Medical network - May 15, according to the comprehensive opened the notice of the public hospital reform, the domestic public hospitals of different levels will cancel all drug addition before September this year. The economic information daily, reporter in the drug addition has been cancelled in fujian, hunan, sichuan and other provinces interviews found that people generally reduce the medical burden, but some places due to the reform of "solo dash", have appeared in the supporting public hospital compensation measures's incompetence "out-of-pocket" fill in the gaps, cancel the drug addition to low-cost medicine "tender death" wait for a phenomenon. 

 

The bonus of drug zero bonus is shown 

 

Public hospital drugs to cancel the bonus as some provinces, to zero rate the sale, "medicine to cure" is gradually changing, has brought the crowd really affordable, avoid the "Chinese" due to illness. 

 

Beginning on December 20, sichuan province began to implement urban public hospitals to eliminate drug enforcement policies. Chengdu xindu district dragon bridge town villagers ZhuangYun 49, said: "not long ago with my father for early signs of colon cancer, to a big hospital to do the surgery, spent 38000 yuan operation. And then transferred to the second people's hospital district hospital rehabilitation, accepting the treatment of 1000 yuan, the hospital more than 10 days after the nurse brought the listing, I also don't dare to look at the beginning, feel sure spend thousands, open, a total hospital out-of-pocket costs only 300 yuan!" 

 

Mr. Xu, a patient in fujian province, took the drug for years because of chronic hepatitis b. He gave the economic information daily, reporter calculated brushstroke zhang: "drug lamivudine for the treatment of hepatitis b a box have 14 pieces, 54 yuan is in the past, as long as 38.5 yuan, now for us with a chronic illness, would have been less spend several hundred yuan a month, '--' effect is particularly evident." 

 

"Drug addition is the 1980 s to a kind of public hospital compensation policy, under the condition of market economy gradually evolved into medicine medical mechanism, make public hospital deviated from the public welfare orbit, led to the drug prices artificially high, promoted the rising medical costs is not reasonable." Yuan mingyong, director of the pharmacy department of the chengdu medical college hospital, said. 

 

Said Lai Bitao, deputy secretary-general of the government of fujian province, fujian sanming from 2013 "testing the waters" crack "medicine for the medical problems, and synchronous compensation mechanism is established, through multiple channels of improving the medical service price, compensation to cancel drug addition to reduce income, to effectively control the unreasonable growth of medical treatment charge, reduce the patients' medical expenses burden. In 2015, fujian province was the first in the country to push through the sale of "zero-rate" drug "zero rate" in public hospitals. 

 

Said Zhu Shufang, who in fujian province development planning commission director of fujian province in 2016 fell 4.64% from a year of public hospital drug consumables accounted, manifest the value of medical staff technology and services diagnostic care than surgery and other medical services accounted for 2.51% year-on-year increase. 

 

On April 8, "Beijing medicine separate comprehensive reform scheme of" official release, more than 3600 medical institutions around the "drug separately, regulate basic medical services, the implementation of medicine procurement sunshine" three aspects to reform and thorough farewell medicine for medical, realize the compensation mechanism of "big changes". After the reform, the cost of medicine and the cost of drugs fell, and the changes in medical services and expenses met the reform expectations. 

 

From April 8 solstice on May 5, the cost of the hospital emergency room for the third grade hospital in Beijing was 9.6 percent lower than in March of this year, the data showed. The cost of hospitalization was reduced by 4.1 percent. Hospitalization was reduced by 17.7%. The number of hospital emergency rooms for secondary hospitals decreased by 14.8%. Hospitalization expenses were reduced by 14.1% and hospitalization expenses by 24.0%. 

 

Public hospitals are "pouring money" into the gap 

 

The interview, the economic information daily, reporter also found that some local public hospitals cancelled after drug addition, supporting the corresponding compensation measures does not reach the designated position, lead to public hospitals "paying" chain reaction, such as trigger some public hospital administrators and medical workers. 

 

Since last year, all urban public hospitals in hunan province have been selling drugs at a total rate of zero. However, the current situation is that the government compensates for less, and the increase in the cost of health care does not compensate for the decline in drug revenues. 

 

, vice President of the people's hospital of hunan province to China said: "at present, many hospitals in hunan has drugs zero rate after the compensation rate wasn't up to the expected 80%. Among them, xiangya average compensation rate was 51.2%, the three hospitals in hunan province was made hospital compensation rate is 67.44% on average. The current hospital buy equipment by its own profit, after the implementation of drug zero rate, large medical equipment for hospital will face the problem of insufficient funds. If you don't improve this situation, after a few years of public hospitals will face does not have enough ability to change the embarrassing situation of medical equipment." 

 

Xiangya 2nd hospital of hunan province CPPCC, professor Wang Yunhua think, now of large public hospital drug prices fall in hunan, inspection fee is reduced, the gap can only rely on medical service prices to compensate. But hospitals that charge is not enough to compensate for reducing drug addition and inspection fees, once the hospital is difficult to balance of payments, is bound to affect the doctor's treatment and work enthusiasm. 

 

Yaan of sichuan province people's hospital, vice President of Zhang De confessed, and for a long time, the public hospital scale and improve the software and hardware facilities, the vast majority of input self-raised funds, rely mainly on hospital, the hospital cause in rapid rise. When the drug is removed, the government's inadequate compensation will make it harder for public hospitals to repay their debts if the price of health services is not in place. 

 

"The medical staff is also the main body of reform, should cancel the drug addition is a comprehensive project, but at present in the public hospital, the doctor of labor value has not been very good, especially the department of obstetrics and gynecology, paediatrics doctor, labor intensity, work 24 hours a day, also often face disputes. Cancel after drug addition, how the doctor's income is reflected, which is widely concern of the medical staff." "Said gu xiangru, President of the people's hospital of xindu district in chengdu, sichuan province. 

 

Chengdu xindu district health bureau said a head, public hospitals should be through the structural adjustment of income, ensure timely digest cancel after drug addition "gap". 

 

The "death of the bid" is a concern for patients 

 

The economic information daily, reporters found that in some drugs "zero rate" policy has landing place, due to reasons such as the ground rushed, appear cheap drugs, basic drugs for the phenomenon, cause patient concerns. Industry insiders say that, in the process of reform, it should be wary of similar phenomena that "eat away" the fruits of reform. 

 

A hospital in chengdu, more patients to tell a reporter, now in the hospital to buy five, some drug prices really cheap, but in the registration fee is similar to buy drugs on the market, the key is to queue to register the same time. 

 

One patient said: "compared with drug price, we are more afraid of drug disappeared. Recently, hypothyroidism patients - update to optimal armour and won't be able to buy in the market." 

 

Chengdu second people's hospital pharmacy department director Cheng Qianrong said, under the background of current compensation mechanism is not perfect, public hospitals generally take the medicine for the medical income, maintain operations development. When the drug is removed, it is possible to exacerbate some of the shortage of cheap medicines if the reforms do not follow. 

 

Fujian YaoXie joint procurement said 林崧, director of the center for comprehensive reform in fujian appeared over the past few years, some drug firms do appear after the "low bid" no production "phenomenon, lead to public hospitals lack of some of the basic drugs for temporary, seasonal, also known as the" bid "death". 

 

"Fujian sanming health early, due to the procurement market is small, low bargaining power, has encountered many drug companies' joint encirclement and suppression ', 'low medicine,' potentially life-saving medicine outages. It is the universality of reform is likely to be met in the problem. After level to promote reform in fujian province, through negotiations' association of hospital, etc., bargaining power has been enhanced, effectively alleviate the shortage of shortage of some medicines." 林崧 said.