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Stopping outpatient delivery is not just an end to abuse of antibiotics
 
Author:中国铭铉 企划部  Release Time:2017-5-19 9:55:44  Number Browse:486
 
Medical network May 19 - guangdong province who planning commission said yesterday, will be a "cancel ordinary outpatient antimicrobial infusion" of related documents, and put forward the province tertiary hospitals (except for the children's hospital and pediatric) to take the lead in full stop outpatient intravenous antibiotics. 
 
The abuse of antibiotics is harmful and has been widely reported in the media. The theme of world health day 2011 is targeting antimicrobial agents. Antibacterial drugs is not reasonable to use the problem is so serious, mainly originated from India and Japan also found that the "super bacteria", one of the causes is antibacterial drugs a lot of unreasonable use. 
 
To curb abuse of antibiotics, have consideration from pathological level, of course, the focus is on guard against abuse of antibiotics, but more important is the "excessive" phenomenon. Antibiotic resistance has a generation to four generations, and the more powerful it becomes, the more expensive it becomes, and the result is a rise in medical costs. A large number of antibiotics can quickly be used to treat patients who have no access to medical care but are eager to make it. For hospital, and can get expensive drug profits, prompting some hospital choice facing the patient, is a most of them are given prescriptions of antibiotics. 
 
For the public, to the relevant departments to explore gradually stop antibiotics manners of course welcome, but more concern is that the medicine for the medical cure measures can last. Otherwise, even if no antibiotics, or there will be a doctor will take other workarounds to prescription, abuse of some higher benefits and drugs for the treatment of patients with and without too much help. Because of the innate information asymmetry, there is not much that patients can do about it. For hospitals, the practice of regulating hundreds of drugs is clearly not practical. 
 
Therefore, stopping antibiotics is more likely to activate the drug specification, which only depends on higher levels of health reform. In recent years, the authorities introduced a series of reform measures, such as moderate let go of the instrument and the costs of medical services price cap regulation, the purpose is to let the medical staff for the rationalization of service income, thereby reducing the "medicine for the medical" path dependence. 
 
But must point out that the new health care reform is focus on the overall reform, including the government resource configuration and the extent of government management, under these two aspects have a lot of kung fu to. Such as reimbursement ratio on the one hand to increase financial input, health care, and promote the new rural medical system construction, let more patients to enjoy a more adequate public health care. For health-care phenomenon of excessive use again on the other hand, to take effective control cost model, including exploration into the commercial insurance resources, through market means to solve the problems of the administrative management failed, more effectively promote health equity. 
 
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