Medicine is the reform measure that in recent years our country pushs sturdily apart, also be the plan of the effect a permanent cure that medical domain anti-corruption defeats.
[Fiona of ┃ of plan of a cure]
Recently, the country does come on stage " a certain number of opinions that tell use policy about reforming pull current of perfect medicines and chemical reagents further " put forward, the medical establishment that has a requirement can be explored come off outpatient service drug-store from medical establishment. Can foreknow, the spring tide that cancels outpatient service drug-store is forthcoming.
Wear below outpatient service drug-store?
Center of medical treatment of children of Guangzhou city woman is Guangdong exploration " medicine is apart " pilot hospital, took the lead in cancelling outpatient service drug-store a few days ago, prescription of all adult outpatient service (include the section office such as surgery of division of internal medicine of common surgery, adult, obstetric, traditional Chinese medical science, mammary gland) need to be in appoint drugstore to take drug. Next, this measure will enclothe children chemist's shop.
The hospital has outpatient service chemist's shop no longer, after the patient takes prescription from the hospital, need to go to a hospital only the drugstore around takes drug. This one practice is the beneficial exploration that pushs medical departure, complied with the hasten of general trends place that medical system reforms on one hand, also reflected on the other hand " the patient is standard " concept. To the patient, besides can experience " the hospital sees a doctor, drugstore buys drug " new move, still have the advantage that sees so that see: Shortened greatly take medical time queueing up.
Will tell from benefit level, this get through the patient takes drug by prescription " last kilometer " . With before people like a swarm of bees squeezes outpatient service drug-store to take medicine to differ, drugstore business " outside buy " , make drugstore dispensation link undertakes with synchronism extraction drug, used idle time effectively. In addition, drugstore window much, hand is sufficient, service efficiency is a lot of taller than outpatient service drug-store, be in especially fastigium, queue up to expect time contrast is more apparent.
Not be true medical departure!
The hospital sets outpatient service chemist's shop no longer, the patient arrives dispersedly socially drugstore goes taking drug, the go to a doctor that can improve people undoubtedly experiences. Before, we go to large hospital seeing a doctor, escape hard " 3 grow one short law " -- interrogation time short, registration / wait / time extraction drug is long. After cancelling outpatient service drug-store, can shorten considerably time extraction drug, decrease then see a doctor time. But this is not true medical departure, because drug-store is done not have,come off thoroughly from the hospital.
The overall train of thought with apart medicine is behead breaks a hospital to purchase the join chain that sells with medicines and chemical reagents. Want to cut off the increase chain of doctor prescription and sale of medicines and chemical reagents namely, drive a doctor to need to undertake prescription dispensation with respect to the illness only.
Medicine is apart, its key is the departure of the mechanism. Will tell popularly, it is a hospital dispensation does not sell drug, use the option that purchases authority, prescription authority to affect pair of medicines and chemical reagents and the treatment to the patient from economic angle no longer, with abandoning thoroughly medicine does not divide the negative effect of the mechanism.
If system of our country medical treatment cannot reverse the abnormal state with medical filling medical service, from economically eliminate the hospital dependence to income of addition of medicines and chemical reagents, very difficult from go up at all sever the interest tie between medicine.
How does medicine depart?
If resemble Guangzhou hospital cancelling outpatient service drug-store in that way,not be true medical departure, how should that medicine part after all?
From the point of the feasibility condition of our country, had ability of these 4 conditions to realize medicine to part truly only: It is the patient is used to prescription have option, do not need to appoint drug-store to buy drug in the hospital; 2 it is the hospital has the income channel that can replace to offset its loss; 3 it is the doctor relies on to diagnose a service to gain reasonable income, its serve value to get reflecting; 4 it is medicines and chemical reagents the price is reasonable, respect market rule adequately.
Visible, medicine parts reform is accomplished in one move impossibly, what still need reform of package form a complete set is auxiliary, do not go to go out otherwise " cut ceaseless, manage to return chaos " pattern, may appear repeatedly even " solve one problem only to find another cropping up " predicament.
Look now, the way with apart medicine and method are to have a lot of. Should change a hospital only active system, assure a hospital can by treat a disease need will use drug, it is medical departure. At present, in the step of numerous medicine departure that our country takes actually, only two kinds can call real medicine to part.
It is to allow prescription outflow, break hospital, doctor to buy the interest network on medicine and medicine of outpatient service carry out in dimensions. This is mensurable medical departure.
2 it is community sanitation service center does not establish drug-store, do not use finance funds, disaccord society drugstore contends for resource. This can let the market be in resource configuration, develop its decisive action. This is qualitative medical departure.
Why to sell drug by social drugstore, can cut off the interest join catenary between cure and medicine, realize medicine to part thereby? Because of numerous society drugstore, finish place of bribery of rake-off of medicines and chemical reagents hard must " all square " link, increase chain goes down continuously hard.
In addition, numerous social drugstore, price competition can be begun in the market order of governmental standard. If want to send rake-off, raise price necessarily, with respect to meeting influence the client is measured. This kind of mechanism cries " price is low marketable " , unite with hospital prescription below " valence Gao Yi is sold " it is great difference.
In fact, the country such as Japan, Korea promulgates medicine to divide the law of course of study already, also try to close chemist's shop of hospital outpatient service. But the reform through a few years, the effect with detached medicine is not apparent. Investigate its reason, still be oversight of reform cooperate with quality, measure of relevant form a complete set did not catch up with, effect of as a result sells at a discount greatly.
