"We feel that the cost of seeing a doctor is very expensive, because how much the patient spends is directly linked to the doctor's income, so even if he has a cold and fever, the doctor will open a bunch of tests. After reading it, he will give us a lot of medicine. I want to ask the leader of the health bureau. Is this charging method appropriate? "
Yesterday, an aunt called the hotline and asked directly.
There are still many people who are equally confused. "Looking at a common cold now, you can't get it without a hundred dollars. Because it's too expensive, we can only buy some medicine at the drugstore. I want to ask why it is so expensive? "
This solves the problem of "the same medicine with different prices"
Why is the price of the same medicine different in pharmacies and hospitals, and why is the price quoted by hospitals high?
Chen Tianming, director of the Nanjing Municipal Health Bureau, gave a clear answer to this question that many citizens did not understand.
Chen Tianming said that there are three main reasons. First, large pharmacies purchase goods in bulk, and the cost of bulk purchase will drop;
Second, large pharmacies can purchase goods in the big drug market outside, but the Ministry of Health explicitly prohibits medical institutions from purchasing goods from the big market;
Thirdly, due to the lack of compensation for public medical institutions, the state gave public medical institutions a price increase policy of 15% in the middle and late 1950s.
The prices of drugs in hospitals and pharmacies are not uniform. Is there a solution?
Chen Tianming said that the Municipal Health Bureau has taken some measures: 156 medical institutions below the second level have all implemented pharmacy custody;
Third-level medical institutions began to implement centralized drug storage in July last year, which reduced the circulation of drugs and effectively squeezed the cost of drugs. This reform has saved1.90 billion yuan for the people.
Major hospitals give priority to the use of essential drugs.
Chen Tianming said that in September 2007, Nanjing started to sell drugs with zero-difference rate, and determined the sales catalogue of essential drugs with zero-difference rate, including 350 kinds in urban areas and 0/80 kinds in rural areas. Community residents hold residents' health cards to buy drugs within the scope of the basic medical drugs list, and community health service institutions implement zero-difference sales, and the difference is "paid" by the finance.
According to reports, the supporting documents of Nanjing medical reform are being worked out intensively and will be introduced soon. By then, the scope of drugs in the list of basic medical drugs in Nanjing may increase, and citizens can buy more basic drugs with low price and good quality in the future.
For the proportion of essential drugs used in large hospitals, the new medical reform plan will also make clear provisions, requiring large hospitals to give priority to the use of cheap and high-quality essential drugs for patients.
"In the next step, community health service institutions, including rural medical institutions, should fully implement the zero-difference sales of essential drugs; Third-level medical institutions define a certain proportion of essential drugs; Increase financial input and gradually cancel the price increase of drugs in medical institutions. "
Chen Tianming said this yesterday.
Basic medical care for low-income people is expected to be free.
Lan Yun and his parents came to the activity yesterday.
She has a pair of beautiful big eyes, but at the age of 14, she got very serious diabetes, and the complications led to blindness.
Now she has uremia and has to go to the hospital for dialysis three times a week.
Both mom and dad were hospitalized for surgery last year, but she couldn't help at all.
During her ten years of treatment, mom and dad devoted all their efforts and spent all their savings at home.
The difficulties faced by Lan Yun's family have been helped by Nanjing Huimin Hospital, which reduces dialysis costs for Lan Yun by several thousand yuan every month.
According to reports, many low-income patients have been helped by Huimin Medical.
It is understood that the free basic medical care for low-income people in Nanjing will be expected to be reflected in the new medical reform plan in Nanjing. There are about10.4 million low-income people in Nanjing. In addition to various subsidies such as agricultural cooperatives and low-income people, individuals have to pay 10% to 15% of medical expenses. In the next medical reform, Nanjing will consider gradually exempting low-income people from this part of medical expenses.
[commitment]
Indiscriminate charges and prescription of drugs must be verified after receiving the report.
Many citizens feel the same way. When they enter the hospital, no matter what the disease is, there are always many examination items, and then many medicines are prescribed.
For these sensitive topics, Chen Tianming made it clear at the event site that the opening of the list is linked to the interests of medical staff. This situation is strictly forbidden. If the list is found to be opened indiscriminately, the public can call the report number 12320. "We will definitely verify the report and give the reporter an answer."