China will arrange and develop simultaneously and expel more " Mend medicine with medicine " Difficult problem

China will arrange and develop simultaneously and expel more " Mend medicine with medicine " Difficult problem
In the ward of the commune hospital of garrison post of a letter of Miao Autonomous County of Songtao of Kweichow Province, defending the sick wife in three groups of villager's dragon's prosperous bridges of village of 40 -year-old empty general term for paulownia, phoenix tree and tung tree, he says: "Same disease live 7, 8 day institute the past, spend 4, 500, I paid 200 yuan first this time, has not used up yet till now, the medicine price has been obviously lowered than the past. " "According to calculating, one grade of medicines incomes of commune hospital of villages and towns accounts for 31% of the total business income. " The loose peach chief of county hospital Ran QiJiang says, live in concentrated communities in the county in this ethnic minority, peasant's overwhelming majority sees the doctor nearby, two grades of clinic of villages and towns, village have accounted for 60% of the total person of the clinic of the whole county, and for a long time, the medical organization at the basic level has hung on to in a manner to survive mend medicine with medicine. The intersection of China and public opinion think, mend, cure mechanism, promote medical expenses unreasonable to rise with medicine extensively, cause medicines to abuse, twist medical worker's behavior, cause " see the doctor expensively " Important reason. At the national hygiene working conference on the 5th, Chen Zhu, minister of Ministry of Public Health, says, mends and cures the question with medicine in mechanism disadvantage that domain of China's health care needs expelling most at present. In 2009, China's new medical reform will have clear scheme, the country will advance the reform of compensation mechanism of public hospital, increase the input in government, improve the economic compensation policy of public hospital, turn back " mend medicine with medicine " progressively Phenomenon. Hereafter, the national basic medicine system started implementation, the related departments made the basic medicine catalogue, regard province as the unit to bid and purchase in unison, deliver to the medical health organ in the basic unit, the medical health organ in the basic unit cancels the addition of medicines, sell a difference rate. Through the efforts of a few years, base medicine is popularized in the basic unit effectively, meanwhile, many places integrate and manage to health clinics in towns and townships and village clinic, make the medicine system of the base extend to the village thoroughly, ordinary people receive convenient and material benefit. Chen Zhu says, " twelve five " (2011- 2015 years) During this time, China will make great efforts to create the condition, will further implement and cancel and mend the relevant policy of medicine with medicine, give full play to the compensation of medical insurance, advance the reform of price steadily, try to expel and mend and cure the drawback safely with medicine in an orderly manner as soon as possible. But many insiders think, the price control of medicines has been gone through from all controlling to basically decontrol, and then to strengthen the course controlled progressively, a lot of medicines rise greatly at the price in the course of decontrolling, medicines price " There is much moisture " , the links of circulating " Squeeze whenever possible " ,Empty high and pattern of distribution of interests of every link has already taken shape, certainly will touch the unit realistic interests of health care to mend medicine with medicine in reform at the price, the course advanced actually must be quite difficult. "According to the whole cost accounting, most public hospitals are in losing state. " The first people, director of Zun Yi city Luo XuDong say, the hospital wants more funds while running, and the government can not take out a lot of money, ordinary people want to spend less money again, have caused and mended medicine " chronic illness " with medicine Difficult except that, the relationship between doctors and patients is tense day by day. Ran QiJiang shows too, the loose peach county is located in the mountain area, traffic inconvenience, after implementing the integrated management of village, villages and towns and county want, know the intersection of village and the intersection of clinic and administration, new agricultural the intersection of person who wipe out and situation jointly in time through network, on the issue to become extremely urgent informationization. "Explore medicine is separated very well, but should catch the core to click, namely two words of ' the interests '. " Expert, Li Ling, professor of Peking University economics, of the medical reform think, separates interests of medicine from doctor's interests, it is real medicine that is separated. It is reported, Ministry of Public Health will implement and cancel and mend the relevant policy of medicine with medicine, push away in 300 pilot counties in advance this year, strove to make 2013 generally pursue in hospitals at county level, pushed in all public hospitals open in an all-round way in 2015. Strengthen financial input power at the same time, continue improving and ensuring competence newly and agriculturally jointly, generally launch the pool of clinic, launch the coordinated cooperation and help, improve the hygiene service of medical organization at the basic level and ability which the patient pays. (reporter Lee is amazed by inferiorly)

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