assessment to the implementation of the whole city. According to actual circumstances determine otherwise Adjust the new regulation. In addition, there is no doctor to punish up till now, if ordinary people have similar appeal or relevant question, all be to Ministry of Public Health? Is Europe from the field? The news is chained the end of January of 2011, Hangzhou Municipal Health Bureau issues the notice on strengthening decoction pieces prescription management of traditional Chinese medicine, for treating the prescriptions of common disease, frequently-occurring disease, require each piece of administration to be limited to 18 flavor, limited to 40 yuan at the price, the purpose is to lighten the seeing the doctor and bearing of ordinary people. Find the investigation to nearly 3500 pieces of traditional Chinese medicine decoction pieces prescription of 23 public and private Chinese medicine medical organizations in the main urban area before Hangzhou Municipal Health Bureau is annual: First of all, in counting with the flavour of a drug, administration of each piece of prescriptions was smaller than 10 flavor, only accounted for 1%; Use medicine 20-30 bad smell, account for 47%; Use medicine 10-20 bad smell, account for 46%; Ones that are greater than 30 flavor, accounts for 6%; The greatest prescription, more than 40 flavor that even use medicine. But generally there is a phenomenon of using several more than of flavour of a drug in some private medical organizations. Secondly, at the price of prescription, it is rational overall for the square value of the public medical organization to control, average the intersection of side and value less than 50 / card, overwhelming majority limit 7 price of prescription to 200 yuan. But some private medical organizations, obviously have " great prescription " of a bit high price Phenomenon. The price of 7 pieces of prescriptions has accounted for 28% in 300-500 yuan, the ones that are higher than 500 yuan have accounted for 34%, the highest one goes beyond 1500 yuan, each piece of traditional Chinese medicine costs 214 yuan.


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