Buy it in 500 yuan of basic medicine " Free " The new policies are limited on Xiamen influence

Buy it in 500 yuan of basic medicine " Free " The new policies are limited on Xiamen influence
Buy the basic medicine, " free " in 500 yuan ,Since August 1, should cure and change the policy 38 public medical organizations at the basic level in Xiamen are common; The new policies aim at guiding more citizens " Small disease will go out of the community " ,Shunt the pressure of the large hospital. But reporter's investigation finds, come more in one week, the clinic amount of community hospital inside and outside the island only has 1- 2 rise that becomes. And even if such rise, some insiders express the worry on prospect: First, in 500 yuan " Free " After the medicine is brushed, perhaps the patient will " flow back " To the large hospital; Second, the one that fetter this new policies " The bottleneck " Many, such as community's hospital being all right to be " free " Little,this measure or " pushing patienting that is more from community hospital to " The large hospital, thus" it is low to draw " Clinic amount of community's hospital. Then, want, improve the intersection of community and the intersection of hospital and the intersection of clinic and the intersection of quantity and we, want which make have really? Which are the reason not big of attractiveness of community's hospital? The person who nears diary carries on the investigation on this. Investigate over half the number interviewee saw the doctor and still selected the large hospital yesterday, the staff reporter united the decision resource market survey Co., Ltd. of Fujian Province, the citizens holding the medical insurance card to Xiamen have launched the random investigation, finish 385 effective samples together. The census data reveal, in the citizens going to community's hospital to go to a doctor, the citizens up to 75% say that " very satisfied " Or " more satisfied " . However, with not a identical one of high satisfaction of the citizens going to community's hospital to go to a doctor, expressing even if sees some small diseases and will choose the large public hospital by investigators of over half. The person in charge that a large hospital inside the island is in charge of the community tells reporters, though the relevant department, hospital have already offered a lot of policy advantages and convenient for the fact that citizens went to community's hospital to go to a doctor, but a lot of citizens do not know this well yet; This questionnaire investigation, has verified the judgement of this person in charge too. The data reveal, understand community's preferential policy to some extent, only accounts for 11.17% which receive investigators, and, the ones that were understood most are " to exempt from the registration fee, inspection and examination, treating the expenses to carry out the first class expenses standard of medical organization " . And the one that went to a doctor in reaching the community is other convenient, such as going to the corresponding medical organization of higher level of community's hospital to go to a doctor within term of validity, can enjoy and avoid the registration fee, book Specialist Clinic, preferential treatment of making an appointment in hospital,etc., most people do not understand. And in buying 500 yuan of basic medicine to issuing newly " Free " Policy,receive at investigator only there is be people of 7.27% because it understand, it is obvious whether there aren't propaganda of policies relevant. Which are there on earth insufficient in community's hospital? From investigating the data analysis, it is easy to find, would like to choose the citizens that community's hospital went to a doctor, mainly because of " There are few patients, the time of lining up is short, save time " And choose community's hospital. Have to show investigator, will comply with " serious disease to the loud hospital, little disease reaches community's hospital " 22.37% Visit principle. Then, do citizens think, compared with large hospital, is it insufficient which community's hospital are? The investigation reveals, more than 40% are thought " there are too few experts " in community's hospital by investigators ,Afraid the not good disease the general doctor sees; About 30% are thought by investigators " Like the medical apparatus" ,Some check project, can't finish at one time, odd of turnover will be very troublesome; The thinking by investigators of more than other twenty percent " The medicine is not complete enough " ,Writing a prescription will compare the fee setbacks to get it filled. In addition, some little interviewees query the speed of community's hospital too; Certainly, some interviewees " repel in the heart instinctively " too Community's hospital. According to statistical data, in July of this year, the clinic quantity of hospitals of 8 communities which first hospital on the door of tall building administers adds up to more than 50,000 persons, having dropped by 25%- 30% compared with the same period of last year, among them the highest one is the medical service centre of Chinese community, it is more than 11600 persons, and lowest community hospital is comparatively remote because of the highway section, the patient goes more more either, the clinic amount is only more than 2400 persons. At this point, the personage that one large hospital one inside the island is in charge of community's hospital worries about this: Several which the above-mentioned citizens reflect " Insufficient " ,Fail, solve properly, in the future, want, improve community hospital clinic quantity still " quite difficult " (used after an attribute); And for community's hospital, the amount of clinic quantity, nearly determine its existence or development space. Worry The medicines variety reduces and brings inconvenience to citizen 500 yuan " free " After policy issue, reporter know over one week, the intersection of community and the intersection of clinic and most quantity of hospital inside and outside the island have 1- 2 rise that become, the persons in charge of many community's hospitals express and have an optimistic view of this policy, but there are anxious insiders too, in 500 yuan " free " After the medicine is brushed, perhaps the patient will " flow back " Get to the large hospital. Meanwhile, the insider points out too, as far back as 2008, 1000 multi-type medicines implement a price differential. After and implement " catalogue of basically using medicine in the country " on New Year's Day this yearing, namely the whole province and state policies " move ahead simultaneously " ,The hospital at the basic level of Xiamen lists in medicines of the basic catalogue of submitting an expense account of the medical insurance and is turned into 455 kinds, the quantity has been reduced instead compared with before. "Buy basic medicine, 500 but ' free ', save money, stipulate medicine that is can free must in within " whether country use medicine catalogue basically " too, the space that patient selection uses medicine is small. " The person in charge of the hospital of a community tells reporters, " lack medicines " at present Have already become the place of many citizen's discontent to community's hospital. Discuss and see the position " prejudice " Coming from and recognizing it incompletely on one hand, most citizens carry on " PK " in large hospital and community hospital When will choose being large by hospital,on the other hand, at community patient in which hospital go to a doctor but getting higher in the satisfactions, the two seem that there are contradictions, there are insiders that analyze, this is mainly because citizens do not have enough yet to cognition of community's hospital. In fact, are analysing and explaining community's hospital " attractiveness " to citizens On this question, the relevant functional department, taking over the large public hospital of community's hospital of Xiamen has made a lot of positive efforts: Citizen query expert, little, large hospital transfer keen-witted and capable expert, take turns or select, diagnose in the intersection of community and hospital day; Query the medical apparatus is general, nowadays the fund input in this respect of hospitals of most communities increases year by year. "A lot of citizens are used to without changing, does not know well about preferential policy, convenient measure relevant to going to a doctor in the community because of inherent seeking medical advice, having caused a lot of citizens to seek something far and wide when it is within reach while suffering from the small disease, would rather choose the large hospital " . One community medical staff member of service centre Ms Zhang says, after the medical service centre of community of Xiamen puts out, a lot of medias have carried on the report to this, but in the real work, we find a lot of citizens to community's hospital There is only a fuzzy concept, after a lot of citizens go to the community to go to a doctor, just know the community went to a doctor there was so much originally " The advantage " . While leading citizens to go to the community to go to a doctor, except should solve the practical problem constantly, give citizen more facility and favour, should convenient favouring, propagating to the family actively these also, but not let them lie on the file " Have a good sleep " . Medicines variety can increase twenty percent more Doctor Huang (hospital of some the first, second and third) : Undeniable, community the intersection of hospital and apparatus inferior to large hospital far, at community's hospital orientates in the inquiries test and writes a prescription mainly, but the present current situation is, most hospitals all support community's hospital in the money of cushion, the school is consulting how with the responsible institution to improve the clinic amount matters actively too. It is simply few as to medicines varieties which many citizens reflect, choose the limited question, doctor Huang think, change administration of citizen used to it too very crucial, doctor should want, learn, guide the intersection of patient and administration. Some citizens were accustomed to the use of more expensive medicine, should use cheap medicine instead suddenly, do not suit. It is the better that medicines are the more expensive this is actually a mistaken idea. The doctor will weigh the advantage and disadvantages, consider which kind of medicine is most suitable for patients. It is all right to use medicine correctly, it is the better not to be the more expensive. Meanwhile, in using medicine, should adopt more flexible system. On one hand, the doctor should try hard to lead the patient to use the medicine in the catalogue, but the patient has a right to choose to be still the medicine in the catalogue outside the catalogue at the same time, in this way, will be more flexible. At present, in the basic medicine catalogue, contain the medicine of basic number of the overwhelming majority, still have some in their, medicines if variety can increase for 20% about, can stand opposite each other a little in an all-round more way. It is optimistic doctor in Huang say,above-mentioned what time,if can accomplish,perhaps, how draw high by community hospital clinic quantity " the difficult and complicated cases " this pair To say, it is undoubtedly a dose of " good medicine " .

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