Expert claim raise medicine to be unable to solve see the doctor your difficult problem with medicine Need to change the mechanism

Expert claim, raise medicine to be unable to solve, see the doctor your difficult problem with medicine Need to change the mechanism

On the 23rd, national development and reform committees, society of Ministry of Public Health and people departments jointly released " opinion of reforming medicines and medical service price forming mechanism ". Among them, it is that this " suggestion " is maximum a bit more on that the medicine price should lower, examine the fee to rise.
As one of the serial related files of medical reform, " opinion " announces, cause the masses of worker's earnest concerns of hygiene field.
" raise medicine with medicine " Is there change? Can the doctor fully reflect value? Can the expensive problem of seeing the doctor be solved? Can the medical service quality be improved? As to this, regional hygiene leadership, director, relevant experts of responsible institution launch discussing warmly one after another.
Pilot hospital - -
" rise and examine the fee " Can't support " Lower the expenses for medicine "
In the afternoon of November 23, Guangdong Government holds the whole province and deepens the system reform mobilization meeting of the health care. The reporter knows, Guangdong will adjust and reduce it until cancelling the addition that the public hospital sold 15% of medicines progressively over the next 3 to 5 years; Within this year, realize 30% of the medical health organs of basic unit implement providing and delivering in unison, a difference rate and sell the basic medicine.
Cancel the addition of medicines, thus makeover " raise medicine with medicine " Current situation is a general orientation of the national medical reform. In this respect, Shenzhen, Zhanjiang and Shaoguan three places of Guangdong have already chosen some public hospitals to launch a pilot project.
On June 15, the People's Hospital of city center of Zhanjiang begins the pilot project. The intersection of Vice President and GuiYuan Xiao introduce, pilot project, institute this reduce 1054 Western medicine and 562 kinds of traditional Chinese medicine prices together, have lightened the burden of the clinic patient to a certain extent. Because the other hospitals have not carried on the reform, a large number of patients go to this institute to see one after another that writes a prescription in clinic, enable the clinic quantity in institute these increase by 20% up till now.
Xiao GuiYuan says, though the related departments have improved some medical care and price which checked the project by 4%, but lose function not big in remedying the medicine price of the hospital. The income from sales of reduced medicines of hospital, it is still unable to be remedied on medical care effectively. "At present, the addition is reduced by 5%, we still can think about the method from other respects, hold out. If really realize a difference rate, the other implementation of compensation, the hospital runs very difficult support at ordinary times. " Xiao GuiYuan says.
As to this, Vice Chief of Guangdong Province department of public health Liao XinBo says, must treat the service price in practising medicine now and rectify a deviation fundamentally, the policy that will improve the medical service price is fulfilled.
"Reflect the medical service price of the value of medical worker's labor service is on the low side at present, such as more than 3000 medical charging items, only about 1% are the charging item of attending to the respect. For example it washes hair to be just 6 by the one bed, cheaper even than the hairdresser's. But the nurse launches this job, the technological content is very high, the height of resuming, the patient's monitoring should be paid much attention to, otherwise cause brain blocking up, venous embolism. And for example the ward is tertiary to attend to just 3 yuan for one day, cheaper than the service charge of hotels. The these above-mentioned ' ran at a loss ' was replenished by 15% of the medicines addition in the past. It raises medicine with medicine to be once disconnected to support, the hospital will be unable to turn round. " Liao XinBo says.
Director - -
Raise and make a diagnosis the fee, the service should keep up with too
23, national the intersection of development and reform and committee, Ministry of Public Health and the intersection of people and society portion release behind the " reform medicines and medical the intersection of service price and opinion of forming mechanism " jointly, the regional drugmakers have all produced greater response.
This opinion demands to raise the medical care expenses clearly, has been approved by director of Shanghai Rui Jin Zhu ZhengGang. He thinks, it is how to give play to the medical worker enthusiasm that the public hospital reforms the greatest problem. Adjust the medical service price, promote the medical organization from " raise medicine with medicine " To " raise medicine with the skill " Transition. The medical care expenses have been raised, the doctor obtains the legal sunshine income through technology, would not go, turn on loud prescription and check for commission expensively, could enter benign cycle in this way.
Director of Beijing Chaoyang Wang Chen shows too, during medical care, the question of the reversal of the relation between mental labour and physical labour, having already influenced the quality of medical care seriously, it is unable to arouse the enthusiasm of medical worker. Go on like this, it is just unable to form more persons to participate in the medical team's incentive mechanism, the ones that would faced in the future are " No one works as a doctor " Awkward situation.
Raise and examine the fee, should promote and serve even more. The market first director Shen ZuoHong in Huhehot of the Inner Mongol says, the issue of " opinion " will contribute to adjusting the price of medicines rationally, promote the sound development of hygiene industry and medical industry. " raise and examine the fee, reduce the medicine price " ,It is easy to in fact say, it is difficult to do. As to any patient, if make a diagnosis the fee raises and not gets better medical care, there must be opinions. So, " raise and examine the fee, reduce the medicine price " Key want to last patient medical without being felt promotion of service quality,and can use by effective medicines on a price reductions cheap smoothly, let ordinary people feel the true result.
There are some presidents of hospital to hope to get more finance to subsidize. "Half the profit of the hospital comes from medicines and raises the price, most medical service charge suffers the loss at present. If carry out according to ' the opinion ', the normal operation of the hospital is certain to be influenced " . One Lu, Vice President of Shanghai Long March Hospital, say frankly according to regular to calculate, get off just, the profit will be reduced by half possibly, will hope in the related departments through increasing the finance the measure of subsidizing etc. carries on essential compensation.
Expert's view - -
Repayment that medical care should be rational
Issue " reforming the opinions of medicines and medical service price forming mechanism ", discuss, it is one of the serial related files of medical reform through the deliberation of 2- 3 years.
Professor of Peking University Guanghua School of Management Liu GuoEn thinks, " opinion " is made according to the spirit of the medical reform, aim at, control the intersection of medicines and expenses, raise medical service price, change pass by the intersection of medicines and expenses and non- the intersection of medicines and charge structure that expense twist, change the unreasonable price forming mechanism.
The People's University of China medical researcher of logistics centre constitution Li say price discussion of forming mechanism run through on the intersection of medical reform and scheme discussing all the time. The direction made of " opinion " is right, have given consideration to and equilibrated the interests of each side, it is worthy to be definite.
For how form reasonable price mechanism, GuoEn Liu say for a long time, the medicines price of our country, input of heavy-duty equipment, all integrate with the market, on here, without too much adjustment spaces, it is a present a difference rate at most. And the price of medical care, control by administration. In the long run, should try every possible means to solve from mechanism and system, let the medical service price receive the reasonable repayment, accord with law on the market, accord with the patient's value judgement.
As to this, the intersection of constitution and researcher Li show the similar view. He says, the price reform can not solve " sees the doctor expensively " Difficult problem,because it is in price and expenses are getting more corresponding directly. A series of measure on a price reduction, reform of calling for bid of medicines,etc., have not solved the expensive difficult problem of seeing the doctor, the policy goal is difficult to realize. So long as the adjustment that carries on on the prescription of doctor who holds the prescription, will " digest " Lose the result of medicines on a price reduction. Reform the forming mechanism of prices, that need is to change the operating mechanism of public hospital, make the public hospital receive rational compensation.

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