Refromation Of "Zero Makeup" Drugs In Public Hospitals

Nowadays, contradictions and disputes between doctors and patients have become increasingly acute. The long-standing policy of "compensation system for the medical cost through drug-selling profits", which keeps the public hospitals running, is gradually considered as one of the biggest problems in the present health care system. In response to this phenomenon, the country launches a new round of reformation on medical and health system. The government introduces a series of new policies and measures in order to solve the problem of "expensive medical bills and difficult access to quality medical services" and achieve the goal of benefiting the people, developing hospitals and gaining the people’s support for the government".It is required that the reformation should be gradually made or the drug addition policy should be abolished by expanding the ideal differences, putting forward pharmaceutical services fees,and some other solutions. Additionally, other measures, such as taking appropriate price adjustments for medical services, increasing investment from government as well as introducing other payments, can also be applied to improve the payment compensation system in public hospitals. Therefore, it is very necessary to examine the status of reformation of "zero makeup" drugs in public hospitals pilot areas, as well as to analyze its cause and propose solutions to this status.In this study, Yueqing of Zhejiang province, which is one of the public hospital reformation pilot national counties (cities), was chosen as the research object. We have made a further research on the implementation of "zero makeup" drugs in local municipal public hospitals. This study will give a certain reference to the implementation of other medical reformation policies. This paper is divided into five parts.The first part is the introduction which involves the definitions for the relative concepts, research background, purposes, research methods and the status domestic as well as aboard.In the second part, we made an overview of Yueqing and the procedure of implementing the drugs policy of "zero makeup". In this part, we focused on the interpretation of this policy and related supporting measures in public hospitals in Yueqing.In the third part, largely based on the data collected, the overall study of the implementation of "zero makeup" drugs in municipal public hospitals in Yueqing is conducted by qualitative and quantitative analysis, theoretical and experimental research as well as the combination of written description graphic illustration. Besides, the implementation of the policy is further analyzed in depth by comparing the relative data from public hospitals as well as the revenue and expenditure of the health insurance and the Department of Finance before and after this policy.Fourth, based on the analyses in the third part, some problems and defects revealed in the implementation will be pointed out and the causes of them will also be analyzed. For example, the pharmaceutical rebates cannot be inhibited efficiently. Additionally, the patients still do not find the decrease of drug prices and the drug price is still artificially high at the moment.In the fifth part, we proposed different solutions to solve the problems of the pharmaceutical rebates and artificially high drug prices, namely the ways to enhance the public nature of public hospitals,strengthening the reformation of payment system in health care, consolidating the implementing of the basic drugs system and establishing a reasonable bidding mechanism. These solutions may not cover all the matters but they are well to the point.