The deployment implementation of national medical reform and its supporting policies，More and more recognized。But this will definitely cause the doctor's actual income staged big shock。If the pharmaceutical company does not notice this，How will the future be kept?

 

  Prescription reviews, do the doctor dare to prescribe more medicine?

 

  November 8，The Anhui Health and Family Planning Commission issued the "Notice on Strengthening the Management of Key Drugs"，It is required that all hospitals in the province will conduct special prescription reviews on the top 10 medicines and procurement amounts every month，and is a prescription review by a third party。

 

  It is found that it is not suitable for medication for the drug adjustment，To inform the prescription physician，Please confirm or reorganize the prescription;，Refusing to adjust，Performing the notice、Records and reports, etc.。

 

  Public medical institutions at all levels have publicized the results of the top 10 drugs and procurement amounts of the top 10 drugs and procurement amounts.，Introduction of the type of unreasonable prescription、quantity、Drug、Doctor and reason, etc.，and instructed relevant departments and personnel to implement improvement measures for problems。

 

  As early as January 2013，Beijing has introduced the "Special Review Guide for Prescription in Beijing Medical Institutions (Trial)"，Including Vancin、Go to Avnovromycin Medical Sees Review Guide，Prescription comment guide，12 items such as the National Basic Drug Prescription Review Guide。

 

  Earlier in 2010，At that time, the Ministry of Health had issued the "Hospital Prescription Review Management Specification (Trial)" ，There are also related documents around the country。

 

  Clinical Path, the system monitoring a doctor prescribed medicine

 

  November 2，China Resources Medical Group's clinical path system procurement bid results were announced，Nanjing Haitai Medical has won this 1.85 million standard project purchase。stake betting appBidding stake sports betting appinformation of the clinical path system like this is like this，It can be seen everywhere on each bidding platform。

 

  6 days later，Announcement of Anhui Province，In implementing medical services & ldquo; negative list & rdquo; and & ldquo; front list & rdquo;，Also develop clinical path management，Guarantee medical service quality。

 

  Zhejiang Taizhou Enze Medical Center has been exploring clinical path management since 2004，As of March 2016，A total of 198 clinical paths，226 types of disease types，The path enters 284,600 cases，accounting for 42.25%of the number of discharge。The average hospital hospitalization date of Taizhou Hospital under the center of the center is 7.01 days，The average value of 9.41 days than the average of the third -class hospital in Zhejiang Province has been reduced by more than two days。

 

  Strict control of over -medical care, strict check of over -the -medicine

 

  November 10，"Chutian Metropolis Daily" reported，Since August this year，Hubei Provincial Health and Family Planning System carried out ten key issues special rectification operations，Zhu Hongbo, Director of the Medical and Health Management Office of the Provincial Health and Family Planning Commission, said，In the rectification operation，Prescription、Excessive medical care such as large inspection forms is still more common，Some medical institutions have excessive medical treatment、Excessive charges，Some grass -roots medical institutions still have not served in place。

 

  In this operation，Through self -examination, self -correction, supervision and inspection，28,000 jobs of random inspection health and family planning service agencies，Discovery positions 3274，3176 rectification; checking 169,000 medical records，19,000 medical records were found，Rectification of 19,000 copies; 10.49 million pieces of spot checks，28,000 prescriptions for finding problems，Rectification of 28,000 pieces; improve the relevant working system 6894 items。

 

  In the inspection operation，It is also found that antibiotic abuse is still a relatively prominent problem。For example，Common general infections，Antibiotics for 3 days in a row，But there are doctors for 5 days at one time、7 days of medication，The most serious or even prescribed for 9 days at one time。

 

  There are also some unreasonable medication and repeated inspection issues of some auxiliary drugs。For example，Some medicines can be available or not，But some doctors are given to the patient; you can check the blood sugar once，There are doctors who ask the patient to check once a day。

 

  Restriction order is upgraded, the infusion is charged

 

  193 member states attending the UN General Assembly signed a declaration promise to strengthen controlled antibiotics，together to reduce & ldquo; Super bacteria & rdquo; spread。At the end of August this stake sports betting appyear，Recent，National Health stake online sports bettingand Family Planning Commission、14 departments including the Development and Reform Commission jointly issued the "Containing the National Action Plan for Bacterial Drug Resistance (2016-2020)" (hereinafter referred to as the "Action Plan")。The industry believes that this marks & ldquo; restricted order & rdquo; further all -round upgrade。

 

  In order to relieve or solve the problem of antibiotic abuse，Many provincial and municipal hospitals，If: Henan Provincial People's Hospital，Hospitals above the second level of Jiangsu Province，Has been stopped for outpatient infusion。Relevant experts point out，Although my country has not currently made a unified regulations on outpatient infusion at the national level，But the most direct reason for canceling the outpatient infusion is to solve the problem of abuse of antibiotics。

 

  People who are engaged in medicine already know，In recent years，The antibiotics market is not easy to do。A large reduction in antibiotics，The income of many doctors has been pulled down in virtue。

 

  Medical Insurance Control, Monitoring Auxiliary Medicine

 

  Medical insurance control fee is no longer last year、The previous year & ldquo; Just talk about & rdquo;，Now I have begun to enter & ldquo; medical insurance control fee & rdquo;。The most typical case is Fujian Sanming，and Zhan Jifu, who dominated Sanming Medical Reform, promoted to the director of the Fujian Medical Insurance Office。At present, the office can be bidding for drugs、Medical Insurance Payment and other powers，It is the main administrative institution that directly affects the sales of pharmaceutical companies。

 

  For the past few years，Fujian bidding has miserable the pharmaceutical company & ldquo;，Many companies simply abandon the Fujian market。but，This is definitely not a long -term plan。

 

  Because of Sanming's experience、Fujian experience，It has been written in the document of the State Council's deepening of the reform of the reform of the medical and health system，and State Office、Forwarding for China Office，Even national leaders are paying attention、OK，CCTV、Xinhua News Agency, etc.。

 

  News about the monitoring of assistance for drugs，This has been endlessly emerging this this this this time。In the 2016 focus of medical reform released by the State Council，It is clearly required that the pilot cities of public hospitals should list specific lists，Auxiliary、Unreasonable use of high -priced drugs such as nutritionality Implement key monitoring，Anhui、Yunnan、Sichuan、Guangxi、Inner Mongolia and other places have announced the auxiliary medication catalog in their respective regions、Key Drug Monitoring Catalog。

 

  This medical insurance control fee、Monitoring Auxiliary medication and stake betting appother sandwich experiences，It will be promoted all over stake betting appthe country。Future，Hospital for cost pressure、Save costs，I don’t advocate more medicine、Pin Pharmaceutical，The leaders of the hospital are all like this，The doctors below，Do you want to prescribe more medicine? Unless you don't want to do it。

 

  Reduce the proportion of medicine、Percent: No medicine，What else can I rely on increasing income?

 

  It is said that the proportion of medicine in a hospital is almost exceeded，Doctors have been named，The regulations of the hospital know，indicators must not break through，Must find a way to control，Otherwise, the year -end performance bonus will be deducted!

 

  This is really not an example，I believe it has gradually become a work scene in the hospital。Printing "Guiding Opinions on the Pilot of Comprehensive Reform of Urban Public Hospitals" issued by the General Office of the State Council，Strive until 2017，Pilot city public hospital's drug proportion generally drops to about 30%。

 

  To cope with the proportion of medicine，The hospital also has their own tricks to deal with，But the general trend is unstoppable，No medicine，Decrease in income is inevitable，What else can you rely on? Expect finance、Expect the price of medical services to rise? recent，Hunan Xiangya Hospital due to zero drugs、Pharmaceutical ratio, etc.，The income has dropped 200 million yuan!

 

  First -class hospitals cannot deal with the decrease in the proportion of drugs、Zero plus policy influence，What can I do for other hospitals?

 

  Medical anti -corruption storm, can doctors converge?

 

  The author often pays attention to the case system released by the procuratorate，Relevant hospital doctors、Director、Dean was arrested、Arrested、Public news of the prosecution，No less than sixty or seventy per month，This does not include many presidents who have been investigated and dealt with from the disciplinary committee system。

 

  Especially the director of the inspection department，Jiangsu this year、Many city hospitals in Henan，Director of the Inspection Section has fallen in large area，The situation is very severe。

 

  Just November 8，The General Office of the Central Committee of the Communist Party of China also issued documents，Deploy in Beijing、Zhejiang、Shanxi 3 provinces and cities set up supervision committees at all levels，Want & ldquo; Realize the overall coverage of public officials who exercise public power & rdquo;，This means not just government officials，In the future, including the court、Procuratorate、Hospital、School、Central Enterprise、Public officials from state -owned enterprises and other institutions，All are included in the scope of national supervision! Anti -corruption storm has not stopped，Can only be more harmful，As a doctor，Who does not converge?

 

  Doctors' income is turbulent, stake sports betting appwhat should pharmaceutical companies do?

 

  Although the state states stake online sports bettingto increase the income of doctors，But there is a hidden rule that cannot be said: that is, the doctor's bright face income can be increased，But gray income not only checks、To cut，It is also necessary to prevent the system in all aspects，This time we have felt the firmness of national action，is the determination to control the medical gray gain chain!

 

  The country can also give the hospital greater support，You can also give the hospital a new income source from the medical service price adjustment，But this is compared with the well -known invisible income，I am afraid that countless doctors can only say that they can't say it。

 

  In the hospital，Is there a bed、With no group、No goal clinic，or even not leaders、Director、Indications、Vice high，or pipe medicine、Tube equipment、Pipe equipment、Tube Oncology Department、Pipe orthopedics、Pipe Reproductive Center、Inside and so on，There are decisive differences。If it's just a little doctor，Actually you may be happy，Income may really improve!

 

  Another，Like the well -known big three hospitals in the country，Although I got a good reputation，But the income is not necessarily comparable。

 

  Some people say，Heart is black and not black、Hand is not cruel、Red envelopes do not take、There are not many prescribed medicines，This is the most fundamental reason for the income gap between doctors and doctors。But with the advent of strict management，Everything is difficult!

 

  But as a civilized society，Gray interest chain undoubtedly must be cleared，The current multi -pronged action of the central government，Also allows the people to have more expectations，I saw more hope。