Medical network - March 9 outpatient pharmacy is not set up, the people scattered to the pharmacy to get medicine in the society, there is no doubt that can improve the treatment experience. In the past, people go to large hospital sees a doctor, not escape "three long and one short law", the interrogation of time is very short, but registered, waiting for, take medicine for a long time. After cancel outpatient pharmacy, can shorten the treatment time, conform to the new reform in 2009 clearly put forward the medical reform direction separately, and promote the public hospital cancel one characteristic of drug addition.
On the two sessions this year, questions about the cancellation of drug addition caused a heated debate. Have a representative from medical a line, suggested that the factory price direct printing on the pharmaceutical packaging, or in a government website of the public. Such a discussion, let reform path became clear. At present, the existing more than 1560 urban public hospitals to cancel the drug addition, this year all city public hospital should cancel the drug addition. This means that the hospital bonus income, can't count on drugs to the pharmacy to become a cost center, is no longer a profit center. Operating pressure, only keep the necessary emergency treatment and hospitalization pharmacies, stripping, outpatient pharmacy is the trend of The Times. But that doesn't mean you realized the medicine apart, if not reverse to the deformation of medicine medical situation, cancel the hospital from the economic dependence on the drug addition income, it is difficult to fundamentally to cut off the interests between medical chain, stop to medicine medicine, prescribe the wind of receiving kickbacks.
Cancel outpatient pharmacy is taking a step, expect the move to drug prices fell, kickbacks no longer exists, it is too early. From the reality in our country, really realize medicine apart, should have at least four conditions: one is the patient have a choice on prescription, need not be specified in the hospital pharmacy to buy medicine; Secondly, the hospital has alternative sources of income; Three is a doctor by diagnostic services to obtain a reasonable income, service specification, no kickbacks channels; Four is drug pricing is reasonable, respect the market rule, better play to the functions of the government. Visible, separate medical reform will not happen overnight, but also need to promote the reform of all kinds of form a complete set of package, otherwise it is difficult to out of the "shear continuously, reason is" pattern, may even be repeated "press the gourd float gourd ladle".
Fundamentally, or want to promote the pharmaceutical industry to return to their own development. First of all, to make medical service to return to a reasonable level. Only to adjust the diagnosis, surgery, medical staff services such as price, fully embodies its labor technology value, make it become the hospital the lion's share of the revenue, can give medicine cure mechanism of weaning. Second, is to strengthen regulation and oversight process of drug use. From industry access to the drug procurement, the whole process of medical service should be in line with the clinical path specification, not at liberty to prescribe medicine, medicine with you. Medicare payments to give play to the role of a good review, at the same time, the equivalent homogeneity in drug pricing strategy, and constantly gathering at a low price in the market, to ensure the quality and high quality, no space to send kickback. Finally, to let patients to examine the effects of separated medicine, including treatment cost is lower, the use of antibiotics have decrease, and so on.
In fact, Japan, South Korea and other countries already mandate pharmaceutical separation, also try to the closure of the hospital outpatient pharmacy, but after decades of reform, separate medical effect is not obvious. Investigate its reason, or ignores the synergistic effect of the reform, supporting measures didn't keep up with, so that the effect.
Xi jinping pointed out that general secretary, bear responsibility, to strengthen the reform target, would demonstrate political courage, perseverance. Council recently issued "on further reform and improve the use policy for producing and distributing medicines of several opinions, qualified medical institutions can explore the outpatient pharmacy from medical institutions. Cancel outpatient pharmacy spring coming, we are looking forward to a firm attitude, pragmatic move around steadily push forward the reform, so that the masses enjoy the high quality and reasonable medical services at an early date. |
