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The first national "zero difference" test report the hospital drug sales - zero difference - the pharmaceutical industries

The first national "zero difference" test report the hospital drug sales - zero difference - the pharmaceutical industries


According to the latest medical reform program, in October began, the national primary health care institutions to implement "National Essential Drug System", 307 kinds of commonly used drugs, "zero difference" Sell . October 2nd, the National Development and Reform Commission published the national essential medicines list included most of the drugs guided price.

Early as three years ago, Hangzhou Changqing Chao-ming community hospitals to come up with a purchase price of sale of drugs by directory, as the country's first attempt to sell drugs to make money without relying on the hospital, read it 3 years of medical reform test report, and perhaps find common people The new medical reform How will the crack see a doctor your question.

Benefit in patients with geometry? Mr. Xu


diabetes every week to a 4-pin "Novolin", a needle close to the retail price of 70 yuan each, is Health Insurance A medicine. But the same hospital with injection at different prices are different. Major hospitals in the province, Mr. Xu himself to bear more than 10 yuan, in general community hospitals, they have to pay 5 dollars more, and in the implementation of the "zero spread" of the drug sale Community Hospital of Hangzhou Changqing Ming Chao, pays as long as no to 4 dollars.

"Hospital on the basis of the general increase in the drug purchase price from 15 to 20 percent sold, which is drug prices in different hospitals for different reasons." Changqing Chao Ming Zhu Yuewei community hospital executives said, "If the hospital can do by Jin price sales, the patient can enjoy a relatively low drug prices. "

The building is located in Hangzhou City, a small community hospital inside the building, in May 2006 established the first national drug commonly used directory, enter the directory of drugs by hospitals purchase price of all sales, without a penny, not earn a penny. The catalog of 17 classes involving 300 species of basic clinical medicine, including acute, hypertension, diabetes and cardiovascular chronic diseases, Cold , Inflammation and other common drugs, the general view in the community, the basic drugs needed for minor illnesses included.

According to Hangzhou City Health Bureau, the catalog according to the requirements of patients with modified several times, three years down the obvious benefits to patients. The most benefit to be chronic diseases, such as hypertension, diabetes, medication for patients, their directories as long as the choice of drugs, can save several hundred dollars a year off.

How to survive the hospital? Thousands of drugs involved in variety of basic drugs, covering almost all commonly used drugs. Hospital if nothing does not make, rely on the survival, development?

"Community Hospital was originally part of the difference between state subsidies, most of its income through to support themselves, if there will be income-based doctor of your situation." Zhuyue Wei said, "Now the hospital is the budget for all funds management, there is no pressure on revenue. "

It is understood that the Ministry of Health since 2006, including seven provinces, including Zhejiang, launched grass-roots hospitals 'revenue and expenditure' reform, hospital revenue to finance, hospital expenses are allocated by the finance.


"Budget management to the hospital and medical supplies up, but also contain a number of health system seeks profit behavior." Zhuyue Wei said, "This is the implementation of national essential medicines zero driving force and foundation of the fundamental difference."

Cracked Your doctor, to fix the drug prices high, while the crack high drug prices, they must first solve the "drug dependent doctors", this is a chain set. Zero Spread on the surface of the Hospital in the popular medicine and let out a benefit, but behind the whole Medicine System, in-depth reform.

"Drug reform" Why small hospital first?

It is understood that county-level dosage of the following medical institutions throughout the health care system currently only 15% of the national essential medicines list only in the context of the implementation. Many people think that it's essential medicines list is a "image project", in form than content, is impossible to shake the doctor you this problem.
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The first national "zero difference" test report the hospital drug sales - zero difference - the pharmaceutical industries