Radically treating the medicine price empty and high must improve the management system of two yuan

Radically treating the medicine price empty and high must improve the management system of two yuan
Radically treating the medicine price empty and high must improve the management system of two yuan
General Office of the State Council prints and distributes " sets up and standardizes the instruction that the government runs the basic medicine of medical health organ in the basic unit and purchases the mechanism " recently, 15 main measures of proposing setting up and standardizing the basic medicine and purchasing the mechanism. The person in charge of office of leading group of the medical reform of the State Council says, the instruction effects a radical cure " the medicine price is timid and high " The important policy of persistent ailment, it is safe and effective that the purpose guarantees to purchase the medicine to get, quality is good, the price is reasonable, supply in time, make the masses really receive material benefit. " the amount of people's livelihood is difficult that sad " ,Any is one era, it is the feelings at least that the policies person should all possess. No matter how last result is, issue and attack " the medicine price is empty and high " actively The action of persistent ailment, are all worthy to be definite. Can predict, " the whole country is unified " on the market of basic medicine , the implementation in measures such as centralized purchasing, providing and delivering in unison,etc., in attacking the medicine price empty and high, should be able to play a certain role. Whether could effect a radical cure " The medicine price is empty and high " Persistent ailment, await practice to examine. From 1997 to November 30, 2010, the development and reform committee had already carried on basic medicine 26 times and made a reduction, and the ranges of each reduction are above 15%, the highest one is also up to 40%. However, the result is unsatisfactory, " ask exorbitant charges " , " medicine makes a reduction to disappear " Wait for bad phenomena to still generally exist. Cause " the medicine price is empty and high " Origin where on earth? The medicine price regulation of the development and reform committee is such: Implement the government issused price to medicines which enters the medical insurance catalogue, medicines beyond the catalogue implement the price decided by market demand, price by medical enterprises, submit to province Price Bureau for record. And the medicine to circulate at present, medicines beyond the catalogue account for more than 80%. To " enter medicines of the medical insurance catalogue " With " medicines beyond the catalogue " ,Implement management of two yuan, this's the empty high origin of the medicine price. Under this kind of two yuan management, medical enterprises give medicines and price by oneself, submit to province Price Bureau for record, province Price Bureau will seldom interfere too much, to a certain extent, actually give up the adjustment of most medicines prices. And the country where the health care industry is done well in the world, the government adjusts and controls the grasp of right to the medicine price, all very strict. The medicines price of U.S.A. is jointly negotiated the fixed price with the hospital, insurance company and federal government by pharmacy enterprise and seller, social HMO, and the restraint of " medicines competition bill " and " prescribed medicine is competed for the bill "; Britain has made the system to that factory's forced quotation happens to pharmacy enterprises; Nearly all prescribed medicine enters the catalogue of submitting an expense account of national medical insurance in France, fix the price by government without exception, in addition the French government has system on a price reduction by force of a set of medicines; Russia limits the upward index of the price of medicines through " medicines law " and " Decision on adjusting the price of medicines "; Japan is similar to France, all prescribed medicine enters the medical insurance catalogue, there is 15000 multi-type in all on the whole, implement the government issused price. Though foreign method can't be totally imitated and shone set, in others' success, can always find the place to deserve study. For example, as to the pricing of medicines, by consumers (common people) , hospital, pharmaceutical factory, pharmacist, government confirm, sure than have the final say, take by the intersection of medicine and enterprise kind totally jointly; Bring all prescribed medicine within the series of the government issused price, may be more effective than present two yuan management system; The complete public service of public hospital, definite than " raise medicine with medicine " , " Israel is ill to raise the institute " Accord with common people to look forward to. 15 measures of the State Council, it seems that it is strong to employ, but two yuan management system is not moved, medicine enterprise medicine discusses the countermeasures of can find ing, let " the sheep head hung is turned into dog's meat " ,Let effective measure make, exert oneself, effect a radical cure " medicine price timid and high " Original intention could realize,on become doubt. (Ye Lei)


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