Jiangxi: How many changes are basic medicine system pilot project?

Jiangxi: How many changes are basic medicine system pilot project?
Jiangxi: How many changes are basic medicine system pilot project?
Ensure the masses to use the medicine security, lighten masses' medical expense burden, change the medical health organ " Mend medicine with medicine " The mechanism is a main purpose to launch national basic medicine system pilot project. Take the lead in starting the province of the pilot project as the whole country, since last December, our province is in 491 health clinics in towns and townships and Pingxiang, Xinyu, 3 community hygiene service organizations of the market of setting up area of hawk's pool, have launched the system pilot work of national basic medicine. Meanwhile, our province innovates and concentrates on bidding and purchasing taking government as the leading factor, online basic medicine catalogue medicines taking province as unit in the whole country, having got the abundant affirmation of Ministry of Public Health, national development and reform committee, successively there were more than 20 provinces (the district, city) Go to our province to study to investigate. The national basic medicine system pilot project is nearly half a year, what kind of change is brought with health care system at the basic level to seek medical advice to the grassroots of our province? Complain " the medicine price is expensive " People less for Dean for county bus bridge town city gate village old man Cheng Wangs over 80 years old like,last pulmonary emphysema diseases obstructives chronic for many years, want hospital treatment every year. He was in hospital in the commune hospital for 10 days last year, cost more than 1700 yuan. In April of this year, the old man has illness coming on and in hospital for 10 days again, only spent more than 1300 yuan, 400 yuan saved basically comes from the expenses for medicine. How much medicine stocked, how much is sold to a patient, " a difference rate " Medicines basics national getting more benefited to be more last grassroots certainly. The clinic medicines expenses of the pilot organization per person of water district of Xinyu market Chongqing drop from 36.2 yuan before the pilot project to 24.3 yuan; The average daily medicines fee of every bed is lowered to 61 yuan by 84.6 yuan before the pilot project. After should start the pilot project in the commune hospitals of 51 centres of the city in spring ing, the medicines expenses of per person of the clinic drop by 31% compared with the same period of last year, the fee of average daily medicines drops by 44% compared with the same period of last year to in hospital. The persons in charge of commune hospital all reflect, the nearly each masses coming to see the doctor will say: Go to the pharmacy to buy medicines needn't hold the prescription of the commune hospital againing now. Meanwhile, our province also lists all basic medicine catalogue medicines in the medical insurance " three networks " Wipe out the intersection of medicines and catalogue, raise to wipe out proportion 10% to 15%, it is also cheap and for person to diagnose the illness. The patient increases in the commune hospital " The courtyard " Medicine of a warm nature is cheap gradually, see the doctor and bear lightly, it was many that grassroots sought medical advice, " the car and horse were rare " originally At the basic level medical organization but also nature " The courtyard " It is hot gradually. It is told reporters cheerfully that the bridge town Vice President of commune hospital Li Guo of Dean county bus is good, since the pilot project, clinic and impatient of commune hospital have obviously increased. Since the pilot project of the commune hospital of 62 centres of villages and towns in Fuzhou, go to a doctor the number of people obviously increases, make a diagnosis always the intersection of person and moon rise 18,000 persons; Hawk's central commune hospitals launched a pilot project of pool city 12, go to a doctor per month this year the person compared with the same period last year; The intersection of Shangrao and the intersection of city and pilot the intersection of centre and clinic of commune hospital, number of people rise than the same period last year to some extent in hospital, some ascensional range of commune hospital reaches 25%. Go to a doctor increase of person, encourage pilot organization allocate national basic enthusiasm of medicine too, " whether hospital like, mix and doctor like, turn on and patient like, spend " Situation gradual take shape. Should spring the intersection of Municipal Health Bureau and relevant person in charge say city this allocate basic medicine that the whole province purchase in unison above the pilot 95% organization not merely now, amount of money and variety of basic drug use are up to 70%. The health care service is public beneficial to come back progressively " a difference rate " The basic medicine system sold, change to maintain the situation that the medical health organ in the basic unit survives to let with the medicines addition income, " mend medicine with medicine " Withdrawing progressively. 12 commune hospitals of centres of villages and towns of the pilot project of city of hawk's pool, the medicines income accounted for the proportion of business gross income of the hospital to drop from 64% to 46% at present. 12 commune hospitals of centres of villages and towns launched a pilot project of Jing De-zhen, are going to a doctor while the number of people is obviously increasing, the gross income especially medicines income obviously drops. What if income of the medical health organ in the basic unit has been reduced? Ji'an arranges the related fund of 2,130,000 yuan of finance at county level while the provincial finance arranges subsidy fund of 3,150,000 yuan this year, compensate the central commune hospital and implement medicines " A difference rate " The income sold is insufficient. The reporter knows, province, county are (municipal or district) Two finance raise fund also every year, to pilot organization because " the zero the intersection of difference and rate " Sell medicines but the reduced income is paid and subsidized. Meanwhile, our province also set up the security mechanism of basic wage of the personnel of health clinics in towns and townships, the financial subsidy of basic wage of permanent staff is improved to 100%. Now, the income of the pilot medical organization, has already been mainly relied on the addition of medicines to include as the main fact, to take governmental input as the core, change, whom health care serve public beneficial to return to progressively. The Jiujiang relevant persons in charge of Municipal Health Bureau say, now, the performance salary of clinician and medicine personnel of the pilot medical organization, allocate the rise or fall hook of the using proportion with the basic medicine. The Nanchang relevant persons in charge of Municipal Health Bureau say, the pilot project has prevented the medical health organ in the basic unit from going over to " mend medicine with medicine " The bad custom of using medicine formed, the medical worker service theory begins to change, make the large prescription, pursue the high profit and asks for and take the phenomenon of the commission of medicines to reduce greatly, the medical decent practice is purified. (Yang Lin)


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