Cut "interests" China will take many measures and divide it by medicine to raise medical problems

In the ward of the Panxin Town Health Center in Songtao Miao Autonomous County, Guizhou Province, 40-year-old Longchang Bridge, a group of three villagers in Kongtong Village, guarded the sick wife. He said: “In the past, the same sick house was hospitalized for 7 or 8 days. For 4,500 yuan, I paid 200 yuan this time. It hasn't been used up till now. The drug price has dropped significantly compared with the past."

“According to estimates, township hospitals account for 31% of total business revenue.” Song Qijiang, director of the Health Bureau of Songtao County, said that in this minority-inhabited county, the vast majority of farmers are close to the doctor’s office, township and village clinics. Accounted for 60% of the total number of outpatient visits in the county, and long-term, primary medical institutions rely on the way to survive.

The Chinese public opinion widely believes that the mechanism of supplementing medicine with drugs has promoted the unreasonable rise in medical expenses, caused drug abuse and distorted the behavior of medical personnel, which is an important reason for the “expensive to see a doctor”. At the National Health Work Conference on the 5th, Minister of Health Chen Hao said that the most important institutional drawback in China's medical and health field is the problem of medicine for medicine.

In 2009, the new medical reform program in China was clear. The state will promote the reform of the public hospital's compensation mechanism, increase government investment, improve the economic compensation policy of public hospitals, and gradually reverse the phenomenon of “remedy by medicine”.

Since then, the state's basic medicine system has been implemented. The relevant departments formulate basic drug catalogs, and use provincial units as the unit for unified bidding, procurement, and distribution to grassroots medical and health institutions. Grassroots medical and health institutions cancel drug additions and implement zero-sales sales.

After several years of hard work, basic medicines have been effectively promoted at the grassroots level. At the same time, many localities have integrated management of township health centers and village clinics, which has led to the extension of the base medicine system to the village, and the convenience and benefits for ordinary people.

Chen Hao said that during the “12th Five-Year Plan” period (2011-2015), China will work hard to create conditions to further implement the cancellation of the relevant policies for medicine supplement medicine, give full play to the role of medical insurance compensation, steadily push forward price reform, and strive for an early and orderly eradication. Use medicine to make up for the ills.

However, many people in the industry believe that drug price management has undergone a process from full control to basic liberalization to gradual strengthening of the control process. Many drugs have undergone substantial price increases in the process of liberalization, and drug pricing has become “moisture-rich” and circulation links. "The geese have been plucked," and the high prices and the distribution of benefits have been formed. Reforming medicine to make up for the medical problems will inevitably affect the real interests of the medical and health units. The actual progress of the process must be very difficult.

“According to full-cost accounting, most public hospitals are in a state of loss.” Luo Xudong, president of the First People’s Hospital of Zunyi City, said that hospital operations require more funds, but the government can’t afford more money, and people want to spend less. Caused by the drug to make up for "disease" difficult to remove, the relationship between doctors and patients is increasingly tense.

Yan Qijiang also stated that Songtao County is located in the mountainous area and has inconvenient traffic. After the implementation of integrated rural management, townships and counties have to use the Internet to keep track of the use of drugs in the village clinics and reimbursement of new rural cooperative medical insurance. Informationization has become imminent. problem.

"Exploratory medicine is very good, but we must grasp the core point, that is, 'interest'." Li Ling, a medical reform expert and professor of economics at Peking University, believes that separating the interests of medicine from the interests of doctors is the real part of medicine. .

It is understood that the Ministry of Health will implement the cancellation of the policy on drug supplementation and this year it will be promoted first in 300 pilot counties and strive to be implemented in county-level hospitals in 2013. It will be fully implemented in all public hospitals in 2015. At the same time, it will increase financial input, continue to improve the level of new rural cooperative medical insurance, conduct general outpatient consultations, carry out counterpart support and assistance, and improve the ability of primary health care institutions and patients to pay. (Li Jinga)