Hospital break drug door gauge patients spend high price to drugstore to buy medicine cad2012序列号和密钥

The hospital withdrawal rules patients spend high price to the pharmacy to buy medicine for nearly half a year, Ms. song to gauge patients a provincial hospital to buy Caltrate and Votalin two kinds of medicine, that can not buy, if purchased at pharmacies will spend a lot of money. "I bought these two drugs in the hospital for five or six years, had never seen this kind of situation, what is going on?" Ms. song was very puzzled, to the hospital is explained by the pharmaceutical purchase price is too expensive. Reporters found that not only is in the hospital a lot of Caltrate, drugs in short supply. Insiders said that this is in June 1st this year, the hospital medicine Zero spreads after "legacy", and finally lose or patients. The hospital withdrawal rules patients spend big price to the pharmacy to buy medicine in 2010, suffering from rheumatism Ms. song to do a large provincial hospital door rules, the rules as a patient medication in the hospital, only to spend 0.15%-0.5% of the payment can be very affordable. Because of illness, she need to take a long time but because of prednisone, prednisone is hormone drugs, will cause the loss of calcium, and she had to take calcium carbonate calcium, and helped him to stop the pain Lin. "I eat five or six drugs for a month, the price is to spend 574 yuan a month, enjoy the rules only need to spend 108 yuan. These six years, I have to buy the two drugs in this hospital, really save a lot of money, never occurred to buy the." Ms. song said. But for half the time, Ms. song from the hospital to buy Caltrate, ask the hospital sometimes say pharmaceutical production, sometimes because the purchase price is too expensive. Not available in the hospital, Ms. song had to go to the pharmacy to buy, drugstore is sold everywhere, but in pharmacies can not enjoy the rules of treatment, spend a lot of money than hospital. "Votalin is almost the same time appear out of the situation, but this medicine hospital sometimes, sometimes not. I have a box of Caltrate a month, a box of 30.08 yuan, eat two boxes of Futalin, two boxes of 54.80 yuan, more than 95% of the money to the next month, for our long-term medication of patients, really vulnerable." Ms. Song said, to buy drugs rules can be more than one of her patients, one of her friends in the hospital door rules do, is suffering from heart disease, need long-term use of "acertil" this kind of drug treatment of heart disease, two patients in outpatient and recent regulations not buy, only in health care clinics, the hospital asked what reason, still is explained due to the high purchase price of the pharmaceutical factory. "There is a problem of supply between the pharmaceutical companies and hospitals, suffer or are we still hope that the hospital patients, to put our life-saving drugs to come in." Ms. song called. Shandong has a lot of hospital drug supply is not isolated cases for Ms. song reflect, reporters found the hospital, the hospital currently has indeed not Caltrate this medicine, pharmacy staff said, "there are no Votalin oral, topical, oral volume is also very small, as long as the arrival will hurry to the hospital. The medicine, or gone. The recent stock off badly." Unlike other frequently out of stock in the hospital, cheap drugs, Caltrate Pfizer’s foreign calcium brand, price is not low, how will appear out of stock phenomenon? Reporters found that many recent drug.

医院断药门规病人花高价到药店买药   近半年,门规病人宋女士到一家省级医院买钙尔奇和扶他林两种药,发现都买不到了,如果在药店购买则会多花很多钱。“我在医院买这两种药已买了五六年了,之前从没出现过这种情况,这到底是咋回事?”宋女士对此很纳闷,医院给其的解释是药厂的进价太贵了。记者采访发现,不仅是钙尔奇,在该院很多药品处于缺货状态。有业内人士表示,这是今年6月1日医院药品零差价后带来的“后遗症”,最后吃亏的还是患者。   医院断药门规病人花大价钱到药店买药   2010年,身患类风湿病的宋女士办了某省级大医院的门规,作为门规病人在该院拿药,只需花0.15%-0.5%的支付比例即可,非常实惠。因为疾病,她需长期服用强的松,但因强的松是激素药,会造成钙流失,她不得不同时服用钙尔奇补钙,同时用扶他林来止痛。“我一个月吃五六种药,原价是一个月要花574元,享受门规只需花108元。这六年来,我一直在这家医院买这两种药,确实省了不少钱,也从没出现过买不到的情况。”宋女士说。   但已有半年的时间,宋女士就从该院买不到钙尔奇了,询问医院有时说药厂不生产了,有时又说是因进价太贵。在医院买不到,宋女士只好到药店去买,药店倒是到处都有卖,但在药店购买不能享受门规待遇,比医院要多花很多钱。“扶他林也是差不多同一时间出现得缺货局面,但这个药医院有时有,有时没有。我一个月吃一盒钙尔奇,一盒30.08元,吃两盒扶他林,两盒54.80元,这下一个月要多花95%的钱,对于我们长期吃药的病人来说,实在伤不起。”   宋女士说,买不到药的门规病人可不止她一个,她的一个朋友也是在该院办的门规,患的是心脏病,需要长期服用“雅施达”这种治心脏病的药,最近两个月门规病人也是买不到了,只在保健门诊有,询问医院什么原因,仍解释说是因药厂进价高了。“药厂和医院之间供货有问题,遭殃的还是我们患者,还是希望医院能尽早把我们的救命药给进来。”宋女士呼吁。   山东有医院大量药品断供并非孤例   对于宋女士反映的情况,记者采访该院发现,医院目前确实已没有钙尔奇这种药,药房工作人员表示,“扶他林目前有口服的,没有外用的,口服的量也很少,只要到货了就要赶快到院开药,否则就没了。最近断货断得很厉害。”   不像其他在医院频频断货的廉价药,钙尔奇是辉瑞旗下的外资补钙品牌,价格不算低,怎么也会出现断货现象呢?记者采访发现,近期众多药品在医院突然停药的现象,不是孤例。今年年初,江苏省人民医院曾要求药企缴纳8%保证金,否则出局。对此部分药企态度也很强硬,“无法缴纳,医院,你们被停药了。”当时该院停药涉及的药企多是辉瑞、阿斯利康、赛诺菲、拜耳、罗氏等外资企业;今年6月份,中南大学湘雅附二医院曾出台政策要求所有药品品种统扣10%,扣率没有商量的余地,不接受扣点的品种,医院将予以停用或替换,也造成该院很多药品一时停供。   对于为何很多药品在医院出现停供,记者采访宋女士就诊医院时,医院只称是医改的问题,医院不做官方回复。但有业内人士表示,此次在山东也有医院出现停药现象,确实是大型公立医院医改后出现的“后遗症”:今年6月1日,省市级公立医院药品取消15%的加成,不少医院的药房因此从“利润点”变成了“拖油瓶”。因为药品收入之前每年能占医院总收入的四五成,虽然取消加成后有政府补贴,但是面对巨大的运行成本,很多医院仍出现了药品成本倒挂,入不敷出,有医院就开始考虑以药房托管的模式减轻负担。   医院向药企要利润协商不成遭停药   “这家医院就是要求所有商业公司的药品,进院都必须通过医院的全资子公司完成,并且要求让利5%-10%,这其实无异于江苏和湖南那些医院实行的需缴保证金、收取返点、二次议价政策,对患者要不成利润了,就向药企要利润,通过对药品供销上游的挤压来弥补对下游患者让利所承受的损失。但这让药企增大了运营成本,一些财大气粗的药企肯定不愿意,所以就断了医院的药品供应。”该业内人士说。   而之所以停药的多是外资合资品牌,是因为随着医改的深化,医院的控费意愿不断增强,医院要想省钱,降低药品进价是最简单的方法,但因外资药品由于知识产权,属于完全垄断,价格较高,外资药企又不愿降价,财大气粗,就出现了断供的局面。记者采访多家医院发现,不但在宋女士就诊的医院,济南不少三甲大医院也于近期没了钙尔奇的身影,这与医改后医院节省开支不无关系。   采访中,有专家指出医改的目的还是要让医院回归公益本质,但目前“医院就是盈利性公司,要完成各项指标,和销售公司一样。每年到年底,很多医院都会开总结大会,院长在总结陈词时总会说过去的一年,经过全院职工的不懈努力,医院的住院患者增加了多少,门诊患者增加了多少,收入增加了多少。那么这句话是不是有什么问题?其实这不应该是院长说的话,这应该是企业家说的话。院长该怎么说?应该说的是‘我们治愈了多少人,帮助了多少人。’”该人士指出,所以降低患者药品支出的同时,医改更应在加大对医院补贴力度上下功夫,让医院回归公益本质,才能摆脱这些尴尬处境,帮助医院走出困境。相关的主题文章:

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