Medical network on February 14 - it is reported that guangzhou women and children health care center in the pearl river new town industrial park of outpatient pharmacy is cancelled, instead, the hospital near the new "public medicine fu center pharmacy", prescription to the pharmacy from the hospital get medicine.
It is said that this is medicine. This can greatly reduce the patients in the hospital waiting for the take medicine of time. And future patients after the disease, and even can be directly home nearby pharmacy medicine.
The trial has been more than a month. Before the pilot had to worry about drug quality, pricing and reimbursement, didn't happen. Hospital, cancel outpatient pharmacy this reform measures, mainly for the convenience of patients, shorten the time of waiting for take medicine, so, the pharmacy service in our hospital patients, only is not open to the general social customers.
It is not medicine
First of all, thumb up for the hospital! Hospital manage service for patients, reduce waiting time take medicine complained, and there are no other problems, it should be said, have begun to pay off.
But this is not real medicine, because has not yet been completely stripped from the hospital pharmacy.
Medicine to separate the party's sixth plenary of sixteen session decided and 17th political advisory reform one of the "four separate" major policy decisions, in recent years and various government departments under the state council is in advancing the reform measures of slowly but surely, is also a fundamental of anti-corruption in medical industry.
Medicine purchasing and separated from the overall train of thought is to cut off the hospital drug sales connection chains, promote hospital for doctors to do a good job of logistics services in respect of medication; Cut off the doctor prescription and drug sales link chain, push the doctor from illness need prescription only.
Medicine apart, the key mechanism to separate. Is don't sell drugs, hospital pharmacy only using purchasing power from the point of view of economy, no longer ChuFangQuan influence on the choice of drugs and treatment for the patient, to abandon the medical mechanism of bad effect.
Medicine to separate two forms
Medicine separate way and the method to a lot of, as long as change hospital existing mechanism, only with cure need to medication, separated is medicine. At present, our country's actual variety medicine separate measures, there are only two can be called real medicine to separate.
One has been set up community health service centers don't pharmacies, without the use of fiscal funds and social pharmacy scramble for resources, let the market plays a decisive role in the allocation of resources. This is qualitative medicine apart.
2 it is to allow prescription matchs outside, cut off the hospital, the doctor in size to buy medicine and clinic medicine on the interests of the chain. This is quantitative medicine apart.
Other such as zero rate, cancel the drug addition, income and expenses two line, pharmacy trusteeship, etc., are not real medicine. Real medicine apart are the main measures of hospitals thoroughly stripped outpatient pharmacy, but there has been no movement, even verbally mentioned the idea of not much. It should be said that guangzhou women and children health care center of the pearl river new city park took a tentative welcome step.
Why medicine apart by the society in drugstores medicine, will cut off the interests of the connection between medicine and medicine chain? Is impossible because of numerous social pharmacy, drug kickbacks bribes to "system" link, the interests of the chain can't keep! At the same time, many social pharmacy, in the government standard price competition in the market order, if you want to send kickbacks, inevitably raise prices, will reduce the customers. This mechanism is called "yi pin with" low price ", and the hospital prescription under the unity of opposite "yi pin and high prices".
So, the world's universal law is, through the medicine apart, destroy the kickbacks bribes corruption in the medical field, no choice but to give up this.
How to solve the economic problem
This reform attempt to guangzhou, we also want to know is:
1. The store is the hospital and the broad medicine group of the centre, so that drug purchase channels or enterprise is incorporated in the hospital? If the channel into the hospital, after the zero rate, cost of hospital medicine, can from the price of medical service and increase funding in compensation, wide medicine normal medicine group compensation costs money come from? If into business channels, unless the enterprise can get than the government in the "low price is only take" price lower purchase price, and do not obey to the zero rate of hospital policy, otherwise, the same problem, very normal medicine medicine group compensation costs money come from?
2. A month of practice, patient waiting for taking time from one hour reduced to 3 minutes, there is no doubt that this is because in big pharmacy field, pharmacy personnel. It's better than the original hospital pharmacy increased infrastructure, namely adds cost. At the same time, the pharmacy of our hospital patients, only not for customers to open to the society, therefore, the unit of land, buildings, facilities, personnel use efficiency is not high, certainly it adds cost. These extra costs, the broad medicine group how to digest?
The two economic problems, if there is no legitimate and reasonable solution, such as opening a pharmacy customer reception to the society, social pharmacy because no one will have the phenomenon of customers line up to take medicine for an hour, business or worse, or unlawful.
Looking forward to further deepen the reform
The author noted that reports of a words: "in the future, finish see patients with disease, and even can be directly home nearby pharmacy medicine." This is the right direction, the hope is that real medicine apart!
Office of the state council published "on further reform and improve the pharmaceutical production circulation use policy several opinions, have made it clear that:" outpatients to choose from in the medical institutions or retail pharmacy to buy medicine, medical institutions shall not be restricted with outpatient prescription to retail pharmacy to buy medicine." "Has the conditions to explore the outpatient pharmacy from medical institutions." Cancel this is hospital outpatient pharmacy in the direction of reform, hope the whole society should be promptly implement.
Hospital should focus on the public health work, no longer spend on drug medicine purchase and sale of manpower and material resources, financial resources, give the necessary financial aid by the government; Doctors should focus on the patient, no longer entanglements between prescription medicine and prescription medicine for profit, by the government to legitimate and reasonable higher remuneration; And social pharmacy should focus on the business of drug sales job, no longer compete with hospital patient resources, by the government to provide legal, fair and orderly market order, and guarantee and supervise.
Dislocation competition to economic prosperity, and dislocation takes office will only confuse the society. I look forward to the guangzhou women and children health care center of the pearl river new city park the deepening of the reform measures, won't be separate into many fake medicine before measures "have not not early, fresh g eventually". |
