Countries negotiate drug landing hainan \"full moon\"

The 2016-08-05 07:15:42 | source: health | share

- our reporter Ze-lin liu -

From July 1, hainan will state talks after the price of three kinds of patent medicine and imported drugs on new farming and reimbursement list. On July 31, negotiations drugs fall to the ground in the country of hainan \"full moon\", reporters found that the new farming and patients benefit is obvious, but for all the patients, there are still some problems to be solved.

New farming in patients at a much lower cost

At present, there have been people's hospital of hainan province, Chinese medicine hospital of hainan province, haikou city people's hospital, a group of medical institutions through online purchase using the drug. Most countries negotiate drug used people's hospital of hainan province is the province hospital, the hospital pharmacist lee, because the price is expensive, the treatment for piece (Yi Rui sand) almost no before, after countries negotiate prices, on July 8 box; For ek, hydrochloride (kaimei) also is with four or five box of a month before, in July to 18 box; Fumaric acid tenofovir two pyrazole cefuroxime ester piece (viread) with about 200 boxes per month, before July with more than 350 boxes.

Donna ong, deputy director of the haikou city people's hospital tumor surgery is the treatment for example, because of drug price reduction, patients taking the drug can spend less than 9000 yuan a month. At 60% of the patients with new farming and referral of reimbursement ratio calculation, new farming in patients with actual cost 2919.6 yuan per month, benefit is very obvious. According to the relevant provisions of hainan province, the new farmers and the reimbursement, but also into a serious illness insurance reimbursement. Then pay the rest of compliance, people comply with the provisions of the civil administration relief policy, from the civil affairs department according to the relevant provisions of the medical assistance.

Requirements of hainan province, ek hydrochloride for the treatment, slice, slice as targeted drugs for the treatment of cancer, is limited to the secondary and tertiary general hospital and tertiary hospital oncology and cancer hospital of hainan province. Fumaric acid tenofovir two pyrazole cefuroxime ester as a treatment for chronic hepatitis b drug, is limited to the secondary and tertiary general hospital and tertiary hospital infection of infectious department or division and tumor hospital of hainan province. Do not meet above requirement of medical institutions use the drug, the new farmers will refuse to pay medical institutions or agencies paid for patients with the drug reimbursement amount.

To promote grading diagnosis and treatment, will lead to the clinic and hospital patients, rules of hainan province, municipal (county) can be set for one or two people satisfied institutes or standardized central hospitals, with the approval of the new farming and orgnaization of agency of examination and approval, the use of three drugs to delegation to the township-level medical institutions, by macro-reforms, not limited by medical charges policy implementation, and not included in the medicine proportion index evaluation.

Detect cost into some patients benefit

According to the requirements of hainan province, the new agriculture and intelligent audit system will be in strict accordance with the indications for review of three kinds of medicines, if found not in accordance with the drug indications, new farming will refuse to pay medical institutions or agencies paid for patients with the drug reimbursement amount.

Tenofovir ester indications widely in the treatment of chronic hepatitis b patients, for pregnancy women have good security, and can be used for the treatment of various kinds of drug resistance of chronic hepatitis b patients. The treatment for ek and can make the conform to the indication of non-small cell lung cancer patients improved precision, extended survival. Donna ong, ek the treatment for, or are not effective for all patients with lung cancer, only effective in patients with epidermal growth factor has a mutation, have specific targets and characteristics of the crowd. Need to decide whether to use national negotiations drugs through genetic testing, determine the corresponding disease patients with indications to use, this part make up about a third of patients with lung cancer patients.

But the reporter understands, genetic testing is not every hospital can do, even the haikou city people's hospital of 3 armour hospital, also don't have the ability to genetic testing. And genetic testing every time can take more than 3000 yuan, the fees is not yet included in the scope of hainan new farming and reimbursement. Some poor families of patients with difficult to bear these costs, will give up, this means that these patients have disease indications is difficult to determine.