Jiangsu encourages medicines to dismantle a small paper bag medicine and meet cost and medical responsibility bottleneck

Jiangsu encourages medicines to dismantle a small paper bag medicine and meet cost and medical responsibility bottleneck
Jiangsu encourages medicines to dismantle a small paper bag medicine and meet cost and medical responsibility bottleneck
The medicine that the doctor prescribed has not been eaten up, the disease will be better, this is an experience that a lot of people have had. One grade teacher Wang TingHui in northern Jiangsu experiences personally: After cold, doctors have prescribed 2 boxes of " cold drugs of three nine-day periods after the winter solstice " ,17 yuan for 18 small bags, only ate 4 to wrap up and recover from illness finally; The child catches a cold each time, all a big bag medicine of strip come back, it is one gram of senses that holds quick like antipyretic, child's consumption eats half a slice once, 15 yuan for a box of medicines which doctors prescribed, only eat half a slice, bring down a fever in one night, medicine left can only be laid aside and neglected. According to a survey of East China big city, there are 215 overdue medicines in the family of each city on average now, among them 30% to 40% of the medicines exceed the term of validity in more than 3 years. Why are there so many overdue medicines? Doctor Zhou JinDong of one hospital of red male genital tells reporters: First of all, the specification of medicines is made the bigger, have 200 like 1 bottle of films of compound root of red-rooted salvia, antibiotic such as the not west forest of A, very beginning spore Chloe,etc., 6, 12 of a boxes have been already beyond the scope of exactly daily medicine, but more than 24 antibiotic of specification oversize can be found everywhere on the market. Secondly, doctors turned on the great prescription, actually could only drive 1 kind of medicine and drive 2 kinds, only need to prescribe 1 box of medicines and prescribe 2 boxes, 3 boxes obviously. Also because of this, yesterday, while province Price Bureau was announcing the 1794 product rules basic medicine, have taken the lead in issuing large-size medicine in the whole country " Dismantle a service charge " Policy. In the new rule, province Price Bureau has taken and supported the attitude in dismantling a small paper bag medicine sold. According to the regulation, are lower than 0.03 yuan, take the basic medicine within 3 days of course of treatment in packing quantity over 50 each bottle, single biding price, can collect dismantling a service charge each time of 0.1 yuan on the premise of offering the lump-sum wrapping bag and marking out medicines to take the method. Medicine price place division chief univesal China of province Price Bureau explains, according to the investigation of the price department, large-size medicine is mainly low priced medicine at present, but the hospital is unwilling to open and sell. Allow to collect and dismantle a service charge, just in order to encourage the medical organization at the basic level in urban and rural areas to prescribe more low priced medicines. However, the person in charge of hospital of a the first, second and third of Nanjing tells reporters, the large hospital is unwilling to separate medicines and pack, besides considering profit losses, are also afraid medical responsibility is difficult to assert. In addition, marking various situations proves on every paper bag, the work load is too large. What still found, at present, a lot of hospital dispensaries are used could not mark the content of using medicine completely while dismantling a medicine bag in reporter's investigation, the packing materials are from white container bag, plastic bag to newspaper, multifarious, it causes the potential safety hazard to give medicines and use too. In fact, " small paper bag medicine " Not only the hospital can open. Stipulate in " standardard management of managing quality of medicines ", dismantling a medicine must be sold in dismantling a medicine counter of the pharmacy. Then, what if the dismantling a medicine of the pharmacy of Jiangsu is sold? In large dispensary of Nanjing on the way of overseas Chinese of Nanjing, the sales assistant says, dismantle a counter in the pharmacy aperture, but without medicines, only the customer demands to dismantle zero to just dismantle. Dismantle medicine of zero, are generally all cold drug, or the child catches worm medicine. Reporter propose, want, dismantle, buy retail the intersection of one point and blue Qin oral liquid, she a little awkward, agree, dismantle, give reporter by 2 little bottles in 6 one big box finally. However, find a question after taking medicine out: The suction is whole and stiff and together. She says: "Please buy a box, anyway a box is just taken for two days. " Reporter some other pieces of dispensary see to dismantle zero counter very much the same medicine they near Xinjiekou. Consumer with this either ignorant,or keen on. In one hundred letter pharmacies, a gentleman coming to buy cold drug thinks, buys the safety first of medicine, dismantle a medicine and does not know whether it is overdue or not, does not dare to buy. The staff members of pharmacy of a first sign of Nanjing introduce, the pharmacy is sold and keen on to dismantling zero, in that it is very tedious, does well and dismantles a record, as well as register consumer's personal information, have undoubtedly increased the operating cost. At present, shop this dismantle zero counter of medicineses, have, stop the pain slice, cold relief capsule, the intersection of intestines and the intersection of worm and several medicine such as being clear, the price is all cheaper, but " dismantle one for a medicine and sell less than 5 boxes in month " . Medicines are dismantled zero, how it can be no longer " fragmentary " The phenomenon? Deputy Director of Nanjing pharmacy dept. of chest hospital Wang Jie thinks, except that the hospital should participate in actively, manufacturing enterprise take positive action even more, want, try every means, dismantle zero while being convenient on not packing. For example, though the first aid medicine Nitroglycerin of coronary heart disease has 2-3 yuan for each bottle only, very cheap, but this medicine is very apt to suck the tide, once the bottle has been opened into the air, remaining medicine will fail in a few days, if the manufacturing enterprise makes the powder charge with the bottle into packing with paper of aluminium foil, this question can be easily solved, certainly the cost should increase some slightly. The relevant person of Price Bureau of province thinks, the more important thing is to let hospital and pharmacy feel lucrative. Made one of the original intention in new rule that this is too. He propose pharmacy in fact space loud, for example, according to the related sale principle still, mix well for common disease several kinds dismantle a medicine to retail medicines, for taking orally on the first, it can only need the pharmacy to prove orally, do not need to copy the medicines manual to do it in this way.


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