"Three medical" network opens a new medical situation
On July 5, the Ministry of Human Resources and Social Security issued the "Guiding Opinions on Actively Promoting Medical , Medical Insurance, and Pharmaceutical Linkage Reform" to deploy the reform of the three medical linkages. The "Opinions" promote medical institutions to actively lower drug prices, continuously strengthen the primary medical market, accelerate the comprehensive reform of public hospitals, continue to deepen the reform of medical insurance payment methods, standardize medical service behaviors, and control the unreasonable growth of medical expenses. For pharmaceutical companies, the most concerned about the price of drugs and the market for drugs, this not only makes people connected with the "three doctors", only the "three doctors" information network sharing, in order to promote the rapid development of the three!
Undoubtedly, the construction of medical informatization is a high-tech means to promote the development of "three doctors" and has a very positive effect on the realization of medical reform. However, in reality, due to the institutional mechanism of management mechanism and the constraints of their respective interests, although many public medical treatments Although the informationization construction of the organization has begun to take shape, but because of the lack of interconnection, information can not be shared, and information construction is hindering or restricting the progress of the “three medical treatmentsâ€. The most obvious is that large public medical institutions have not been interconnected. The information of medical institutions, severely restricting obstacles, the pharmaceutical market and its common development, affecting the smooth progress of medical reform!
A county-level hospital in northern Henan set up HIS, LIS, and PACS systems. With the “one card†inspection, doctors can check the inspection results through the HIS system for less than 40 minutes to make a diagnosis for the patient, but because of the information system setting and The internal system of the hospital restricts the patient's inability to know the name and usage of the drug's electronic prescription drug, let alone the drug purchase from the pharmacy. Moreover, the paper prescription has been cancelled. It is understood that in addition to the inspection results of the top three hospitals can be queried online, other information is shielded for personal use without interconnection.
Once upon a time, the state issued a document prohibiting restrictions on prescription outflows, supporting consumers' choice and use of goods, allowing patients to choose drugs, the purpose is very clear, using consumers' free choice, using market competition to force "collecting" drugs, medical Institutions and pharmacies can reasonably reduce or balance drug prices and alleviate patients' “expensive medical treatmentâ€; however, in reality, many public hospitals support and use unnetworked information systems to help or support the restriction of prescription outflows. In fact, people in the industry know that the reason is that public hospitals have certain task indicators for high-priced “collecting†drugs, and they do not rule out the high rate benefit under the second bargaining. For example, the "Chemical Capsule" of the hospital pharmacy is 19.8 yuan per box, and the price of the same manufacturer and the same batch of the drug in the pharmacy is 14.5 yuan, 34% higher than the market price; also the person in charge of the public hospital revealed that this is related to the medical institution. There is a certain relationship between enjoying or protecting their own medical market and “collecting†corruption; the development of medical information interconnection is currently only a vertical joint means of individual medical associations, and they completely exclude the interconnection with the pharmaceutical market; as for the high price of “collecting†drugs, although The state has carried out anti-corruption remediation, but specific to the drug terminal supply, public hospitals accounting for 80% of the number of medical treatments are still the focus of drug seekers' "red envelopes" rent-seeking, and there are still articles to be done. For example, public hospitals have a large number of inspections and inspections. The decline can bring favorable space for increasing the sales of high-dose drugs, so many public hospitals do not support the "three medical" network for their own interests, limiting the outflow of prescriptions. In a county hospital in northern Henan, there were 320,000 emergency clinics per year, and the number of drugstores in the outpatient pharmacies was almost zero. Only some family members of medical staff used drugs to buy on the street.
Obviously, as long as there is no substantial breakthrough in the "three medical" informationization construction - networking, the prescription of public hospitals will not be able to flow out, "collection" and pharmaceutical business corruption will continue to exist, but to truly achieve the "three medical" linkage, Promoting medical development, medical insurance payment has pioneering reforms, making the pharmaceutical market open to the public, and truly allowing the "three doctors" to have a fair and reasonable development platform, we must break the current medical informationization failure to break the deadlock.
First of all, we should vigorously promote the pace of medical information Internet construction, so that the "three medical" information construction must have qualitative changes - "three medical" + Internet, followed by increasing the rectification of "collection" corruption, and rationally lower the price of collected drugs Third, the introduction of strict regulatory system measures, medical institutions are strictly prohibited to restrict prescription outflows, doctors respect the patient's autonomy in purchasing drugs, consider reusing paper prescriptions to provide patients with pharmacy drug use services, and fourth, further standardize and strengthen pharmacy prescription drug service capabilities. Level, in close cooperation with medical institutions, to provide patients with reasonable, fair and convenient medical services. In this way, through the "three doctors" interconnection, it will force medical, medical insurance and medicine to actively and automatically enhance their professional service level and ability, and truly let the government "strict the restriction of prescription outflow" to become a reality, let the medical terminal market run healthily, let patients Get the medicines he wants, and alleviate their feelings about "expensive medical treatment."
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