People's Daily: Abolish and raise medicine with medicine It is difficult to compensate it in place

People's Daily: Abolish and raise medicine with medicine It is difficult to compensate it in place
The basic medicine system is the most basic medical policy of a country, the purpose is to ensure the of people to fall ill to buy medicines, afford medicines, afford to use medicines. Our country had pursued the basic medicine catalogue too, but just made a catalogue in the past, it is not a system. This basic medicine system joins selection of medicines, pricing, purchase, use rationally, the finance is ensured, each link of monitoring and appraising etc., form an intact system, the function produced is very great. In order to let a difference lead the basic medicine to really use, must abolish the medical organization and " raise medicine with medicine " Mechanism. On this, the national medical reform department is promoting the comprehensive reform of the medical health organ in the basic unit, impel it to change operating mechanism, has made very great achievement at present. Abolish " raise medicine with medicine " The mechanism, the greatest difficult point lies in setting up new compensation mechanism. According to last year size 62 gist of a document that the State Council issue, already clear to compensate channel through two our country: Increase the government finance and subsidize, adjust the technological service price appropriately, including setting up the medicine thing service charge. The fee or medicine thing service charge is that the technology of labor service charges to generally make a diagnosis, for a long time, the technological value of the labor service of of our country doctor is ignored often, doctor is by writing a prescription more, checking more to obtain incomes. I recommend, collect, make a diagnosis fee or medicine thing service charge generally, it reflects the medical worker technological value of labor service, can compensate the undercompensation that a difference rate of basic medicine causes better at the same time. In the medical health organ in the basic unit, the medicine thing service charge includes the fee in generally making a diagnosis, is submitted an expense account by the basic medical insurance. Can set up medicine thing service charge in second or tertiary hospital alone. Because the basic medicine has already included in the catalogue of submitting an expense account of class-A medicines of the national basic medical insurance, the price is relatively low, reduce the expenditure of the medical insurance, in this sense, the amount of improving a patient and diagnosing the illness and submitting an expense account, the medical insurance can play certain compensation, this channel is contributing at present. But should canvass and set up a long-efficiency mechanism, let the medical insurance compensate the basic medicine continuously. Government's financial subsidy involves the structural adjustment of the regional expenditure, if is the areas of financial difficulties, will probably compensate it uncompletely. It will influence the implementation of compensation mechanism too to value economic development more than the thinking of social construction. In addition, the timeliness of the financial subsidy is very crucial too, all parts generally all allocated funds after June, can not all put in place either at the end of the year. So, must list the financial subsidy in government's budget. After the reform, the settlement of the medical debt problem of health organ in the basic unit should be brought into schedule too. The long-term debt is " Raise medicine with medicine " The product that the mechanism left, has already wanted a public beneficial heavy burden as the medical health organ in the basic unit, not getting rid of this burden, the medical health organ in the basic unit is difficult to realize public beneficially. Solve debt problem, pressure a loud one the government at the basic level most, because want the related fund to solve, must try every means to improve melting in the irrigation ditch of the debt, guarantee it is not influenced that the medical health organ in the basic unit operates. Country issue file to dissolve debt already, as to to dissolve very much detailed plan long-term debt, can abolish more completely " Raise medicine with medicine " Mechanism. The basic medicine system is a brand-new system, among them the transition of the mechanism is a most difficult unyielding person who took great pains with one's studies in the basic medicine system is implemented. Basic medicine system and a difference rate were sold for the medical health organ in the basic unit " Medicine is separated " , cut off " Raise medicine with medicine " Have created public beneficial operating mechanism. At present, the basic medicine system has already covered more than 90% of the governments and run the medical health organ in the basic unit, medicine of the State Council corrects and proposes all setting up new operating mechanism at the end of September. This means the reform has already entered the most difficult moment of assaulting fortified position.

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