People's Daily: " sudden huge profits medicine " Back or local government's interests are conspired

People's Daily: " sudden huge profits medicine " Back or local government's interests are conspired
" sudden huge profits medicine " Behind,it have do one's best ones that supervise,either get rid of some local governments, hospitals and the interestses of enterprises conspire Initiate and pay close attention to strongly " Sudden huge profits medicine " The incident, refined two hospitals of relevant personnel in Hunan Hunan say, the hospital is " victim " too ; The press spokesmans of this institute declare especially, " hope the media dissects this carefully, open all the whole interests roller chain clear-cutly, see really who taken away the sudden huge profits of medicines! " The profit was up to 1300% " Sudden huge profits medicine " On earth how was it smelted? This must be talked about from medicines centralized purchasing system. The original idea implementing medicines centralized purchasing system reduces the intermediate link, reduces the medicine price. But this international current purchase mode is carrying out the aspect to suffer gradually " Alienation " . Regarded as and purchased the square public hospital, because " government's compensation mechanism is uncomplete " for a long time , " the medical service charge is on the low side " ,Have to regard medicines income as the main capital source of maintaining its normal operation. The ones that face this kind of system " Alienation " ,During the reform later on, " intermediary " in fact on the roller chain of the interests It is out to be compelled, change to be pitched into the work in person by the local government. Therefore, the government is athletes, and a referee, it is very difficult for supervision mechanism to contribute. The fact is, as centralized purchasing organizer's local government department of medicines, it is still unable to change the hospital so far to remedy the reality short of money through buying high price medicine in a disguised form. For example, the policy of the central government requires the hospital to just purchase the quantity and sign a contract, forbid two price negotiations with enterprises in the hospital, and we can say in the place that seldom there are hospitals that will sign the true contract which purchases the quantity with enterprises in fact, even it is the symbolic signing several boxes to sign. Price two times negotiates and becomes the medical and open in trade secret at present even more. This back, there is the one that supervised that did one's best, did not get rid of interests of local government, hospital and enterprise to conspire either. Medicines, centralized purchasing this one, " Easy to pass " ,The quilt like this " Read aslantly " . Because medicines are the passive consumer goods, the patient has no right of words, totally submit to the doctor's prescription. Once the market of medicines is infected with " The commerce bribes " ,The hospital is very easy to no longer care about the price, quality of medicines, then pay close attention to various purpose " commission " . The enterprises producing medicines of government issused price are in case of not can't be shaken at the retail priced, more and clinical in order to push out of to promote the expenses, reduce the production cost, ignore product quality, medicines of imitation and poor quality are exposed repeatedly; The enterprises producing medicines of price decided by market demand make the sky-high price, launch crazy clinic to promote with huge commission. Centralized purchasing system because of medicines " Alienation " ,The hospital is performing " Bad medicine expels good medicine " Tragedy. New the intersection of medical reform and scheme emphasize medical hygiene industry public beneficial, command the intersection of social insurance and organization with enterprise's price negotiate (pay the side to purchase medicines directly) , package of medicines and chemical reagents label retail price, fix medicines circulate price differential rate compress intermediate link several the intersection of pharmaceutical and violent medicine. If these policies are implemented completely, will all contain this kind of high price medicine phenomenon effectively. But practice proves, if has not carried out strength, science is rational that no matter how the strategy blueprint or institutional framework is, it is unable to give play to its might. It must improve the local government's execution strength constantly to guarantee the medical reform succeed finally. The medicines centralized purchasing quilt of today " Alienation " ,The ones that mainly came from the medical reform policy and carried out did not form a complete set; Come from " lowering the medicines price " , " service charge of improvement " With " control the all-inclusive cost " These three measures were not linked synchronously; Come from some local governments' having unprincipled indulgence and condoning to the unlawful practice of the hospital. Should system " Alienation " Responsibility ascribe to briefly and purchase system, intermediary and medical organization and medical worker. While improving ability to supervise, chop to persons who supervise, persons who purchase, seller (including the hospital) off , the interests relation between producers, already very urgent. (Wang Yue)

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