Jiangsu Province will adjust new catalogue medicines The doctor will prescribe medicines and will be forfeited excessively

Jiangsu Province will adjust new catalogue medicines The doctor will prescribe medicines and will be forfeited excessively
Jiangsu Province will adjust new catalogue medicines The doctor will prescribe medicines and will be forfeited excessively
Involve the national medical insurance medicines catalogue of new edition that national people's administration chose, nip time point at the end announce yesterday, save human resources and social security drawing room transmit human resources and social security portion " fresh to make " at last 2009 version " national and basic for medical insurance, industrial injury insurance and birth insurance medicines catalogue" ( Hereafter referred to as " The new catalogue " ). The reporter finds, compared with " medicines catalogue" of the 2004 version, the new catalogue has increased by 260 medicines, and " national basic medicine catalogue " The therapeutic medicines in China are all received into the class-A part, namely the part submitting an expense account fully. This means, since December, 527 medicines in all have been submitted an expense account fully by the medical insurance. Yesterday, the relevant persons in charge in the medical insurance centre in the province still told reporters, Jiangsu would adjust class-B medicines in the new catalogue, the medicines catalogue after adjusting will be announced by next the end of March. Medicines are increased by 260 newly to it is introduced that the change A can submit an expense account, " new catalogue " It is basic medical insurance, the intersection of industrial injury and insurance and the intersection of parenting and insured fund that pay, effect an insurance the intersection of personnel and the intersection of medicines and expenses and strengthen the intersection of medical insurance and the intersection of medical care and the intersection of policy and basis and standard of management. " new catalogue " Divide Western medicine, Chinese medicine and 3 parts of traditional Chinese medicine decoction pieces. Western medicine part and these two parts of medicines of Chinese medicine, are permitted paying medicines of the expenses by basic medical insurance, industrial injury insurance, parenting insured fund. The intersection of Western medicine and the intersection of variety and 1140, 349 of Class A among them, 791 pieces of Class B; 987 of Chinese medicine, 154 of Class A, 833 of Class B among them; 45 national medicines; Only only allow the insured fund of the industrial injury to permit paying 20 pieces of assortment of Western medicine of the expenses; Only restrict and bear 4 pieces of assortment of Western medicine that the insured fund permits paying the expenses. "Compared with medicines catalogue of 2004 version, the new catalogue increases by 260 medicines altogether, increase 13.7%. Among them class-A medicines have increased by 53, increasing degree is 11. 8% . " Province people protect the relevant persons in charge of drawing room to tell reporters, are used in antibiotic medicine curing pneumonia, bronchitis " the furan of very beginning spore is hard " , " A is very mould and plain " Class-B medicine that waited in the past, all " rank among " this time The class-A ranks of submitting an expense account fully, so far class-A medicines are up to 527. What these increased medicines have been listed in recent years, passing clinical verification with precise curative effect, new medicine with high security. In addition, the new catalogue can be substituted by better medicine to the part in the original catalogue still or the medicines which nobody used are accessed, enable the structure of the medicines catalogue more rationally. B doctor turn on medicines, forfeit until new catalogue make while being excessive, responsible institution retail pharmacy it uses " the the intersection of medicines and catalogue " to be managerial and stricter in fixed medical organization. The department that protects people stipulates clearly, the doctor must accord with the principle of making a diagnosis and giving treatment of of Western medicine while opening the Western medicine prescription this time, opening the Chinese medicine prescription must follow Chinese medicine and construct, manage the principle and pay attention to French side medicine dialectically, mustn't be adopted in principle while being minimum to classify similar medicines under as to every " Superpose and use " . "To diagnosing that opens Chinese medicine, diagnoses that opens unreasonable using medicine, using medicine and drug abuse repeatedly such as Western medicine etc. according to Chinese medicine according to Western medicine, we will define the corresponding punishment measure, and include in the fixed agreement and manage. " The relevant person in charge says, the responsible institution will fully utilize the medicines operating position basic data, the intersection of personnel and the intersection of medicines and consumption and every insurance premium expenditure situation all kinds of analyze to effect an insurance, strengthen the key monitoring of medicines of the large to consumption, expenses with much expenditure. C was shown when being interviewed by media a few days ago by the hierarchical medical insurance Yao Hong, chief of department of caretaker's society department with antibiotic, people society portion go on investigation of using medicine to 150,000 people once, find " the three plain first soup " finally Use the most extraordinarily - -" three is plain " Mean antibiotic, vitamin and hormone are abused, " a soup " Refer to many medical organization see situation that people infuse, " the three plain first soup " ,Not only increase the patient's medical expenses but also bring the adverse effect to the patient's health. To this one " Chronic illness " ,Have defined one in the new catalogue " The hierarchical principle of antibiotic " . Yesterday, the intersection of society and Room relevant person, people of province, explain to reporter, proposed the hierarchical principle, manage in grades according to function of antibiotic, define regulation, what antibiotic to spend when other antibiotic are invalid; What antibiotic could be used when being bacteriology is supportedded; What antibiotic is urgent serious disease or could be used under the guidance of doctors of higher authorities or hospital. Pay close attention to the fact the doctor does not need catalogue medicine, how to supervise? The reporter knows what medicine is cheap to also work well, in fact, " basic medicine catalogue " of country and each province There is a roughly regulation. E before the the end of this year, Jiangsu 30% government run basic unit medical health organ want, allocate, use all and a difference rate sell the basic medicine b, the public hospital will use a proportion of basic medicine according to the regulation too, other kinds medical organizations use the basic medicine preferably as the first-selected medicine too, all retail the pharmacy and allocate and sell the basic medicine. By 2011, all governments run the medical health organs in the basic unit and all allocate and use the basic medicine, and sell a difference rate. Does the key to the question lie in, what if the hospital does not use the basic medicine and take it according to the regulation? The relevant person in the medical insurance centre in the province states outright, in a sense, the medicines catalogue of the medical insurance involves using the medicine choice of national people. "There are an agreement, medicines in how many medical insurance catalogues are used every year between fixed hospital and the medical insurance centre, an important index while examining that it is the management. Doctor, until what medicine patient turn on, in the intersection of medical insurance and catalogue, medical insurance in the center can see through networking, if medicines outside the catalogue are used too much, exceed certain proportion, the medical insurance centre will reduce certain expenses to the hospital, and influence credit rating of the hospital,etc.. " Introduce this persons of person in charge, stipulate catalogues new at time,medicines basics national in catalogue therapeutic last medical insurance medicines catalogue medicineses class-A medicines all already, this, for patient, it is a very tangible advantage too. Encourage prescribing cheap medicine, how to implement? This adjustment, the department that protects people has a " advantage " Regulation: "it take measures Class B after not encouraging on doctoring according to Class A first, inject preparation oral later by preparation, clear up more slowly often first first( Accuse of) Clear up principles such as dosage forms,etc. and choose medicines, encourage the pharmacist to choose cheap medicines in the same assortment dosage form while allocating medicines at first. " That is to say, encourage the doctor while prescribing, allocating medicines in the future, first-selected cheap medicines. But how to fulfill this encouragement policy? As to this, it is " very difficult " to show that province people protect the relevant persons in charge of medical insurance of drawing room . "We have no standard to supervise the doctor's right to prescribe, can only be done the system, policy regulation to the doctor's medical behavior, professional ethics by the hospital. " This person in charge says, the country just puts forward the drum in term of medical fee of a patient is born to lighten and effect an insurancing Encourage doctor first-selected cheap medicine, but this is just advocated, implement, should depend on the doctor's consciousness to a great extent. "Whether moreover, can really lighten patient's burden finally with cheap medicine, it is very difficult to define. " He says, the doctor relies on the clinical application experience to write out a prescription, if the cheap medicine result is not good, course of treatment long, final expenses can may not be certain, little, it would be better, use the intersection of curative effect and fine, the intersection of price and your medicines. Medicines in the catalogue can all submit an expense account to dispel suspicion? A: 100% of class-A medical insurance submit an expense account; Class B submits an expense account in all parts of the proportion to presume a reporter finds, this adjustment is maximum a bit more on by oneself, therapeutic medicines in the national basic medicine catalogue, will all list in class-A medicines. The relevant person explains, Class A is for ensuring medicines, the medical insurance fund should submit an expense account fully according to the proportion, class-B medicines are planed and got rid of the conceited part, submitted an expense account in proportion. But this submits an expense account fully, does not mean using these class-A medicines, the patient needn't pay one fen, but say that needn't bear the conceited part in proportion again, submit an expense account in proportion directly. For example, it buy kind at pharmacy Xiao Wang valued 20 yuan medicines class-A,it suppose whether it is 80% last proportion to medical insurance (submit an expense account all parts than different) ,Then on the 20 that Xiao Wang cost, medical insurance can submit an expense account 16, the intersection of Xiao Wang and individual only pay 4 yuan. And if this kind of medicine that Xiao Wang bought is class-B medicines, then, this medicine will have one to pay the proportion for itself, suppose that it is 50% to pay the proportion for itself, the proportion is 80% that the medical insurance submits an expense account, then Xiao Li will pay 10 yuan for itself first, 10 yuan left, pay 8 yuan in medical insurance, that is to say, buy this kind of class-B medicine at 20 yuan, Xiao Wang wants oneself to bear 12 yuan. It is introduced, the intersection of people and society department stipulates, class-A medicines in the new catalogue, every area can't adjust, begin to carry out and use in December of this year. Class-B medicines, all parts can adjust again according to the pool fund endurance of the medical insurance - -The relevant person says, our province will release local basic medical insurance, industrial injury insurance and birth insurance medicines catalogue before March 31, 2010, and finish newer work of the information management system medicines database of the computer before June 30, 2010. Do not medicines give submitting an expense account outside the catalogue? A: " strange disease " , rescue, use medicine, check, can also submit an expense account promptly Have only a million - ten million or odd as to ill probability those " Strange disease " ,Or use medicines outside the catalogue while rescuing promptly, do not give submitting an expense account? Adjust stipulating, rescue medicines outside the catalogue needed with special disease treatment to clinic promptly this time, set up the fixed reporting system of medical organization and define corresponding verification management. That is to say, are declared and approved, this kind of medicines can submit an expense account. In addition, the department that protects people still stipulates, as to not listing in " medicines catalogue ", but compound medicine composed of Western medicine varieties in the catalogue (including including the great infusion of medicine) ,Last medicines that the prices made up if its price and,it can if you can't treat by medicineses class-B as, pay regulation, concrete management is made by all parts. Qi QingYan


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