政协委员现场曝医疗内幕：　不需输液输了，不该化疗化了 The political consultative conference (CPPCC) exposure medical inside:Do not need to infusion lost,Shouldn't chemotherapy changed

　　“一品双规”把价格高的药品招进医院，便宜药少了；有些住院病人不需要输液，现在都给输上了；便宜的救命药频频断货，医生也束手无策；国内几乎100%的肿瘤病人都要化疗，化疗到底该不该做？……在省政协十一届一次会议上，委员们道出了一些医疗行为中，不为患者所知的东西。

"A detained"The high price of drugs for the hospital,Cheap medicine less;Some hospital patients don't need transfusion,Now on the to lose;Cheap help medicine again and again break goods,Doctors are at a loss what to do;Domestic almost 100% of cancer patients to chemotherapy,What not to do chemotherapy?...In the first session of the 11th Chinese on,The members of the committee expressed some medical behavior,Not for patients know things.

　　[选择受限] [choose limited]

　　“一品双规”多招高价药 患者无从选择相对便宜药品 "A detained"Many patients have no choice for drug price is relatively cheap drugs

　　“国家‘一品双规’的本意是好的，是为了进一步规范用药，可是现在招进来的价格都是偏高的，医生用也得用不用也得用。”昨天，省政协委员、山东中医药大学第二附属医院副院长郑心说，“一品双规”把便宜的基本药物给“规”出去了，不利于患者选择，她建议“一品双规”挂靠基本药物制度，改成“三规”或者“四规”。“一品双规”是医药行业的一个术语，这一说法出自2007年5月1日起施行的《处方管理办法》。《处方管理办法》第十六条规定：医疗机构应当按照经药品监督管理部门批准并公布的药品通用名称购进药品。同一通用名称药品的品种，注射剂型和口服剂型各不得超过2种，处方组成类同的复方制剂1～2种。因特殊诊疗需要使用其他剂型和剂量规格药品的情况除外。“其实政府这么做是为了规范用药，但是‘双规’后，统一招标采购进来的药，其药价都有不同程度的提高。”郑心说，这主要是因为没有了药厂之间的竞争。“比如左氧氟沙星，我们只能进左克、可乐必妥，价位相对低的左氧氟沙星就进不来了。”“还有价格很便宜的基药，比如庆大霉素、丁胺卡那，医院为了保证医疗质量，‘一品双规’之后也不选用了，而选用价格高、抗菌效果好的潘诺，或者其他的硫酸阿米卡星类药物。”郑心说，现在呢，国家一方面让医院使用基本药物，一方面又“一品双规”，医院也不好办。她建议，把“一品双规”改成“三规”或者“四规”，同时挂靠基本药物制度。这样一方面药厂充分竞争，价格不会太高；另一方面医院也必须购进基本药物，便于患者根据自己的经济能力选择。

"countries‘A detained’Intentions were good,In order to further standardize medicine,But now recruit in price is high,The doctor will have to also don't have to."yesterday,The Chinese people's political consultative conference/The second affiliated hospital of shandong university of Chinese medicine, vice President of the heart zheng said,"A detained"The basic drugs to the cheap"gauge"out,Against patients to choose,She suggested that"A detained"The affiliated essential drugs system,into"Three gauge"or"Four gauge"."A detained"Pharmaceutical industry is one of the terms,This is the one that from 2007 on May 1, the[Prescription management method].[Prescription management method]The provisions of article 16:A medical institution shall according to the pharmaceutical supervisory and administrative departments approved and promulgated by the generic names of the pharmaceuticals purchase drugs.The same general name drug varieties,Injection dosage form and oral dosage form shall not exceed the two,Prescription composition similar compound preparation 1 ~ 2 kind of.Because of the special medical need to use other dosage forms and dosage of the drug specifications except."In fact the government to do so in order to regulate the drug is,but‘detained’after,Unified purchase in medicine,The prices have different degrees of improvement."Zheng said heart,This is mainly because no competition between pharmaceutical companies."Such as levofloxacin,We can only into the left g/Coke will be completed,The price is relatively low levofloxacin into not coming.""And the price is very cheap base medicine,Such as gentamicin/Butylamine card that,The hospital in order to ensure the quality of medical treatment,‘A detained’Then don't choose the,And choose the high price/PanNuo good antibacterial effect,Or other sulfuric acid amikacin drugs."Zheng said heart,now,Countries, on the one hand, let the hospital use basic drugs,On the one hand and"A detained",The hospital is bad to do.She suggested that,the"A detained"into"Three gauge"or"Four gauge",At the same time the affiliated essential drugs system.On the one hand, pharmaceutical factory fully competition,Price will not be too high;On the other hand, the hospital must also purchase essential drugs,Facilitate patients according to their economic ability to select.

　[过度医疗] [excessive medical]

　　有些住院病人不需要输液 现在都给输上了 Some hospital patients don't need infusion now to lose the

　　“现在的住院病人没有不输液的，其实有一些没必要输液。”昨天，省政协委员、山东中医药大学第二附属医院副院长郑心告诉记者，这可能与医保政策设置不合理有关系。

"Now the hospital patients without the infusion,There are some don't need to infusion."yesterday,The Chinese people's political consultative conference/The second affiliated hospital of shandong university of Chinese medicine, vice President of the heart zheng told reporters,This may and medical insurance policy setting is not reasonable have relations.

　　她告诉记者，像腰椎间盘突出、裂纹骨折等疾病根本就不需要输液治疗。“但是进了医院，患者必须输液才能享受医保报销，所以为了报销，只能输液。”

She told reporters,Like the lumbar intervertebral disc herniation/Crack fracture and other diseases don't need transfusion treatment."But in the hospital,The patient must infusion can enjoy medical insurance reimbursement,So in order to submit an expense account,Only infusion."

　　为了节省医保基金，她建议，首先从医保政策的设置上，更合理一些。同时，卫生主管部门应该限定：哪些病种不该输液，把这些排除在外，也能减轻患者的负担。

In order to save the medical insurance fund,She suggested that,From the first set of medical insurance policy,More reasonable some.At the same time,The competent department of health should be limited:What disease shouldn't infusion,Put these out,Also can reduce the burden of the patients.

　　国内肿瘤病人都要化疗 到底该不该做？

Domestic tumor patients to chemotherapy what not to do?

　　“我们在座的委员有从事肿瘤治疗的，我想问一问，我目前接触的肿瘤病人100%都做化疗，这个化疗到底该不该做？不做，他还有多长时间；做了，他的生存时间又能够提高多少？”省政协委员、青岛市立医院东院保健一科主任纪霞问。

"We all members to be engaged in tumor treatment,I want to ask,I am currently contact tumor patient 100% do chemotherapy,The chemotherapy on how not to do?Don't do,He has long time;made,His survival time and how much to improve?"The Chinese people's political consultative conference/Qingdao municipal hospital eastern hospital care a section head JiXia asked.

　　她的询问现场没有回音。纪霞表示，她的一个朋友患了胆管癌，在澳大利亚做了手术，医生没有给他进行化疗，不推荐。“他活了2年半。”

She asked the no response.JiXia said,One of her friends had bile duct carcinoma,In Australia to do the surgery,The doctor did not give him the chemotherapy,Do not recommend."He lives two and a half years."

　　声音摘录 Voice extract

　　“国家 ‘一品双规’　的本意是好的，是为了进一步规范用药，可是现在招进来的价格都是偏高的，医生用也得用不用也得用。”

"countries ‘A detained’Intentions were good,In order to further standardize medicine,But now recruit in price is high,The doctor will have to also don't have to."

　　“进了医院，患者必须输液才能享受医保报销，所以为了报销，只能输液。”

"Into the hospital,The patient must infusion can enjoy medical insurance reimbursement,So in order to submit an expense account,Only infusion."

　　——省政协委员、山东中医药大学第二附属医院副院长郑心

- the Chinese people's political consultative conference/The second affiliated hospital of shandong university of TCM zheng, vice President of the heart

　　“我目前接触的肿瘤病人100%都做化疗，这个化疗到底该不该做？不做，他还有多长时间；做了，他的生存时间又能够提高多少？”——省政协委员、青岛市立医院东院保健一科主任纪霞

"I am currently contact tumor patient 100% do chemotherapy,The chemotherapy on how not to do?Don't do,He has long time;made,His survival time and how much to improve?"- the Chinese people's political consultative conference/Qingdao municipal hospital eastern hospital care a section head JiXia

　　“一些救命药都太便宜了！生产企业可能觉得挣不着，就限量生产了。但没有这些药，简直太要命了。”

"Some help medicine too cheap!Production enterprise may feel not earn,The production is limited.But without the drug,It is the life."

　　——省政协委员、省交通医院大内科主任兼心内科主任王石真

- the Chinese people's political consultative conference/Provincial traffic hospital big head of the medical department and director of the heart WangShiZhen

　　[药品断货] [drug goods-stopping]

　　基本急救药频频断货 价格太低，厂家不愿供应 This basic frequently break goods price is too low,Manufacturer is not willing to supply

　　“咱们现在用于急救的一些药品也老是断货，你说咋办？”近日，省政协委员、省交通医院大内科主任兼心内科主任王石真告诉记者，她建议，对于这些用于急救的小药、基药，应建立国家储备制度。

"Let's now used in some of the emergency medicine also always break goods,You said what are we supposed to?"recently,The Chinese people's political consultative conference/Provincial traffic hospital big head of the medical department and director of the heart WangShiZhen told reporters,She suggested that,For first aid for these small medicine/Base medicine,Shall establish national reserve system.

　　她表示，前年曾造成社会轰动效应的鱼精蛋白事件，因为媒体的关注在短期内供应有所好转。“如今这种药的供应，仍不正常。”鱼精蛋白造成的危机还没有从患者心头消失。去年，抢救心衰用的特效药“西地兰”断货了。“这个药是必备的，我们科里用完一支，才能从药房再领一支。有一天用完了，再去领，药房说‘断货了’。这个药也能断货？！这是救命的啊！去外面买，不好买。后来好不容易找到一家医药公司有货，他提出条件，必须贵药和便宜药搭配进货，才能给供应。好歹进了1000支。”在来开会之前，她问药房，这个药的供应怎么样了？药房工作人员答复：仍然紧张。“不仅西地兰，从去年起，用于抢救心脏骤停的药异丙肾上腺素也断货了。”她说，这种急救药断货的情形并没有因为时间的推移而有所缓解，“今年，抢救休克和危重病人用的去甲肾上腺素也断货了，用于治疗特别室性心动过速的唯一药品：维拉帕米也断货了……这种病，我们一年可能也碰不到几例，但来一个就很难办，我们也是急得哇哇的！”“怎么办？只能兄弟医院之间调节。今天我们没有这个药，找别的医院借一支，我们有了，他们也来向我们借……”她说，不仅交通医院，省立医院、省千佛山医院、山东中医药大学第二附属医院，都是这种情况。

She said,The year before last year had caused the social sensation effect of protamine event,Because the media attention in the short term supply better."Now the drug supply,Still not normal."Protamine caused by the crisis had disappeared from a patient's heart.Last year,Rescue heart failure with specific"West the ground orchid"Broke goods."This medicine is necessary,We use up a testing,From the drugstore can bring a again.One day out,To bring,Pharmacy said‘Broke goods’.This medicine can also break goods?!This is help ah!To go out to buy,Bad buy.Later, very not easy to find a pharmaceutical company stock,He proposed a condition,Must your medicine and cheap medicine collocation purchase,To supply.Somehow into 1000 pieces."Before the come to the meeting,She asked the pharmacy,The drug supply?Pharmacy staff reply:Still nervous."Not only west to blue,Since last year,Used for rescue cardiac arrest medicine isoproterenol also broke goods."She said,The broken goods this situation is not because the passage of time and to ease,"This year,Rescue shock and critically ill patients with norepinephrine also broke goods,Used in the treatment of special ventricular tachycardia only drug:Verapamil also broke goods...The disease,We a year may also touch less than a few cases,But to a very difficult,We are urgent of his!""do?Only brother between hospital regulation.Today we don't have the medicine,Looking for other hospital borrow a,We have,They have to borrow..."She said,Traffic hospital not only,Provincial hospital/Above provincial hospital/The second affiliated hospital of shandong university of Chinese medicine,Is this kind of situation.

　　救命药为什么频频断货？她说，这和它们价格有关。这些药都是静脉推注药物，西地兰一支4.14元，去甲肾上腺素2毫克6元，异丙肾上腺素1毫克3.45元，维拉帕米5毫克0.87元。“这些药都太便宜了！生产企业可能觉得挣不着，就限量生产了。但没有这些药，简直太要命了。”（记者　杨芳）

Help medicine why again and again break goods?She said,This and they are related.The medicine is intravenous push note drugs,West to free a 4.14 yuan,Norepinephrine 2 mg 6 yuan,Isoproterenol 1 mg 3.45 yuan,Verapamil 5 mg 0.87 yuan."The medicine is too cheap!Production enterprise may feel not earn,The production is limited.But without the drug,It is the life."(Reporter YangFang)