System for basic drugs largely invisible?

Place the drug release directory

21 century economic report

When the national level still further perfecting the system of basic drugs in, some provinces are quietly for the basic drug release, allowing them to a medical institution. The again

The implementation of the system of the basic drugs in anhui province recently launched the latest version of the medical center at the national institutes of health allow basic drugs and province version added the new agriculture, directory drugs and catalog of medicines and health list, no more than 15% of the total increase of drugs.

Before this, shandong, zhejiang, jiangsu, have the basic drugs into the basic-level medical institutions precedent, some even put the supplement of the drug to devolution of county level.

And in 2009 the end of August the formal introduction of national system for basic drugs, the basic-level medical institutions "provisions of all equipped with and use" 307 kind of basic drugs.

According to the phenomenon of "local" to water, health ministry drug company, analysts say the ideal state is all use drug, "even the national basic (local) supplemented all have no." But he also admitted that, considering the stability and the department of health is not demanding strict execution, in fact, tacitly basic drugs for the place "KaiKouZi".

And in a multinational medicine enterprises in Yangtze river delta people this, it seems, reflect the system for basic drugs are not perfect rigor, also don't expel medicine for the role of public enterprises.

Place in the water ","

According to the implementation of the basic level in anhui province, in the new rule to cure that basic drugs use proportion of not less than 70% of the value of the purchasing premise, allowed the new agriculture and health hospital center and medical insurance to appropriately increase the list of drugs with clinical medicine, part ZengPei part of the purchase price not more than 15% of the total purchase amount per month, and at the same time must implement online purchasing and "zero rate differential" sales.

Shandong province YaoZhengChu health department director, shandong province GengLin introduced since March 2010 1 st, basic drugs system. Three months later, the governor when does the investigation generally reflected medicine not enough use. Accordingly, shandong provincial directory in nearly 216 kinds of drugs on the basis of, and opened a cut, namely rural hospitals and community health center can then choose 60 respectively of the basic drugs and 30, the same price difference of zero sales.

At that time, shandong province this policy is "try out" a year, to this July 1 deadline. However, then continue to the end of this year. "This is the medical personnel and the needs of the people, the implementation of the system of basic drugs need a process." GengLin said. It is reported, Qingdao and even allow a run of good health hospital use of the basic drugs 200.

In zhejiang province, the provincial supplemented directory, increased 50 outside of the basic drugs. Jiangsu provincial health bureau ZhaoHuaiYue introduction, long medicinal everywhere in the province to the county, the county level to delegate can choose 30 independent target, municipal choose 60.

But Beijing has always been not strictly enforce the policy, in the implementation of the system of basic drugs, meanwhile, are still at a premium, product sales than basic drugs to ten thousand DuoGe rules, far more than basic drugs.

Basic drugs "tube too death"?

Since the implementation of basic drugs system, drug use directory quantity, less variety does not adapt the voice has not broken.

"Was opened not go out." Hefei, anhui LuYangOu double hillock streets of community health service center LiXin said, 307 kinds of basic drugs

Some are clearly obsolete, in basic drugs clearly need to adjust the directory.

FeiDongXian LiangYuanZhen health hospital in anhui province of YuYi years it is reflected, lack basic drugs, such as some flexible directory anti-tumor medicine not been included, the impact of the this kind of patients referral to a primary rehabilitation.

The huaihai road, nanjing city, jiangsu province community health service center by BaiXiaOu hospital "sink", two signs a group. Deputy secretary of the hospital to tell a reporter, the original BaiXiaOu raises a hospital is level 2 medical institutions, daily in 600 1000 milliseconds, in strict accordance with the basic medicine if directory, the hospital some characteristic specialized subject such as hemangioma branch, bone traumatology department can't start to trade.

Even if the place to supplement and can't meet the requirements of also. Cure of the state council in investigation found that do expert group, even supplemented most several provinces, the hospital also feel drug not enough use.

Jiangsu provincial health bureau director YaoZhengChu ZhaoHuaiYue said, in southern jiangsu some rural hospitals income has been one hundred million yuan, in some eastern primary hospitals drug use level and the service skills and even more than the western area of the second class hospitals, some implement basic drugs to the former system more influence.

The most direct reflection be patient loss, medical staff income decline. Zhejiang rural health research center ShenQing professor, said that the province developed area in the business backbone with incomes up to more than ten even more than 20 patients, the loss of income dropped dramatically, medical backbone enthusiasm frustrated began to leave.

ShenQing Suggestions, where the medical institutions shall be allowed to pilot the basic drug sales price difference of zero. This, he says, have a problem, can the economic holding capacity through the following measures to supporting: first, the basic drugs account for limited purchasing the proportion of the total amount of drugs, the second is the upper limit for second all medical expenses and medical total cost "double control", implement three basic drugs management system is still and basic drugs, and submit an expense account in separate proportion distinguish.

Human resources in jiangsu province and social security hall everywhere long ShenHuanGen also suggested that medical insurance, let go of the basic drugs drug use kinds of restrictions, through the zero rate differential sales to ease high cost "problem.

The eastern coastal province of a cure for people to tell a reporter, development and reform commission system also think system for basic drugs should be adjusted. In July this year in a system, some county in northeast meeting on behalf of the truth "system for basic drugs tube too death".

"System for basic drugs don't change, affirmation want a problem." Health policy and management experts committee in Shanghai expert thinks, system is not likely to overturn heavy, but drug zero rate differential sales will be policy the bottom line.