Backstage which the medical price expert in Hebei evaluates Why still feel empty and high

Backstage which the medical price expert in Hebei evaluates Why still feel empty and high
Backstage which the medical price expert in Hebei evaluates Why still feel empty and high
According to <>Stipulate, from January 1 this year, made and all evaluated experts at the medical price in Hebei. Then, how is expert elect, how participate in and launch, evaluate, how much moisture can this kind of evaluation squeeze out the medical price on earth? Why system of implementing, evaluating, we feel, have many medical yet timid and high price? " filter " February 6 of 2009 such as price, the weather is barely warm but still cool. Yang ShuJiang of a suit of civilian dresses is busy putting various files and materials on the desk in order as usual. It is division chief of the People's Hospital Finance Department of Hebei, the chief senior accountant's Yang ShuJiang now, added a new identity recently: Storehouse expert of evaluation expert of the medical price in Hebei. "Feel the pressure is not small, are bearing the responsibility for checking on medical service price and medicine price after all. " Yang ShuJiang with famous financial field in our province, informal meeting that and the medicine price is paid and evaluated at the medical service price of ones that joined Hebei Price Bureau and organized many times before this. The department of public health of Hebei Price Bureau and Hebei jointly issues <>And then, the condition which the People's Hospital of Hebei stipulates according to the method (for example must have high titles) ,Offer province department of public health and save Price Bureau at the ShuJiang Yang this institute expert, two departments are investigated, think that possesses the corresponding condition, then confirm it as the storehouse expert of the expert formally, undertake the task that and the medicine price evaluates to the medical service price. Evaluate medical service price and medicine price, actually check on, filter the price that the medical organization and medicines manufacturing enterprise appear in the newspaper, the goal is to make the final price already take the medical organization and benefit for producing enterprise into consideration, let the patient bear again. As the expert in the financial field, it is to evaluate the medical service price that Yang ShuJiang participates in more one. "For example a kind of medical service item which is called ' the immune analysis of lymphocyte ', the price that the relevant medical organization appeared in the newspaper at that time, each one was close to 100 yuan " . Yang ShuJiang remembers, the expert participating in the conference thinks, its cost should be lower than 100 yuan after demonstration, and then after consulting the prices of the other provinces, confirm my provincial hospital is each charge of 60 yuan finally, 52 yuan for each charge of hospital at city level, 50 yuan for each charge of hospital at county level. For another example one kind is called " Malignant tumour of skin excises the skill " That if you can't offer province by the prices of the Price Bureaus, exceed 700 yuans, the expert thinks, its cost price should be about 620 yuan after evaluating. Until expert investigate conscientiously, than correctly, prove, confirm my provincial hospital as 500 yuan each time finally, the hospital at city level is 450 yuan each time, the hospital at county level is 400 yuan each time. , in the eyes, medical service price, especially medicines price with high technical advantage in the intersection of book and river Yang, must consider a great deal of factors such as its clinical result, stability, innovative intensity, prescription amount, social endurance, market supply and demand while evaluating, guarantee to " examine " The price that comes out is more reasonable. Price two Li ShengQun, division chief of of Hebei Price Bureau says, make the procedure that the medical price must evaluate or prove, listen to the opinions of various fields, discuss collectively, review collectively by the price investigation of the cost, expert. Among them, the expert evaluates that presumes the expert as the potential buyer of the market, utilize its knowledge, experience and analyze judgement, check on the price, squeeze out the hiding " moisture " ,Let medical service price and medicine price be lowered, make it approach the level that a patient can accept even more progressively. The relevant personage reveals, Hebei combines medicines and medical service price together and makes expert's evaluation method, still belong to the first in the whole country. Where then, practise medicine now how large on earth it will be foam of medicine in the price foam? Perhaps can know just a few while looking back to medical service charge and current situation of the medicine price. For a long time, people will spend hundreds of yuan even thousands of yuan medical fee getting a small disease soon; Serious disease needn't be withdrawn even more, even there is medical insurance, must draw last thousands of, several ten thousand yuan or even more by oneself. Sick to dare, look, sick to scorn for, the small disease is towed into serious disease, serious disease is towed into hopeless case, it has already been a current situation that can't be avoided. In recent years, careful people are easy to find, a large number of traditional medicines of high quality and at a reasonable price are fewer and fewer, because the profit is not high, most manufacturing enterprises are unwilling to produce medicine of these low prices again, the patient often complains that it is very difficult to buy cheap good medicine that still can cure the disease. On the contrary, various so-called new medicine and specific drug are frequent to appear on the market. Is manufacturer's newspaper one really new medicine? A inconvenient medicines distributor who signs managing in the west district of bridge of Shijiazhuang all the year round reveals to the staff reporter, according to the international practice, developing a new medicine probably should be from 8 to 10, the long one even exceeds 15 years, about 1 billion dollars from researching and developing to the cost going into operation. And according to some surprising speed of research and development of pharmacy enterprise, it is obvious that has " College Enrollment " by oneself among them . This medicines distributor says, this kind of trick is " superficial reform " ,Frankly speaking give medicines that have already circulated on the market and add the adjuvants again, name again, repack, achieve the goal of letting the price department price again finally. People will notice, the same kind of medicines that hospital, the pharmacy is sold, because dosage forms, packing,etc. are different and greater price differential exists. For example some manufacturer will bottled tablet originally, change into the intersection of aluminium and the intersection of platinum and the intersection of board and capsule that box install. Change like this, 100 slices, medicines sold for more than 6 yuan, will shake the body and turn into 36 and sell for 13 yuan originally. For another example, cure ordinary one Western medicine of stomach trouble while being daily in the past, each 100 less than 5 yuan. Later on the pharmaceutical factory changes package of medicines and chemical reagents, use one more kind of new goods names, in a situation that the composition does not have the great change, every box changes into 20 slices, but the price rises to 38 yuan. The expert of the People's Hospital of Hebei interviewed by staff reporter reveals, when the medicines manufacturing enterprise is carrying on the cost accounting of new medicines, if can pair so-called often, can be regarded as the new product cost completely. Some enterprises will even spread out expenses such as discount, commission and communication expenses the cost, cause medicines to contain the empty high moisture when being dispatched from the factory. Insider reveal if some pharmaceutical factory price according to bona fide cost, instead can meet " medicines price low interest thin to sell while being difficult " Awkwardness. The medicines manufacturing enterprise or medical service organization generally files an application with responsible institution of the price at first while offering, and provide a series of data, in order to support one's own pricing or readjust the price to apply, the price department will come to check again that give a written reply. A reality corresponding to it is, most of staff members responsible for medical price control do not have the professional backgrounds of medical science, pharmacy, depth and broadness of surveying every cost and verifying are limited, administrator and the administrator During cost information asymmetry,some medicine and it is that service organization can " seek loopholes " enterprise in fixed price by every possible means . The management of Hebei Price Bureau says, the fact proves, the medicines manufacturing enterprise, in order to seek profits, will be doing a lot privately while applying for the fixed price " Prepare " . For example, some medicines are not high-quality medicine, but the manufacturing enterprise will bring a lot of honorary certificates proved. However, evaluate after the meeting, experts do analysis and can find the weak point when being proved slightly on these medicines. There is specific medicines manufacturing enterprise, practise fraud while offering, they tell price officers, the medicine in which province can sell how much does it get, so Hebei too should sell how much does it reach. Price management and relevant expert find, some situations that the medicine enterprise offers are false after verifying through investigation, the price that this medicine sells for in the other provinces is not so high at all. Squeeze out " moisture " How many foams does the expert evaluate and can push out of medical service price and medicine price on earth? "We, through doing accounts synthetically, find the expert evaluates prices are often lower by about 15% to 20% than the medical organization or manufacturing enterprise declares prices on average. That is to say, through the expert appraisal, squeeze out about 15% to 20% of the moisture. " Price two Li ShengQun, division chief of of Hebei Price Bureau is charging for a long time the field is holding a post, rather familiar with the price. At present, say, the country implements two kinds of management styles of government issused price and price decided by market demand only on the price of medicines. A piece of data is, probably there are 12,000 kinds of medicines sold on the market now, 2400 kinds implementing government issused price among them. And in medicine of these 2400 kinds of government issused price, 1600 kinds of pricing of national development and reform committee, probably there are 800 kinds in pricing of province Price Bureau. "The experts comment it very thinly, look in a word and a word, number one, number one is calculated. " Li ShengQun who has presided over experts evaluation conference says, the medicines manufacturing enterprise is in order to gain and consider, will often list more cost, sometimes the reason why they provide is very abundant, if the experts do not screen carefully, it is very difficult to discover the problems. For example have one the intersection of medicines and the intersection of manufacturing enterprise and newspaper come up a what is called new medicine, it is 80 many yuan for a box to offer. The experts think, this medicine has just varied manner of packing and dosage after getting the detailed analysis of the relevant materials, without substantive improvement, only sold for more than ten yuan in the past, but declare more than 80 yuan now, some go against accepted conventions, has not agreed the quotation of this enterprise is applied for. For another example medical service price, new instrument of medical use, apparatus, articles which the medical organization purchases, in a situation that it diagnoses, treats the content has no change, if is the improvement, increase of the function, or a difference between material, reagent, the experts will object to classifying him as newly-increased medical service price project, let alone confirm prices. Officer of this price says, experts get rid of and consider factors such as the entreprise cost,etc. during evaluation, will also consult the price levels of provinces such as Hunan, Sichuan, Chongqing, Fujian, Hubei, Shandong, Liaoning equal to economics and society development level in our province,etc., try hard to guarantee the justice. But the specific time, the experts' evaluation opinion will present the dispute or difference, as to the disputable question, abide by the rule of majority. "See the doctor and take medicine and concern the vital interests of the common people of huge numbers of families, it is a great people's livelihood. " An officer of Hebei Price Bureau says, on the premise of keeping the reasonable profit space of medicines, the experts insist from mastering low and strictly while checking and ratifying medical expenses standard of services and medicines price, try hard to wring out the moisture, push out of the foam. In fact, since 2005, Hebei Price Bureau has already begun to invite the expert in each field, carry on the informal expert appraisal. Now, already had more than 200 experts in the medical service price expert's storehouse of Hebei, already had dozens of experts in expert's storehouse of the price of medicines too. In the following several years, most clinical medicines of the whole province, the famous experts of fields such as pharmacy, medicines production and management, medicines examining, medical insurance, financial affairs, price,etc. are expected to be included to evaluation expert's storehouse of the price. Still need to " reduce weight " In order to contain the unreasonable rise of the medical expenses of the masses, the price department takes a great deal of measures in recent years, to the production cost of 99 medicines and 846 assortment specification medicines of manufacturing enterprise of the whole province such as 2008, ex-factory price, wholesale price, retail price,etc. are generally investigated in an all-round way, have set up complete medicines price database; Have verified 538 large-scale medical apparatuses of 300 medical organizations in the whole province in unison, have cancelled more than 30 qualifications of charging of large-scale medical apparatus not disposing the licence or annual check not up to standard. But a well known one that cause medical the intersection of expenses and unreasonable to increase, especially the intersection of medicines and the intersection of price and timid high basic reason, mainly medicines are asked exorbitant charges in the field of circulation before entering medical organization. For a long time, medicines produce with realm of sale it has to be " fat the middle the tight both ends "ing Abnormal for phenomenon,namely pharmaceutical factory and consumer " tight " ,Hospital, pharmacy and some agents " Fertile " . In fact, for some medical manufacturing enterprises, the profit of medicines is limited; Once its medicines produced out enter the links of circulating, its marked price will be skyrocketing, turn over several times even dozens of times. The medicines that the reason is the government issused price only account for a small part, the price of much medicines which concern the people's livelihood wants for the market regulation. The expert interviewed by reporter proposes, the country is in the system reform of the new round of health care, it is necessary to the field of circulation of medicines " The lower knife " ,Highly compressed intermediate link, prevent some people from asking exorbitant charges, squeezing whenever possible. But before the country has not still adopted the renovation means effectively completely to the links of circulating of medicines, " the expert evaluates " that similar Its measure will be popularized. Hebei the intersection of Price Bureau and the intersection of price and two officer of say, in the future to implement step that expert evaluate can step big a little, government hang announcement on the net to medical service price and the intersection of medicine and price after the expert appraisal probably, ask the various circles of society to put forward the suggestions in stipulating time limit, then is revised by Price Bureau completely, purpose to let the intersection of government issused price and must get up in history and the societied test. In addition, when the opportunity is ripe, Hebei will also explore that implements " forced quotation of single number " ,Namely pursue generally acknowledged common disease and frequently-occurring disease " Charge, carry out the ceiling price according to number " Price management style; The condition will be also taken to the door emergency call expenses of per person of the non-profit-making medical organization, per person while possessing the expenses will carry on important measures such as monitoring and announcement,etc. in hospital, in order to prevent the medical expenses from being unreasonable to rise, lighten patient's medical burden. Reporter Li YanShui


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