Expect the basic medicine system policy is more thinning

Expect the basic medicine system policy is more thinning
Expect the basic medicine system policy is more thinning
Staff reporter Wang LeMin Dispose according to the new medical reform, at the end of this year, the beginning of next year, 30% of the medical organizations at the basic level will begin to implement the basic medicine system. When being competenter and closer gradually and competenter and closer gradually, all parts begin issue implement basic medicine system measure and planning specifically in full preparation this time limit. And compared with temperature of the relevant responsible institutions of the government, the attitude of the patient, medical organization and pharmacy enterprise seems relatively calm. The basic medicine " How to enter the prescription" Become the focus in some pharmacies and institutes of traditional Chinese medicine of Chinese-Japan Friendship Hospital, Dongzhimen of Dongcheng District, Beijing, the reporter has interviewed many old men coming to take medicines or go to a doctor at random. Most patients say that is not very clear what it is about the basic medicine system, have not felt either to the cost using medicine at present that there is any great change to appear. After finishing listening to the reporter's simple introduction, the thing cared about most that they express is: "How much has price of medicines been lowered? How much administration submits an expense account the proportion can be raised. " As to this, medicine head of the department Wang ShuPing in the People's Hospital, Hubei thinks, there are 307 kinds of basic medicine catalogue varieties announced, clinical daily medicines are thousands of kinds at least now, even the price of basic medicine is lower, the public may not necessarily experience either. In addition, medicines in the basic medicine catalogue have not stipulated the medicines that the concrete producer produced, in fact the price of different producers of same medicines differs greatly. Wang ShuPing says, price of 0.5 grams of forest injection of thiazole of very beginning spore of antimicrobial is about 1 yuan for example, if price of 0.5 grams of forest injection of thiazole for five flood peak spores is about 30 yuans; Aomei draw thiazole to be enteric to dissolve capsule 20 *14 5 yuan about domestic price, import the intersection of A and 20 *7 80 yuan about price that Slay produce by health. Some insiders think, the country pursues basic medicine system, the key lies in how the basic medicine comes into the daily prescription from the catalogue, this can't reach ideal result by to require policy only, must come on by the intersection of power and responsibility and distinct system normal thinning quantizing the requirementing. But some first line clinicians are anxious, if the policy can't be thinning, the use of the basic medicine may suffer " cold reception " of two respects of doctors and patients . Doctor while treating disease, will choose some until practice prove clinical effectual medicine for many years, and to the basic medicine " Scorn to take even a glance at " . An academician of PLA general hospital says, the doctor thinks of pursuing optimization the most of the therapeutic effect in administration. Hypertension, renin such as resist - angiotensin systematic (RAS) The union healing solution of inhibitor will bring more cardiovascular protection to patient, and control blood pressure to be effectual, so most clinicians are all used to selecting angiotensin for use and changing enzyme inhibitor (ACEI) Or the angiotensin receptor is resisted (ARB) short of moneyly ,Will not be chosen in " basic medicine catalogue " " It is out of date " Medicine. Likewise, if patients have already got used to the above-mentioned resisting the healing solution of hypertension, and blood pressure is controlled very effectively, it is very difficult to let him select other medicines for use. If strong pushes away in the medical organization at the basic level and totally uses these basic medicines, whether will lead to the fact the patient runs to the large hospital? Whether will influence " Common disease, frequently-occurring disease go out of the community " Reform goal realization. Enterprise " looks on " medicine Lie in seeking the interests to maximize when the basic medicine catalogue is made, one large-scale medical enterprise has spent its' competitive product once of much attention - -In the catalogue that it is drawn up that a non-prescribed medicine operation gets. But later, enterprise this weigh in many ways, and fee very old strength" drag for" in catalogue product this Come out. From wanting to enter the basic medicine catalogue and get to withdraw from the basic medicine catalogue voluntarily, reflect the doing in the test amount to one's own interests of pharmacy enterprise. Medical Deputy Secretary-general of association of enterprise, open medical group's Vice President's ox of China of China are straight the universe thinks, the transition of enterprise's attitude, lie in the push of the policy. Niu ZhengQian says, in the new medical reform scheme draft, the basic medicines are " all used " by the medical health organs in the basic unit ,And the scheme issued finally is changed into " All allocate and use " . Difference that change bring this, just, the former to " can only be used " in norm that stipulate by force ,And the latter should be interpreted as " allocate the basic medicine, but the doctor has prescription right of freedom on medicines, the patient has right to choose of freedom on medicines " . If is the former, pharmacy enterprises want to run the medical market in the basic unit, can only seek to enter the basic medicine catalogue, once without entering, mean losing this market. And if is the latter, enter the basic medicine catalogue, enterprises all still leave and operate the space. According to the policies and regulations, the basic medicine must have priority to use in clinic. But the basic medicine can finally use in clinic to any extent, the relevant policy is indeterminate. And to enterprise, the ultimate goal that the products enter the basic medicine catalogue is to sell. Once the terminal station is sold and has not ensured, give a great discount naturally in enthusiasm of enterprises. An insider points out, in fact what enterprises cared about even more is not whether products can enter the basic medicine catalogue, catalogue of submitting an expense account of the medical insurance that but can enter. The most important. Emphasize prices, should emphasize the mechanism even more A medical market survey personage points out, " national basic medicine catalogue " (the part at the basic level) already issued Directed primarily to the medical organization at the basic level. But supply the mode to look from existing medicines, the urban community medical organization can also do, the problem may exist when supplying in medicines of vast rural area and outlying mountain area. This personage says, as medical resources are distributed, there is medical business of enterprise in circulation of scale that basically centres in the large and medium cities, the rural demand for medicines of medical organization at the basic level is small, provide and deliver the high cost. If plan according to the basic medicine system, purchasing, provide and deliver in unison, the uniform price, a price differential rate that the basic medicine should achieve reunification, should solve medicines and provide and deliver the relation between cost and medicines price first. But this kind of change could not be finished in a short time. As to this, medicine policy and basic medicine system department's chief Zheng Hong of Ministry of Public Health have deep feeling. He thinks, the links that the system design of the basic medicine system involves are many, in such a system frame, it is very difficult to reach the implementing effect of the system by the actions of Ministry of Public Health, hygiene system only. Meanwhile, the basic medicine system emphasizes the design of the system, it doesn't meet basic goal of the basic medicine system to satisfied with the demand by reduction simply. Zheng Hong expects, in implementation of the basic medicine system, pharmacy enterprises can participate in, the medical organization should play a positive role. Meanwhile, the finance should guarantee to implement rational compensation to the medical health organ in the basic unit.


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