Jiangsu: The basic medicine system breaks the hospital at the basic level " Raise medicine with medicine " Mechanism

Jiangsu: The basic medicine system breaks the hospital at the basic level " Raise medicine with medicine " Mechanism
Jiangsu: The basic medicine system breaks the hospital at the basic level " Raise medicine with medicine " Mechanism
In the second half of 2009, the first 37 counties in Jiangsu Province are (municipal or district) Take the lead in, implement basic the intersection of medicine and system, medicines sell a difference rate. Recently, the reporter knows while visiting in the pilot area, the implementation of the basic medicine system, not only bring material benefit of seeing the doctor for common people, become and break up the hospital at the basic level and " raise medicine with medicine " at one blow even more Sharp sword of the mechanism. The patient diagnosed the illness to " sees the doctor cheap much more cheap now more! " This it is the intersection of Jiangxi and the intersection of elm and the intersection of county and the intersection of sea and the intersection of head and the intersection of centre and commune hospital that go to a doctor masses to a word that reporter speak most. 44 -year-old Wang Ping in the village takes the form of expenses for medicine in hand to tell reporters before the sea: "I suffered from cholecystitis, spent 78.6 yuan in the infusion of the hospital every day a few days ago, only need 47.8 yuan now with the same medicine, really save money! " "After implementing the basic medicine system, the overall range on a price reduction of the expenses for medicine is up to about 30%. " Sea head centre president of commune hospital Xu Hong group introduces. Reporter the intersection of announcement and fence in hospital see daily the intersection of antiinflammatory agent and first nitre thiazole parenteral solution buy and cost 4 yuan originally, only need 1.65 yuan now; Treat the intersection of gallbladder and the intersection of pill and originally 7.2 yuan of price Huo, medicine of rhinitis, 3.5 yuan now, decreasing amplitude is above 50%. The reporter knows from the department of public health of the province, since last the second half year, the first 37 counties in our province are (municipal or district) 3788 hospitals at the basic level allocate and use the basic medicine, carry out a difference rate of medicines to sell, that is to say, medicine of community's hospital, how much sold what the bid is, one fen can not be made. By March 10, the basic medicine system of our province implements the clinic of the area expenses once are reduced by 26% compared with the same period of last year, gold the intersection of lake and the intersection of county,etc. and 7 counties ' Municipal or district) Clinic times of expense drop by more than 30% on average. The system implements the regional basic medicine and sells the total amount of money of 98,780,000 yuan, lighten by 51,390,000 yuan of masses' medicines expense burden. Clinic quantity increases 9% of the the south of gold lake county Kim Nam Jin of Huaian and looks at 60 -year-old Jin Lan Wang in the village, suffer from hypertension, brain and block up for more than 10 years, can not do the farm work, will take medicine all the year round, being hard up, family dare, reach hospital treatment never. After implementing the basic medicine system, she learnt the hospital not only the medicine price has been reduced, and new and agricultural still can submit an expense account to shut a part. The Spring Festival pass, she, on living in the local commune hospital to accept the regular treatment. She say medical reform let the intersection of I and the " the old patient " on every people Can be cured. In the Ge 's clinic Xiao Ge who is hung water is the villagers of the Ge 's of town of Han Wang of brass hill county, he says: "A period of time ago, my leg caused the infection after falling wounded, the hospital treatment in the county at the beginning, it costs more than 100 yuan to hang water every day. Heard later the village clinic implemented the new policy, I transferred to here, the same medicinal liquid needed only more than 30 yuan, substantial conveniently! " Some community health Centers were poor-performed in the past, there are very few callers, after medicines implemented a difference rate to sell, have attracted the chronic disease, common disease and frequently-occurring disease patient of a large number of of locality, the patient implementing the villages and towns of the basic medicine system in even the perimeter comes to seek medical advice. The statistics show, the system of the whole province implements the medical health organ of regional basic unit and finishes the emergency call person of the door to increase by 9% compared with the same period of last year, emergency call quantity of city such as Wuxi, Xuzhou, Suzhou increase by about 20% among them. " great prescription " Will not see Lingering Garden street community health Center person in charge Wang QingQing of Suzhou say, the centre medicines will all implement a price differential to sell in the future, centre income and medicines will totally " break off relations " ,Has cut off the interests chain among pharmaceutical factory, pharmacist, hospital, doctor, to some degree, the doctor prescribes without influenced by other factors againing, large prescription, took the phenomenon of commission and disappeared tooing, will see the doctor more and more " Simple " . The relevant persons in charge of department of public health of province introduce, the implementation of the basic medicine system, solve " raise medicine with medicine " fundamentally Chronic illness, make the medical organization at the basic level really come back public beneficially. There are no interests to drive, the medical worker motive to drug use will return to science, reason and norm, that is to say " whether what medicine patient should take, what medicine doctor turn on right away " . The reporter knows, the department of public health of the province is making the basic medical service regulation, working efficiency and task of examining the hospital at the basic level especially finish quality. That is to say, the medical worker income will be got in touch with medical quantity of service and level and masses' satisfaction directly, the medical worker considers more that makes a diagnosis in norm in the course of making a diagnosis, know indication, use medicine rationally. The medical health organ in the basic unit will offer service items of public health such as following up a case by regular visits to, health education of chronic disease,etc. to masses more too, medical health organ in the basic unit will be public beneficial more prominent. The supplementary measure still needs to improve a reporter to know in the interview, the basic medicine system of our province is in the course of implementing, also some difficult points and problems are demanding prompt solution. The relevant person in charge of department of public health of province introduces, and there is no clear financial compensation method in the specific area, some areas have not checked and ratified the wage level of the medical worker, or in the course of checking and ratifying the strength of the community health Center, standard authorize recover strength of the berth definitely not according to country and province. Financial compensation is uncomplete, will influence the medical worker to implement the enthusiasm of the basic medicine system. According to the situation that the system implements the area, some patients have some mistaken ideas in the administration traditionally. Some patients think the basic medicine is too cheap, worry about its curative effect; Some chronic patients, find medicines offered were not commonly used originally in the basic medicine catalogue, some do not suit and not used to it. So popularize the knowledge of using medicine to the masses, lead the masses to use medicine rationally, become required course of pursuing the basic medicine system in an all-round way. (the second high mountain of Zheng Yan)


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