Release date: 2017-06-14
Nearly 80% of community hospitals in Shanghai have promoted “extended prescriptionsâ€. Groups of people with chronic diseases over 60 years old can take medicines at home.
Wang Shixiang, 75, lives in the Longbai area of ​​Minhang, Shanghai. Previously, because of the lack of medicines in community hospitals, she needed to register and dispense medicines to and from major hospitals all the year round. Since the signing of the "1+1+1" combination medical institution, Wang Shixiang has enjoyed the extension of the prescription, and now the medicine of the big hospital can be directly sent to the community hospital, which makes the elderly happy.
Extended prescriptions are the medication requirements for different medical conditions. For contracted residents who are referred to a higher-level medical institution by a family doctor, if they need to continue the long-term medication of the higher-level medical institution to maintain the treatment, when returning to the contracted family doctor, the family According to the prescriptions of the higher-level hospitals, doctors use prescription drugs (excluding narcotic drugs and psychotropic drugs) in higher-level hospitals according to the patient's condition.
On June 13th, the 澎湃 journalist learned from the centralized interview meeting of the medical reform organized by the Shanghai Municipal Health and Family Planning Commission that the extended prescription mainly serves the elderly patients over 60 years old and needs to be signed by the family doctor and “1+1+1â€. A combination of medical institutions signing residents. At present, “Extended Prescription†has been promoted in 191 community health service centers, accounting for nearly 80% of all community hospitals in Shanghai, and is expected to cover all community health service centers in the city.
The feeling of Wang Shixiang's old man is not a special case.
The 72-year-old Zhang Zhongqing lives in Longbailiu Village, Minhang District. He suffers from high blood pressure, diabetes, hyperlipidemia, and lower extremity thrombosis. "It is really tossing when I see a doctor for a while. I am taking antihypertensive drugs in the community and going to the big hospital with other medicines. Almost every day in the hospital, going to Renjiang Hospital in Pujiang Town, it will take two hours to go back and forth. "Now, these kinds of medicine communities that are often eaten can be allocated, and every 3 months go to the big hospital for review. Just fine, "Now I walked for 5 minutes at the doorstep and I was sick for half an hour."
澎湃News reporters learned from the meeting that residents who meet the extended prescription service group can apply for extension prescriptions to the family doctors' offices in the community health service center. The family doctor visits the patient's tertiary hospital visit record, places an extended prescription, and enters the client of the extended prescription platform. The client uploads the data directly to Shanghai Pharmaceutical Holdings and Sinopharm, and the distribution company directly delivers it to the community health service site or the patient's home.
According to official statistics, the current time from community doctors to drug delivery has been reduced from an average of 2.3 natural days in November 2016 to an average of 1.4 natural days in May 2017.
According to the Shanghai Municipal Health and Family Planning Commission, there are 517 kinds of prescriptions for extended prescriptions, which are still expanding, mainly covering mainstream drugs such as hypertension, diabetes, Parkinson's, osteoporosis, and cerebral infarction. Extending the prescription service, the number of visas for contracted residents has dropped from 10 to 7 times in the previous year."
According to the Shanghai Municipal Health Planning Commission, at present, among the two suppliers selected by the Shanghai Community Health Service Comprehensive Reform Extension Project, Shanghai Pharmaceutical Holdings accounts for 80%.
“All drugs do not require a delivery fee, which can save patients money for transportation, and can reduce the number of prescriptions for drug delivery to large hospitals.†According to the person in charge of Shanghai Pharmaceutical Holdings, as of May 2017, the total share of Shanghai Pharmaceutical Holdings has been free. The nearly 300,000-party contracted patients of 128 community health service centers completed drug distribution services, and distributed more than 1 million boxes of drugs, covering the entire area.
Source: 澎湃News
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