Reform the medicine thing service mode at the basic level in Qingdao

Reform the medicine thing service mode at the basic level in Qingdao
Reform the medicine thing service mode at the basic level in Qingdao
Staff reporter Han Lu "It is put in place that gradual with implementation and what the government compensates of the basic medicine system, the responsibility on our shoulder is greater and greater. " Deputy Bureau Director of Municipal Health Bureau of Shandong Qingdao Wei RenMin thinks, should make the basic medicine system really " fall " in the basic unit ,How to ensure the quality of the basic medicine and supply, how to guarantee the medical worker at the basic level standardizes and uses medicine, how to realize such questions as the whole journey is supervised in real time are all demanding prompt solution. To these questions - -The management mode of the dispensary is reformed " Try water " From May 1 this year, Qingdao implements the medicine that the medical health organ of basic unit of the basic medicine system uses, all call for bid in the platform and purchase, sell a difference rate of basic medicine through the province, because medicines income and medical interests of health organ of basic unit break off relations, the operation of the dispensary has increased and managed the cost instead. In order to guarantee medicines provide and deliver putting in place in time, market Jiaonan, Huang Island, Jiaozhou, city the south four district (market) of Qingdao Have taken the lead in launching the management mode reform pilot work of the dispensary in the medical health organ in the basic unit. From June of this year, Jiaonan chose a pharmaceuticals large, with a high reputation, with high market share in scale as the pilot enterprises of management mode reform of dispensary of the whole city, and stipulate, the ownership of providing and delivering medicines is provided and delivered enterprises by medicines, usufruct belongs to the medical organization at the basic level, realize a stock of dispensary of medical organization; Personnel, file, salary, insurance of the dispensary personnel of commune hospital in the town,etc. are still managed in unison by the health clinics in towns and townships. Chief of Jiaonan Municipal Health Bureau Qu Bo says, if all health clinics in towns and townships choose to provide and deliver enterprises by oneself, then each market share which enterprises can get will be very limited, enterprise's enthusiasm is not high, will deliver to the location to lead and give a great discount when supplementing the timeliness of medicines. Huang Island district confirms finally through the way of competitive negotiation two enterprises provide and deliver the basic medicine. Provide and deliver enterprises and obtain the power of management of the dispensary, accredit the manpower, financial resources and material resources that the staff members with corresponding qualification are fully authorized in the dispensary to manage at the same time, implement independent management, keep separate accounts, assume sole responsibility for its profits or losses. Presume minimum volume of stock and term of validity cordon, the volume of stock of medicines is less than 10% o'clock of amount of purchase of batch, will supplement medicines in time, will change and near a issue of medicines of result in time at the same time. For cut off medicines, circulate enterprise and illegitimate benefits chain between the medical organization under course completely, all parts adopt third party's means of payment during settlement, the returned money of medicines is turned over to province medicines and calls for bid in the shopping center regularly by the special family of health authority, provide and deliver the profit that enterprises obtain and does not return to some to the medical organization at the basic level. Chief of Huang Island district health bureau Han FuJin calculates an account for the reporter, takes community health Center of streets of a road of the Changjiang River as examples, in all medicines circulation, after storing links and is transferred to to provide and deliver enterprises to unify management, relevant the intersection of manpower and cost, medicines that medical organization save the intersection of natural wastage and cost, fund cost of possession and dispensary manage cost can reach 2 million yuan about every year. The intersection of medicine and thing is served and extended to the clinic of village of river shop frequently of the town in the market of Jiaonan moors of the village, the dedicated side country of medicine of village takes out two collected by oneself from the drawer pharmacist of commune hospital of the town " Call the roll " Prescription. "This open medicine treats cold and coronary heart disease separately, but diagnose that has only filled out ' cold ' in column; This piece turn on traditional Chinese medicine parenteral solution and a Western medicine parenteral solution two kind in together. This kind of fault is all what I need to pay special attention to and avoid while using medicine and prescribing afterwards. " The Yan 's of the pharmacist-in-charge of commune hospital of centre tells reporters while mooring, after at the basic level medical organization implement the management mode reform of the dispensary, medicine staff members of the hospital have more energy that are engaged in the medicine thing service. Now, a main job of hospital pharmacist is to check the prescription. It is introduced, Jiaonan has already set up the prescription guidance of medical organization at the basic level, checked and commented on the system. Except that professional personnel, pharmacy of health clinics in towns and townships, comment on the prescription to our unit, still supervise the system to spot check, verify the prescription that the rural doctor opens at any time through the electron, and launch prescription comment and guidance and correct the rural doctor and make great prescription and unreasonable behavior that uses medicine. The management of Huang Island district goes still one step further. The clinic of every village of this district and prescription which the community health station doctor opens, the ones that want the medicine staff members of community health Center of higher level are verified in real time first, otherwise unable to print the prescription, invoice and send out medicines. In the area in 147 community health Centers ' Stand) With the village clinic, have realized the real-time intercommunication of information through community's administrative system of the cooperative medical service of development zone. The intersection of the Changjiang River and the intersection of way and the intersection of street and the intersection of community health Center and medicine prescription, district of Huang Island, check deskman Zhao TingTing tells reporters, the prescription that this office is responsible for 20 villages clinic and 6 community health stations that the centre has jurisdiction over is verified, verify more than 100 prescriptions every day. In order to let medicine of village feedbacked, must guarantee round-the-clock online service after evolution in time. It is introduced, in order to strengthen the use and management of medicines, the board of trustee of the medical medicine thing of health organ of the basic unit has been established in October of this year in Huang Island district, divided into medicine working and managed the work station, the permanent staff that personnel are engaged in medicine to work by every community health Center make up. This organization is mainly responsible for organizing drafting the policies and measures of supervising and promoting the basic medicine to use rationally; Analyze every mechanism medicine operating position and examine regularly; Organize pharmacy to train, guide and use medicines,etc. clinically rationally. An insider says, the method of the intersection of Qingdao and city changes the intersection of the basic unit and medical the intersection of health organ and the intersection of medicine and thing to serve the question weakened, also filled the gap that supervised to the administration of the clinic of the village to a certain extent. The informationization lets medicines " have mark to follow " RenMin Wei say because of the intersection of norm and basic the intersection of purchase and route of medicine, thus make basic medicine to enter field of circulation, from putting in storage to sell to submit an expense account, is located under the supervision of the information system. In Jiaonan, medical organization and delivery enterprise which participates in the management mode reform of the dispensary need to enter the medical basic medicine electron of health organ in the basic unit of this city and supervise the system, realize the information sharing and supervise immediately. Can only purchase medicines through the basic medicine centralized purchasing platform of the province while providing and delivering enterprises, and carry out the biding price, otherwise can't enter the electron and supervise the system. The medical all administration of health organ of basic unit of the whole city must be submitted and purchased the plan through the network, provided and delivered enterprises to provide and deliver according to the plan. The village clinic must be passed within the range of catalogue" The clinic of village of Jiaonan supervises the system " The basic medicine of apolegamy, hospitals of administration authority, commune hospital concentrate on distributing from the area under one's jurisdiction, forbid entering medicine from other channels. Enter every box medicines of the village clinic, has been all given the only bar code, and pass " Sweep codes " Way carry on electronic manage. All can't be enjoyed and submitted an expense account to supervise systematic medicines newly and agriculturally jointly without entering the electron. Supervise the system through the basic medicine electron, health authorities can already be worthy of seeing to medicines which have provided and delivered enterprises off in order to control in real time, can make a diagnosis to every medical organization key links such as recording, prescription content, medicines stock, purchasing price, selling price,etc. are carried on all-roundly and supervised, also can realize to at the basic level the intersection of clinic and work load, wipe out volume, basic the intersection of medicine and consumption and basic the intersection of public health and the intersection of service item and progress, count in real time jointly while being agricultural while being new. Wei RenMin says, now, the basic medicine bad reaction of village clinic monitors the system and basic medicine of village clinic and can be traced back to the system and can be set up synchronously. "Medicines have ' ID cards ', source and whereabouts have just had mark to follow. Once present medicines bad reaction and accident, is traced back to the whereabouts of medicines as soon as possible, control and use. "


|