The pressure of curative effect profit lure " Raise " Antibiotic

The pressure of curative effect, profit lure " Raise " Antibiotic
The pressure of curative effect, profit lure " Raise " Antibiotic
4 cold patients, 3 are using antibiotic; The operations patients nearly 100% all use antibiotic before the skill; 80% of the infective disease patients, in fact it is all unnecessary to use antibiotic. It is so serious to abuse the current situation, what reason cause? " I do not open, the patient says I cure the not good disease " The reporter hears such a story in the hospital of Tongji University: Respiratory medicine one old doctor meet, examine one have a fever 38 degree about father, the doctor makes a definite diagnosis of the father just ordinary virus to infect through the blood routine examination, then not prescribe antipyretic, has only prescribed any Chinese medicines against virus. The father had doubt at that time, after doctors explained, he has gone home holding medicines. In the afternoon of the next day, the son was bringing father to the hospital, fathers have been already 39 degrees of high fevers at this moment, the son is very angry, interrogate a doctor: "The expert, even not good that one has a fever and sees! " The expert of department of the Chinese Academy of Sciences of medicine of hospital of Tongji University Ding YuFeng explains, it is a course of development to infect, generally speaking, the virus is not infected and control well, will continue the bacterial infection of hair two or three days later, it seldom has specific drug that antiviral, the general patient passes one's own resistance (immunological function) It is antiviral that in fact too Yes to succeed. In this case, it is right that doctors do not prescribe antibiotic. However, a lot of doctors, in order to prevent the patient after two or three days from not taking a favorable turn because of the condition to " find fault " ,Or worry about the operation patient accidents happened to, " for the sake of assurance " ,Have used antibiotic ahead of time. Then, if inflammation has appeared in normal cases, how to treat? The first hospital pediatrics director Xu Hui in Wuhan waits for many experts to say, inflammation means and organizes having inflammation just, it may be that the virus is infected, it may be the bacterial infection too. If confirm it is the virus that is infected after having a blood test, can well not use antibiotic; If have a blood test to confirm it is the bacterial infection, need to prescribe antibiotic. Before prescribing antibiotic, according to the normal procedure, should do bacteria to train first, confirmed which kind of bacterial infection it is, but the bacterium is various in style, if the doctor judges accurately, often only need to measure one or two kinds, if the doctor judges inaccurately, will demand to check much one, thus it is expensive to cause and check the fee. Once a patient had spent hundreds of yuan making bacteria to train, was only prescribed antibiotic at more than ten yuan finally, the patient does not quite understand, say the doctor opens and checks singly arbitrarily for this. In addition, it takes two or three days the bacterium at least for, in order to reach curative effect fast, a lot of doctors would rather choose antibiotic of wide table, or it is preventative to carry on and use medicine, out-of-range and heavy dose of and use medicine. " in the medicines profit, antibiotic is taken than nearly half " "Medicines of medical organization, in the profit, antibiotic account for than 45%-50% up to on average. " Yesterday, an insider revealed, antibiotic generated a greater impact on development of hospital, this is the hospital too " Keen on " Another reason for making antibiotic. It is reported, according to the national regulation, there can be 15% medicines to raise the price in purchase price and sales price of the hospital, in addition, the profit enticement of antibiotic includes two respects: One is some doctor can deduct a percentage from it; Second, the hospital assumes sole responsibility for its profits or losses now, departments are all independent accounting, if making profits, must write a prescription more, the scope of application of antibiotic is the widest, so opened most. In addition, a lot of domestic pharmaceutical factories actually put in antibiotic production into little, the proportion of having independent medicines intellectual property right is extremely low, the profit of antibiotic is second only to some antitumor special medicines of new medicine, many pharmaceutical factories go to the hospital to tackle key problems directly, the more expensive the bigger efforts of tackling key problems of medicine that it is the better, so antibiotic opens more and more advanced. A hospital manages a researcher to think, the medical organization has " raised medicine with medicine " for many years ,Antibiotic is to this " Contribute " Very big, want to cast aside them within short time, make sure to totally use rationally, it is not the easy thing. " back antibiotic era " Can't expect developing new medicine as far back as 2005, Wuhan has made the hard rule of antibiotic of strict control, many hospitals issue the new rule to snipe too, how well are these measures implemented at present? What effects are there? Yesterday, Wuhan Municipal Health Bureau cured the relevant persons in charge of policy and introduced, the last ten days of July of 2005, Wuhan pursues the differentiated control of antibiotic in 64 above- second -class hospitals, according to curative effect, security and indication of antibiotic, divided into not limiting type, the limiting type, getting rid of three kinds; Divide and pay managing for being tertiary according to curative effect, condition, price, doctor's rank. The doctor of the corresponding rank can only open antibiotic of the corresponding rank for the patient. "This measure focuses on guiding and standardizing and using medicine, guide and use medicine rationally, play a certain role, but really very difficult to effect a radical cure, abuse phenomenon, because how very difficult to presume, quantize index administration, mostly depend on the doctor's subjective judgement and clinical experience. " According to expert, most doctors in our country consider how to cure the disease, but ignored the side effect of antibiotic at first, pay attention to disease before one's eyes even more in other words, consider, is enough long-term, but in a lot of developed countries, the doctor is concerned how to cure the disease scientifically at first. Enter " back antibiotic era " ,A lot of doctors have already realized that it may cause crushing blow to the mankind to abuse antibiotic. While interviewing, they mention many times, can't place hope on developing new medicine simply, must satisfy needing clinically through the rational administration, delay being able to bear the process of medicine. At present, change the medical idea and treat competence, improve management and science and use competence, extremely urgent. (newspaper Lin Fang tight Long of city of sky above Hubei and Hunan)


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