The Wuhan "wartime" critical pharmacy, which has saved 200,000 non-new serious disease patients, is about to be fully retired.

Wu Jing, writer
Wang Jilu, wrote the
Wuhan, the seriously ill patients encountered the problem of purchasing medicine, 100 wartime chronic chronic disease pharmacy was in danger, and the original 10 together, the city served nearly 200,000 non-new serious disease patients. After unsealing, the pharmacy entered a depression period and operated at a loss. Now that the retirement notice has been issued, it will all disappear after 30 June.
Wuhan wartime severe chronic disease pharmacy, closed the city during the death of the death, has saved nearly 200,000 non-new coronary serious disease patients, now the retirement time set. Eight News has exclusively learned from multiple sources that the 100 newly opened critically ill chronic ally pharmacies will be fully retired after June 30.
after June 30, the continuing authority of the serious chronic illness will be transferred to the primary health care institutions in Wuhan.
patients with severe chronic illness have one thing in common: long-term medication. If you cut off the drug, you may be in a rapid deterioration of the condition, facing life-threatening.
the beginning of the city, the non-new crown clinic almost all have been suspended, most of the patients who need to repeat the consultation, the continuation of the medicine, can only choose to go to the only 10 severe chronic chronic disease pharmacy to buy medicine, some of the cancer patients who are not in line, or even stop taking drugs for ten days.
to solve their problems, Wuhan temporarily added 100 similar pharmacies in late February.
the next month until the unsealed, these wartime chronic chronic disease pharmacies and countless drug-buying volunteers, as well as a few medical institutions outpatients (such as psychiatric clinics), supported the use of 408,000 non-new-crown chronic chronic disease patients in Wuhan.
to April 27, 110 pharmacies with severe chronic illness settled a total of 204,433 people, an average of 3,245 daily.
the epidemic period such as the general tension of war, after the outbreak of the flow of passengers but plummeted, these pharmacies are mostly loss-making operations, has been difficult to sustain, now some actively apply for withdrawal, and some do not want to give up the medical insurance access qualifications of seriously ill patients, hope to carry to the day of profitability.
the difference in going or staying will no longer matter, the retirement notice has been issued, after June 30, they will be withdrawn.
in early April, patients lined up outside the Hankou Chronic ChronicSepharmacy on Yellowstone Road to buy medicine. In addition to special note, the photos of this article are taken by Wu Jing.
the name of the severechronicly ill patients, may be unique in Wuhan.
Wuhan has about 408,000 such patients, according to the official classification, divided into 31 special diseases, may be a large number of special hypertension, special diabetes, tumor patients, may also be a small number of patients with multiple sclerosis, as well as just completed the operation, such as vascular intervention surgery.
are included in this category, are able to enjoy the medical insurance reimbursement, and the reimbursement limit is high, the reimbursement rate is also high, mainly from the local health insurance co-ordination fund spent.
this is known locally as a unique benefit, and the selection criteria are quite stringent. For example, not all patients with hypertension and chronic diabetes can obtain this benefit, combined with heart, brain, kidney, eye, nerve, vascular complications of one of the diabetic patients, and have heart, brain, kidney complications, one of the patients with hypertension III to meet the conditions. After being identified by medical institutions, these patients can obtain their own "blueprint". Before the
outbreak, there were 216 medical institutions in Wuhan that provided services to them at the critical and slow disease clinics.
2014, the Wuhan Human Resources and Social Security Bureau began a pilot project: the opening of a pharmacy for severe chronic diseases.
this is a supplement to the intensive chronic disease clinic and is more convenient. In particular, high blood pressure, diabetes-type medication, in general, there is a relatively stable drug regimen, do not need a short-term frequent drug change, but the severe chronic disease clinic can only give patients a maximum of 10 days of medicine, patients need to frequently travel to and from the hospital and home. And the emergence of severe chronic disease pharmacy, can facilitate patients to continue, a half-month, but also save registration fees.
the hospital has not yet cancelled the drug mark-up, the pilot pharmacy of the same drug price slower than the hospital pharmacy. Still, such attempts do not seem to have been welcomed in the early days. On April 8, 2014, the first pilot on Yellowstone Road opened, and within a few months, there were only a dozen patients a day. Then the second pilot also opened the door, the initial effect is still not ideal.
the pharmacy started with far fewer drugs than hospital clinics, initially with only four diseases: high blood pressure, diabetes, malignant tumors, and heart stents.
with good results, long-term use, high safety oral medicine gradually replace injections, the official slowly expanded the types of diseases in the pharmacy, before the outbreak, the pilot pharmacy has expanded to 10 diseases: hypertension, diabetes, heart stent, tumors, copvaccination, hepatitis B, hepatitis C, cirrhosis, kidney transplant surgery, Parkinson's.
but there are still drugs that pharmacies can't replace in hospital outpatient scans, such as drugs that need intravenous injections, or drugs that need to be adjusted constantly. Psychotropic drugs are so typical that psychiatric clinics remain open even during an outbreak. business
pharmacy business has also picked up, with hundreds of passengers a day in 2016 and nearly 2,000 in 2019, and storefronts expanding from one floor to three.
two pharmacies, which account for the demand for medicines for 340,000 patients in the region, or 10 percent of the 400,000 patients with severe chronic illness.
early April, some patients bought medicine searlyes at Hankou Chronic Chronic Scaracity Pharmacy on Yellowstone Road.After
Wuhan, the phones of the two pharmacies rang from morning till night.
have a drug for lupus? Is there a drug for multiple sclerosis? Is there a drug for rheumatoid arthritis... Hospital clinics suddenly closed, hospital regulars turn to pharmacies, many of the pharmacy may not have these drugs of other serious chronic patients, also called to ask.
demand rose from 340,000 to hundreds of thousands or more. At its most exaggerated time, just busy until the end of the morning business, already have to buy drugs began to rank the second day number.
early February, pharmacist Yu Bin first saw the moon in Wuhan at 2 a.m. He had just come out of the pharmacy, tired to the legs slightly trembling, the eyes of a blur, even see the door open space, several community volunteers have put down the recliner, rest, waiting for the pharmacy number, 5 hours later, the pharmacy will open again, at this time the temperature is approaching zero degrees.
is too cold. Yu Bin said, advised the volunteers, let them come back in a few hours. They left their contact details and got the oldest number.
's pharmacy is Yellowstone Road. Before the city was sealed, nearly half of the store's employees left Wuhan for the New Year. There are no fewer people who can line up to buy medicine. Helplessly, the store manager from other brother pharmacies and found two or three people to fill the vacancy, even the store manager and general manager level of people on.
In order to reduce cross-infection, yellowstone Road's critically ill pharmacy has two different channels for entrance and exit. It is almost impossible to
to speed up the purchase of medicines, and in order to avoid being too dense, the pharmacy can only be up to 20 people at a time. Later, the pharmacy people still feel that the distance is too close, simply allow only 10 people to buy medicine at the same time, "to ensure a big enough distance." At noon, the pharmacy will be closed for an hour and a half, and two masters from outside will be disinfected from all corners. The people in the queue, just outside, continue to wait.
buy the drug list is so much more incredible. The pharmacy only put 800 numbers every day, one day the first row number of people to register drug demand, suddenly, the bosom of 100 residents of the medical records to the table a throw, the cup, in the pharmacy work editing for more than 4 years, have not seen such a big trend. In two hours, the first person in line had finished all the medicine. Outside the pharmacy, dozens of people lined up.
drugs were originally distributed two days a day, temporarily turned into one day delivery. But some medicines are not available. Although the central enterprises below the medical materials reserve units, but in the event of an outbreak, the order has been broken. A kind of insulin called heavy and lin, in the acute chronic disease clinic is very common, but the pharmacy has not before entered this medicine, Wei Bin found that the manufacturer in the east three provinces, the east three provinces and the control of materials, toss for a while before the goods. On February 11,
, eight other critically ill pharmacies opened. In the second half of 2019 through bidding, the eight made a long preparation, originally intended to formally open after the Spring Festival: the submission of approval materials, docking health insurance fiber optics, recruitment of practicing pharmacists, hardware modification, drug delivery, decoration, access to the serious chronic disease drugstore license. On average, it takes at least a month for every critical pharmacy to start a new one, and one pharmacy takes a full two months. Originally, the eight pharmacies are ready to officially open to patients after the Spring Festival.
the pharmacy, the staff is too busy to breathe, outside the pharmacy, the seriously ill patients can not buy medicine, queue difficult news or flying.
notice came suddenly.
February 23 at 8 pm, Yun Xin (pseudonym) received a call from the director Wang Ying (pseudonym), tomorrow morning you go to the A pharmacy responsible for the scene, the serious chronic disease pharmacy will open.
received Wang Ying's phone call, there are five other colleagues, 12 hours, Wang Ying company below the six general health insurance pharmacy to appear in the public eye as a critical chronic ally pharmacy. The same notice was received at 34 other pharmacies.
Yunxin is in charge of the company's pharmacy work, and has an identity as a practicing pharmacist. The general pharmacy she was going to support had only three employees, two of whom were pharmacists.
that night, the entire company suddenly became nervous: truckloads of stocked drugs were shipped from the company's warehouse to six pharmacies, as well as temporary orders for computers, printers, and drug shelves. The engineers who were temporarily assigned to the task were one of the engineers to renovate the line, connect the medical insurance fiber, and debug the system. By the time
Yunxin arrived at the pharmacy at 8 a.m. the next day, more than 50 boxes of medicine had been piled up on the second floor of the pharmacy. More than 100 square meters of the second floor, originally just a vacant lot of items piled up. She and another pharmacist who went to support, two people sloppy to lift five sets of temporary shelves from the first floor to the second floor, the shelves have 4 floors, 2 meters out of the head. They're going to put all the medicine on the shelves before they open the door at 9 o'clock.
the hardest part is that there are not enough computers. Yellowstone Road that pharmacy, the trial side of the computer alone has more than a dozen, more than a dozen people can buy drugs at the same time, not including the drug out of the library of the computer.
here can not, a total of two computers, a one-time can only be used for 1 person to buy medicine: the first computer is connected to the medical insurance fiber, for registration, prescription, review, scanning prescriptions, invoicing, medical insurance settlement, one time to do so many things, the second computer for drug testing, out of the warehouse.
this process, fast words less than 5 minutes, but not all practicing pharmacists have operational experience, novice operation down, a patient almost ten minutes.
until 9 p.m. that night, when colleagues and colleagues drugged more than 100 patients, yunxin, wrapped in protective clothing, all soaked.
the day, the director Wang Ying also did not idle, this is her work since the most pressure: find a pharmacist, the company has a license to practice pharmacists, all deployed out. "We've given each pharmacy an extra 2-4, a much larger pharmacy that's going to be a little more tilted, but at least it's about guaranteeing four practicing pharmacists in one store."
the story circulated from the outside world is that on February 23, Hubei Provincial Committee Standing Committee, Wuhan City Party Secretary Wang Zhonglin secretly visited, driving through the Hankou big pharmacy on Yellowstone Road, Wang Zhonglin saw that the queue to buy drugs in the ranks of the public very long. After understanding the situation, immediately said that the day to increase the number of serious chronic chronic medicine pharmacies to 20, gradually open to 50.
and few people know, Wuhan City Health Insurance Bureau in the day's notice, immediately decided to open to 50 overnight. Thus, on February 24th Wuhan's first batch of 40 new acute chronic ally pharmacies opened in such a way.
early March, the problem of difficulty buying medicine is still a problem. This time, Hubei Province epidemic prevention headquarters issued a temporary notice, asked Wuhan to add another 50. In the end, there are 60, but also at the same rate, appeared in all corners of Wuhan City.
map of the pharmacy for severe and chronic illness, pictured: Wuhan Medical Insurance Bureau.
some of the pharmacies to be remodeled, the headquarters of the stock of severe chronic disease drugs is not enough, but the task of docking drug demand fell to the wuhan medical insurance bureau just set up less than a year ago.
Wuhan Medical Insurance Bureau's Yuan Mu (pseudonym) in late March to see eight o'clock health news, a face, she has been turning the shaft for more than 50 days. The new team, 37 people, 10 people were temporarily drawn to do medical personnel material recruitment, 10 people sank to the grass-roots level, stay in the unit of more than a dozen people, began to turn day and night to deal with the sudden 100 pharmacies of the new problem. Working during the day, meeting at night, "trying to solve a problem every day", so it became the norm to leave work at 11 o'clock.
"Health care under a lot of pressure", temporarily opened 100 critically ill pharmacies, "can imagine how many prescriptions need us to go overnight audit," Yuan Mu said.
because of the special period, the health insurance bureau or "take a step of risk chess", Yellowstone Road pharmacy reimbursement of diseases from the outbreak of 10 species gradually expanded to 23 diseases, the new 13 diseases include severe cyritis, rheumatoid arthritis, kidney failure, lupus, liver transplantation, epilepsy, multiple sclerosis and so on. More than 100 other pharmacies have also expanded from a few to more than a dozen. The amount of prescription medication is relaxed to 2 months.
If under normal circumstances, these patients' prescriptions need to be dynamically adjusted by the doctor in person as the condition changes. The doctors below the line are all treating the new crown patients, where to find a doctor? The Health Care Administration is also quick to reach a partnership with an Internet medical, so that doctors across the country online review party, continue.
wartime severe chronic disease pharmacy opened, Yun Xin did not idle. In mid-March, she was transferred to another pharmacy to help. This "busy" state continued until early April.
the outpatient clinics of some hospitals in Wuhan began to resume operation, the wartime state was broken, pharmacy passenger flow plummeted. The geographical location of the central city some of the first, daily passenger flow from more than 100 people to less than 100 people, the geographical location slightly partial to the second, from nearly a hundred people to more than 20 people. Yun Xin was transferred back to the company, ending the fight early.
this is not the worst, the company below another pharmacy, can open no more than 10 sheets per day.
Wuhan Medical Insurance Bureau also gave a more intuitive set of data, April 27, only 3 pharmacies settled more than 100 times, the vast majority of pharmacies purchase drug settlement is not saturated, there are 8 pharmacies without settlement data, "most operating pharmacies difficult to sustain."
on the other side, in mid-April, Far Pastoral colleagues began to receive some serious chronic ally pharmacy initiative to apply for withdrawal information, the application, almost all of the private chain pharmacy head.
the reasons given by the other side are almost identical and they can't afford it.