The Basic Drug System Reform Of Township Issues And Countermeasures

China is a populous country, half of the population in rural areas, health problemsrelated to rural residents improve overall levels of health services, related to thewell-being of millions of households. Meet the growing health care needs of ruralresidents, to achieve universal access to basic health services is an important measure tosafeguard social fairness and justice, improve the quality of life of urban and ruralresidents, is currently a major task in the development of health insurance.In recent years, in order to improve the health status of rural China, ourgovernments at all levels increasing financial support on health care and public healthspending, while further deepening medical and health system, suppressing"supplier-induced over-consumption," blow "to drugs support medical "phenomenon, inAugust2009the State Council issued the" opinions on the establishment of nationalessential drug system." Opinion provides regional implementation of the basic drugsystem, the government-run primary health care institutions will implement thepurchase price of drugs "zero profit" sales, canceled15%of hospital drugs increaserevenue from government subsidies. These institutional arrangements to some extent,improve the health status of rural backwardness, alleviate rural residents "difficult andexpensive" problem.The rural health care system is designed to meet the health care needs of ruralresidents, but the system in the process of implementation gaps have emerged andsatisfaction of the needs of rural residents narrowed, but unsustainable system supplyembarrassment. M County in Heilongjiang Province as an example, from December30,2010, M counties under the jurisdiction of eight township hospitals and all with the useof national essential drugs and supplements of426kinds of varieties, theimplementation of online centralized procurement, unified distribution, homodyne rate of sales. Situation from the perspective of the basic drug system, imperfect system ledfarmers to see a doctor "by the public" and dysfunctional primary health centers, ruralhealth network unsustainable. On the one hand the grassroots medical institutionsgenerally reflect the national essential drug list of drugs is not enough, the impact ofbasic health services, On the other hand, the selection of essential drugs, zero sales slip,informal rules, financial assistance jointly decided economic situation grassrootsmedical institutions. The result is that patients in rural township health institutions arenot ideal pharmaceutical services turned to a higher level of medical services,"difficultand expensive" is still a major problem faced by rural residents.The reason: one of the focal issues, the first is a lack of effective interface betweenthe system and the system matches. If you do not follow a systematic, holisticrequirements of the rural health care system out of the chains involved to solve theproblem, system effectiveness will be greatly reduced. Undoubtedly, how to increaserural health reform, while reform efforts to improve efficiency, so that the institutionalarrangements designed to achieve the desired objectives, the needs of rural residentsstill need to be based on the perspective of the rural health system supply issuesin-depth Analysis. The second is the social health insurance does not create newincentives to support medical medicine after the cancellation; The third is social healthinsurance for key pharmaceuticals lack of management.In summary, this study attempts by county, township, Heilongjiang Province Mbasic drug system reform status of the investigation and analysis, targetedrecommendations and measures to effectively promote the basic drug system reformfrom pilot to full coverage, solve the "three farmers’ problems provides a basic basis forvarious medical and health services in rural county areas of reform and developmentprocesses have some reference and practical significance.