Medical network February 23 - a perspective: reform of the promoters, must have its frame of reference of the public interests and public interests, to have the courage to more has the ability to eliminate interference, walk the line to go on
At the beginning of the end, he has been tracking sanming interview health reform. On the surface, this model was definitely in many aspects: the medical personnel salary system reform of form a complete set, already in sanming fully implementing; Multiple provinces, including fujian province have started to introduce sanming reform experience and practices; Early this year, was born in sanming reform "two votes", is to rise to the level of national policy, next year is expected to promote all over the country.
Sanming health harvest, of course, not all the flowers and applause, also have a question, no sound. This hardly surprising, touches the reform of the vested interests, there are different voices to normal. Some holds the decisions of government officials, however, don't follow reason given, but a little specious. Such as: "the reform is very good, but is not suitable for our area." "Still haven't solve some disadvantages, should look at."
The health impact of wide, complex operation, any kind of pattern is not perfect, it is hard to have an immediate effect. Determine the reference value, however, can't struggle with it didn't solve the problem, and to see what it can solve common problems. From this perspective, sanming reform and "two votes" is certainly commendable, because it captures the reform a substantive issues, namely, drug prices artificially high.
Why drug prices artificially high? An important reason, is the drug circulation chain length, order, and layers of premium. This among them, with reasonable, participants also have a large number of the affiliated business, ticket money laundering rentier. According to industry statistics, medicines every one hand, the price will rise about 20%. At present, the country engaged in pharmaceutical wholesale enterprises more than 1 m, how much is the market really need? According to statistics, in fujian province after the implementation of the "two votes", pharmaceutical distribution enterprises quantity reduced from 200 to the current 62. Because only two invoices after the reform, a from drug to drug sales company, one is from drug sales company again to the hospital, pharmaceutical supply chain greatly compressed, who make flipping out of the business enterprise. The personage inside course of study estimates that if the "two votes" strictly enforced throughout the country, medicine commercial companies may be reduced from 3000 to 6000.
Visible, "two votes" even may not solve the problem of drug prices artificially high package, but the specification "more small scattered difference" in the field of drug circulation situation, is certainly suit the prescription. In some places and cadres "doesn't fit theory", or is critical, either resist reform excuse. This soft, had a great influence on health-care reform to promote. According to statistics, only about 3% of the country's drug bidding market share in fujian province, the sanming city of fujian province, the market share accounted for only 3%. "Two votes" from sanming, the interests of the ripple in other regions, is much more clearly. Before the national policy certainly, sanming is referred to as the "island" in the industry. This shows that the deepening of reform, in addition to the correct path, the benefits of overcoming the layout of the expanded adjusting difficulty.
At present, we have emphasized comprehensively deepen reform, because compared to the past, no matter what ideas forward along, will inevitably collide in the thicket of deep interest. Promoters, therefore, the reform must have a public interests and public interests as the frame of reference, to see essence through the superficial, have the courage to more has the ability to eliminate interference, walk the line to go on.
Break through barriers to promote comprehensively deepen reform, need outside bang strong gas continuously, but the reformers also have to bite the bullet. The way forward, don't ignore any a kind of interest expression, but also can not be dishonest gain, inappropriate questions bound hand and foot, thus missed reform opportunity, lost direction. If the substance has been bright, every direction is clear, the road line, when the obstacles, the momentum will reform to the end. |
