Executive country of Anhui and other places is basic medicaments system effect is apparent

As the province such as Anhui, Jiangsu, Tianjin city develops a nation actively basic medicines system is pilot the job, try out is basic ” of 0 price difference sells medicaments ” , pattern of prices of hundreds kinds of basic drug immediately and fall, drop achieve 30 ％ to be controlled to 60 ％ . Deepen one of 5 big targets that medical sanitation system reforms as our country near future, basic medicines system begins the country play reduces patient economy burden, enhance security of medicines and chemical reagents, decrease excessive wait for action with medicine. The knife of reform chops the fertilizer of city of Hefei of the Anhui province that in the earliest try out to reporter of 　 of price of empty expensive drug 0 price difference sell basic medicines hospital of center of prefectural granite town sees on the west, the price of 40 milligram gentamicin that a pharmaceutical factory produces lake of overgrown with weeds already by 0 before reform. 43 yuan fall to 0. 15 yuan, fall for 65 ％ . The akin medicaments that pharmaceutical factory of and other places of Nanjing, Shanghai produces falls in 42 ％ – between 63 ％ . Anhui, Hubei produces board La Gen falls for 48 – 63 ％ . Do country of director Shen Wei to say according to the Anhui province develops and reforming cure of committee chairman, province to change, since pilot reform, orgnaization of sanitation of basic level medical treatment is basic medicaments price falls on average amount to 50 ％ to control, benefit and masses 2000 much person. Central hospital is pressed down in granite, the cure of the Hou Shiying old person that the reporter turns over is protected this. The record shows: Will mix last year in September this year in January, she all accompanies infection because of bronchiectasis and be in hospital. Cost 1870 yuan before one times, use 800 yuan this only, main reason is medicines and chemical reagents depreciates. The decanal Tong Weimin of this hospital tells a reporter, execute medicines and chemical reagents after 0 price difference, “My courtyard depreciates integratedly extent achieves ” of 50 ％ above. Nowadays, have a fever patient, infusion 3 days 20 yuan enough, need 100 yuan or so before. After medical price is reduced, treat same disease, before the medical charge after reform compares reform, drop apparently. Tong Weimin says, last year in November, surgical patient Chen Qingzhi carries out gallbladder to excise an operation in this hospital, total cost is 3914 yuan. After a month, this hospital try out is basic 0 poor rate sell remedy, zhu Anyan carries out similar operation, because medical price falls, total cost is 2961 yuan. Rose on January 1 from this year, the orgnaization of sanitation of medical treatment of 5372 basic level such as the village clinic that the hospital of villages and towns of 32 counties area, unifinication runs the Anhui province, basic to 307 kinds of countries medicines and medicines and chemical reagents of complement of 172 kinds of provinces execute 0 difference to lead a sale entirely, save price of unified invite public bidding to sell completely namely, all inventory medicines and chemical reagents presses the sale that receive price entirely, and do not get prep above country to coach valence and province purchase price fixing. Tianjin city begins the sanitation of basic level medical treatment in 9 the city zone since last year the orgnaization executes basic medicines 0 difference lead a sale. Up to last year in November, citizen accumulative total reduces medicaments expense １ . 7.2 billion yuan. Jiangsu province rose on January 23 from this year saving 37 counties completely (city, area) hospital of center of all community sanitation, villages and towns takes the lead in implementing basic medicines system. Because basic medicines brings into cure to maintain list entirely, nanjing city medical service protects fund to will give entirely submit an expense account, jiangsu is other as a whole the area will be reduced stage by stage, the individual that cancels basic medicines pays proportion oneself, rise submit an expense account scale. The win-win 　 of patient and hospital comes for years, as a result of a variety of reasons, the regular pay of basic level medical personnel cannot get safeguard. For this, the throughout the country’s greatly small hospital must be relied on earn price difference of medicines and chemical reagents, solve the problem such as the salary bonus of medical personnel. The appearance that this kind of ” raises cure ” with medicine brings about medical establishment to leave big prescription, excessive with medicine, excessive cure. The Anhui province is monitored make clear, of the clinical and commonly used antibiotic of above of half the number be able to bear or endure property of a medicine has exceeded 50 ％ , at the same time the commerce in purchase and sale of material of medicines and chemical reagents, bad news boodles also common occurance. Shenyang defends a country to say, medicines and chemical reagents increases price not only aggravate see a doctor to contradict expensively, medicine of the ” of ” big prescription that brings about from this, abuse, more those who give numerous people is healthy bring long-term damage. Communication of experience of spot of basic medicines system says the executive state that he changes leader group office to was held in Anhui Hefei recently in cure of the State Council on the meeting, “We pass investigation discovery, with medicine in ‘ system of filling cure ‘ falls, the medicines and chemical reagents of orgnaization of sanitation of basic level medical treatment increases valence proportion very tall, hospital of villages and towns exceeds 60 ％ generally, village clinic achieves 80 ％ above commonly. “　 drug price falls, the patient spends money less not only, still having one big gain is also be reduced greatly by the odds of abusive medicaments. Pilot not only wide get patient reception, basic level cure defends personnel also substantially recognition. Fat the county fathers on the west Yan Lizhu of physician of inn countryside hospital tells a reporter: Not only common people got Dashihui, also be helpful for a hospital benign development. Our doctor cares a disease to value only now, unlike considers to sell drug even before, rely on to sell medicine to have a meal. Liao Jian of dean of hospital of severe inn countryside says: “Raise cure to make hospital commonweal sex abate with medicine, pursuit interest, I should consider complete courtyard of 23 workers have a meal problem ah! The to the doctor assessment in the courtyard is very as close as link up with selling drug. Now, I become a dean, can throw total energy raise service quality to go up, and put main energy no longer achieve close. “” of fist of combination of 　 policy ” ensures reform advances 　 steadily to alleviate ” sees a doctor the problem of expensive ” , in November 2009, wholesome system reforms medicine of basic level of the Anhui province integratedly to be started formally, “System of management of medical establishment of basic level of package ” reform, human affairs, allocate, system of basic medicines, safeguard, make its return to commonweal sex. The Anhui province cuts what cure changes into the dot to be put in execute basic medicines on sale of 0 poor rate. Rose on January 1, save 32 pilot counties completely (city, area) the orgnaization is deployed entirely and basic medicines is used in the sanitation of basic level medical treatment that the government holds, 0 price difference sell all drug. 593 kinds of when basic level medical establishment sells basic medicines execute sale of 0 price difference, unite the price sale of invite public bidding by complete province namely. 593 kinds of medicines and chemical reagents include a country basic medicines 307 kinds, compensatory medicines and chemical reagents mixes the basic level of basic medicines country with certain the Anhui province 172 kinds medicines and chemical reagents of urban community complement 114 kinds. Afore-mentioned basic medicines and compensatory medicines and chemical reagents are made invite public bidding is centered to purchase on provincial and unified net by the Anhui province, unite the price, unified deserve to send, by deserve to send an enterprise to unite basic medicines and compensatory medicines and chemical reagents deserve to send basic level medical treatment wholesome orgnaization. The basic remedy that the administrative village clinic that sanitation of the hospital of villages and towns that government of pilot county, district runs, community serves orgnaization and unifinication government sells and compensatory medicines and chemical reagents, execute 0 difference to lead a sale, must not increase price. Existing inventory medicines and chemical reagents presses the sale that receive price entirely and do not get prep above country and province guidance price. In the past, medicines and chemical reagents increases price is community sanitation the main source of income of station of sanitation of hospital of service center, villages and towns, village. Nowadays, these medical establishment sell basic medicines to be able to have earned without benefit, how do they live? Why is the enthusiasm of medical personnel brought into play? Tong Weimin says, “Income of medicines and chemical reagents will have my courtyard in November 130 thousand yuan, after executing 0 price difference to sell income will have 70 thousand yuan only in December. Reductive is the net income of our hospital 60 thousand yuan. “We are in 　 　 ” pursue basic remedy while 0 difference lead a sale, form a complete set builds the system such as compensation mechanism, performance test. “Shen Wei country emphasizes. He says, medical treatment of basic level of the Anhui province defends life form to be reformed integratedly, those who hit is ” of fist of combination of a ” . To establish compensation mechanism, the infrastructure that Anhui makes clear basic level medical treatment to defend life form to set check and ratify by the country, equipment is purchased, the business funds of personnel funds and the communal and wholesome service that its assume, be in charge of ensuring by the government; Standard of salary of clear medical personnel and local institution are average salary standard photograph joins, assure its average income not under the level before reform. To establish incentive mechanism, the assessment result of orgnaization of sanitation of medical treatment of Anhui general basic level and link up with of its funds allowance, the assessment result of employee and individual income link up with, prevent resurgence of mechanism of ” mess ” . Before cure changes, hospital of town of 10 thousand hill has cottage river county every year only 150 thousand yuan finance is accessorial, so big financing gap passes big prescription mostly, use new special medicine, repeat the method such as the examination to make up for. Cure changes pilot a month, finance already dialed funds beforehand 10. 60 thousand yuan. Medical personnel relies on deduct a percentage from a sum of money to send salary no longer, removed trouble back at home. Carry out a country to drive other area to accelerate basic medicines system, let people enjoy new medical service to change brought material benefit at an early date as soon as possible, cure of the State Council changes director of leader group office, country to develop innovation appoint vice director Zhu Zhixin asked each district increases strength recently, accelerate plan, ensure to will be in before the bottom in Feburary the basic level medical establishment of 30 ％ of countrywide implements basic medicines system.