Research On The Present Situation And Countermeasure Of The Separated Management Between Medicine And Pharmacy In China

At present,there are some issues on the compensation mechanism in the public hospitals.For instant, lack of the government subsidy, collecting money depends on drug and unreasonable price. These issues restrict the development of health care systerm, influence the health care delivery and the cost control of medical treatment, and form the situation of"compensation of medical service loss by the profit from the sale of drugs"and aslo cause by a series of problems, such as, it is costly to see the doctor. For solving the current problems,"A separate management model between medical services and hospital pharmacies"has been carried out by the local governments, and it has aroused keen concern of the society. Based on the international experiences and the practices, the definition of"separeted management between medicine and pharmacy"is presented in the beginning of this paper, it has broad and narrow meanings. In a broad sense, it means reducding or even abolishing the hospital's dependence on drugs income; in a narrow sense, it means pharmacies will completely separate from the hospital. In this paper, the necessity of"separeted management between medicine and pharmacy"is demonstrated by using the Theory of Justice, Institutional Change Theory and Market Failure, Government Failure Theory, and the path of"separeted management between medicine and pharmacy"is also discussed by using the Theory of Privatization. Followingly,this paper takes the city of Nanjing,Wuhan,Changshu as an example, analysing the present situation and finding the problems, such as, the lack of laws and policies, the imperfect compensation mechanism of medical institutions, drug quality and supply problems and regulatory issues. Finally, the paper uses the related theories to give some feasible countermeasures and suggestions in order to solve the problems which were found in case sudy. And the paper also constructively puts forward the institutional environment of the implementation of"separeted management between medicine and pharmacy"and the path to achieve"separeted management between medicine and pharmacy".