The Research Of Implement Of National Essential Drugs In Existing Circumstances In Xin Jiang Rural Medical And Health Institutions

Objective:By understanding the township clinics and the government's city centre of community health service of the state's essential drugs system performance, the paper analysis the basic situation comprehensively. Discusses the implementation of national basic drugs system suggestion, difficulties and smooth implementation for the next two expand scope accumulate experience and provide theoretical references. Methods: Through the ways of literature review, data collection and interview and so on, we can know the thesis of monolithic essential drugs system in and out of our country and The rural hospitals overall situation. Based on the random extraction198 rural hospitals and six rural hospitals were investigated. Results:(a) There are 15420 formats being purchased in Xin Jiang in online centralized purchasing, the average medicine price fell down of 25%, the total volume of business is 38.3 billion yuan, for the people of 9 billion yuan in profits. Through the investigation, the whole medical institution of using essential drugs in Xin Jiang is 24.88% for the average. It shows that the phenomenon of "keeping doctors by medicine" is still very serious, therefore, it is imperative to implement the state's basic drugs system.but rural medical and health institutions for the use of basic drugs and currently use proportion 609 kinds, recent use ratio is 93.4%, it safeguard the farmer for access to cheap and quality drugs. (b) The statistics, the medical and health institutions accounted for nearly three drugs for medical institutions 59.08% for business. (c) The calculation, the whole rural hospitals in 2009-2010, the government should compensate 1654.29 thousand yuan,5047.37 thousand yuan,9690.91 thousand yuan. (d) 198 medical and health institutions accounted for nearly three drugs for medical institutions 59.32% for business. the drug income of 19.68%.(e)Six rural hospitals, the government should compensate 10.5 thousand yuan,4.35 thousand yuan,12.33 thousand yuan,8.4 thousand yuan,9.15 thousand yuan,13.2 thousand yuan.Conclusion:Through the study, rural medical and health institutions at various funds in place of the premise, implement the national basic drugs system can effectively change "keeping doctors by medicine" mechanism, standard doctors, promoting rational drug use, and gradually realize the separation of medicine and doctors, solving the problem of seeing a doctor in high payment.