Jiangxi restructures big antibiotic The tertiary hospital can't exceed 50 kinds

Jiangxi restructures big antibiotic The tertiary hospital can't exceed 50 kinds
Jiangxi restructures big antibiotic The tertiary hospital can't exceed 50 kinds
"The tertiary hospital antibiotic kind can't exceed 50 kinds, second hospital can't exceed 35 kinds. " It is the most severe that this is known as history " Antibiotic is rectified the World War " Implement formally since the 1st of this month. Leave in two weeks, while the patient claps and shouts "Bravo", there is new worry: Will the hospital cut down cheap medicine? There is less kind, will the doctor write a prescription more? On the 14th, the reporter surveys this. 50 kinds of antibiotic, how does the hospital select? "Including injection, tablet, antibiotic stipulates the kind quantity does not change. Cut down so much, it is really a little difficult. " Prosperous sophomore period enclose head of the department of institute medicine the intersection of land and the intersection of society and the Guangxi Zhuang Autonomous Region, tell reporter, this institute original the intersection of antibiotic and 98, keep 50 kinds according to the regulation, mean cutting 48 kinds. "How to cut specifically? This difficult problem has been thrown to the hospital. " Land the intersection of society and the Guangxi Zhuang Autonomous Region say since May, institute this set about, prepare this, " what can antibiotic sow? This must be decided by panel of expert of the hospital. " It is enclosed that it is prosperous and big medical matters head of the department Li JianLin of the institute tells reporters too, there are 70 kinds of antibiotic in all in this institute, in order to elect 50 kinds from it, each subject chief of the office of the hospital adopts the way of the system of real name, vote to antibiotic, the ticket is counted and arranged and has been stayed in antibiotic of the top 50. Only leave 50 kinds, is the patient enough? There are anxious citizens, suddenly cut so many kind, could satisfy the clinical need? The society the Guangxi Zhuang Autonomous Region in the land says, antibiotic is mainly divided into several big classes, medicines of every kind of corresponding different specifications, "50 kinds are totally enough. " Also someone proposes, if present special acute disease, what if the medicines happening to need within 50 kinds? It says to this, the medical organization is true because needs clinically that the department of public health of the province cures the relevant person in charge of policy, antibacterial medicine variety, specification needing to purchase exceed the regulation, after the health authorities put on record approve after examination, file an application with department of public health of the province, and give reasons in detail, the department of public health of the province checks and approves quantity and kind of their application variety, specification against fungus medicine. And because infect a patient and treat the demand specially, the medical organization needs to use this organization to purchase the antibacterial medicine beyond the catalogue, can start and purchase the procedure temporarily. However, it can't exceed 5 times to purchase the procedure the antibacterial medicine variety of the same common name temporarily for. If exceeds 5 times, should discuss whether to list in the antibacterial medicine of this organization and purchase the catalogue or not, the total variety of antibacterial medicine of purchase catalogue after adjusting is counted and can't increase, "we can say, this restriction to the antibiotic stipulates, it is very strict. " But practical antibiotic keep " according to poll results, we find doctor shoot ticket to daily medicine, basically use medicine mostly cheap. We can say the screening, until some the intersection of cost performance and high, the intersection of medicines and the intersection of performance and unstable, the intersection of side effect and relatively loud antibiotic reject in the past. " Li JianLin says. While interviewing, the reporter finds too, antibiotic of every hospital " out " Principles primary medicines at medical insurance catalogue. In addition, able to bear nature, security, curative effect, cost performance,etc., the factor needing considering. Meanwhile, every hospital as requested, control to high the intersection of grade and the intersection of product and rule quantity of antibiotic still, such as three generations and four the intersection of hair and the intersection of spore and plain fungus ' Includes compound preparation) Oral dosage form of one kind of antibacterial medicines does not exceed 5 product rules, it doesn't exceed 8 product rules to inject dosage forms. Through such some screening, penicillin, a generation of two the intersection of hair and spore,etc. but practical antibiotic keep, come down cheap, some cost an arm and a leg, within the range of medical insurance catalogue and security bad apt to produce antibiotic to able to bear nature, clear up and discharge one by one. Most doctors can only open a kind of medicines reporter of penicillin and know, the hospital at all levels will oppose the fungus medicine and adopt the differentiated control system inside the province. So, not all doctors can make high grade, expensive antibiotic. Doctor write a prescription differentiated control if prosperous sophomore period enclose institute, divide into three rank, to not " limiting grade " ,The above doctors can all open, represented by penicillin; To " limit grade " ,Attending physician and the above can open, hard as representatives with the furan of very beginning spore; To " special grade " ,Only a high doctor above professional title could hold, represented by piperazine ketone of very beginning spore. After so hierarchical management, taking most doctors can only open first grade such as penicillin and use medicine, the patient can see old medicines of classics such as more penicillin,etc. while diagnosing the illness later. In this case, abuse whom antibiotic cause, see the doctor expensive able to bear nature, strengthening, can prevent from well by both big problems. "Should say, if the patient needs to inject antibiotic medicines, the price is certainly more reasonable than before, the drug effect is better. " While interviewing, every hospital says, this policy will benefit the patient directly, also improved the cost performance of medicines. The unreasonable administration will be notified a reporter knows yet, every medical organization in our province will also pay and comment on the prescription. According to commenting on the result, to using the doctors of the top 10 of antibiotic rationally, to the whole institute's announcement; To the unreasonable doctor who uses the top 10 of antibiotic, notify in the whole institute. Commenting on the result will also regard as department and medical worker performance and examine the important basis. In addition also until antibiotic write out a prescription 3 or more times above average and doctor to have reasonable ground warn to appear our province, limit it and use grade and exercise restraint in using the prescription right of one grade of antibiotic specially; After limiting prescription right, still write out a prescription and not have reasonable ground above average two or more times continuously, cancel its prescription right of antibiotic. Don't require blindly " The best medicine " While interviewing, Li JianLin still mentions, a lot of patients will require the doctor to " prescribe the best medicine " blindly while going to a doctor . In fact, medicine with too fierce drug effect might not make disease fully recover earlier, may also do harm to health. So, don't buy by oneself or demand to use antibiotic voluntarily, should use according to the doctor's order and result of laboratory test strictly. Reporter Luo YanYan, intern yellow to insult / gentle


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