Mediaviews 媒体观点

Contact Us

 

 

  

Address: Beijing's xizhimen south street, xicheng district

 

The British garden 1 floor. Room 824

 

Zip code: 100035

 

Telephone: 010-58562339

 

Fax: 010-58562339

 

Email address: cngjzj@163.com

 

Web site (click on the url link directly left) :

 

http://www.cngjzj.com/

 

Blog (click on the url link directly left) :

http://blog.sina.com.Cn/CNGJZJ

 

To xizhimen south street, xicheng district building to the British garden route

L airport line 1

Take the airport shuttle from the airport, the dongzhimen station transfer to metro line 2 to xizhimen direction and get off at xizhimen station, from C outbound, go straight to the east 100 meters on the right side to xizhimen south street, north to walk to the t-junction namely to the British garden 1 floor downstairs.

L airport line 2

From the capital airport take airport bus to xidan, get off at no.22, take a taxi to xizhimen south street English garden 1 floor.

L bus subway near:

106 bus GuanYuan: 107 road, express way

Bus: xizhimen south road 387, 44 road, inner ring 800, 816 road, inner ring 820, 845 road

Che zhuang: subway line two

Xizhimen subway: metro line 2

Buses and attempts: 107 road, 118 road, 701 road

Buses and north zhuang: 209 road, 375 road, 392 road

 

The source of profit becomes a cost liability

2017年06月06日

复制链接 打印 大 中 小

<

 

 

The source of profit becomes a cost liability

 

The 2017-06-06

Source: health report

Our reporter liu zhiyong

 

This year, all public hospitals in our country will abolish all drug addition, had been as a public medical institution profit center of outpatient pharmacy and soon face an embarrassing situation: no drugs addition income and the corresponding fees, hospital every input to the pharmacy are turned into a real running cost. The trend of hospital pharmacies is becoming a hot topic for industry attention and discussion.

As health reform progresses, the elimination of medicines from public hospitals will be pushed out of the way, and all urban public hospitals will join the reform. In the era of long-term medicine, pharmacies have been a major source of profit for public hospitals, and have come a long way in people, equipment, etc. But with the elimination of drugs, the pharmacy becomes a huge burden on hospitals.

The "stone" of the dean's chest

"We have done standardized measurement on the operation of the pharmacy, costs about 150000 yuan per person per year on average, our hospital pharmacy a total of 80 employees, the running cost is 12 million yuan a year." Talking about hospital pharmacy, the head of a county public hospital in an eastern province is suffering. The income of nearly 800 million yuan at the county level public hospitals, drug addition since 2013, so the loss of income of 50 million yuan a year, adjustment of medical service prices, government financial input, including all of the various sources of compensation funds, the hospital still have about 20 million yuan of the need to fill in "hole".

For example, a hospital pharmacy with annual sales of 100 million yuan will cost about 3 million yuan a year. "Due to the zero rate of sales, hospital drug sales no longer directly generating profits, so whether sales of 10000 yuan or 10000 yuan in sales, will not bring any paper gains to public hospital." Medical management international research center of Peking University, said Dr GuanXiaoDong "theoretically, pharmaceutical sales, the greater the storage, brought by the human, such as cost, the greater the loss, a hospital pharmacy from profits to the cost burden."

An unnamed large public hospital managers, said after the cancellation of drug addition compensation reconstruction process, the operation cost didn't get any expression of pharmacy, the hospital drug procurement is completely free, "neither get compensation from patients, also did not get compensation from the government, must be no director is willing to maintain a large outpatient pharmacy operation expenditure".

Cancel after drug addition, how to maintain the operation has become a public hospital outpatient pharmacy management facing a big issue, and the hospital pharmacy to retained waste has become a focus of industry experts, many deans are actively looking for "flange hand" for this cost center.

It is difficult to achieve medical separation

"The next step in the process of eliminating drugs is to actually implement the medical sector," he said. Nanjing university of Chinese medicine, dean of the school of economic management Tian Kan said medicine separation is the reform direction of domestic recognition, there is also a mature international experience, but in actual forward met with real difficulties.

Experts said, the internationally accepted so-called medicine separation, refers to the physician to diagnose patients with right and ChuFangQuan, right of pharmacist participating in clinical drug treatment, auditing, and allocate ChuFangQuan; On the basis of the division of duties, do not set only outpatient pharmacy in hospital pharmacy, hospital outpatients by prescription to choose its own social pharmacy to buy medicine, hospital by the medical technology and services fees, drug income accounted for the proportion of hospital income is very small. The pharmaceutical industry can avoid prescription problems derived from the relationship between doctors and drug prescriptions; They will also be reviewed and deployed by pharmacists to make medicine more scientific.

During the reform, China was also guiding the implementation of the pharmaceutical industry. In 2014, the ministry of commerce, the national health and family planning commission 6 departments such as joint mandate to encourage various ways to promote medical apart, put forward in the reform of public hospitals pilot cities, explore the larger scale, strict quality control, licensed pharmacists pharmaceutical affairs service system, good credit record retail pharmacies, undertake outpatient pharmacy service of medical institutions and other professional services; Gradually, the physician is responsible for outpatient diagnosis, and the patient prescribes a new model for the purchase of the drug from a medical institution or a retail pharmacy. (second edition) (version 1)

"However, due to a variety of birth defects and mechanisms, it is difficult for our country to truly realize the medical industry." GuanXiaoDong believe that high levels of pharmaceutical professionals severe shortage of health aptitude of social pharmacy limited number, these cause the outflow of public hospital prescription is very difficult to be effective to undertake; And "medical service charge system in our country and even social division of labor, always lack professional pharmaceutical care the embodiment of the value, but also an important reason" has been neglected.

Associated with it is that the medical industry in our country has not set up a prescription audit preparation, to guide clinical rational drug use and other professional pharmaceutical service fees, nor to reflect in the process of reform to promote.

The "medicine separation" is mostly in the pharmacy

There have been attempts to reform and explore in the name of medical separation and drug dispensations.

In July, 2016, guangzhou city, guangdong province women's children's medical center after bidding wide selection medicine group, guangzhou pharmaceutical co., LTD., and its in outpatient pharmacy practice management innovation. After the early stage of the information construction and logistics extension transform, guangzhou fu center closed hospital outpatient pharmacy, by the broad medicine company shop near the hospital set up the public medical fu center, undertake guangzhou children's center outpatient drug procurement work, at the same time receive most of the staff of hospital pharmacy. Patients in hospital after completing drug capture to expend, get hospital medicine certificate, issued to the public, especially shop code to take medicine, patients enjoy treatment of insurance of the implementation of the main body is still the children's center in guangzhou.

Shi wenwen, professor of the international research center for medical management at Peking University, has conducted field research on the center of guangzhou women's children. Long-term plan, the hospital is gradual medicine separation, take medicine pharmacy, signed the outpatient medicine all gradually expand get medicine points to the broad medicine group, more than 60 pharmacy and eventually spread to all qualified and condition of pharmacy, completely stripped outpatient pharmacy.

"As an extension of the outpatient pharmacy not foreign retail, ChuFangQuan and fee charge remains in the hospital at the same time, the directional drugstore and failed to fully explain the courtyard outside the designated host hospital outpatient pharmacy service, the current medicine separately explore only is a kind of incomplete pharmacy 'physical stripping mode." However, the relevant informationization construction and process reform are the technical preparation of the electronic prescription for the actual realization of medical separation, according to shi. According to shi, the other big obstacle to separating outpatient pharmacies and implementing medical separation in the existing system is reimbursement of health insurance. "Around the medical insurance fixed-point aptitude and can realize real-time settlement of social pharmacy is too little, even if really stripping matchs outside hospital outpatient pharmacy, fully implement the prescription, also do not have enough pharmacies to undertake these medicare prescription."

Said a reform policy experts, guangzhou children's center to explore the so-called medicine separately, implied from drug sales sources of interests, is a disguised form of pharmacy trusteeship. In fact, around public hospital pharmacy trusteeship has become a response to drugs zero rate of sales, transfer reform of pharmacy operation cost, a "cast iron", "but it can not cover the many advantages and disadvantages about the pharmacy trusteeship is a controversial".