Implementing the basic medicine system must face the realistic difficult problem directly

Implementing the basic medicine system must face the realistic difficult problem directly
If the roller chain likens to the river to produce and sell the whole medicine, the basic medicine system would not merely involve the selection of the upper reaches, production ink, also involve links such as the circulation of the state of being middling, pricing link and the use of the low reaches, submitting an expense account, monitoring and appraising,etc., this is in order to manage the medicine price completely " The river system is polluted " Have brought the hope.
However, deputy to the National People's Congress says, in the upper reaches, numerous pharmacy enterprises have not made good preparations for withdrawing; In the state of being middling, the basic medicine catalogue should be adjusted dynamically, call for bid clean; In the low reaches, for numerous " die " The medical organization of the addition of medicines solves and compensates the predicament.
The upper reaches: Medicine on a price reduction " Half dead and half alive " Chronic illness should effect a radical cure
"Medicine on a price reduction has disappeared. " Deputy to the National People's Congress, Harbin medical university attach to the third hospital slowly the beautiful jade is pointed out when being interviewed by reporter, the national basic medicine retailed and instructed the price to be reduced last year, decreasing amplitude was about 12% on average. But shortly after price adjustment, many medicines on a price reduction just disappeared in the pharmacy automatically.
Reduction- Disappear- Change the head and transfer to the Taxi " New " Medicines make a reduction - disappear again again, in a such one when move in circles, medicines on a price reduction are " half dead and half alive " again and again . Medicines on a price reduction are called for fun among the workshops " Drop from the air " .
At present, there are over 6000 pharmaceutical factories in the whole country, the small enterprise accounts for more than 75%. Xu XiuYu points out, enterprises lack and innovate research and development ability, cause products homogeneity to be serious, combine with the abnormal competitions of the medicine enterprises, has caused low price medicine to " die " ,To use medicine penicillin, first the intersection of nitre and thiazole,etc. already basically antibiotic " Fade out " Market.
The design of the basic medicine system, should squeeze out the moisture from the source. Then, after the basic medicine system is tried, the country is from pricing and bidding and purchasing the dual tactics in unison, visit on influencing directly, some pharmacy enterprises will withdraw from the market. In a situation that pharmacy enterprises combine closely with local GDP, how to treat these medicine enterprises quiting listing because of crowding and doing the price moisture of medicine?
Are there deputies to the National People's Congress that worry, in selection of the medicines catalogue, will mixing the complicated interests relation? Meanwhile, will not the medicines manufacturer have profits to frighten away? All these are realistic difficult problems.
The state of being middling: The catalogue crosses the narrow problem and needs the idea to solve
The medicines catalogue in the basic medicine system is made, although allow there is certain augmenting the proportion in all parts, have avoided the whole country " Make it rigidly uniform " ,But this does not seem enough yet. Deputy to the National People's Congress, Wuhan University's public health dean Mao ZongFu point out, because of regional the intersection of natural condition and difference, different disease of area table different, in urban and rural areas administration used to it different, still it is used to and accept one degree of a high ones medicine has not entered the catalogue, medicine to enter the catalogue to use fewer phenomenon in some areas to exist, cause urbanites not to buy desired medicine in the community health Center, get to the large hospital instead; Peasants can not find medicine needed in the health clinics in towns and townships, are forced to change the place of examination in the large hospital.

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