Medical network - February 7, not long ago, CCTV eight months investigating six big hospital, found the doctor on drug kickbacks are charged by the price of 30% ~ 40%. A medical representative said, if there are two kinds of medicine treatment in hospital drug procurement directory the same kind of disease, the doctor usually open rebate percentage is high, a large amount of the drug.
Recently, China youth newspaper joint questionnaire, social survey center of 2000 people, according to a survey, 57.3% of respondents believe that the same kind of medicines in a hospital to buy more expensive. In respondents point of view, in the process of drug circulation layers of premium (63.1%), the medical service price mechanism has yet to straighten out (62.0%) and "taking medicine cure" (51.9%) is the important cause of hospital drug prices. 71.6% of the respondents said the hospital drug prices artificially high unnecessary economic burden for patients.
Respondents (32.6%), from the north to guangzhou, from other cities accounted for 18.8%, 29.8%, from secondary cities from three or four line city accounted for 18.0%.
Buy the same kind of drug, 57.3% of respondents think the hospital is more expensive than a pharmacy
"I tend to take the list to the pharmacy to buy medicine, outside the same medicine will cheaper a lot of money." Zhang guiquan from hebei xingtai had high blood pressure and gout, body uncomfortable will go to the local public hospital. In his view, the medicine in the hospital is always better than the private pharmacies expensive outside.
Who lives in heilongjiang qiqihar Jiang Ling also have similar feelings. "In our hometown, the doctor prescription writing code, we don't see a name. The medicine bureau took the list is what medicine, the somebody else say don't know, just tell how much money".
The survey, 66.0% of respondents often go to large hospital, 54.0% of respondents choose basic-level hospitals, 18.4% of respondents used to go to private hospitals, 6.9% of respondents liked to the Chinese and foreign joint venture hospital.
According to the survey, if buy the same kind of medicines, think of the respondents (57.3%), hospital and more expensive that pharmacy more expensive accounted for 14.4%, 18.0% of respondents thought the price is the same as the two ways to buy, 9.3% of respondents answer to say.
"Most of the time, money much less recognition, and doctors often can't buy outside medicine." Henan kaifeng exhibition peng liu although also felt that the hospital medicine expensive, but seldom finish see disease to outside pharmacy to buy medicine. "I'm too lazy to run back and forth. But if the economic condition is not so good, spend the money or will cause the burden of".
Survey, 56.1% of respondents usually go to the hospital after the doctor prescribe medicine in the pharmacy or drug purchase; 22.4% of the respondents prefer to consult the doctor medicine name, go to the pharmacy to buy outside; 21.5% of respondents said they will according to the condition of illness or medicine.
Beijing 3 armour hospital doctor wang wen (a pseudonym) told reporters that chronic disease general condition and what you need to have certain understanding, sometimes go to the pharmacy to buy medicine. And a lot of common disease patients often don't need medicine, so can take the doctor's prescription in the hospital to buy directly.
71.6% of respondents thought the hospital drug prices artificially high unnecessary economic burden for patients
Zhang guiquan thinks, "kickbacks" is one of the important factors leading to drug prices artificially high. "The same type of drug, who give high kickbacks, hospitals and doctors who are more likely to use of course".
In respondents point of view, the cause of hospital drug prices include: on behalf of the layers of middlemen and medicines price (63.1%); Medical service price mechanism has yet to straighten out (62.0%); Hospital compensation mechanism is not sound, have to "take the medicine cure" (51.9%). The doctor's technology labor value and the salary is not match, have to the pursuit of drug kickbacks (39.0%); Regulatory penalties for drug monopoly is not enough, the pharmaceutical industry to back to the public good (37.9%).
Said zhang guiquan, hospital drug kickbacks, the biggest impact is to increase the cost of the people to see the doctor. "Drugs out of the factory, after a series of links in the patients with hand, price is expanded several times, middlemen take profits, caused heavy economic burden to patients. It is easy to make patients taking emotions exert on the doctor, feel these people earn money with no conscience".
In Jiang Ling point of view, on the one hand, ordinary people to see the doctor for medicine cost increase; On the other hand, due to the height of medical treatment insurance coverage, this part of the inflated prices shall be borne by the health department, the country is also a kind of loss.
Hospital medicine kickback will produce bad influence? Survey, 71.6% of respondents thought that caused unnecessary economic burden to patients; 64.3% of respondents believed would lead to a doctor can't completely according to the illness, may affect the treatment effect; 55.5% of respondents worry about the doctor group "demonised", and the doctor-patient contradiction is sharpened; 44.1% of respondents speculated that can lead to a cost-effective drugs were forced to shut down, influence of the pharmaceutical industry market order.
Wang wen told reporters that ordinary doctors are no intervention ability of drug prices. "Doctor prescribe medicine will according to patients condition and drug efficacy. I generally prefer within the health care drugs, sometimes for the sake of better curative effect, can't open drug reimbursement, will also inform patients," consent of the patients.
66.1% of respondents expect drug prices and drug profit space and government regulation in public
A few days ago, eight ministries and medicine "two votes", designed to reduce drug circulation, reduce medical costs. "Two votes" refers to the drugs from pharmaceutical factory sell to dealers open an invoice, dealers to sell to the hospital again open invoice, with the replacement of "two votes" common seven, eight, reduce the circulation, and each level dealers shall not exceed two varieties.
Think zhang guiquan, government regulators should take a series of measures, to form effective supervision mechanism. "Let there be potent means of control, let all links open and transparent".
"As long as there is medicine for healing, there must be rake-off, this is not the medical cause of the development of a long-term solution." Jiang Ling think hospital drug income is very unreasonable, "countries should be more subsidies to the hospital, let it keep the nature of public welfare. The drugs accounted independently, and control by the state, unified purchase price and sale price".
Exhibition of liu peng, said the doctor's basic income and their highly educated, high input does not match. "' high salary YangLian also apply to the medical profession, income is guaranteed, the doctor won't count on commissions".
To improve the phenomenon of hospital drug prices artificially high, 66.1% of respondents think should make the composition of drug prices, manufacturers and profit margins and the regulation of the government departments should be in the open; 60.3% of respondents think should improve the system of drug bidding procurement process, simplify the drug circulation, make the process more transparent; 55.1% of respondents expect interest adjustment mechanism, break medicine for healing; 51.8% of respondents hope to coordinate with relevant regulatory authorities, to strengthen the supervision of drug distribution of circulation and responsibility. Other Suggestions include: further governance abuses of pharmaceutical sales and medical services (42.4%); Construction conforms to the situation of drug policy system, straighten out the drug prices (36.1%), and arouse the enthusiasm of medical personnel, medical personnel pay (23.2%), etc. |
