Do accounts and calculate the inferior position of decoction pieces

Do accounts and calculate the inferior position of decoction pieces
Do accounts and calculate the inferior position of decoction pieces
At the national traditional Chinese medicine decoction pieces forum which the Chinese traditional Chinese medicine association held not long ago, Capital University of Medical Sciences subsidiary the intersection of sword and female pharmacist Wu, Traditional Chinese hospital of Beijing, calculate an account for traditional Chinese medicine decoction pieces. His speech causes the conferee's strong sympathetic response at once - -The intersection of staff reporter and female to say traditional Chinese medicine because decoction pieces cheap and profit low with high costs sword Wu, tinkling of pieces of jade of swallow, Liu, have already become " Chicken ribs " Treated coldly. In some general hospitals, the traditional Chinese medicine pharmacy is even chased on the door and leaves hospital. " honest " Turned into decoction formed after fry traditional Chinese medicine decoction pieces, boil of inferior position by the advantage, it is Chinese medicine that employs at most through the ages, best embodies the dialectical theory of Chinese medicine and manages characteristic dosage form, it absorbs fast, the utilization ratio is high, the price is cheap. One in Beijing surveys and studies revealing, treats cold and uses the average daily expenses of 8.33 yuan of decoction of medicinal ingredients, use the average daily expenses of 42.64 yuan of Western medicine, Chinese medicine needn't also cure cold testing, image is checked etc.. Due to this, patient, chronic disease of Beijing, 48.15% seek medical advice in institute of traditional Chinese medicine, 39.9% resident seek medical advice, it chooses to be Chinese medicine and combine traditional Chinese and western medicine. 2007, traditional Chinese medicine decoction of Traditional Chinese hospital of Beijing is each prescription of 118.44 yuan (the 9th quantity) on average ,Less than Chinese medicine, each prescription price 30% and 20% on average of Western medicine separately. However, " simple, relieves oneself, tests, honest " of traditional Chinese medicine decoction pieces The advantage has caused the predicament of the present institute of traditional Chinese medicine correspondingly too. The national regulation at present, the addition rate of decoction pieces is controlled within 25% on the basis of purchasing bid. Beijing area monitors the data of institute of traditional Chinese medicine to reveal, clinic medicines income Western medicine of institute of traditional Chinese medicine of the whole city accounted for 37.43% according to 2005, Chinese medicine accounts for 46.72%, Chinese herbal medicine accounts for 15.85%. Prove the decoction pieces income is not high, but the prescription amount of decoction pieces is not low in fact. 6 of tertiary statistic of institute of traditional Chinese medicine reveal, the prescription amount of decoction pieces of the clinic accounts for 26.86% of total prescription quantity, and the amount of money only accounts for 12.13% of the total sales amount of medicines. The traditional Chinese medicine pharmacy losing more than gain had besides figured that showed, the above-mentioned 6 institutes of traditional Chinese medicine adjusted 235,800 decoction pieces prescriptions on average last year, amounting to 1,944,900 pharmaceuticals, per person of traditional Chinese medicine pharmacy adjusts 242 pharmaceuticals every day. According to calculating, it takes 900 seconds to adjust a prescription, it is a Western medicine side that adjusts more than 10 times of time. The decoction pieces prescription is made up of 20 medicines equally, a side is generally 10 pharmaceutical medicines. So, the medicine personnel in the traditional Chinese medicine pharmacy account for 75% of all medicine personnel of hospital, but benefit that they create is less than half of the gross income of medicines. Wu JianKun further analyzes, medicines of Traditional Chinese hospital of Beijing gained 242,870,000 yuan last year, the Chinese medicine income accounts for 34%, the Western medicine income accounts for 43%, the decoction pieces income accounts for 23%; The total amount of clinic prescription is 1,370,000, Chinese medicine accounts for 35%, Western medicine accounts for 32%, decoction pieces accounts for 33%; Adjusting 43,852,730,000 pharmaceuticals of traditional Chinese medicine decoction pieces, per person of the pharmacist adjusts 261 pharmaceuticals every day. Meanwhile, finish 18 necessary personnel of Chinese medicine of the above-mentioned work load, accounts for 10%; Western medicine is 35 people, accounts for 20%; 123 people of decoction pieces, accounts for 70%. These figures show, take for the whole year 77% Chinese and Western patent medicine of gross income is finished by 30% of the medicine personnel, and accounts for 23% traditional Chinese medicine decoction pieces of gross income of the whole year and needs work of 70% of the medicine personnel. Most hospitals generally takes 10~15 minutes adjusting a pharmaceutical decoction pieces prescription each time, and adjust the Chinese and Western patent medicine prescription and can be finished in about 1 minute. Moreover traditional Chinese medicine adjust workforce to be with high costs, labour intensity old, herbalist take, suck a large amount of dust every day while being bad with working environment, a lot of people have presented many kinds of diseases such as anaphylactic rhinitis, variceal, angina, nephritis. Because labour intensity old, treatment low, traditional Chinese medicine decoction pieces adjusts persons to run off seriously. It is determined that decoction pieces losses the characteristic not compensating traditional Chinese medicine decoction pieces and particularity of management, traditional Chinese medicine losses greater. If a kilogram of Chinese angelica enters the warehouse, if every pharmaceutical medicine opens 10 grams, have another more 0.2 grams each time, then, at most can only weigh 90 pharmaceutical but less than 100 pharmaceutical. " weigh, one hundred is called " ,In addition, adjust the error, decoction pieces consumed actually has often exceeded the stocking up amount. In addition, traditional Chinese medicine decoction pieces losses too, if is intact when belonging to, Chinese yam, earthworm etc. to put in storage, but is being picked constantly in the course of adjusting, turning into gradually garrulously the end can't be used, " struggled against Qing " each time All will clear up, happen a large amount of garrulous last line. The Traditional Chinese hospital of Beijing sold 891 tons of decoction pieces last year, lossed 6708.2kg, accounted for 0.75%; Nearly loss 210,000 yuan. There is some valuable decoction pieces such as the whole worm,etc., need to cook the adjuvants while processing and concocting with the salt, put in storage and the salt know crystallization, appear right away after the dispensary is put for some time, lead to the fact, lose; The intersection of traditional Chinese medicine and decoction pieces that vinegar make put, have relatively loud loss for a long time. In addition, traditional Chinese medicine decoction pieces contains certain moisture, will cause the moisture to volatilize and loss naturally through putting for a long time. Traditional Chinese medicine contains the impurity. Can choose more than 1 gram of impurity while surveying and studying, revealing per kilogram of decoction pieces, on average, consuming rate is not lower than 0.1%. And the data reveal, the consume rate of the Fructus Chebulae meat is 40%, majestic fairy celestial being, consume rate of the papaya are 39% of the grades. "And all losses can only be buried by the medical organization singly! Over the months and years, many a little makes a mickle! " Wu JianKun loves very much. Besides natural wastage, storage, maintaining, reprocessing,etc. needs manpower, material resources and fund. For a long time packaging of decoction pieces such as the intersection of paper and the intersection of medicine and bag, plastic bag, have, spin sack,etc., all by the free commitments of the hospital. So, some hospitals are in order to avoid loss, choose to give up dealing in decoction pieces finally. Should encourage conspicuous traditional Chinese medicine to be characteristic in policy " the income of decoction pieces is reducing constantly, but manage the cost to increase year by year as the trade requirement, hospital manage the improvement of the standard, forced some institutes of traditional Chinese medicine to have to write an essay in making Western medicine, checking etc., the Chinese medicine characteristic is very difficult to be outstanding. " Vice President of Beijing Traditional Chinese hospital Jin Mei says. After implementing the new regulation of the rate of addition restrained from of decoction pieces, the Traditional Chinese hospital of Beijing is more than 5 million yuan of loss last year. The intersection of academy of sciences and the intersection of Guang'anmen and hospital, Chinese medicine of China, count, appear institute this carry out Chinese herbal medicine adjust loss Damien 34.6% of the cost after the new regulation already. It is institute of traditional Chinese medicine that reflect, new after method issue,decoction pieces application much, clinic quantity a large hospital, the greater the economic losses are. Do not obviously accord with the country and encourage stressing the policy guidance with characteristic traditional Chinese medicine! The leaders of these institute of traditional Chinese medicine have asking: If you, in order to prevent losses from all dismissing from the traditional Chinese medicine pharmacy like some general hospitals, who finally then damage? Can compare: The medicine personnel in the traditional Chinese medicine pharmacy of the hospital are that the professional universities and colleges graduate, have professional title for technical personnel, respects such as consultation,etc. occupy the absolute predominance to check on, adjust quality, use medicine in decoction pieces. And The social pharmacy is enterprises, few operation pharmacists, the pharmacy should press cost accounting, pursue profits to maximize, in addition the variety is not so complete as the hospital, it is not enough for the speciality either to manage, if the hospital all dismiss from the traditional Chinese medicine pharmacy, it is very difficult for characterized security of that medicines, effective, economic attribute to get the assurance, the victims are still patients. "The more important thing is. ? Keep fit and send the hemp of wasteland and stop up Mie's vinegar of Shu's bucktooth and throw and suffer from good fortune to teach Yan �� at a disturbance of good fortune Reed of ����'s falcon's ��'s lung of �Ƭ� Jie ��������'s mythical bird like the phoenix Rejoice more now than ������ and is strong in Free time Good fortune is taken off Is the humiliation zinc �� idle with each other that Gan �� Pi Kui � drop down?


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