Zhuanmin: the separation of medicine is more a return than a reform

[expert opinion of chinapharma.com] the drug markup was finally cancelled After the cancellation of the markup, the circulation of drugs in hospitals should be "flat in and flat out" Although there is no "profit" of the markup, it should not be "cost" in a short time The reason why we have to say it's cost is that we all know but don't think deeply about the health insurance policy - "total prepayment" "The surplus belongs to oneself, and the excess is shared." (zhuanmin: the separation of medicine is not so much about the reform as the return to the source of pictures: Baidu pictures.) so, medicine has unconsciously become a cost, and become the "God of plague" that people avoid In fact, "medicine" is the same medicine, no matter good or bad, just too many ideas from people related to medicine! From the perspective of the expenditure of Beijing medical insurance fund, there are two distinctive facts: first, the proportion of drug expenditure is large; second, the outpatient cost far exceeds the hospitalization cost It has its own characteristics because the cost structure is very different from other countries and regions Although it is a simple fact, what lies behind it is the crux of medical problems Under this kind of price system and accumulation behavior, we will not change the structure of expenditure, or we will not dredge the normal channels, or plug up the "ant hole and mouse hole" on the dam No matter how much water is transported from the source, it will not go far, and it will go into the "hidden ditch" quietly Dayu's experience of "dredging and blocking" may help to understand the current "separation of medicine" The so-called "blocking" is to "cancel the drug markup", implement the "sunshine purchase" policy, reduce the "leakage" in the use and circulation of drugs, and ensure that the limited funds are spent on the "blade" The so-called "Shu" is to set up medical service fees, adjust medical prices, let the fees reflecting the "technical" value of medical personnel "rise", let the fees reflecting the "material" value of large-scale inspection "fall", fully mobilize the enthusiasm of medical personnel, gradually straighten out the "twisted" cost expenditure direction, and optimize the rational allocation of medical resources Sages have said that one dozen programs is not as good as one action After all, it's good to move, and the earlier you move, the smaller the hindrance of vested interests, and the smoother the way back!