Community's basic medicine variety is chosen limitedly Citizens are worried to see the not good disease
Community's basic medicine variety is chosen limitedly Citizens are worried to see the not good disease
This month (December) The bottom, our city (Wuhan) Central urban district, lake region of the things, Chinese south district government run to the hygiene service organization of the community and start the national basic medicine system. Yesterday ( The 16th) ,The reporter visits the some community health Centers to find, after the new system is implemented, residents go to the community to see the doctor, can obtain material benefit of medicines on a price reduction, but the optional medicines variety will be reduced. 307 kinds of basic medicines are covered completely, the community sees the doctor and makes a reduction obviously The reporter knows in a community health Center of green hill district, " 4 million units of penicillin " in the adjusting range Current rate is 1.1 yuan, it has been already 3.2 yuan lower than the ceiling price of the guide price; " a gram of ammonia benzyl penicillin " Current rate is 1.36 yuan, and forced quotation is 1.8 yuan. A large-scale medicines logistics enterprise in our city says, the basic medicine is at the retail price of our city at present, 90% are lower than forced quotation. Though the price of these medicines is low, the basic medicine is used actually fewly in the community health Center at present. Of medicines which community health Centers is selling at present of east area slowly, it is only 137 kinds within the range of basic medicine. The some community health Centers are even fewer than one hundred kinds. According to the policy, after implementing the national basic medicine system, the community hygiene service organization that the government runs should all use the basic medicine, it needs higher authorities to examine and approve to enter other medicine varieties. According to the national basic medicine system, the basic medicine of the first 307 kinds of midwest is called for bid, delivered to every medical organization at the basic level of the pilot area in unison by the government, do not add by one fen and sell to a patient according to the bid; These receive the intersection of people and medical insurance, wipe out catalogue all, wipe out proportion, obviously higher than the non- basic medicine. The basic medicine variety is limited, citizens worry seeing the not good disease Why does not the community health Center sell the basic medicine? A person in charge insisting on anonymity makes explanations for the reporter: At first, spiritual disease type administration of infectious disease of using medicine, tuberculosis AIDS,etc., planning immune vaccine in the the basic medicines,etc., the community health Center has no right to use, and these medicines reach more than 60 kinds; Secondly, some a generations' medicines, like gentamicin, erythromycin,etc., respects such as its drug effect and reducing the side effect,etc. are inferior to new antibiotic, clinic has been no longer used for a long time. Yesterday, hygiene Mr. Zhong, citizen of the infusion of centre of a community consulted the basic medicine catalogue in Wuchang, find daughter cold it has a fever to be often food " Silk gauze erythromycin " Not among them, there is not depressor that mother takes. Some of him wonder: "These are ' basic medicine ' of our homely food, do not go to the end of the year community to allow selling according to the policy? " The reporter knows, according to some implementing schemes started soon in urban area in our city, the community health Center can only use the basic medicine at present. Citizens go to the community to see the doctor, the medicines variety is chosen limitedly. The community health Center is afraid attractiveness drops and implements the national basic medicine system temporary means according to our province, the public medical organization at the basic level allocates, uses medicines to choose from the catalogue range of national basic medicine, use non- catalogue medicines to need to be submitted to provincial government for approval. The relevant persons in charge say, because medicines used are limited, it is apter to cause patients to concentrate to the large hospital. In addition, much predecessors of community medical organization in our city are the original regional first class hospital, having kept some traditional advantage trainings, there is fixed patient group. The Wuchang person in charge of a community health Center analyzes, once the community health Center all use the basic medicine, will cause these trainings to face not having usable condition of medicine. He says, in the national basic medicine catalogue, the administration of ophthalmology department is divided into resisting infection, glaucoma and other three kinds for example, amounts to 9 kinds, and the real administration is far above these in ophthalmology disease treatment. If implement the basic medicine system and make it rigidly uniform, can not open medicines at the time of the hospital treatment, can only guide the patient to the large hospital, aggravate " the difficulty and high cost of getting medical treatment " instead . (Xiong LinHui)
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