Guangzhou daily: traditional Chinese medicine (TCM) for how long "capacity"?

Traditional Chinese medicine in shunde obamacare prescription yinpian submit an expense account to cancel the daily limit

Time: 2016-02-02

Source: guangzhou daily

Traditional Chinese open many Chinese medicine yinpian give patients a day.

Article/guangzhou daily reporter Huang Zining correspondent Huang Meien

Figure/guangzhou daily reporter Chen Feng

Tu "gains" Nobel Prize for traditional Chinese medicine again. The reporter understands from shunde district planning bureau, since this year, Chinese medicine into the health care plan, shunde shunde future to build the province's "strong Chinese medicine area. Notable is, by adjusting the policy coverage, shunde cancel prescription yinpian daily limit. And under the influence of broadening reimbursement, it is can let more people choose traditional Chinese medicine, traditional Chinese medicine to promote local benign development.

Compared with western medicine, the traditional Chinese medicine (TCM) reimbursement scope and strength are far less. In guangdong, many citizens use medicine of traditional Chinese medicine, especially the treatment of chronic diseases and regulate, so citizens called for more Chinese medicine into the scope of coverage.

Breakthrough: prescription yinpian cancel the daily reimbursement

Held in the province work conference of Chinese medicine, health department said, the guangdong people focus on traditional Chinese medicine and the demand is number one in the country, while more than 65 - year - old old people and children in the age of 3 traditional Chinese medicine health GuanLiLv accounted for nearly forty percent.

We have learned, depending on the citizens to use traditional Chinese medicine can be divided into three categories yinpian, proprietary Chinese medicine and Chinese medicine preparations. Can be in accordance with the relevant drug catalogue at present, all over the province for proprietary Chinese medicine, treatment, nursing and citizens of the body "homely" Chinese medicine yinpian, prescription, and despite the insurance in place, but the more restricted. And development of traditional Chinese medicine preparations, Chinese traditional medicine according to their own local features can submit an expense account is only a few.

In shunde, the local will be cancelled from this year Chinese medicine for daily limit restrictions. The reporter understands from shunde planning bureau, in health reform this year by the work, reform of traditional Chinese medicine will be on the agenda, among them, the social security policy adjustments to support local construction of traditional Chinese medicine.

According to the latest who plan department, shunde district, shunde, will from this year, strengthen medicare payments, including Chinese medicine yinpian prescription health care reimbursement from 5 yuan per dose, adjusted to 6 yuan per dose, and without being limited by the average daily amount. Department of social security, said the social security fund will ensure full specified amount payment.

Shunde wei meter, said an official with the bureau in addition to health care support, shunde will also encourage local medical institutions to clinical curative effect of prescription of traditional Chinese medicines, old long-term clinical practice of TCM prescription based development of traditional Chinese medicine preparations, meet the demand of traditional Chinese medicine services. Notable is, shunde also explicitly will Chinese medicine into preventive care of the whole work.

Effect: buy yinpian monthly hundred yuan can be saved

Previous prescription slices into the reimbursement, shunde district department of social security prescription slices can be reimbursed only 3 agent within three days. And according to the traditional controller introduces, shunde district, in the local cancelled after daily quota restrictions, commonly used Chinese traditional medicine recuperates the chronic disease the most benefit.

With chronic bronchitis Li Jie, is the "regular" shunde hospital. "Take the prescription to come over to visit each month, helping to drive a week of traditional Chinese medicine aftercare." Li Jie said, according to the agent all the price of 20 yuan, a month after 12 ~ 14 agent to submit an expense account to save 80 multivariate.

Slices more pin to raw material planting surface

Shunde Yu Guodong, vice President of the hospital told reporters, because the drug monitoring and testing system of pesticide application increased cost, yinpian planting cost rise comprehensively; Also, on the other hand, because of the slices "cost - profit" spread co., LTD., now difficult by yinpian profit hospitals.

Yu Guodong said, shunde cancel prescription slices for daily limit restrictions, to a certain extent can improve hospital yinpian sales. "Yinpian sales up, the hospital purchasing power will increase, will eventually contribute to yinpian raw material planting surface expansion." In addition, after cancel the limit, the prescription in the name of each big hospital will have the opportunity to promote widely.

Reality: municipal TCM reimbursement have different standard

Dongguan: big hospital medicine expenses "start at 500 yuan

The reporter understands from social security bureau in dongguan, if in the large hospital prescription yinpian proprietary Chinese medicine, you need to "referral form" of the grassroots agencies, and reimbursement rules also have change. According to the controller introduces, in dongcheng district hospital, for example, citizens for traditional Chinese medicine, need to deduct $500 benchmark fee first, then deduct drug catalogue at outside of traditional Chinese medicine, at last the rest of the 95% are able to quote. This means that people want to enjoy traditional Chinese medicine (TCM) to submit an expense account, we have to spending more than 500 yuan in big hospital of traditional Chinese medicine.

Now, dongguan grassroots medical institutions can provide services of traditional Chinese medicine, the citizens if institutions at the grassroots level prescribed yinpian, according to the regulation of reimbursement ratio, get rid of the rest after the drug was at his own expense reimburses seventy percent. "The premise is civil medicine yinpian varieties, is within the scope of dongguan drug catalogue."

Jiangmen: the list of drugs class a drugs can submit an expense account

Jiangmen people club bureau health coco long xiaoping zhang told reporters that the current jiangmen can submit an expense account is a proprietary Chinese medicine, according to the 2010 edition of the guangdong medicine directory to perform. Xiaoping zhang said that in jiangmen can submit an expense account of proprietary Chinese medicine, including compound and monotherapy. As long as meet class a drug and drug the directory can be incorporated into the basic medical insurance reimbursement.

The reporter understands through drug catalogue, at present the number of proprietary Chinese medicine into a class is not much, as citizens more prescription additional proprietary Chinese medicine internal medicine catalog, 20 kinds of proprietary Chinese medicine only for class a kind of medicine, less than half.

Difficulties: each house types of TCM and hard into the "directory"

Today, proprietary Chinese medicine can be incorporated into the drug directory to submit an expense account, a prescription yinpian, according to local actual reimbursement. Specialty products and traditional Chinese medicine preparations, as a traditional Chinese, relying on traditional Chinese prescription developed independently, has been around for years, still meet expenses difficulty.

In shunde hospital digestion cory, its own deployment of "liver is healthy" of TCM in clinical application can effectively treating liver cirrhosis and liver damage. Shuang-xi zhang, director of the hospital digestive department told reporters that due to not included in the scope of reimbursement, the relatively high prices also make many patients "off". Shuang-xi zhang sent the journalist a calculation, an average of about $6 a "liver is healthy", and liver disease patients to choose it as a Chinese medicine recuperates the treatment, is nearly 18 yuan a day. Shuang-xi zhang said, "if patients with daily use, need a year LiuQiQian yuan for drugs."

Due to the local health authorities to tighten list can declare to like "the liver is healthy" cannot submit an expense account preparations, still accounts for the majority.

However, the personage inside course of study says, because each big hospital homemade "secret recipe" of TCM sort is more, as a unified reimbursement directory, difficult to incorporate all homemade Chinese native medicine preparation for reimbursement.

Crux: disease catalogue easy to Chinese medicine "rejected"

As guangdong to certain chronic diseases, special diseases health insurance to pay for effective management, introduced the corresponding directory of specific diseases. But about the hospital, he says, is the current directory of specific diseases, go against the traditional Chinese medicine into the management of social security.

"A lot of neighborhood choose to use traditional Chinese medicine (TCM), not all heal, but recuperation. And to some extent, chronic disease is to choose the main groups of Chinese traditional medicine." Shunde's first people's hospital, said an official with the chronic disease such as hypertension, diabetes, some use herbal medicine than western medicine dosage is large.

Now, however, the national various areas of specific diseases directory, are in accordance with the western medicine to to determine the classification of disease disease. "Directory of specific diseases to traditional Chinese medicine in the treatment of chronic diseases, the role of specific diseases." The official said.