Medical reform keywords: separating medicine from pharmacy has been successfully managed. It is said that just after the 11th Congress ended, Taizhou Hospital attempted to manage pharmaceutical expenses. During an unannounced visit, the cost of hosting a pharmacy was 98 yuan, including a $10 blood lab test for patients in the hospital with no other charges at 5%. Baixia District Hospital did not implement the management as doctors only provided a box of day and night medication valued at 13.9 yuan. Interestingly, when reporters measured the temperature, it was 37.3 degrees in non-managed hospitals and 36.5 degrees in managed hospitals, leading to the conclusion that the problem had not been truly solved. In either case, the costs will eventually be passed on to the patients. The successful implementation of pharmacy management and achieving the desired effect depend on the perfection of supporting measures and supervision or whether the deeply rooted conflicting interests are genuinely sorted out, which is not an easy thing. Taizhou Hospital began preparing to implement pharmacy management earlier this year. Inevitably touching the interests of some units and individuals, the first tender in Taizhou naturally died. In recent years, Qiu root also admitted: Real District Health Bureau, Ye re-TING: ... Pharmacy management is far from the separation of long distances; this is merely a transitional move.
Drug revenue and expenditure management has been implemented. Cutting the economic ties between drug income and hospitals, medical institutions' infrastructure, equipment, salaries, and bonuses have been included in the budget, fully funded by financial departments, and hospital revenue turned over to fiscal accounts for unified management is what is called clarifying that medical services are no longer for profit purposes; medical staff salaries and bonuses are no longer linked to medical and business income, eliminating pressure. Currently, many places have already started. Beijing's Health Bureau stated that more than 2,600 community hospitals in the city, during the year, have all implemented revenue and expenditure management. Zhang, the director of Beijing's medical institutions and the centralized drug bidding procurement center, introduced that implementing this measure has improved to some extent the previous phenomenon of hospitals making medical decisions based on drug profits, but due to the relatively short time, the implementation of revenue and expenditure has not yet been fully launched in community hospitals.
Health Minister Chen Zhu said that the implementation of management experience, ability to grasp policy together with expertise is essential. On October 16, while studying the report of the 17th Congress, Guangdong Provincial Health Department Director Yao Zhibin proposed to implement the policy of separating pharmaceuticals, starting first with outpatient pharmacies being stripped away from hospitals. Ideally, hospitals should not have their own pharmacies, allowing patients to purchase medicines from society instead. Yao Zhibin's proposal for the principle of separating pharmaceuticals resolved the final debate on whether to cancel the previously debated model of using pharmaceuticals to support medical care. Guangdong Province Medicine Industry Association will hold seminars on the concrete implementation of separating medicine in three areas: chemical medicine, Chinese medicine, medical equipment, possibly making Guangdong Province the first in the country to separate medicine.
Contemporary Medicine 2007.11l35