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almost every child growing up in rural areas have experienced.

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發表於 2015-2-15 15:55:50 | 只看該作者 回帖獎勵 |倒序瀏覽 |閱讀模式
Doctors in children under 2 years out of four cents prescription, sparked heated debate
This reporter multiple visits, restore the circumstances surrounding the incident, many questions to answer users
Reporter LI Xiao-min
Read tips Zhengzhou a two year old child in the evening rash, parents ran a number of pharmacies have closed its doors, the last in a hospital, the doctor asked a woman out of the situation, opened the four chlorpheniramine, drug prices : 4 cents! February 7, when the @ yo break on the microblogging drying out this prescription, quickly blew the network. Matter how it was? How to pay 4 cents? So scarce low drug prices on behalf of the industry's conscience or otherwise, he said? ...... Around 4 cents raised many questions, Dahe reporters multiple visits,peuterey outlet, restore the circumstances surrounding the incident.
[Event]
"4 cents" caused shock waves
At 13:17 on February 7, a break called @ yo friends in such a Sina Weibo posted: Yesterday 21:00 and more, 2 year old child rash, such as skin irritation. Ran several pharmacies were closed, a little far to walk to the three provincial hospital. In the children's ward, a female doctor and ask the case to open a four chlorpheniramine. When the designated price, this thought was several dollars, the result is: 4 cents! I gave a hair, do not find. This prescription may not mean anything, but it does make me feel memorable. Dr. Xie Xie!
8 minutes later, the users of the microblogging also be refurbished, and said:. "Within half an hour the children taking medication rash on the back, seeking praise ah"
Pay bills with microblogging made into a picture. 13:50 the same day, after the Dahe official microblogging microblogging forward, prompting many users attention. Subsequently, @ People's Daily, Nanfang Daily @ @ Morning News and other media, many inside and outside the province have forwarded official blog.
For a time, "4 cents prescription" on the microblogging off Splash.
[Hot]
Much less in favor of the question
4 cents a prescription, sudden fire. Some netizens questioned: if only open cheap medicine doctor is conscientious doctors, more users from a professional point of view considers that a two year old child, chlorpheniramine does not apply, but more voices are praised: so The doctor too rare! Many netizens praised the good doctor, while also calling on the community so the doctor can be more.
This micro-blog also brought back memories of many users -
@ Duo Gouzi: a half years old when my kids got herpes virus. A Qingdao Jiaozhou City Hospital seemingly benevolent female doctor to open a 190 dollar drug. Later I learned that the herpes virus is a self-healing of oral diseases, without medication, like a few days. This thing makes me deep emotion.
@ A Sham: This doctor admired, I have encountered a few cents of prescription, of course, is full of respect for doctors.
Little fish @ 0312: There are times to go to a hospital stomach pains, the doctor gave me medicine 1.2 yuan, go back to eating enough.
Excerpts images from friends microblogging
[Doubt]
"4 cents," the three big questions
Bloggers are not the hospital's nursery?
In the doctor's behavior when praised, but also questioned friends: this microblogging bloggers is not the hospital's nursery? Or, will the hospital himself in his own hype?
Reporters contacted @ yo break. Listen to this question, he laughed, "The only relationship I have with this is that before the hospital,doudoune moncler pas cher, the child has been in the hospital Dafangyizhen, but in the meantime, I do not have a hospital can scream on the name of the person. that gave me the name of Qin medicine doctor prescription I also read to know, in the middle of that word also recognized for a long time. "
During the interview, the reporter learned that yo @ surnamed Lu Chuang, who lives in Longhai Road, Zhengzhou City, a district near the intersection of Huashan Road. Since two years ago, have children, he began with pediatric hospitals, doctors and some contact.
The contact was at 21:00 on February 6 and more, when the family had just finished dinner, two year old daughter began to flex the leg seven months,peuterey spaccio, Lo and wife found the child back, several parts of the legs and other skin flushed out a lot of rash. Because the rash got up quickly, the couple considered skin allergies.
That night, the sky is snowflakes Zhengzhou, slippery snow deep. However, because of fear of leaving children Popi scratch scars, Lo decided to go to the pharmacy to buy medicine.
Unfortunately, during the Spring Festival holiday, with snow in the evening, Zhengzhou City,hogan milano, many pharmacies have closed, after three pharmacies no avail, Mr. Lu arrived a little farther walk straight Third People's Hospital of Henan Province. In the children's wards, he met a female doctor on duty, after a careful diagnosis, the doctor gave the child opened four chlorpheniramine.
"The thinking was several dollars, the result is 4 cents! This prescription may not mean anything, but it does make me feel memorable." In Lo impression that children with a fever, go to a hospital, had at least one hundred yuan. So when he got the 4 cents of prescription very sigh. Home, the child is less than half an hour after eating sick enough medicine, which made him full of gratitude for the doctor, "This experience makes me very warm, doctors have a very warm feeling."
Lo admitted that a voluntary act purely their own personal micro-blog, without any outside intervention.
4 cents was how to pay?
Children cold easily spend a hundred dollars or a few hundred dollars, which is the heart of many parents headaches. Around 4 cents, many users curious --4 cents now who ah? Then why pay? Find the money yet?
"I paid a dime, did not allow to find six cents." Lo said, when the time payments, a staff member on duty, said: "? 4 cents, or a hair of it."
Later, recalled the little details, Lo also could not help but laugh, "she wants to 4 cents, I could not find Come."
On Lo microblogging,http://moriokacomet.com, the reporter found that Mr. Lu also specifically attached three pictures.
A handwritten prescriptions,http://www.teamstudio.com, above the signature is displayed at the doctor surnamed Qin; one is the electronic printing bills; the other one is the package of four pills a brown paper pouch, on a single charge, clearly reads: nil wantonly zero points.
Why drug also scattered with open?
Drug prices so cheap,http://www.pixian.sc.cn/home.php?mod=spacecp&ac=blog&blogid=, one main reason is rarely prescribed medicine.
Lo said that when the doctor prescribed some medicine for his children only four chlorpheniramine, a bag filled with a calf.
"Now go to the hospital, the doctor opened the boxes of bottles are almost never met repackaging." Netizen "bean" says seeing "four cents prescription" microblogging, her first reaction is to think of the childhood "small parcel medicine."
"Bean" is a "80", her childhood growing up in the countryside, a mention of medical experience as a child, he gushed, "Every time I get sick, to the village clinic, doctors are generally open seven drug package sick Well, drugs are finished. "
And this experience, almost every child growing up in rural areas have experienced.
"This is a small parcel drugs still exist in rural areas of our province,woolrich giubbotti, but the city's medical institutions, rarely met." Turning to the small parcel drug market is gradually fading out the reasons former president of the General Hospital of Zhengzhou Jinshui Zhou Guoping it comes down to two things -
First, after the people's living standards improve, seek care, and legal awareness also enhanced. What are the side effects of drugs likely to occur? What kind of people do not fit to eat? Will there be expired drugs wrapped in medicine? Etc., when more and more people have begun to understand this desire, wrap the drug market is shrinking, because the small parcel drug no explanation, only to listen to the doctor accountable. Secondly, in terms of the hospital, but also to make more money and sell drugs into the box, but also to avoid the risk, why not?
In Zhou Guoping view, these two factors to stimulate each other,http://zazna.com/selection/index.php?item/create_form/1, and ultimately led to the growing popularity of boxed drugs, small parcel drug gradually disappear.
[Interview]
The parties
Open cheaper drugs are common, "I personally feel nothing."
Chlorpheniramine unfit for users questioned a child, said the doctor did not agree
As "4 cents prescription," the party,http://www.dgco.jp/furima/b-parts25/bbs.cgi, the doctor will be how to respond to this? Reporters learned that the doctor told Qinrui Juan, she admits never thought that one day he would become a news client.
Yesterday, talk about the matter, she still felt a little weird, "I personally feel nothing, many doctors do, many of my colleagues around me are like this."
said, although from the price, 4 cents prescription indeed she opened a prescription cheapest, but she believes that such a low price is just one example, "the circumstances of each patient is different, so open the medicine will often not the same, there are a few cents cheaper, you also have tens of dollars. "
In Qinrui Juan seems suitable for the patient's medicine is the best medicine. She said he with a patient can not take medicine injections, injections can not infusion, 'to our doctor were mostly low-income people, every doctor, I think that as far as possible so that we spend the least money to cure. "
For users questioned chlorpheniramine side effects, suitable for a child to eat, said Qinrui Juan does not agree, "the drug chlorpheniramine, newborn and preterm children can not be used, and the driver and other special groups can not use high-altitude operations, But for the two year old child, this is a can with small quantity, the child will soon be metabolized. "
The medical profession that: conscience, science is right prescription drug popular in the arena crowd appeal packet again
On the network, "4 cents prescription" fire! Within a few days, this is the people concerned microblogging hot.
Why such a small 4 cents prescription can trigger hot? Why do doctors prefer to prescription? Small parcel drug also came back to it? ...... After examining the micro-Bo, the reporter found that a small microblogging torture is not only a doctor, "ethics", is China's medical reform in various ills facing.
Reporters through multiple visits and surveys in order from the medical point of view on the matter for further interpretation.
Why 4 cents prescription cited concern?
Someone said, "because rare, so precious."
Survey
Frequent prescription cheap
Every triggered national attention
In fact, the data query, the reporter found that this is similar to "4 cents prescription" small prescription, there have appeared all over the country.
For example, Taizhou City People's Hospital Ge Yongxiang 8 cents a prescription, a hospital 20 cents a minute prescription Jiangsu Nantong City doctor Qin 9 cents ...... prescription prescription when such occurs, will be sought after by all the users, and quickly became a period core heat proposed.
Why is similar to the "four cents prescription" such a small prescription, can quickly become a hot spot appeared?
"Scarce chant!" Mr. 38-year-old cow was born in economics, he believes that "four cents prescription" The reason why many people can be concerned, "because rare, so precious."
In Associate Professor of Journalism and Communication, Zhengzhou University Shuhua seems that this phenomenon is also in line with the law of Communication Studies.
In Zhang's view, "small prescription" was originally a normal phenomenon, but the current "big prescription" is gaining popularity, but has become a small prescription "not normal", which will easily fueled concern.
"Some of the things that deviate from the normal track, not normal, people will go to interest, to stir." Zhang believes that behind this, in fact, is one of many users of the current hospital prescription, abuse and other medical examination Guaixiang a dissatisfaction.
Statement
Open cheaper medicine is a good doctor?
In a lot of attention of netizens, the medical profession is not a small group.
@ Burns Superman Bao is one of them.
@ Burns Superman Bao microblogging certification status for Beijing Jishuitan Hospital burn unit physician, see the "4 cents prescription", he on his micro-blog wrote: For a 2-year-old young children, Select chlorpheniramine no error of principle, but not worth the high-profile advocate. Because the doctor can not choose a higher price but more second and third generation of safe and effective drugs, that it is the doctor's medical ethics problems. Prescription cheap or not, it really was not a reliable standard of good and bad doctors evaluated.
Then he flashed his view: "Open cheaper medicine is a good doctor? - Speaking from 4 cents a prescription. "
Soon, this microblogging reprinted shell network, but also quickly lead to thousands of users comments.
Deputy Director of the Department of Cardiology, Peking University First Hospital, Dr Liu Zhaoping in reprint the comment later, to comment: "should not open the medicine, a penny more than the prescribed medicine 100 yuan is not much (that 4 cents medicine certainly the open, just to illustrate the price is reasonable and the drug does not necessarily apply.) In the clinic, select the lifestyle intervention for many low-risk patients, penny prescription not open. "
User @ A proposition is that: "On cheap drugs are not necessarily a good doctor, but the doctor is not a bad start cheap drugs, so I tend to believe that doctors are willing to give you cheap drugs, mostly good doctor."
For this problem, "4 cents prescription," the parties to the doctor, three provincial pediatric hospital physician Qinrui Juan is very lightly, "on cheap medicine is not necessarily a good doctor, then open your medicine is a good doctor?"
In Qinrui Juan seems suitable for the patient's medicine is the best medicine, worthy of their own conscience doctor is a good doctor.
Management
There is no way to take control of the "big prescription"?
Go to the hospital, people fear a difficult registration, two doctors irrational fear of medication. Annual drug prices drop, but medical care costs rise year after year,http://www.122job.com/thread-1360591-1-1.html, and why? Where individual doctors' irrational drug use, "also known as" prescription "is a big factor.
"Doctor of medicine and more, commission, and this is one we all know the secret." A three hospital doctors said.
So, for the people criticized this "prescription" Is the provincial health department to sit idly by?
"The doctor prescribed three times a prescription will be warned." Provincial Health Department official said that in order to control prescription,http://www.prco.jp/~shake/apeboard/apeboard_plus.cgi?command=viewres&target=166368/, the provincial health department regulations, more than two (including two) Hospital Pharmacy Administration Committee to establish a sound organization, which the pharmacy, medical, testing, discipline and other departments experts, medical personnel responsibilities are carried out regularly organize training and knowledge of rational drug education and drug resistance against common pathogens hospital proposed clinical regulatory regimen.
Provincial Health Department requires hospitals to establish a dynamic monitoring and early warning mechanisms rational use of antimicrobial agents prior to use of drugs and the amount of 10 before 10 physicians, published once a month; for three consecutive months into the drug being monitored or drug use abnormalities found during drug use by the hospital pharmacy administration of medication taken by the Commission to limit or suspend therapy according to the situation.
If your doctor prescribed more than 3 times appear extraordinary and unwarranted, medical institutions which will be warned to limit their right to prescribe; after prescribing restrictions, if the doctor is still more extraordinary prescription appear twice in a row and unjustified, then his prescription rights will be canceled.
The hospitals
Open a small prescription prizes
In addition, the reporter informed, as early as in 2010, Shandong Laiwu City Levin cattle Springs Center Hospital began to implement a provision that is outside the "small prescription" to reward doctors. Hospitals implement prescription value of 60 yuan a sub-file incentives, including $ 20 bonuses to 6 yuan, 20-40 yuan reward 4 yuan, 40-60 yuan reward two yuan, while more than 60 yuan of the points Man does not award.
Sanshiliuji Health Department
Interview
Small parcel popular quack medicine can do?
See "four cents prescription", some users said the most memorable is the "small parcel medicine."
"Cheap and not waste things, why can not more to implement it in the hospital?" 32-year-old Miss Choi said after each child is sick, her family would leave a lot of drugs, of which, there are a lot of drugs and before When the re-play a role, had already entered the ranks of expired drugs.
Packet of drugs can reduce the implementation of expired drugs
Zhou Guoping is Jinshui former president of the General Hospital,http://1973523.info/cgi/warp/apeboard_plus.cgi/, for this suggestion of friends, he agreed, "If we can implement open, the most obvious advantage is that you can reduce the amount of expired drugs."
However, the feasibility, Zhou Guoping said not very optimistic.
"The main thing is the lack of trust." Zhou Guoping said that a few decades ago, a small parcel prevalent drugs, partly because of economic factors, in addition to a trust because there is a good relationship, "Any adverse drug reactions have occurred possibility, if a patient to eat small parcel adverse drug reactions occurred, it is easy to put the blame on the patient to the doctor's body. "
In Zhou Guoping view, in order to avoid risks, fewer and fewer doctors to open a small parcel drugs.
In addition, he also believes that the small parcel drugs appear to be genuine, but also requires a doctor to have a sense of responsibility, otherwise, some expired drugs are also really easy to mix medicine team.
Visit, the reporter found that, at present, a number of hospitals in the province, some drugs can be purchased piecemeal, most of these drugs are some of the anti-arrhythmic drugs, painkillers, drugs and other treatment of mental disorders, their common feature is the can not take large doses.
Pharmacies: If retail drug, brochures enough points
Pharmacies situation? In accordance with the relevant provisions of the State Food and Drug Administration, retail pharmacies and hospitals can be drug unbundling.
However, after numerous visits to the pharmacy, the reporter found that in addition to some of the small urban village pharmacy, but also buy the scattered drugs, the vast majority of Zhengzhou city pharmacies reluctant to open drug sales.
"Drug Once open, it is difficult to ensure that each customer a package insert, there is no formal specification, only account Dosage, there may be a problem." A pharmacy staff said the general drug production and expiry dates are in the kit , if the open a long time, it may confuse the production date, the customer is likely to buy expired drugs, doing so is not responsible for the consumer.
(Original title: "4 cents" off Splash)
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