China's annual per capita infusion 8 bottles focus: Behind the drug-nourishing system

2009, China's medical infusion is 10.4 billion bottles, the equivalent of 1.3 billion Chinese average infusion 8 bottles per person, this is the national Development and Reform Commission deputy Director Zhu Zhixin released a data. "This situation does need to be improved by promoting public hospital reform and other health care measures," a health ministry spokesman said January 10. What does eight bottles of infusion mean for the health of the people? Why does the infusion output high?　　CCTV2 "Today's observation" broadcast "focus on the annual per capita infusion 8 bottles: Beware of overuse," CCTV financial channel host Wang Ya and the famous financial commentator Ma Guangyuan, Liu Ge common comment. 2009 Our country per capita infusion about 8 bottles, infusion output high level, in the end what causes?　　Have you been 8 bottles? Liu GE: Small disease transfusion is not only a kind of waste but also harm ("today observation" commentator) before we infusion to lie in the ward infusion, now as long as there is a chair on the line, this also causes many people to get cold to the frequency of infusion greatly increased. We are a big lifting bottle, it is not only a waste, but also it is harmful. Every doctor on the day of medical school, his teacher will tell him that the first choice for patients to prescribe oral medicine, and then intramuscular injection, intravenous injection is the final prescription. China's publishing house, "pharmacy" in the definition of jugular vein injection is: The fastest, often do first aid supplement body fluids and nutrition.　　Therefore, the cold this small disease with infusion, the equivalent of cannon hit mosquitoes. Ma Guangyuan: Transfusion waste is not only present in our country all over the world are facing transfusion waste ("today observation" commentator) I have a cold this year contributed 3 bottles, but has not reached the number of per capita, 8 bottles This number is a concept? Let's take a look at the growth of the numbers: 2003 3 billion bottles, 2004 5 billion bottles, 2007 into 7 billion bottles, to 2009 to 10.4 billion bottles, now China is the world's only more than 10 billion bottles of the big giant bottle. In this number, a significant portion of the infusion is performed at outpatient clinics, in the United States and other countries out-patient is not infusion, can only open some common medicine, got a cold, doctors generally do not recommend infusion, but we now infusion into a trend, a hospital and emergency hall to see is basically infusion. In addition, the World Health Organization has data suggesting that over 70% of the global infusion situation is unnecessary.　　This not only means that the infusion in our country has a waste, but also means that the world is facing a waste. Li Ling: "By 8 bottles" behind is the system of drug-keeping medicine (Peking University China Economic Research Center) This situation is absolutely abnormal, has reached the point of the unthinkable, most of the patients into the hospital, in fact, do not need to infusion, we are now basically a cold, began to infusion, The biggest reason is that our hospital survival and development, mainly from the drug income to obtain, hospital income, the doctor's income of 50% to be obtained from the drug, so open big prescription, transfusion conflict, in fact, it is the system of medicine。 Liu GE: Excessive infusion of excess medical care is the result of medical treatment ("Today observation" commentator) excessive infusion of excessive medical treatment, the cause of excessive medical care is to medicine. Now many doctors in hospitals are priced, and there is a benefit problem, in all of the treatment process, intravenous injection is a very high cost of a medical process, whether from the equipment, or from the pharmaceutical production requirements are expensive. For example, a penicillin, intramuscular injection only a few dollars, but if the infusion is dozens of pieces of the first hundred, the difference is nearly 10 times times.　　In this case many doctors and hospitals will choose the infusion, because the medicine, the hospital in other areas can not get more income, had to pass too much medical care, too much infusion to complete such an income. Ma Guangyuan: 95% of Chinese do not know that transfusion can cause harm and adverse reactions (today's observation commentator) according to a statistical data show that for the harm of infusion and adverse reactions, 95% of Chinese people do not know, this shows that common sense is not common sense. Why we are anxious to infusion, in addition to the benefit factors, that is, medicine, injections, infusion of the three between the hospital, the only option to maximize the benefits is infusion. Second, we have formed the idea that choosing transfusion is the best way, and no one realizes that it is harmful to us.　　Because the infusion is directly into the blood system, if the sterilization is not good, with some other particles, these hazards will go directly into the blood system, directly destructive effect. Patient: The high infusion volume behind is the patient common sense one-sidedness (the patient) general cold fever, I will choose the infusion, the infusion is quick. Do not affect the work, quick. Medicine may be dozens of yuan, should be almost good, but take medicine for a longer time.　　If you want to hurry up, just make a hanging bottle. Gao Yan: Do not easily infusion is the principle of recognition (People's Hospital infection branch chief physician) can take orally, do not go to infusion, this is a recognized principle, this situation is still a misunderstanding of everyone.　　The emergence of infusion reaction is very common, the patient light can be just some rash, inject local pain and so on, heavy words can appear allergic shock, and even often have some death cases reported.　　Fiona: "Being 8 bottles" is the link behind the benefits (the first affiliated Hospital of Guangxi Institute of Traditional Chinese Medicine) may be due to some aspect of interest, from this point of view, may be more infusion. Liu GE: Infusion In some cases is the consensus between doctors ("today observation" commentator) before the infusion is a treatment, is a kind of welfare, you only know the doctor or have some kind of relationship can be infusion, generally through intramuscular injection solution.　　Now, the pace of life is very fast, everyone afraid of delay to earn money, need to be in the fastest time to solve the disease, then in the end, you would like to hit me, and finally reached such a consensus: infusion. Ma Guangyuan: Normal recuperation process to restore physical fitness ("Today observation" commentator) infusion is a short and fast mode, the single fast is not necessarily equal to good. No better than don't know, a fright, antibiotics, we are 138 grams, the United States is 13 grams, 10 times times worse, this is really shocking. We were a big generation of injections, and now it's the one that hangs the bottle.　　We are now a big injection country, indeed, we should arouse a lot of reflection, in addition to the interests of the latter, in addition to our awareness, in addition to our propaganda, or more should be aware that the process of recuperation should be slower, so that the entire physical ability to recover, this is common sense, now everyone is against common sense. Uncover the mysterious veil of the flow fee, how consumers no longer smoke and mirrors?　　How will the business rules of new technologies be established?　　Chen Zhu: To effectively lower the burden of drug costs (Minister of Health) to effectively reduce the burden of drug costs, the real people get basic drug policy benefits. Liu GE: Standardized treatment of clinical pathway to a certain extent to solve the excessive infusion ("today observation" commentator) we can not use the idea of infusion to solve the infusion, is not too fast. Now the Ministry of Health is doing a work to help solve this problem, is the clinical pathway of standardized treatment, to treat disease standardization. Because in fact, most of the disease is similar, is a common disease, now are walking the same path, inspection, medication, consultation, surgery and recovery have a complete set of paths, the doctor must follow this path, the doctor can only be used in this choice, this can be to a certain extent to solve the problem of excessive infusion. On the other hand, who is the doctor's income to solve?　　Therefore, the task of public hospital reform is still very heavy. Ma Guangyuan: To reconstruct the mechanism and strengthen regulation ("Today's observation commentator") health reform is a good division board, the hospital itself to make money, can not rely on the sale of drugs, should let the doctor's income to improve, reflect its technical content. In the United States to open a bottle of antibiotics than to buy a gun difficult, China why so easy? Because there is a benefit, if the hospital doctor's income does not go, can only rely on selling drugs.　　We have paid attention to the production of sky-high double coptis, also evaluated the high rebate of Ningbo People's hospital, which means that in the interest mechanism needs to be reconstructed, through public hospitals to lay the technical value of the doctor itself and content. Another, on the standardization of procedures, in the United States, the general doctor can not infusion, he does not have this power. In our country, whether a general doctor of the hospital can open the medicine at will, prescribe infusion, this should also become a part of standardization. For example, a fever of more than 38 degrees can be injections, 38 degrees below can only take medicine, this is a kind of standardization. Some time ago a very famous example, Hebei Children's Hospital Dean Hu Haof in the practice of 20几 years to give a child injections, never lost fluid, first of all he embodies a kind of medical ethics, another embodiment of the lack of transitional medical care.　　To enable such people to continue to emerge, the first is to restructure the interest mechanism, the second to strengthen supervision, standardization of medical practice is necessary. XiangxianArmy: To solve the "8 bottles" in all aspects of the situation (China Medical Insurance Research Association, Deputy secretary of the "Today's observation" special commentators) first, to form a competitive medical service market; Secondly, the professional system of doctors should be transformed from the existing state staff system to a free occupation; third,　　The current wage of public institutions should be reformed, which can truly embody the working system of doctors ' performance; Forth, the establishment of new medical insurance and the payment between doctors reflects the value of doctors ' technical services, rather than how much medicine they use to gain income. Liu GE: To reduce the number of infusions to internationally accepted standards (commentator today), I would like to emphasize that "8 bottles" is not entirely caused by hospitals and doctors, this situation does have the existing system reasons, at the same time, we all have to popularize medical knowledge, so that we can reduce the number of infusion to 3 bottles, 4 bottles,　　This is an internationally accepted standard. Ma Guangyuan: "By 8 bottles" More is a social problem ("Today observation" commentator) "by 8 bottles" is not a medical problem, more is a social problem, need all aspects of society to work hard, publicity level, reform level, including the level of psychological adjustment. In fact, common sense is that a few words: Can not take medicine, do not take medicine, can take medicine, do not inject, can inject, don't infusion.