Jiangsu carries out the new catalogue of basic medicine The price is lowered thirty percent more averagely

Jiangsu carries out the new catalogue of basic medicine The price is lowered thirty percent more averagely
Jiangsu carries out the new catalogue of basic medicine The price is lowered thirty percent more averagely
From January 15, all governments in Jiangsu run community's hospital and carry out the new basic medicine price catalogue, because of adopting the new bid principle, this biding price has compared the last round ofly and lowered 33.75% on average. However, the one that attracted people's attention most is, the hospital, pharmacy of Jiangsu Province can divide up packaging to some basic medicines, and the one that allow to collect 1 mao " Dismantle a service charge " . In fact dismantle a medicine and was familiar with in the past by used " The small paper bag " Medicine has already rare in recent years. Yesterday, bulletin reporter visit the intersection of Nanjing and the intersection of city and many of hospital find community hospital there are " little paper bags " Dismantle zero medicine. In addition, there are experts that should adopt " piece together medicines " to propose the major operation of the large hospital too The way, the medical fee saved like this is very considerable, solve one of the expensive effective methods of seeing the doctor too. Bulletin reporter Liu Jun The reporter investigates " small paper bag " There are many medicines more than ten kinds of reporters went to the institute of traditional Chinese medicine in vain to visited the first stop. Lu Ying, section chief of pharmacy dept., says: "We have counted it, the about price of 100 multi-type medicines declines at various degreesly. Especially Sino-foreign joint venture medicine, is about one yuan for ten multi-type decline. There are 559 kinds common names of medicines in the last round of basic medicine catalogue, totally 2183 product rules, and this has 588 kinds, more than 1600 product rules. Our hospital probably has medicines of 700 kinds of product rules, should say that can meet resident's demands. " "Compared with the situation that the last round of, medicines of this small paper bag are really much more. I look carefully, many medicines are all 1,000 packaging of whole bottle, can not sell at all if not dismantling zero. Medicines like vitamins such as vitamin B6, B2 are all whole one hundred packaging, must dismantle zero too. " The statistics show, this hospital dispensary dismantle zero the intersection of medicine and total number for 20 multi-type, ten multi-type than before more. Lu Ying says, though medicines of the small paper bag are sold not numerous, it is really very convenient for patient, "one bottle of chlorpheniramine has 100, dismantle just 3 fen for each one of retailing. There is vitamin A,etc., are all citizen daily medicine, inexpensive, curative effect is very good. " Institute of traditional Chinese medicine while building under dismantling a medicine and was divided into three major kinds of reporters to lie to Nanjing without worrying the way was white shortly afterwards in the community, here stops the community health Center of horse's camp, sell a difference rate of basic medicine too, medicine Corey has 800 multi-type medicines altogether. In this institute dispensary, set up odd medicine cupboards put and dismantle a medicine, the only " little paper bag " which we say often specially already Medicine, there are 30 kinds of Chinese and Western medicines altogether. According to the introduction of person in charge of pharmacy dept., the community dismantles a medicine and is divided into three kinds: First, must dismantle the medicine retailing while going to the hospital in present policies. Probably there are more than ten kinds of this part of medicines, " it is register such as the patient at public expense of the province, but it is limited to give the community restriction total value of a hospital every year, we calculate, if the patient at public expense of the province comes to buy medicines, a prescription is 25 yuan at most, so we can only dismantle medicines zero to sell sometimes. The most common one is that ' hold in place with a net alive and like ', a box of daily medicine of such therapeutic hypertension is about 30 yuan, will open and sell soon at this moment; Secondly, it is large-size medicines. In the dispensary, promise Fluorine sand star of the biggest bag has 50 boards, there are 12 on every board, dismantle 1% of the boards to sell, just 6.6 yuan for a board; The third kind is daily medicines that small bottle packed, there are many people that these some medicines take, but each bottle is about 100 grains, the patient buys back and wastes, so dismantle and retail, 1-3 fen for one just comes down on average. " Hope to click more " The small paper bag " Medicine is playing Ms. Li that the institute of traditional Chinese medicine sees the doctor for 52 years old this year in vain, she often comes to the hospital to write a prescription, "the doctor advices while taking depressor, need to add and take chlorothiazide one of half a stretch of hydrogen. This medicine costs just more than one point of money for one sheet, really very cheap. " The doctor of community's hospital tells reporters, there is a kind of function in this medicine that Ms. Li mentioned diuresis, especially suitable for dismantling retailing. "For example someone come over make Ultrasonography B, check, need, take two, let patient buy household may spend and then while being loud so either more, relatively suitable for dismantling zero. " Ms. Li tell reporter whether can hope hospital more such light paper bag, in fact she still hopes chlorothiazide slice can be made a bit smaller in hydrogen, preferably every tablet amount is 10 milligrams, needn't cut half by oneself before so taking each time, " this medicine is softer, apt to cut powder, it is not very convenient to take. " Have expert think for dismantle zero medicine, manufacturing enterprise take positive action even more, want, try every means, dismantle zero while being convenient on not packing. "Such as the first aid medicine Nitroglycerin of coronary heart disease, though there is only 2-3 yuan for each bottle, the price is very cheap, but this medicine is apt to suck the tide, once it is apt to enter the air to open, remaining medicine will fail in a few days. If the manufacturing enterprise makes the powder charge of bottle into packing with paper of aluminium foil, this question can be easily solved, certainly the cost should increase some slightly. " With high costs, " conflict " a bit Dismantling zero in visiting and investigating, the expert of hospital of a large-scale the first, second and third of Jiangsu says, there are very few medicines of inner wrapping in the hospital at present, except that policy restraining from, some patients of medical insurance can't exceed certain amount of money, hospital and have to dismantle retailing while purchasing medicines, most medicines are not dismantled and sold retail. One of the most key points is, the cost is too large. At present, what medicines the related departments of Jiangsu do not have hard and fast rule can dismantle zero, medicine supervise department require pharmacy set up dismantle zero special counter, to what variety dismantle do rigid to require by zero only, the same too to the hospital. "However, no matter the pharmacy or hospital, all to dismantling a little psychology of the natural ' conflict ' of a medicines. " Carry out in the new basic medicine catalogue this time, stipulate in the notice of the price department of Jiangsu Province clearly: For encourage low priced use of medicines, to dosage form being tablet, capsule, the intersection of packaging and (50 / grain and the above) in large quantities , one piece (one) The biding price is lower than 0.03 yuan (including 0.03 yuan) And take the course of treatment within 3 days (including 3 days) Basic for medicine,it is dismantle by zero service charge not to last 0.1 yuans / that time. An expert in the community health Center says, community's hospital has not charged this sum of expenses in the medicine to dismantle zero yet at the moment at present. "On medicine at several fen altogether, add for one year and can not even sell and dismantle a medicines more or less, community's hospital may consider the nearby patient's demand, will carry on dismantling zero of some medicines, the large hospital does not worry about a patient, there is enthusiasm little. " And another reason conflicted is, the medical dispute and complaining that medicines initiate after dismantling zero. Watch the intersection of medicines and gift box because of consumer, have no way of, understand medicines side effect wait for attentive matters or take taboo, the phenomenon apt to take medicines by mistake, " No anything not bad will happen, it is very serious once the thing consequence happens. So, our medicine to dismantle zero is only concentrated on some daily medicines. " The expert of hospital of this the first, second and third says. Relevant to chain median cold drug of overdue medicine most according to a survey of East China big city, there are 215 overdue medicines in the family of each city on average, 30% to 40% among them exceed the term of validity in more than 3 years. And medicines caused by the fact that overdue are wasted, reach 15,000 tons in one year. The reporter has interviewed five patients such as Ms. Li in the hospital, they tell reporters, full of all kinds of cold drugs, cough medicine, help medicine digested in the small medical kit of the family, will clear up appear one while being fixed, cold drug to waste not most serious among them. Ms. Li says: "Cold drug divide white slice and night slice into now, eachth cold drug whether white sheet spend the night one more, needn't eat white one the next day after I eat one overnight in the evening sometimes, the result caused white sheet not to find more night slices. For eat night slice, go, buy one box again, go round and begin again vicious circle. " Exist and waste seriously The consumptive material of operation needs even more " Dismantle zero " Medicines are dismantled zero is sold, it is a good thing naturally that ordinary people can enjoy material benefit, but dismantle a medicines at present not only the variety lacks, but also most concentrate on basic medicine variety. In fact, in the large hospital, the consumptive material of operation has serious waste, need to " dismantle zero " even more ,Can even introduce " Piece together medicines " Mode. Nanjing the intersection of city and the intersection of children's hospital and XuMing Mo, head of the department of surgery of heart, tell reporter whether I the intersection of national champion and the intersection of skill and the intersection of room and high the intersection of value and consumptive material implement the strict bar code system at present, realize " a person No. one " ,Once the consumptive material can't be used for other patients any more when sealing off. The purpose to do it in this way lies in making the security of patient's operation improve, the convenient hospital carries on goal examining and scientific management too, but this will bring wasteful use of resources and patient and bear the question that increases inevitably. Take artificial blood vessel of the heart as examples, generally one is 10,000 to 20,000 yuan, the length that different patients use is different. "The manufacturer produces according to unifying the specification, but each patient's demands are different, even if only need 1/10ing will all buy. That is to say even if the patient spend several only, remaining to take, throw away, this causes enormous waste. " He introduces, the same situation still exists in the heart conduit, once heart conduits checks needs of as many as ten thousand yuan, use once to no longer use, but the heart conduit of high quality can be used repeatedly now, "if pay attention to the easy safe problem of sterilizing etc., can well save this sum of expenses for patients, but the current regulation does not allow the hospital to do so. " Science distributes and can save a large sum of expenses Perform the operation and " piece together medicines " Result better Mo XuMing in Huimin introduces, in American-European countries with developed economy, have already implemented the system of account keeping in batches of consumptive material of high value for many years, and obtain very good achievement. "The advantage of this system is, the all right many people's use of consumptive material of the high value. " Director Mo proposes, if our country can assign science to the high value consumptive material of operation, can well save a sum of big expenses. Certainly, should manage the strict security procedure to the consumptive material of high value too, prevent cross infection. "Consumptive material of high value is not a lot of, so long as declare, put on record and make, make and sterilize the regulation for use again, it doesn't have any question to sterilize the normal, safe norm. Take children's hospital of Nanjing as examples, annual surgery quantity is up to more than 16,000 persons, cardiac surgery is up to for a thousand times every year alone, if the operation consumptive material can be realized and dismantled zero, kept accounts in batches, only this can save the very considerable expenses, compare the money buying basic medicine catalogue medicines and saving, the result in Huimin will be more prominent. " Three or four infants use dividing a medicine The large hospital " Piece together medicines " Actually there is precedent at home, the big hospital " pieces together medicines " It is not anything new at home, have such precedent in Lanzhou, Nanchang,etc. much. In a hospital of Lanzhou, three or four infants use dividing a medicine together, so not merely spend sparingly, also avoided the waste of medicine. A baby girl of 40 days of premature delivery, her family find while treating, closing the account, save the expenses for medicine of nearly 2000 yuan together. Because the infant that the new born pediatrics of this institute accepts for medical treatment is generally mostly early newborn baby, have a lot underweight kilogram of ultralow the intersection of weight and early newborn babies, the the intersection of infant and using medicine quantity to be very little each times a day, a lot of valuable antibiotic uses 1/3 which encapsulate the dosage at most, because the medicine can only be used on the same day after opening, this causes medicines left to be abandoned, thus become medical rubbish. Then, the local doctor has thought out the method which pieces together medicine. An expert tells reporters, in fact foreign quite a lot charge according to number, and our country charges according to the project, " after charging according to number, the same price of the same disease, in this way the hospital will try every possible means to save the cost, but charge according to the project now. Not long ago, Chen Zhu, minister of Ministry of Public Health, criticized and charged for cancer according to the project, but doctors and patients' mutually distrust still occasionally at present, doctor for responsibility of exempting, it spells ways of medicine to be very much difficult to realize in the environment. "


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