The people appears the five greatest"disease"s amount of out-patient service in the community hospital to why not rise after entering Wei in Hangzhou City will investigate and discover to practice basic medicine system anti- decline 95% communities of the residents think not equal to basic medicine curative effect"expensive medicine""West Lake the area is some community health hospital the out-patient service person-time last year and compared the year before last year, not only don't increase, on the contrary descended more than 2000 person-times.The government spends so much money to alleviate to see a doctor difficult, result the small illness still can not enter community.""Carry out in the basic medicine system in, basic medicine catalogue although through adjust still more narrow, for example, the nation is 307 kinds of, the province increases to repair 150 kinds of, the downtown increases to repair 100 kinds, at the community hospital don't deserve the circumstance of medicine still more universal, make the sufferer seek medical advice at the big hospital."On"two meetings"s in Hangzhou City, many Chinese People's Political Consultative Conference member of committee surrounds Hangzhou City's national basic medicine system in the city area and village community hygiene service organization implementation and announces respectively viewpoint.People's entering Wei in Hangzhou City will point out after a great deal of investigation the five greatest problems that Hangzhou appears after practicing the basic medicine system, and aimed at sex ground to open"medicine square".Disease a: To basic medicine curative effect the existence know the mistake area foundation medicine is nation careful choose, after long-term clinical application verification,cheap oakley sunglasses can give attention to both on the safety, curative effect and low price of medicine.But in the process of expanding in, still there is part of medical personnel, the understanding of the sufferer to the basic medicine system not good enough, at use consciousness of medicine with customarily not the ability is as synchronous as the implementation of the basic medicine system.The people enters Wei in Hangzhou City will the survey carrying on to the outpatient show:The sufferer of above 95% thinks that the basic medicine is cheap medicine, cheap medicine curative effect rather expensive medicine.Part of medical personnel and sufferers pursue curative effect quick, blindly extol "new medicine", "expensive medicine".Some chronic illnesses that get chronic disease and familiar disease could not go together with their oneselfs to take over a long period of time in the basic medicine of the medicine , on the other hand, there is very difficult change originally using a medicine habit.The square of the medicine:Government people's entering Wei in Hangzhou City will suggest, the section and medical organization manage a level, raise a rightness of basic medicines systems to carry out the publicity, understanding of importance.Medical personnel, unify thought understanding, guide patients to use more the drugs of basic medicine system rules, helping a sufferer to know basic medicine can satisfy familiar diseases to be taken bad more of basic treatment and safe treatment.Disease two: Obviously the decrease survey of patient in the community hospital discovers, the community hygiene service organization cures a person little and the big hospital person is full to bring trouble to form obviously anti- bad.After carrying out basic medical medicine system, the patient of the community medical treatment service organization obviously reduces, the out-patient service counts to reduce 10%-30% than the same period.A lot of patients could not go together with to habitually take in the community hygiene service organization of medicine, especially some specialty medicines, can go to big hospital to seek medical advice, the disadvantage enters a pushing forward of community work at the small illness.The square of the medicine:People's entering Wei in Hangzhou City will suggest, enrich a basic catalogue contents of medicine system, increase a basic medical medicine species, extend the coverage of basic medicine.Strengthen a basic medical medicine species dynamic state management, carry on analysis and management to 557 kinds of medicine, carry on a dynamic state management according to the need circumstance of the patient and the information of the community medical treatment service organization, appropriate increment or delete to reduce, in order to can betterly adapt to the patient's need.Can release appropriately according to the actual circumstance moreover some medicine of not- basic medical medicine catalogues with satisfy some paroxysm treatment needs, thus push forward small illness into the community medical treatment service work.Disease three: The community hygiene service organization revolves difficult before practicing basic medicine system, the income of the community medical treatment service organization mainly comes from medicine price difference, the medicine practices zero bad rate sale after, the organization income downs.There is no drugs income, the operation budget of community service organization appears indentation, if maintain the purchasing of funds, medical equipments praise budget with the training of maintenance, official business budget, medical personnel, and the indemnification budget of the medical trouble to can not foresee and medical dispute's waiting can not get a guarantee according to the current mechanisms.The square of the medicine:The government wants to strengthen guarantee mechanism construction, personnel's budget and operation budget of the community hygiene service organization want to bring into the budget in the beginning of the year and attain receipt and expenditure two lines on the finance and strengthen a management and ensure the organization is normal to operate.Canning develop is necessary of medical treatment check item, like electrocardiogram, the B is super with some medical organization service scopes that analyze, can extend community, such as old-age disease, chronic disease of characteristic service for having Chang, the adequacy increases organization income.Disease four: The treatment project of big hospital continues difficult the patient seek medical advice currently basic mode BE, city(village) people's livelihood disease after, after generally and first getting to big hospital to definitely diagnose, hospitalized or out-patient service establishment treatment project, after carrying on an observation treatment, the condition turns for the better(condition control) a juniors line to continue a treatment, especially chronic disease patient, need to take a medicine treatment for a long time.But, because of the big hospital didn't carry out basic medicine system, and community medical and health service organization only have the medicine in the basic medicine catalogue and cause a lot of treatment projects that the big hospitals draw up canning not want a big hospital to seek medical advice towards answering, a lot of patients who need to continue a treatment and take a medicine treatment over a long period of time still with community medical and health service organization, the common people cure inconvenient, cure expenses to also correspond increment.The square of the medicine:Suggest the big hospital provides with the medicine that the basic medicine catalogue stipulates,cheap sunglasses and will certain of the use proportion bring into a hospital to investigate a contents.The community medical treatment service organization wants with big hospital to strengthen a communication and increases the medicine in the not- basic medical medicine catalogue of some necessities according to patient's demand.Disease five: The basic medicine crowd overalies difficult basic medicine system the noodles carrying out after carrying out is more narrow, have all drugs proportions small.Because the medicine of the basic medicine system is limited, many sufferers don't arrive community medical and health service organization to fill a prescription, but is to get to big hospital or fill a prescription through other outlets, the implementation of the basic medicine system lost the meaning of extensive overlay.The expansion of the basic medicine system has no the system arrangement of kit in the medical insurance system.If the basic medicine catalogue has total drugs expenditure the proportion is too low, the nation passes foundation medicine the system push forward medicine health system reform of the achievement will also greatly give discount.The square of the medicine:Contrive in designing system, the medical insurance management section wants to lead the whole overlay work of basic medical medicine system into to cure to protect system in, ensure a submitting an expense accounting of basic medicine proportion, ensure that the basic medicine has higher specific weight in personal account drugs expenditure and guides a sufferer to use basic medicine and guides a doctor to open basic medicine, as long as strengthening a management and cure to protect a match, so as to attain the basic medicine system enjoys all of the crowd overaly of target.
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