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The key to a major national drug change in medicine is to say goodbye
 
Author:中国铭铉 企划部  Release Time:2017-5-4 10:43:23  Number Browse:461
 
May 4, medical net 
 
On one side, it is difficult to alleviate the problem of the medical treatment and the difficulty of the medical treatment, and the world's largest health care network. 
 
On the one side is "medicine cure" the disease has not been removed for many years, on the one side is the country's frequency to make a hard drive lower the price of the drug. 
 
Healthcare reform is an acknowledged global problem, and some scholars have compared it to the "qomolangma" of social policy. In 2017, as an important part of the "three medical links", medical reform begins to force the production, circulation and use of drugs. 
 
Medical reform in the deep water area, which manifests itself in medicine, is not a day of work. Abolish all drug addition, vigorously promote the construction of the medical association, adhere to the "chain", both to drug prices "deficiency fire", and "strong gluten JianGu" emphasis on medical reform. Saying goodbye to "medicine for medicine" lets patients spend less money and enjoy better health, which is the "poem and distance" of Chinese medicine reform. 
 
Public hospital medicine is down 6% in seven years, and the key step is to break the "medicine for medicine" 
 
The phenomenon of "medically complementary medicine" is a major disease of China's existing medical system, which is also a difficult problem for public hospital reform. 
 
At the end of April 8, the elimination of the drug added became a sign of the fact that the city's 3,600 medical institutions were able to initiate reforms simultaneously. Public hospitals sell drugs at the price of drugs, and the price of a number of health care services is "a little bit"... "Medical separation" begins this spring. 
 
"This is the hardest piece of hard bone." Wang hosheng, director of the state council's reform office and deputy director of the national health and family planning commission, described the significance of the elimination of drugs. In the big map of China health reform, he said, all cancel "taking medicine cure", involves the profound interest adjustment, is a matter of medical treatment, health care, medical reform of "3 d linkage", is the key of the deepening health reform. 
 
"What a bargain! In patients with heart waiting area with Peking University third hospital, ms zhang told reporters that cancel registration easier than before, after the drug addition treatment is much cheaper than before the reform the 100 multivariate. 
 
Statistics show that since the new health reform in 2009, the phase-out of medicines in China has been phased out, and the proportion of drugs in public hospitals has fallen from 46% in 2009 to 40% in 2016. 
 
Not to underestimate the 6 per cent change, experts say, reflects the difficulty and complexity of China's medical reform. As health China is promoted as a national strategy, the reform of Chinese medicine has made the world see the hope and the way out of hard bones. 
 
There is no rational growth in the cost of medical care, and the purchase and sale of drugs for sale will be pushed open in 2018. The first three medicines will be cut by more than 50%. A series of major policies and measures have made the people feel the real "health dividend". The total elimination of drugs this year is expected to cost the masses 60 billion yuan to 70 billion yuan. 
 
In fact, since the 1980s, China has conducted several rounds of medical reform. In a special historical period of immature market development, it has played a positive role in restraining the rapid increase in drug prices. Authorities have implemented policies to reduce drug prices over 30 times, and some drug prices are under control. 
 
"The drug charge, the cure for the disease, is now accelerating the 'going through the trouble'." The national health and family planning commission said researcher Fu Hongpeng health development research centre, a new round of important reforms in the field of medicine, insist on from the process, in order to get health care new vigor and vitality. 
 
It is crucial to get out of the "one acre, three point" consciousness 
 
"Some drugs are too expensive, you can get a lot of coverage, but you have to pay for it yourself." 
 
"Ordinary ailments, ordinary people can still bear the burden. Some big diseases, like cancer and leukemia, can't bear it." 
 
As the reform into the deep water area and GongJianQi, benefit adjustment is more complex, institutional contradictions, the price is expensive, is still the masses to further solve the problem. And the treatment of the drug price is high, involving the whole medical system, far from sending a few documents to be able to manage. 
 
"The hardship and complexity of medical reform, outstanding performance for the three difficult points, namely the medical difficult points, for-profit and non-profit medical institutions difficult points and management office." Chen wenling, chief economist of the international economic exchange center in China. 
 
"There are still more than a third of the prefectural and above cities, and there are no cancellations of public hospitals." On March 28, national teleconference on health care reform work deployment, pointed out that before the end of July, should introduce around the implementation plan, and implemented in September 30 public hospital reform, abolish all drug addition. 
 
According to the "much starker choices-and graver consequences-in" deepening the reform of medical health system planning, cancel after drug addition, hospital income losses will be by adjusting the medical service price, increase government investment and other compensation. At present, more than 10 provinces and cities have issued implementation scheme, and puts forward for public hospitals to cancel after drug addition income loss, 80% to 90% by the adjustment of medical service prices, 10% by increasing financial investment, 10% of public hospital internal solution. 
 
"It's like taking a pill and having a course of treatment. Authorities say they should give medical reform more time and patience. 
 
The reporter's investigation has learned that the current construction of the national pharmaceutical field is very prominent. More than 5, 000 pharmaceutical plants across the country have more generic drugs; The phenomenon of "high prices, high pricing and high rebates" for some pharmaceutical companies is highlighted. Some old Chinese medicine "change the face", raise the price level of the drug... 
 
"Due to a variety of reasons, China's pharmaceutical industry 'much poor little messy situation have yet to be fundamentally changed. Drug quality is uneven, confusion of distribution order, prices artificially high, substance abuse problems." "Mr Wang said. 
 
China pharmaceutical enterprise management association, vice President of cattle is dry think, compared with previous drug area "only to one side" reforms, now China's reform has formed the new pattern of "trinity". "Medicine" and "medicine" are two key points that deepen the reform of the medical field and solve the problems of the common people. The more the reforms involve, the more you can't just focus on your own "one acre, three points." 
 
The 2015 statistics bulletin of the health and family planning career development in our country, according to the national health in the total cost, outpatient expenses for medicine (48.3%), hospitalization expenses for medicine accounted for 36.9%, and the developed countries such as Britain and America for drugs account for only about 10%, this indicates that the future of our country "artificially high prices drop and a bigger space. 
 
Looking forward to more health benefits, the "China plan" accelerates the "risk of getting through the country" 
 
The tablets are small, but they are a man's life. The reform of health reform is difficult, but the people are supreme. 
 
"More than 95 percent of China's health care coverage and the increasing availability of health services are remarkable." Margaret chan, director-general of the world health organization, said. 
 
In response to future health challenges, the "China plan" accelerates the "risk of getting through the country" : 
 
"Treat centered" to "health centered", "great health" gradually into all public policy, the 18th party congress, China's health care reform "column frame beam" significant stage results, preliminary establish a national system for basic drugs, effectively guarantee the drug supply, the key reform important breakthrough. From "medicine" to "health plus", the emphasis on fostering healthy new ecology is becoming more and more common understanding. 
 
From "share" to "build", to strengthen the medical treatment, health care, medical reform of "3 d linkage", according to the "on further reform and improve the use policy for producing and distributing medicines of several opinions, first clear the implementation of pharmaceutical production, circulation, use the whole process, the whole chain policy reform, from the individual breakthrough to advancement, highlights the wholeness of health of China construction, systematic, and collaborative. 
 
From the shortage of "broken" to "give", explore the wearer, omni-directional, the whole cycle safety net - the key to solve the public need most, the most concern demand is the core of the medical reform and innovation. Recombinant ebola vaccines, foot-and-mouth disease EV71 vaccines... A number of "new global" indigenous innovation drugs, which are extremely valuable, are injecting new impetus into the health of 1.3 billion people. 
 
There is no doubt that China's health and health sectors face serious challenges. The head of the state council's reform office said the reform of the pharmaceutical sector was an important part of health reform. From the income structure of the medical establishment, drugs and high-value medical supplies make up about half of the consumption of medical supplies, and the reform of drug consumables is an unavoidable issue. 
 
China pharmaceutical university business school professor of internal medicine Ding Jinxi believe that medical reform is the key to "go up and prices down, service, health care to keep". Promoting rational use of drugs requires greater courage and determination to advance reform in order to break down more stubborn institutional barriers. 
 
"In addition to the mechanism of medicine for medicine, we must build consensus and form a synergy of reform." Wang Hesheng believe that medical reform to achieve "three", adhere to the public welfare of public hospitals, adhere to the "3 d linkage" hit "combination", stick to fully exert the principal role of the medical staff. 
 
Answer the health question, seek the policy of management. It is expected that the Chinese medicine will be transformed into 1.3 billion Chinese people with more health benefits. (participate in the reporter Yang shaogong, gao haoliang) 
 
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