Xicheng basic drugs inhibiting the early "your medicine" – essential d
States Essential drugs system 4 pilot districts in the city's 34 Community Health Center has implemented two weeks time, reporters found that, on the one hand, people really do feel the medicine doctor cheaper than before; the other hand, this reform in practice advance, patients and community health service centers are still a lot of confusion and concern. Relevant government departments are working on currently relevant supporting policies and measures to make the livelihood of real reform Huimin effect.
Results Cheaper drug prices, "minor illness to the community" were gradually
Essential drugs system is implemented, people with minor illnesses are more willing to Xiaomao cheap drug prices community health service center, which is several journalists yesterday in an interview with primary care health services after the real feelings.
"A lot cheaper drug prices." Qin aunt who lives in the village famous annual risk of high blood pressure, she ate a "Plendil" antihypertensive drugs on a regular basis to clear name of Bridge Street Community Health Center pharmacy. Essential drugs system is implemented, she forget afterwards: dispensing in the community to spend 2,395 yuan a year, less than 473 yuan to the city hospital. It is clear name Bridge Street Community Health Center to preliminary statistics, since from April 1, residents of medical expenses reduced by about 100 thousand yuan.
Decline in drug prices and brought the community health service centers rise in popularity. Municipal Health Bureau, the latest statistics confirmed that, on April 1 -13 days, 34 pilot community health service center outpatient services increased 14.84% year on year, people are Drugs Costs down 10.73%, times the total medical costs were down 7.5%. This means that inhibition of basic medicine system "of your medication" effect has been initially apparent.
Concern Worry caused by the two patients and community doctors
System for essential drugs, while the public applauded hope to further reform, the focus in the directory Traditional Chinese medicine Matter of "how much" on. Liu Tan street in the community health service centers, Diabetes Patients Zhuangling Mei said she had not used insulin injections Essential Drugs List China, now have to change to another drug, "do not know how the effect of new drugs like?" A little worried about her.
Her concerns are a lot of patients and community doctors approval. It is understood that access to essential medicines list city of about 1,000 kinds of medicines, but the actual access to community health service center pharmacy goods around the Statute of the 250-500 species, some commonly used drugs disappeared. According to a community street Jianghai doctor said essential medicines list of mainly small side branches, a small branch common drugs, such as dermatology and ophthalmology, gynecology, psychiatry, etc.. Meanwhile, some chronic diseases such as hypertension, diabetes drugs also reduced, "fear of dressing, the chronically ill on the adaptability of different drugs, this will cause a certain risk."
For community health service centers, the biggest worry is whether the compensation mechanism in place. "Center about 60% of income is income from pharmaceuticals and cut off the large, running will be difficult to protect." Qing name Bridge Street Community Health Service Center, disclosed that since April, the center of drugs had less income 100,000 yuan. It is reported that the pilot community health service center revenues and expenditures into the financial account, respectively, but the center boasts a staff and performance appraisal programs have not yet introduced.
Solution "Directed hook" smooth two-way referral channels
For the compensation mechanism, the interview was informed, in accordance with the current "expenditure" policy, community health service centers in the future running costs of all from the government budget, "reveal all the details." Currently the district level fiscal year base budget is approved in accordance with operating funds, and set aside the appropriate fee, which makes community health service center "to eat assurance."
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