就连基本常用药也非要到城里才能拿到—— Even the basic five also have to come to town to get --

基层卫生院为何闹“药荒”？ Why make grassroots health center"Medicine waste"?

　　镇江丹徒区宝堰镇退休职工王建华，最近10天里两次为药而犯难——

Zhenjiang dantu district, treasure weir town retired worker hensing m. production,In the last ten days for medicine and two puzzled --

　　8月26日，她曾向记者反映：“我患心脏病、脑梗多年，长期用脑心通、胰激肽原酶肠溶片，还有维生素B1、B12、B6，脑梗发作时还要用血栓通冻干粉。以往在宝堰镇卫生院很容易配齐这些药，现在却只有B6一种，其它的药都难拿到了。”

On August 26,,She asked reporters reflect:"I suffer from heart disease/Cerebral infarction for many years,Long-term use NaoXinTong/Pancreatic kininogen enzyme enteric-coated metformin hydrochloride,And vitamin B1/B12/B6,Cerebral infarction attack also with thrombosis through freeze-dried.In the past in the treasure weir township health centers is easy to assort the medicine,But now I only B6 a,Other medicine difficult got."

　　今年61岁的她说，为拿到这些保命药，她经常要花四五个小时的往返时间，还有30多元的车费、餐费，去镇江市区的卫生院拿药。7月23日她又去市区拿药，在公交车上意外发病，急救4个多小时才清醒，前后住院10天、花去医疗费5600多元。

This year 61 - year - old she said,To get these life medicine,She often have to spend four or five hours of round-trip time,There are 30 multivariate fare/meals,Go to the health center may or may not prescribe medicine for zhenjiang.July 23 she again to go to the medicine,On the bus the accident,First aid more than four hours to awake,Before and after 10 days in hospital/Take medical treatment cost 5600 yuan.

　　祸不单行。9月3日，她再一次打来电话向记者述说：早上正等车去市区拿脑心通和维生素B1，突然就头晕跌倒，右手一撑，造成粉碎性骨折错位，刚被送到医院治疗。她说，在宝堰镇，像她这样为拿药苦恼的老病号有上千人。

It never rains but it pours.September 3,Once again she phoned to tell reporter:Morning is waiting for a bus to the city take NaoXinTong and vitamin B1,Suddenly giddy fall,Right hand a brace,Cause comminuted fracture dislocation,Just be sent to hospital for treatment.She said,In the treasure weir town,Such as she may or may not prescribe medicine for distress for the old patient with thousands of people.

　　丹阳市延陵镇行宫村谭赛栋也向记者反映：自2010年新农保门诊报销比例提高到40%后，卫生院的药品突然少了很多，而街上药店却乘机涨价10%左右。“因为卫生院缺药，患者只好到附近药店买药，多花钱，还不能报销。”8月28日他到行宫卫生院看感冒，新康泰克和头孢克洛都没有，便自费到药店去购买。他妻子患糖尿病，最近两个月也都要乘车到丹阳市区的医院去拿药。

Danyang delay Chinese town xanadu village tan "building to the reporter also reflect:Since 2010, the new agriculture insurance outpatient expense ratio increased to 40%,The hospital drug suddenly a lot less,And the street but drugstore to increase our price by 10% or so."Because health center lack of medicine,Patients had to buy medicine to the nearby pharmacy,More money,Also cannot submit an expense account."On August 28th him to xanadu health hospital see a cold,The new health maytag and cefaclor all have no,Then at one's own expense to the drugstore to buy.His wife diabetes,The last two months and all that the bus to the danyang city hospital to medicine.

　　针对一些乡镇患者的反映，记者最近来到国家医改试点城市镇江的丹徒区及丹阳市，先后调查了这里5家乡镇、社区卫生院，发现这些基层卫生院普遍缺少基本常用药，今年以来尤为严重。

In view of some villages and towns of patients reflect,Reporters recently came to national reform pilot city of zhenjiang dantu district, and danyang,Successively investigated here five villages and towns/Community health center,Found these grassroots health center a lack of basic five,Since this year is particularly serious.

　　记者8月27日来到丹徒区宝堰中心卫生院。该院有主辅楼各两幢，显得颇具规模，可药房的药品架却空落落的。一位司药员坦陈，现在药房约有200种药品，缺少常用药100来种，像价格偏高的速效救心丸、消渴丸、脑心通、胰岛素、护肝片等，更是经常缺货。“像胰岛素，每月需要300支，可现在每月只进100支，自然供不应求。”

Reporters came to August 27, dantu district, treasure weir center health center.The hospital has advocate complementary floor each of two blocks,Appear with considerable scale,Can pharmacy drug frame is empty of.A pharmacist that member,Now there are about 200 pharmacy drugs,The lack of five to 100,As the price is on the high side of JiuXinWan quick results/Quench pill/NaoXinTong/insulin/Liver protecting tablet, etc,Is often out of stock."Like insulin,Monthly need 300 cigarettes,But now a month into 100 pieces,Natural demand exceeds supply."

　　记者随后又去丹徒区荣炳卫生院、丹阳市行宫卫生院、延陵卫生院了解相关情况。前两家的药品都比较少，只有延陵卫生院的药稍多一些。丹徒区上党卫生院医务人员对记者说，他们药房里有240多种药，但缺少脑心通、诺和灵胰岛素及小儿用药数十种，抗生素品种单一，可选择余地很小。

Reporter then went to Dan ACTS area RongBing health center/Danyang xanadu health center/Delay ling health center understand relevant situation.Former two drugs are less,Only delay ling the hospital medicine a little more.Dan ACTS area ShangDang health hospital medical staff told reporters,They pharmacy has more than 240 kinds of medicine,But the lack of NaoXinTong/And the spirit's insulin and pediatric medicine dozens of,Antibiotics single species,But very few choices.

　　我国公布的基层医疗机构使用的基本药物数量是307种，我省根据实际情况又增加了281种。因此，我省基层医疗机构的基本药品总数是588种。对照起来，这些乡镇社区卫生院的药品种数只有规定的一半左右。

China promulgated the primary care agencies use the essential drugs number is 307,According to the actual situation in our province and increased 281 species.therefore,Basic medical institutions in our province the basic drugs is the total number of 588.Control up,These villages and towns community health center drug species is only about half that of the provisions.

　　9月16日，记者再次向宝堰、上党两家卫生院医务人员了解。他们反映，本月初进了一批药，数量不多，“已用得差不多了，现在仍缺常用药数十种。”

September 16,,Reporters once again to treasure weir/ShangDang two health hospital medical staff know.They reflect,Earlier this month in a batch of medicine,Small number,"Already use about,Now is still lack of five dozens of."

　　采访中，不少基层医务人员向记者反映了他们的呼声与建议：改善医保资金管理，确保财政投入与补贴及时到位，避免乡镇社区卫生院缺钱进药。

interview,Many grassroots medical staff told reporters reflect their voice and Suggestions:To improve medical insurance fund management,Ensure that financial input and subsidies in place in time,Avoid township community health center lack of money into medicine.

　　丹徒区一位乡镇卫生院负责人向记者介绍，全区有10余家乡镇卫生院缺药严重。一个重要原因是，新农合医保资金使用出现亏空，财政资金投入不到位，基层卫生院因而缺钱购药。

Dantu district, a township health center chief introduces to the reporter,The entire district has more than 10 township health center lack of medicine serious.An important reason is,New farmers joint medical insurance fund use appear in the hole,Financial capital investment does not reach the designated position,Grassroots health center and lack of money buy medicine.

　　据了解，自前年起，丹徒的农村合作医疗保险资金就出现亏空，到现在已累计欠下一家主要供药公司2000多万元的药款。另外，上面要求各卫生院自今年1月兑现医务人员“绩效工资”，工资额平均要增加一倍。按规定其中60%应由财政负担，而许多基层卫生院一直没有得到财政拨款，只好把向患者收的医疗费先给医生发工资，导致没钱支付购药款。药品公司迫于资金压力，只好减少了对区内乡镇卫生院的药品供应。

It is understood,Since the year before last up,Dan ACTS of rural cooperative medical insurance funds will appear in the hole,To now already accumulated owe a major drug supply company more than 2000 yuan YaoKuan.In addition,It required the health center since January this year to medical personnel"Merit pay",The average wage of adding a times.According to regulations should be 60% by financial burden,And many grassroots health center has not been financial appropriation,Had to patients to receive medical treatment of the first to pay the doctor,Lead to have no money to pay YaoKuan purchase.Drug companies are under financial pressure,Had to reduce the township health center on the drug supply.

　　实行医改和全民医疗保险，目的是要解决老百姓看病难、看病贵的问题。不少群众呼吁，城乡应当“同医同药”。乡镇卫生院应该保障群众享有基本药品。在城市社区卫生院能够拿到的基本药品，在乡镇社区卫生院也应当能拿到。一些患者反映，镇江城区的社区卫生院已对糖尿病、心脏病、高血压等慢性病患者的用药实行登记制度，被登记人一次最多能取一个月的用药量。乡镇社区卫生院也应当实行这个办法，减少患者取药麻烦。

The medical reform and universal health insurance,Purpose is to solve the common people to see a doctor/The doctor your problem.Many people called for,Urban and rural shall"With medicine with medical".Township health center should guarantee the masses enjoy basic drugs.In the city community health center can get basic drugs,In the villages and towns community health center should also can get.Some patients reflect,Zhenjiang city community health center has to diabetes/Heart disease/High blood pressure in patients with chronic diseases such as medicine practice registration system,Registration is a most can take a month of patients.Township community health center should also implement the measures,Reduce patients medicine trouble.

　　不少群众反映，现在乡镇卫生院保留中草药房的已为数不多，如丹徒宝堰镇卫生院原来一直有中医门诊和中药房，很受当地群众称道，3年前一位老中医去世后，中药房就关门了。而中草药对慢性病和疑难杂症疗效较好，且副作用小、收费少，因此建议乡镇社区卫生院，应尽可能地恢复、保留中医门诊与中草药房，以减少部分患者的看病成本。

Many people reflect,Township health center now keep Chinese herbal medicine room has a few,Such as Dan ACTS treasure weir township health centers have been the original TCM clinic and TCM pharmacy,It is popular with local people commend,Three years ago an old traditional Chinese medicine after death,TCM pharmacy was closed.And Chinese herbal medicine of chronic disease and difficult-disease curative effect is good,And side effects of small/Charge less,We therefore suggest that township community health center,Should as far as possible to restore/Keep the doctor of traditional Chinese medicine clinic and Chinese herbal medicine room,In order to reduce the cost of patients to see a doctor.

　　据记者了解，医改后，基层卫生院出现的“缺药现象”具有一定的普遍性，应引起政府和医药主管部门的重视。不管原因如何复杂，基层卫生院都应把患者健康放在第一位，切实加强医院管理，确保有限的医保资金足额用到患者就医用药上。(记者 陈道龙 )

According to reporter understanding,After reform,,Grassroots health center appeared"Lack of medicine phenomenon"Have a certain universality,Should cause the government and medical departments attention.No matter how complex reasons,Grassroots health center should be divided the patients health in the first place,Strengthen hospital management,Ensure that limited medical insurance funds in full amount on the drug use was hospitalized.(Reporter ChenDaoLong )