Study On The Status And Implementation Of The Path Of "Separation Of Medicine And Drugs"

In China, financial assistance and medical income is difficult to guarantee the normal operation of public hospitals, and profit, drug plus 15% of compensation income to become an important source of hospital, "to drugs to support medical" gradual formation of excessive growth of medical costs, there has been " medical treatment is difficult," " your doctor "phenomenon. In this historical background, many public health units and hospitals (including hospitals) had a "medical separation" of the attempt, made a lot of successful experience. Learning from international experience and local practice, the paper of "medical separation" concept to the discrimination, recognizing that "medical separation" has broad and narrow sense of the difference. General refers to the total or partial implementation of the introduction of market-oriented operation mechanism, pharmacy ownership, management rights and management rights to transform, to hospitals and drugs off the chain between the interests of revenue, reduce or cancel the hospital's dependence on drug revenues. Narrow sense refers to the hospital pharmacy completely separate from the hospital and transform the drug retailer operating independently, only do business with the hospital, there is no economic relationship.In the research ideas, this article first use institutional change theory, theory of justice, and government failure, market failure theory affirms the implementation of "medical separation" of the necessity of using theoretical analysis of privatization of "medical separation" of the run. Subsequently, the paper selected managed pharmacies, pharmacy stripping, the government held the budget revenue and expenditure management, a comprehensive pre-paid, "generic prescription + prescription freedoms with" the theory and practice of six models of "medical separation" of the current situation, found that "medical separation" operation in the common problems, such as compensation mechanisms are inadequate medical facilities, drug supply and quality problems, drug sales monopoly and regulatory issues, and the comprehensive comparative study of six models; on this basis, the paper focus on the elimination of the use of Jiangxi is the implementation and effectiveness of drug addition, and the analysis of the problems. Finally, the State Council published "on the deepening of the views of medical and health system" rethink "medical separation", put forward constructive "medical separation" concept implemented in phases in place step by step, looking forward is expected to "medical separation" provide a useful implementation reference...