Low price medicine unwilling in doctor explored secrets with - enterprise is unwilling to produce medicine - pharmacy is unwilling to sell-
The medicine shortage of the low price exists, but not general on one hand common people generally reflect the medicine price is timid and high, it is looked for that low price medicine is difficult, on the other hand, the reporter finds in the investigation, buy low price medicine not actually difficult in imagination. Then, what it is on earth reason cause public opinion and " produce a polarization " of reality ? Taking this doubt, reporters have interviewed the Chinese price association's Deputy Secretary-general Zhao ZhenDong. The medicines price of low priced shortage in making the whole country once 2007 of China price association is investigated, this whether most large first medicines price of shortage of scale that carry on at home up until now investigate too. Deputy Secretary-general Zhao tells reporters, is entrusted by national development and reform committee Pricing Department this investigation. "Before this, it has been the hot question that the various circles of society have paid close attention to all the time that the medicine price is empty and high, for this reason, the responsible institution of government's price successively took a series of policies and measures to reduce the medicine price, but with the intersection of medicines and on a price reduction and price adjustment, from 2005 to 2006, news media, deputy to the National People's Congress some low priced medicines have disappeared in giving the market successively. For clarify how much kinds of the intersection of medicines and shortage does it have on earth, what medicine shortage and shortage because of make a reduction question of leading to the fact etc., national development and reform committee Pricing Department trusts us to do this investigation, hopes to give the masses a comparatively just, objective answer. " This investigation has been over to about October since February of 2007, has lasted near great half a year. Gather and appear and is in short of 284 kinds altogether medicines. Later, the group of inquiry deepened two largest medicines collecting and distributing centres in the whole country - -The lake open medical Co., Ltd. of Kitakyushu and selling the situation to check one by one to these 284 kinds of medicines of Tai Wo, Anhui medicines market, find medicines really in short are only about 20 kinds, among them only there are 3 kinds of low priced medicines. This figure and people's in short general feeling to low price medicine differ greatly. "There aren't some medicine hospitals, is not equal to this medicine and has not produced, have not circulated on the market. " Deputy Secretary-general Zhao says. He explains, some medicines change the scientific and technological progress of sum and is eliminated naturally because of disease. Some medicines are that there is too less to list morbidity in medicine always on the alert in this area because of one area. Deputy Secretary-general Zhao concludes, reasons to cause medicines in short are actually in many aspects. By the look of medicines, it is great to produce restraining of the engineering level from, poisonous side effect and it will all cause the shortage of medicines that the production technologies are special. By the look of social factor, one of the reasons why some medicines disappear that reduction is really to lead to the fact, but not a main reason. In a situation that the medicines production cost is increasing constantly, the government lags behind to the price adjustment of medicines, to some added value relatively lower medicines, enterprises are unable to digest the increased production cost to be one of the factors causing low priced medicines in short. Point out too in this survey report, " raise medicine with medicine " System, national basic medicine system improve and the intersection of medicines and storage system improve, cause low priced the intersection of medicine and in short important factor. Which community's hospital of base camp of cheapest community's hospital low price medicine of medicine 's medicine price is cheaper than that of the hospital of the first, second and third, this is well known. Different from hospital of the first, second and third, community medicines of hospital does not allow addition, what is bid of medicines, sell for, get patient how much it is on the hand, and the intersection of community and operation of hospital mainly depend on the financial subsidy of the government. The reporter sees in the medicines price catalogue of the hospital of a community of Dongcheng District, less than 10 yuan to basically use medicine the proportion is not small. The reporter has counted it, in 125 kinds of traditional Chinese medicine in a difference rate, there are 54 kinds of medicines less than 10 yuan, it accounts for about 43%. In a difference rate Western medicine, the medicine proportion less than 10 yuan has exceeded half. In a non- a difference rate traditional Chinese medicine and Western medicine, medicine at under 10 yuan accounts for forty percent and eighty-percent respectively. It is easy to find out, community's hospital can deserve to be called the base camp of low price medicine. Doctor Guo of the hospital of this community tells reporters, in term of medicine price, medicine prices of community's hospital are relatively much cheaper than in the society. "Empty worries like cow bezoar, here is 22.99 yuan, current price on market is 28 yuan, lack of 5 yuan and more. " Does community's hospital see cold will be cheaper than the hospital of the first, second and third? Doctor Guo says, may be a bit more expensive if infusing, thirty or forty yuan of not infusing, on almost. "One box antelope clean the breath a dozen, two box 20 several, catch a cold more than 20 of medicine taken with water, just add up thirty or forty yuan. " As to the community hospital which the external world condemns though the medicine price is cheap, the problem not complete of medicine, doctor Guo says, some low priced medicines are not entered by them, but can not come in. "We want the licorice root slice with the manufacturer since September, it is that No to take two months. It is some reasons among them, I do not know. " Propose: The community hospital one medicine is ordinary people often food generally, it cure the disease, can satisfy by that medical treatments basic. Take medicine, need, take medicine often, use medicine to a own one taboo,etc. compares the chronic disease patient that found out about throughout the year needing, the ones that went to community's hospital and should be regarded as and written a prescription were chosen first. Actually there is low price medicine too as to hospital of less the first, second and third in the hospital of the first, second and third kind, but compared with community's hospital, kinds of low price medicine of hospital of the first, second and third are relatively less. Reporter's investigation finds, as plain like the rhizome of Chinese goldthread, go to ache one, erythromycin is enteric dissolved one, basic administration such as scene of detoxifying of cow bezoar and had, and the price is mostly within 5 yuan. But it is the same thing that there is low price medicine in the hospital of the first, second and third, it is another matter that the doctor makes. Look according to the experience, doctors have actually few while writing a prescription, even write a prescription, also will match with other relatively costly medicines. Certainly, the doctors have their reason too such as people abuse antibiotic, lead to the fact some antibiotic medicines in the past are powerless in front of the strong bacterium, virus of now, so can only hold new medicine with stronger efficacy of a drug. Propose: As to still in treating one and convalescent patient, had better take medicines in the hospital ing. When the doctor writes a prescription, patients can explain one's own economic conditions with the doctor, it is still medicine of a bit cheaper price to need to open medicine in the medical insurance range, it is convenient for doctor to choose. Can it divides the intersection of medical insurance and pharmacy into by pharmacy to be and medical insurance pharmacy, medical insurance pharmacy national medicines " supreme retail price " Leave and sell, so in the medical insurance pharmacy, some medicines will be much more expensive than community's hospital. For example pair of the rhizome of Chinese goldthread oral liquid three smart which the Kazakhstan medicine six factory produced, sells for 14 yuan in the medical insurance pharmacy, community's hospital sells for 6.61 yuan, differ by more than nearly one time. Buy medicine patient, can submit an expense account in the intersection of medical insurance and pharmacy, so even if the intersection of medical insurance and pharmacy draw high medicine price, do not worry either no one buys in the pharmacy. It is not the medical insurance pharmacy that is often preceded by " The par " Name,take it low than that of medical insurance pharmacy, community hospital some medicine prices of but kinds of pharmacy, some are more expensive than the medical insurance pharmacy. The medicines marketing channel of our country remains according to going from pharmaceutical factory to the agent, What distributor and then pass, reach the pharmacy. In such traditional channel, the goods stocked in pharmacy have passed a lot of intermediate links, the medicine price has been raised ring upon ring for a long time, the retail price follows to increase accordingly too naturally. But it is not that medical procurement modes and logistics modes in the medical insurance pharmacy relatively save money that some is larger, and the profit addition is very low, some do not even make money, mainly obtain profits by the small profits and quick turnover. Propose: Only if the medical insurance crowd had better try not to choose the medical insurance pharmacy when buys medicines, chronic disease patient who especially took medicine for a long time, bought " high price medicine " in the medical insurance pharmacy for a long time Will become a very great financial burden. When can the medical insurance pharmacy be used? That happen suddenly light disease, slight illness, have a stomachache,etc., can go to the non- medical insurance pharmacy to buy medicines nearby. Choice whether the intersection of medical insurance and pharmacy had better see it belong to chain, relative price will be a little cheaper because of common the intersection of chain and pharmacy too. Online the intersection of pharmacy and low the intersection of medicine and price draw high freight charges whom online pharmacy play mainly cheap. This is because expenses of can save the rental the shop, artificial in the online pharmacying etc., someone has counted, even if the online pharmacy provides 10% of the favours, the space of profit is still very big. At present, several domestic larger online pharmacies include the online pharmacy of Golden Elephant large dispensary, happy networks of people, is strong in guest's networks and dispensary networks. Except the price advantage, actually there are hospitals and all incomparable advantage of pharmacy in the online pharmacy, that is convenient. Need some medicines, so long as input the medicine name in the search fence of the pharmacy on the net, will offer the same class medicines which different producers produced, it is more convenient for consumer to get a good buy by shopping around like this. In addition, the medicines kind of the online pharmacy relatively compares that complete, this is an advantage of it. However, the domestic online pharmacy has not got many people's approval very much now, one reason pharmacy buy medicine want, pay freight charges on the net, with a medicine the intersection of pharmacy and cheaper than hospital or pharmacy odd yuan on the net, but if add the freight charges, the price is drawn high, let consumers think that lose more than gain. Another inferior position of online pharmacy is that some prescribed medicine is unable since shopping on net directly. In addition, it is an important reason why the online pharmacy can not be developed slowly to be unable to connect with the medical insurance, the unable medical insurance submits an expense account to purchase medicine on the net, even if medicine here is cheap, but use for a long time, the patient is probably too much to bear. Certainly, not getting rid of some online black pharmacies either, cause consumers to the distrust purchasing medicine on the net. Propose: The busy white collar clan or if medicine is not urgently needed, can choose the online pharmacy. But present online pharmacy mix the genuine with the fictitious, try hard, go some famous having the intersection of chain and the intersection of entity and pharmacy online of shop purchase medicines. Remind you of one sentence here, the online pharmacy is qualified to authorize too, possess " Internet medicines' information service credentials " With " Internet medicines' trade service credentials " Online if you can't qualification in individual pharmacy, sell by non-prescribed medicine. -Different price comparison of irrigation ditch of some medicines: The rhizome of Chinese goldthread of online pharmacy of pharmacy of community's hospital of hospital of medicines common famous the first, second and third is plain (alkali of the small bark of a cork tree of hydrochloric acid) 1.2 yuan (0.1g is * 24) 2.5 yuan (* 100 of 0.1g / bottle) 2 yuan (0.1g is * 24) 4.1 yuan (0.1g is * 100) Go, ache 1.42 of film 0.6 yuan (12 slices / board) 2.38 yuan (12 films and * 2 bags / box) 2 yuan (12 films * 2 bags / box) The aspirin intestines dissolve films of 3.1 yuan (40mg is * 100) 3 yuan (40mg is * 100) 6.7 yuan (25mg is * 100) 3.9 yuan (40mg is * 100) Cow bezoar detoxify 11.33 of film 9.26 yuan (0.27g is * 120) 11.7 yuan (10 films * 12 board) 9.1 (10 the intersection of film and * 12 board) Cold is too open to have 1.3 yuan (24 slices) 1.5 yuan (48 slices) From open and fill in and reveal 2.2 yuan and 1.04 yuan and 2.2 yuan and 1.6 yuan for December 1, medicines of Beijing second and the above public non-profit-making hospitals and fixed medical organizations of medical insurance will be realized with city and price. Government already time and again " Sell " Reduce the medicine price, though play a will certainly be inhibited after arrivinging role in the empty fire of price of this burst of medicines, but someone points out, it causes some low price medicines to fade out in people's sight slowly to lower the medicine price, " those cheap and affective ' small medicine 's are fewer and fewer, the trace that it is all very difficult to still retail the pharmacy to find them no matter in the hospital dispensary " ,Say in a net friend is a little rich. The in short report about low price medicine, low priced medicine is not small number on the network, lack analyse and explain the mystry that low price medicine disappear, dissect deeply among them, summarize, stand up, include three reason of respect roughly: Doctor unwilling to produce while being unwilling with the intersection of medicine and enterprise and the pharmacy is unwilling to sell. In order to clarify the present true situation of low price medicine, verify them and " disappear " Carry on by some investigation. The reporter investigates low price medicine disappears and queries one: Is the doctor unwilling to use? In recent years, " it is difficult to see the doctor, it is expensive to see the doctor " Have already become people's pet phrase, has " seen the doctor expensively " only This will come to say, the medicine price takes a big chunk. " nowadays see a small cold and all take one or two hundred yuan " ,The similar one " Complain " Can be found everywhere. Ms. Wang that the reporter saw cold before meeting while visiting hospital of a the first, second and third, she tell reporter whether " oneself throat ache, have a running nose, feel symptom aggravate a little these two days a little just, I'm afraid that really initiates and burns, go to the hospital to let the doctor prescribe some medicines at once, press symptom. " The reporter sees, the doctor's diagnosis results to Ms. Wang is " upper airway infection " ,Give her write a prescription altogether, give her write a prescription, the total price of three kinds of medicines is 162.18 yuan. Ms. Wang says, because her expenses for medicine have not reached the medical insurance yet to get up in one pair of lines at present, this more than 100 yuan can only be drawn by oneself, " really a bit expensive. " Ms. Wang says. The reporter has inquired about the medicines prices of this hospital subsequently, find a doctor for each kind of unit price of medicine which Ms. Wang prescribed more than 20 yuan. For many years, the public hospital has " raised medicine with medicine " Management mode last getting more important very reason. Comment that points out " under the large background that raise medicine with medicine, the hospital still needs by selling medicines instead of ' sell technology ' to make moneying ", in order to guarantee operations objective and reasonable profit. " The reporter asks about from dispensary staff member of hospital of a the first, second and third, really have unwilling low price medicines open of some doctors. This staff member has listed a not complete low price medicine list for the reporter, including linking C silver to stick up slice , the rhizome of Chinese goldthread is plain, the cold is open, quick-acting catch cold capsule and promise Fluorine sand star, oxygen Fluorine sand star low price antiinflammatory agent,etc., the current prices on market of these medicines nearly all exceed only 10 yuan. As the reporter asked, the doctor was unwilling to write a prescription because was the profit too low? This staff member " have this possibility to answer. " Low price medicine disappears and queries two: Is the medicine enterprise unwilling to produce? Medicine enterprise is unwilling it produce last low price medicine low price medicine " Quit listing " Another reason. Various reports on comprehensive media and network, the reporter sums up, the unwilling to produce probably pressure based on two respects of the so-called medicine enterprise, first, come from the hospital. There is the report that points out, according to the stipulations of country, the hospital can raise the price at most in buying the medicine price 15% are sold to a patient, because some low priced medicine profits are low, the hospital will consider entering medicines of higher price, thus obtain the larger absolute profit. There is not a market after producing out on this just causes low priced medicine. Pressure of the other it comes from counterparts to be malignant to compete. Some medium and small medicine enterprises often force down the medicine price excessively in bid, even regard sacrificing the quality of medicines as the cost, quote the price well below the cost of medicines, cause the large-scale major medicine enterprise to withdraw from the competition, it is unable to introduce some low price basic administration that it produces to the market. And medium and small the intersection of medicine and enterprise, after competitive bidding succeed, and unable supply of protecting etc., produce some time only often, no longer supply this kind of low price medicine, the final result is the medicine shortage of the low price. Mr. Wang engaged in the medical agent tells reporters, understand on him, the malignant competition in the course of competitive bidding really exists. "But it is not that a few people have the final say, want to enter expensive entering the expensive one that the hospital enters some medicines, generally there are boards of trustee of a medicine thing in the hospital, what medicine the committee determines to enter in a manner to vote, provided that to take according to the requirements for medicines of the hospital, there is a cheap one among them, some are expensive. " Mr. Wang adds, some hospitals do not enter some low price medicines, because the side effects of these medicines are greater than to treat function, have already been eliminated by the market. Will pursue profits to maximize too by the look of medicine enterprise, like some medicines cheap, with low profit, some medicine enterprises do not produce. Low price medicine disappears and queries three: Is the pharmacy unwilling to sell? Reflect the pharmacy is difficult to buy the phenomenon of low price medicine, the reporter goes to the pharmacy too to a lot of people, have carried on the investigation on the grounds of buying cold drug. The cold drug that the reporter mainly inquired is linked separately C silver is stuck up slice, the cold is open and quick-acting to catch cold capsule, prices of these three kinds of cold drugs are all about several yuan, it is low priced cold drug. In a large-scale chain pharmacy of Chongwenmen, the reporter says that wants to buy cold drug, the shop assistant takes out a box of medicines from the counter while inquiring a reporter has any symptom, and introduce " This kind of cold drug result is better " . The reporter sees, this kind of medicine price that the shop assistant recommended is about 18 yuan. Whether when it is linked that the reporter inquires C silver is stuck up slice, the cold is open and quick-acting to catch cold capsule, the shop assistant says there are these medicines, and point to saying close to some counters of the inside: "Cold is open just there. Link C silver and stick up too and have, 2 yuan per bag. " Subsequently, the shop assistant takes out yellow quick capsule of a box of ammonia coffee, say to reporters: "This is original quick-acting cold capsule. " In another large-scale chain pharmacy, the result that the reporter investigates is that cold is open and linking C silver to stick up slice and sell, but not quick-acting cold capsule. Will hide low price medicine in the shelve unattractive position as to the shop assistant who is mentioned in some reports, reporter find similar phenomenon too in the pharmacy, the intersection of low price and medicine put in give a piggyback at the shelve in the entry mostly, and close to hitting the position of the lower floor, but if looking for carefully, very easy to find. On the shelve, such super and cheap old medicines as it is red that reporters have also seen Lactasinum, people. In a small unknown pharmacy, reporters are told and only linked C silver to stick up slice, there is not open and quick-acting cold capsule of cold. Visit one circle come down, reporter most direct feeling, just, so-called " buy low price medicine while being difficult in pharmacy " Statement absolute too,be some low price medicine in short phenomenon at some pharmacy reallied, but through the investigation, the reporter finds, even if is in the hospital of large-scale the first, second and third, small medicine of those low prices in our impression will have shortage too. In this respect, the public hospital can actually take shape with the pharmacy complementarily, the medicine not had in the hospital, can look for in pharmacy. The ones that do not have in the pharmacy can go to the hospital " Take a chance " ,But this is limited to some large-scale chain pharmacies, the small pharmacy is because of questions such as the operation cost,etc., will not usually enter too many low price medicines. In addition, if go to the pharmacy to buy a certain low price medicine, had better inquire the shop assistant, because they will not recommend medicine at several yuan voluntarily, certainly, if there is the store, whether the shop assistant will not generally pretended.
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