Drive control reform, the eradication of the falsely high price of ...

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In Chinese medical field, as everyone knows a phenomenon is the drug cost remains high for a long time, and much higher than the international average level. Obviously, if do not take appropriate measures on the high cost of management, even the national health care development well, the government worked hard to raise up the medical insurance fund will also have considerable waste, universal health care, sustainable development also will be restricted.

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Since the public hospital medicine price empty high is a long-term and widespread phenomenon, it must be from the public hospital system to find the root. For public hospital," reform" is meant to modify existing medical service and drug pricing regulation and system, rather than to maintain the existing rules unchanged selectively punishment "offenders" or collective criticism of physician groups of medical ethics.

If the falsely high price of medicine is extremely individual phenomenon, if the offender is one of the very few, if it is to punish the individual violators will be able to solve the problem, why do we need to "the new medical reform"?

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All of them understood "high price" is harm, but how to cure the disease and public opinions are divergent. Specifically, "re control" measure as the following two points.

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One, removal of the drugs sale profit rate (i.e., drug addition) control, allowing the medical institutions to set up their own markup rate, but the government to maintain the maximum retail price control of medicines. To illustrate, the cancellation of drug addition control solution is not medicine Zero spreads policy. Medicine zero spreads policy did not cancel the drug add controls, but reduces the maximum addition rate. Cancellation of drug addition control means that all drug sales agencies, including the public hospitals, are free to purchase, own rise price, of course the final retail price can not break through the maximum retail price controls to set the ceiling.

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Two, promote the medical insurance payment mechanism reform, with multiple payment mechanism instead of pay per project, and to choose the lifting of the medical service price control measures. In fact, governance of public hospital medicine price empty high effective measures can be summed up in one word: With the cancellation of drug addition control and medicine Zero spreads control for cure, in order to advance health care payment reform as the root of the problem. Medicare payment system reform, the core lies in the reconstruction of public hospital and doctor's incentive mechanism, implementation of hospitals and doctors and patients and insurance interests "incentive compatibility". Specific to the drug, it is to build a kind of incentive mechanism so that the medical institutions and the doctor to the patient (participant) recommend cost-effective medicine, namely rational drug use. If doctors? rational use of drugs, pharmaceutical companies and wholesale enterprises will naturally reasonable drug production, reasonable distribution of drugs, quality, batch, the high price of the drug will naturally be eliminated, rebate and rebate marketing naturally lost its living space.

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Therefore, perfect medical insurance payment mechanism is original, the cancellation of drug addition control is derived. As long as the reform from the bottom, public hospital medicine price empty high and high cost such chronic and stubborn disease is not difficult to cure.

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