Analysis: the people break with medicine cure is only the first step
 
 
Chen Xiangyang
 
 
04:13 April 8, 2014 

 
Source: People's Daily 

        Break with medicine cure, need accurate background operation, powerful system support 
 
        "Taking medicine cure" widely criticized for years, and was as a key point for the reform. In order to solve this problem, the zhejiang province all public hospitals since April this year to implement the zero rate of sales, hope to effect a radical cure medicine for healing from the system. 
 
        In the 1950 s, caused by a lack of national resources, the public hospital carried out the policy "to the medicine cure". At the time, this to ensure the operation and development of public hospitals, has played a positive role. But after the marketization reform, public hospital to burden its own development and the greater part of the medical staff wages, the phased measures slowly become dependent on for a long time. And because of regulatory loopholes and inadequate investment, followed by a commercial bribery and kickbacks, drugs caused some doctors prescription, for a big test, not only increases the cost of the public, more distorted the medical staff of professional conduct, lead to the loss of doctor-patient trust. From this perspective, cancel to medicine cure is very necessary. 
 
        But expensive and difficult to solve, I'm afraid I can't just with this "a recruit fresh". Cancel "taking medicine cure" policy can achieve expected effect, is the key to good answer "what repair medical" problem. 
 
        There is no doubt that the cultivation of the medical staff cost is high, the working strength is big, accordingly, pay levels should not be low. After the implementation of the zero rate of sales, no matter to the doctor or the hospital, is the equivalent of cutting off a large piece of interests. As a joke said, "the doctor had the patient to take medicine to eat". Cancel to medicine medicine can let a doctor "work" with dignity, but a second question is how to let the doctor "a dignified life." What's more, also have to consider the hospital "development" with dignity. 
 
        The practice of zhejiang, is through the "medical service fee" to compensate, but how do you charge this fee, how much, is also a problem. Good medical service charge grading diagnosis, classification, pricing, quality, can manifest the value of the medical staff services, medical service price guide hospitals to provide more and better medical service, from taking medicine cure eventually turn to "cure for medical". If cannot solve between the potential revenue generating impulse, even the medical fees, prices may drive up to see the doctor again, make reform achievements. 
 
        So, cancel the medicine cure as removed "rose to the surface of the iceberg", more difficult to overcome, also requires accurate background operation, powerful system support. For example, to ensure that the government for public hospital infrastructure, equipment purchase, the doctor income of investment responsibility, let the hospital can termination to development. Again, such as, health also need to reform and explore from to pay by project as the main body of the medical expenses after the pay system, to implement according to unit, according to the disease, according to the man's head to pay medical expenses such as prepaid. At the same time, the medicine price management system also needs to be changed, if the drug or parity "disappeared," or drug "depreciate death", the status of the expensive also can't ease. 
 
        In medicine medical breakthroughs, is by no means a deficit, more not robbing Peter to pay Paul. Health care is a world-class problem, because the interests of the involved in too many complicated problems. The tangle of marketization and public welfare, the high quality medical resources supply and demand gap, old contradiction between doctor and patient and even medical meticulous division of professional, high health consciousness, the patient is let reform difficult. Need more at the same time of advancing step by step, therefore, strengthen the reform of collaborative, combine touch stone across the river and the top design consideration. 
 
        Xi jinping stressed several times, also general secretary of the connections and the various reform measures should pay attention to reform in all fields coupling. In the medical field, it is also important to the reform of methodology. With zero rate of drug sales farewell to medicine physician is the key step, looking forward to this extremely important initiatives, can drive a series of reforms to match more, a child falls and revitalize the full effect, boosting the depth of the health care reform to break the ice. 
 
        The People's Daily (05) April 08, 2014