Hospital stripping pharmacy, is "rejection baggage" or take the initiative to none other

2017-02-28 09:38

Source: Bright Network - Time Channel

  After the Lantern Festival, Miss Guangzhou, Guangzhou City, came to the Guangzhou Women and Children Medical Center to see a doctor, after paying the drug, she took the prescription can not find a pharmacy, and finally told the hospital since February 8, will be adult Outpatient pharmacy moved out of the yard. Under the guidance of the clerk, she got her medicine in less than five minutes. As Guangdong to explore the "separate medicine" pilot hospitals, Guangzhou Women and Children Medical Center took the lead in the abolition of outpatient pharmacy, so many patients for the first time to experience the hospital, the pharmacy to buy medicine fresh feeling. Allegedly, this not only avoid the patient waiting for drugs, but also help reduce the doctor's gray income. (February 27 "People's Daily")

  Outpatient only to see a doctor, do not sell drugs, "medicine separate" reform concept, and finally in Guangdong with landing samples. Of course, taking into account the Guangzhou Maternal and Child Health Center this round of the trial is still dissatisfied with January, and now to judge its success or failure is undoubtedly too early. However, based on past experience, most people tend to think that it is a good idea to divest out outpatient clinics from medical institutions. An obvious logic is that once the hospital to cancel the pharmacy, no longer buy medicine, the so-called "medicine medicine" naturally unsustainable. May have reason to expect to "separate medicine" as the entry point, a new round of "medical reform" will be expected to really break the problem.

  It is foreseeable that in the future there will be more and more hospitals to close outpatient pharmacy. The reason why so, on the one hand, is derived from the pressure of administrative instructions. "Pharmaceutical separation" has been repeated in the various reform documents, and its implementation can be said to be the general trend; the other hand, this is actually the balance of interests after the rational choice. With the "cancellation of drug addition", "drug classification procurement", "two votes system" and other packages hit heavy, the hospital selling drugs have become increasingly unprofitable, outpatient drugs are no longer profitable sector, which was cut, Rejection baggage "can be justified.

  In fact, in Guangdong this time by the official push, high-profile "medicine separate" pilot before, many hospitals have long been active change, through a variety of ways to "pharmacy" separated. For example, some public hospitals try to hand over pharmacies to pharmaceutical companies and receive compensation in the form of "custody fees". And from the public opinion feedback, this naked "management right cash" model, also led to a lot of controversy. In contrast, the Guangzhou maternal and child medical center to take the "cooperative pharmacy" model, the surface looks like to "lofty" much. But what about it?

  A noteworthy phenomenon is that the Guangzhou Women and Children Medical Center did not say clearly, in the end is how to select and determine the so-called "designated cooperative hospital" In the end is the government matchmaking, or the use of market-oriented bidding, or simply both sides of the private blending on the finalized? Taking into account the great interest that may be involved in this "marriage", it is clear that the public is more likely to start in an open, transparent and standardized manner. Only in this way, in order to avoid underground transactions, power rent-seeking negative association, in order to create conditions for more pharmacies to participate in the fair competition.

  Any reform is a process of redistribution of interests, as is the case with "medicine separation". In the past, our "health care reform" is often only driven by the administration, and failed to establish a match with the "interest incentive" mechanism, it is always digested in the invisible. Now, with the new round of medical reform gradually deepened, we are more necessary to straighten out the interests of the relationship between them. When the public hospital for their own interests to maximize the consideration and divest out of outpatient pharmacy, the public for its "active gratitude Huimin" high consciousness drum and call, to figure out how it happened, perhaps more meaningful.

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