The People's Hospital of Jiangsu takes the lead in managing on behalf of another in the pilot dispensary The medicine price lowers 10 on average

The People's Hospital of Jiangsu takes the lead in managing on behalf of another in the pilot dispensary The medicine price lowers 10 on average
The People's Hospital of Jiangsu takes the lead in managing on behalf of another in the pilot dispensary The medicine price lowers 10 on average
The pharmaceuticals of Nanjing starts " The medicine thing service item " " manage on behalf of another " The dispensary of the People's Hospital of the province, under the current mode, the medicines profit is concerning the existence of the hospital, and how to reduce the medicine price let common people get material benefit, it is the focus that the medical reform has been paying close attention to all the time. Yesterday, the medical Limited Company " medicine thing service item " of Nanjing The overall start-up meeting is held in the Great Hall of the People of Nanjing, the reporter knows from meeting, the medical procurement of the People's Hospital of Jiangsu Province, will all transfer to pharmaceuticalses of Nanjing and make arrangements of in the future. Province people's medicine becomes and takes the lead in trying water in the hospital of the first, second and third of our province too " The dispensary is managed on behalf of another " Hospital. Insider say until the intersection of medicine and thing serve, start, dispensary, druggist serve " Face Changing " ,And how much medicine price can be fallen also need time to examine. To the exploration of the reform of the dispensary, the forefront of going straight in the national reform in Nanjing. The reporter knows, the medical Limited Company of Nanjing and the People's Hospital of Jiangsu Province have already signed the contract on January 28 from yesterday's meeting. The logistics is built and launched in the People's Hospital, drum-tower hospital and the first hospital of market of Nanjing, Nanjing of Jiangsu Province soon within medicines of the new tertiary first rate hospital. This means, " medicine thing service mode " with managing on behalf of another in the dispensary at the core Will launch formally. This company reveals, the cooperation with more tertiary first rate hospitals is in negotiation too. "Each there is division of labour in the hospital and medicine of Nanjing, duties are clear. The focal point of the work of the hospital will get back to and make a diagnosis to the patient, and the monitoring of medicine bad reaction comes up. " Province people's director Wang Hong says. It is reported, " manage in the dispensary on behalf of another " Later, medicines will be stuck " bar code " ,Depend on recognition technology, all links that medicines circulate will get the record, it is easier for monitoring and responsibility of the medicines bad reaction to trace and track back. How to implement " the dispensary is managed on behalf of another " How to operate specifically? " medicine thing service item " Core that hospital dispensary manage on behalf of another Co., Ltd.s medical from Nanjing. " the dispensary is managed on behalf of another " Later, how will specifically operate? Medical Limited Company director, Vice President Ding FengJun in Nanjing introduces, " medicine thing service item " After starting, the hospital draws the medicines list according to the needs of administration, by the medical centralized purchasing of Nanjing, the hospital will no longer participate in purchasing links. Besides essential stock, the purchase, storage, delivery service of medicines will be responsible for by medicine of Nanjing too. Four asks the dispensary is managed on behalf of another Price of medicines " The moisture " ,It is the open secret. The medicines prices of the medical organization are often higher than the market price, some costly medicines, mentions the price if the hospital often changes a name, the patient is often ignorant. After the dispensary is managed on behalf of another, can the expenses for medicine be really lowered, it is the question that the patient cares about most too. Medical Limited Company director Ding FengJun in Nanjing tells reporters, " medicine thing service mode " It is actually a upgrading edition deposited in dispensary. Second hospitals such as Ye hospital under construction,etc. launch a pilot project too before medicine of Nanjing, through counting, the pilot medicine price has lowered 10% on average. The dispensary is " managed on behalf of another " How to play a role in reducing the medicine price? Ding FengJun says, there are first class storehouse, the second storehouse in the hospital dispensary, have stock too in hospital, medicines have stored and consumed very big material resources and manpower, this departmental cost originally needs the patient to " check " . The dispensary is " managed on behalf of another " Later, reduced the intermediate link, reduced the total cost, would lighten patient's burden finally. Director Ding FengJun still shows, the dispensary manages " middle cost " also reducing medicines on behalf of another ,This can make the patient benefit too. According to a personage in the know, in the past, if the pharmaceuticals wanted to sell a medicine to a patient through the hospital, should be through being in charge of Vice President, medicine section chief, purchasing agent, persons who are in charge of of storehouse, the financial executive and six outposts of the tax office of doctor at least. And pass an outpost of the tax office each time, should all get ready with money. After the dispensary is managed on behalf of another, all medicines of hospital are controlled by the pharmaceuticals, the pharmaceuticals can sell medicine to a patient through the prescription of the hospital directly, save in all the middle, these six outposts of the tax office, the medicine price certainly drops. As to this question, reporters have interviewed the relevant insider too. This personage says whether the medicine price drops, it's still difficult to say now. The composition composition of the medicine price is very complicated, after the dispensary is managed on behalf of another, can really " lay " What links are not clear yet at present. Moreover" the higher have policies while the lower own ways of getting around them " ,One cannot say for sure the relevant interests side will not fish for the advantage in other links again. The dispensary is managed on behalf of another, can solve a doctor and " get commissions " Problem? Director Ding FengJun says, an advantage managed on behalf of another in dispensary is a distance which pulls open doctor and medicine enterprise. After the dispensary is managed on behalf of another, the power to make decision of medicines is actually" split up" (used after a verb to indicate the completion of an action). What the hospital offered is the list of medicines, the common name that the ones that were provided are all medicines needed, do not appoint a certain medicine that a pharmaceutical factory produces. One medicines have a dozen pharmaceutical factory produce, which does it enter to come on, responsible for, call for bid by the intersection of Nanjing and medicine, had the final say on from the result of calling for bid finally. "The doctor can not decide which pharmaceutical factory 's medicine is used finally, responsible for calling for bid and can not write out a prescription again, the distance between doctor and medical representative has changed far greatly. " Director Ding FengJun says, after the merchandising concern manages the dispensary on behalf of another, cuts off the benefit activity privately between medical representatives, dispensaries, doctors, accept the two-way supervision of hospital and government, reduced " stealthy cost " at the same time It is that the patient benefits too finally. But there are insiders can stop a doctor to manage to the dispensary on behalf of another " Get commissions " The phenomenon question holds the suspicious attitude. "Medical representatives can not disappear absolutely. " This insider says, though medicines can be in hospital is what the enterprises managed on behalf of another determine, however, a kind of medicines are through calling for bid, in hospital using the list, can reach on patient's hands, the power to make decision is still that yes doctor. If doctors do not prescribe this kind of medicines, that is futile even if in hospital. So on this kind of intensity, medical representatives may still need to " get ready " Doctor. "Province the People's Hospital had 3 million clinic amount last year, more than 100 pharmacists of hospital should face thousands of clinicians, be responsible for the purchase of medicines, manage and release at the same time. In the dispensary " Manage on behalf of another " Later, pharmacists will be liberated out to a great extent. " President Wang Hong of the People's Hospital of Jiangsu Province says, after depositing in the dispensary, the pharmacist's serivce object has been changed, there can be more time service patients. Hong Wang say purchase and storage of medicine need significant revolving fund of the hospital, consumed a large amount of manpower at the same time. In hospital the intersection of medicine and thing " Serve " After the exterior bag, the hospital pressure is lightened greatly, the pharmacist is " liberated" too ,There can be more time and return to clinic, service patient. "Medicines were sent let it be in the past, the pharmacist has more time and patient's directly face-to-face exchange now. Medicines should be taken before a meal Eat after a meal, there is any poisonous side effect, which kind is eaten after which kind two kinds of medicines are taken first? The pharmacist can explain with the patient detailedly. The hospital made the rounds of the wards there were doctors in the past, the pharmacist can participate in offering the suggestion too now. " Medical Limited Company director Ding FengJun in Nanjing tells reporters, after managing on behalf of another in the dispensary, the service of the dispensary also " Upgrade " . "For example the doctor gives the patient the direction for mixing chemical of making a traditional Chinese medicine, patients needn't be waiting to take medicines in the hospital, needn't decoct medicinal herbs tediously either in the dispensary. The patient can go home directly, maybe just entered the door, fried medicine well to already deliver to one's home. " "The pharmacist can also play a role in supervising now. If can not find appropriately the prescription, the pharmacist has rights " Fight, answer " Reopen " ,Wang Hong says. The hospital does not sell medicines, by what to survive? The hospital must be reduced from income on medicines, someone calls upon the country to increase input For a long time, " raise medicine with medicine " Situation in hospital exist. It is reported medicines income want, account for the intersection of hospital and 40% to 50% of gross income generally, a few the intersection of medicines and income of hospital will it accounts for 60% of gross income their to be even more. If will not sell medicines, by what does the hospital survive? Nanjing had pursued in second hospital " The dispensary is deposited " ,The purpose is becoming " Raise medicine with medicine " For " mend medicine with medicine " ,The dispensary is deposited and has not cut off the hospital, doctor and interests chain between medicines, but played the function of shaking the high medicine price to a certain extent. But meanwhile, try " the dispensary is deposited " Nanjing hospital last situation lost to face. According to a second director in Nanjing, are implementing the community hospital under second deposited in dispensary, the ones that lost perhaps accounts for 2/3. Though adopt it in coordination with way and pharmaceuticals of the interests " Lead along by hand " ,But is compared with the dispensary at the time of the management of the hospital with full authority, the hospital must be known and reduced from income on medicines. Relevant the intersection of hospital and director say too, the hospital needs to take a large number of fund out to use for purchasing medicines every year, this has taken up the circulating fund of the hospital greatly, the hospital will bear the overdue losses of medicines at the same time. After managing on behalf of another in the dispensary, this sum of fund can be used in other investment, for example the update and promoting medical technology of the medical apparatus, this may attract more patients. In addition after the medicine price drops, hospital medicines may realize " small profits and quick turnover " too Situation,remedy originally"usury " Loss. In the reporter interviews, there are ordinary anxious citizens too, are implementing" the dispensary is being managed on behalf of another " Later, the hospital may increase and charge on other projects, for example increased and checked project,etc., the patient's still meeting of the cost of seeking medical advice rises. "In fact the most basic question is that the country increases the input to the hospital. " This insider says, only the hospital really no longer " supports the family " by medicines ,Really cut off, just probably really solve the problem of medicines with empty and high price with the interests chain of medicines. The news pegging, on the medical system reform, Nanjing has been " adventurous headman " all the time in the whole country . Since 2003, Nanjing begin, try, deposit by dispensary, from April of 2006, Nanjing city pursue the dispensary and deposit in the intersection of the whole city and 156 second following medical organization in batches. The method deposited in dispensary is: The hospital deposits the power of management of the dispensary to the pharmaceuticals, offer the catalogue of using medicine, supplied by the latter, and return 35%-40% of the sale fund of medicines to the hospital monthly. Hospitals deposited in dispensary no longer participate in medicines to concentrate and bid and purchase, change to be deposited the side to purchase in unison. Nanjing dispensary deposits and once produces positive function, according to the statistical data in 2007 of Municipal Health Bureau of Nanjing, drop by 12.47% in the same period compared with that of last year a prescription value of average form of medical organization deposited in dispensary, the average door is (urgent) Examine person's expenses for medicine, the expenses for medicine drop by 17.02%, 18.93% in the same period compared with that of last year separately on day in hospital on average. In 2006, Policy and Regulations Department of Ministry of Public Health hurried to Nanjing, " the dispensary was deposited " in on-the-spot study . Finding thinks, " the dispensary is deposited " in Nanjing This mode has cut off a doctor, connection between medical representatives, has changed the manner of doctor's prescription, have lightened masses' burden. But this kind of result has not kept going down for a long time, the dispensary deposits contradiction that can't be mediated. Some patients in Nanjing find, after the dispensary is deposited, though the medicines price reduced some compared with the past, but with comparing before the reform, medicines with the brand are fewer and fewer, besides this, the patient obviously feels that is measuring the project to increase while seeing the doctor in the hospital. Outside second hospital, even more important tertiary hospital is a difficult point of the medical system reform even more. At the end of 2007, Nanjing has determined to deposit the dispensary to generalize to the tertiary medical organization of the whole city, will all implement in affiliated 9 tertiary hospitals of Nanjing " The dispensary is deposited " . But plan this receive very great resistance, then until " whether medicines concentrate on, deposit " Replace. "When the new medical reform general orientation has not been decided yet, the dispensary of the hospital reforms the prospect not yet clear. " An expert of thing association of Jiangsu Province medicine says.


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