People's Daily: Medicines circulate and take a step The hospital reforms " Trip "

People's Daily: Medicines circulate and take a step The hospital reforms " Trip "
With what policy, through what route on earth to advance the reform of medical and health system, make it spend less money doing the large undertaking, spend money doing the large undertaking and even save the money and do the large undertaking, this is that system reform of medical and health of our country could succeed, system mechanism and system have key point of sustainability. Minhang district of Shanghai advances the modern process of circulating of medicines, its core is to use basic theory and technology of circulating modernly, reform the traditional medicines circulation style of medical organization. At present, they have already realized " a stock " of hospital medicines ,Excavate out in the hospital through setting up the modern system of circulating of medicines " Third profit source " ,The ones that have realized medical organization, supplier, logistics facilitator, patient and doctor " Win together " With " multi-win " ,Have solved some difficult problems of perplexing the public hospital reform for a long time, even can say that has opened " fast knot " of the public hospital reform . By modern the intersection of trader and the intersection of flow, logistics,etc. and procedure give a new lease of life to circulate, medicines circulate the intersection of traditional Chinese medicine and ownership of product and administrative power amortize give medicines supplier and logistics facilitator hospital, thus has realized completely economically " Medicine is separated " ,Have broken through " It is impossible for the medical organization to realize medicine is separated " Idea. Gave a new lease of life to producing the modern logistics procedure while circulating " Third profit source " ,Base on the premise that it is put into that the country does not increase, realize medical organization and doctor income increase continuously, may break through " Carrying on public medical administrative structure reform must increase the state finance to put into " Idea. By modern the intersection of information and the intersection of procedure and give a new lease of life to and foundation of information system circulate, realize medicines circulate can be traced back to and used medicine rationallying overall, while reducing patient's expenses, improve medical service level, break through " the intersection of medicine and price reduce, solve, see the doctor your problem only " Idea. Give a new lease of life to the modern procedure of circulating of the fund while circulating, has shortened the returned money time to the medicines supply enterprise, and contained the commercial bribery in the buying and selling of medicine from source, " it is impossible to solve the medical organization and is in arrears with manufacturing enterprise and supplier fund " to break through Idea. The income of doctor of medical organization increases based on the fact that patient's expenditure reducesly, only information is transparent to disclose inquiring that can be traced back to, the doctor could really have a pressure, could make oneself become acting person of patient progressively by restraint of system, acting patient chooses medicines, chooses medical care. The relation between medical organization and supplier was the game in the past, so is very tense, the relation with patient is a game even more, the contradictions of doctors and patients are more nervous too. This kind of game lies in without a kind of restraint means or technology, solve each side " information asymmetry " Demand the question inconsistent with the interests. This kind of " asymmetric " It makes a doctor change the relation with patient's basic normal agency that recessive trade, interests under are driven. The course of advancing medicines modernly to circulate, especially the course of establishing the system of managing in informationization, cut off with one's own interests relation, establish the course of the relation with patient's agency voluntarily. The medical organization explores the separation of medicine and medicine, it is a reform of touching the profound interests relation, it becomes new interests communities progressively while curing and suffering from that this makes, namely only the patient reduces the expenditure and raises the health level, the doctor could realize steadily that serve more many incomes, offer good service to obtain the appreciation income of good service. If public medical organization concentrate goal on, want money from finance and to promote medicines, take at the benefit, the road to take new, sustainable development in any case will come. Whether the system reform of the medical and health could succeed, the key lies in whether could buy the sustainable system mechanism, lie in the investment of the country could be effective, could get " The multiplier effect " . The most important thing of public medical administrative structure reform, just adjust each side's interests relation, the ones that have opened in the public hospital reform " The fast knot " ,Realize each side wins together and multi-win. (Comprehensive department's chief of Research Room under the State Council Staff reporter Chen WenLing Wang Jun levels and pays attention to)

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