事关你、我，请仔细看！有些药医院为么不给你开？
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">有<span style="color: black;">无</span>一种感觉，医院有时很难有<span style="color: black;">哪些</span>极普通，又<span style="color: black;">平常</span><span style="color: black;">必须</span>的药。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">我记得有两次，我在医院做治疗，<span style="color: black;">由于</span>受化疗<span style="color: black;">药品</span>的影响，抵抗力非常低，稍微天气一变化，我就容易感冒。给<span style="color: black;">大夫</span>说了后，<span style="color: black;">大夫</span><span style="color: black;">按照</span>我的症状，<span style="color: black;">意见</span>我吃点三九感冒灵，<span style="color: black;">然则</span>这药，医院<span style="color: black;">无</span>，<span style="color: black;">必须</span>我到外面<span style="color: black;">药店</span>买。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">是不是很奇怪，医院治病救人的<span style="color: black;">地区</span>，<span style="color: black;">为何</span>不给你开药，反而让你去外面药店买呢？</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;"><span style="color: black;">首要</span>说明，不怪<span style="color: black;">大夫</span>，不怪<span style="color: black;">大夫</span>！</strong></span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><span style="color: black;">第1</span>种<span style="color: black;">原由</span>：医院它<span style="color: black;">无</span>这个药，<span style="color: black;">因此</span><span style="color: black;">大夫</span><span style="color: black;">没</span>法开给你，<span style="color: black;">由于</span>在<span style="color: black;">咱们</span>国家施行了全面<span style="color: black;">药物</span>零加成政策管理，<span style="color: black;">药物</span>的储存、损耗、配备都是一项医院管理非常大的成本。2020年<span style="color: black;">医疗保险</span>目录有2800种用药，<span style="color: black;">然则</span>医院的<span style="color: black;">药物</span>管理规定，超过800张以上床位的公立医院，他的<span style="color: black;">药物</span>品规数量是不得超过1500种，2800-1800差不<span style="color: black;">大都是</span><span style="color: black;">医疗保险</span>目录 的一半，<span style="color: black;">因此</span>医院可能<span style="color: black;">便是</span><span style="color: black;">由于</span><span style="color: black;">无</span>这个药，<span style="color: black;">因此</span><span style="color: black;">大夫</span><span style="color: black;">无</span>办法给你开。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="https://mmbiz.qpic.cn/sz_mmbiz_jpg/0DPic5laG1IcvIia3bDp9AAylnicFcuno7ibthRpe8VuxgpvpYsVGCLodDlTicZMoreiackQsuJFjJeIeFSXCMkJa6gQ/640?wx_fmt=jpeg&tp=webp&wxfrom=5&wx_lazy=1&wx_co=1" style="width: 50%; margin-bottom: 20px;"></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><span style="color: black;">另一</span>一种<span style="color: black;">原由</span>是，医院有这个药，<span style="color: black;">然则</span><span style="color: black;">思虑</span>到病种和科室都是做了相应的限额管理，<span style="color: black;">倘若</span>大面积开社保用药，就<span style="color: black;">必定</span>会超额，一旦超额，<span style="color: black;">医疗保险</span>局就会对<span style="color: black;">大夫</span>和相应的科室进行相应处罚。损失的还是病人，<span style="color: black;">因此</span>，医院不太愿意在院内给你用<span style="color: black;">有些</span>社保用药。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">为何</span>有些药<span style="color: black;">仅有</span>医院有，外面药店<span style="color: black;">无</span>呢？</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">有<span style="color: black;">无</span><span style="color: black;">发掘</span>，有时候，<span style="color: black;">患病</span>后在医院开的药，并不贵，去医院不方便，想在外面药店买相同的药，却买不到，又是什么<span style="color: black;">原由</span>呢？</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">1、医院<span style="color: black;">因为</span>治病<span style="color: black;">必须</span>，<span style="color: black;">药物</span>覆盖范围广，几乎覆盖了所有病种，啥药都有，而药店<span style="color: black;">因为</span>成本所限，不可能把所有<span style="color: black;">药物</span>都采购回来，<span style="color: black;">她们</span>只采<span style="color: black;">哪些</span>常用的、畅销的<span style="color: black;">药物</span>，而<span style="color: black;">哪些</span>小众化、销量低的<span style="color: black;">药物</span>就被直接放弃了。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">就算药店老板财大气粗，药店面积<span style="color: black;">亦</span>足够大，<span style="color: black;">她们</span><span style="color: black;">亦</span>不会卖那种小众<span style="color: black;">药物</span>，<span style="color: black;">由于</span>此类<span style="color: black;">药物</span>在医院里能卖出去，在药店却很难卖出去，很可能一年都卖不出去一瓶，还要占用空间、浪费人力物力，太不划算了。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">2、有些<span style="color: black;">药物</span>比较常用，销量<span style="color: black;">亦</span>不错，<span style="color: black;">然则</span>价钱太便宜<span style="color: black;">或</span>储藏成本太高，药店利润太低，就不愿意再卖了；<span style="color: black;">然则</span>这些<span style="color: black;">药物</span>医院里<span style="color: black;">必要</span>有，这是国家的规定。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><span style="color: black;">例如</span>两块钱的维C片，医院里有，而药店基本上都<span style="color: black;">无</span>，站在药店的<span style="color: black;">方向</span>来看，就算这瓶药的售价全都是利润，那<span style="color: black;">亦</span>才两块钱，还<span style="color: black;">不足</span>塞牙缝！药店更愿意卖几十块<span style="color: black;">乃至</span>上百块的维C泡腾片，虽然效果还不如两块钱的维C。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">3、有些特殊的<span style="color: black;">药物</span>，<span style="color: black;">必要</span>是二级以上的医疗<span style="color: black;">公司</span>才有资质<span style="color: black;">运用</span>和出售，普通<span style="color: black;">药店</span>自然是<span style="color: black;">无</span>的。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">医院开的药在外面药店买不到，并不是医院<span style="color: black;">或</span>某些利益<span style="color: black;">关联</span>者从中搞鬼，最<span style="color: black;">重点</span>还是<span style="color: black;">由于</span>药店出于成本的<span style="color: black;">思虑</span>和对利润的追求。说到底，店还是做生意的，利润永远是<span style="color: black;">第1</span>位的。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">医院<span style="color: black;">药店</span>里的<span style="color: black;">药品</span>是处方<span style="color: black;">药品</span>，<span style="color: black;">况且</span>医院的<span style="color: black;">药品</span>用量大，但药店可能用量就比较小，可能<span style="color: black;">便是</span><span style="color: black;">她们</span><span style="color: black;">再也不</span>采购避免<span style="color: black;">药品</span>过期。<span style="color: black;">不可</span>一味责怪医院。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">4、有些是医院<span style="color: black;">特殊</span>药方，<span style="color: black;">此刻</span>有些达到标准的医院有自主<span style="color: black;">开发</span><span style="color: black;">药品</span>的权利，它们<span style="color: black;">能够</span>结合自己医院<span style="color: black;">特殊</span>在对某些病种进行攻关、配制，形成自己的独有药。这些<span style="color: black;">仅有</span>本院有，其他院和<span style="color: black;">药店</span>是<span style="color: black;">无</span>的。医院自制药的规定是<span style="color: black;">根据</span>我国<span style="color: black;">药物</span>管理法的规定,医院自制的<span style="color: black;">药物</span>只能由医院<span style="color: black;">自动</span>在院内<span style="color: black;">营销</span>,是绝对不<span style="color: black;">准许</span>在网络上<span style="color: black;">营销</span>的。从法律的<span style="color: black;">方向</span><span style="color: black;">来讲</span>：从事<span style="color: black;">药物</span>生产活动，应当经所在地省、自治区、直辖市人民政府<span style="color: black;">药物</span>监督管理<span style="color: black;">分部</span><span style="color: black;">准许</span>，取得<span style="color: black;">药物</span>生产许可证。<span style="color: black;">没</span><span style="color: black;">药物</span>生产许可证的，不得生产<span style="color: black;">药物</span>。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="https://mmbiz.qpic.cn/sz_mmbiz_jpg/0DPic5laG1IcvIia3bDp9AAylnicFcuno7ibdgX2arQvcxfXtkb0ejticw9Xy4LfIauexODL6eEKY63mDX8YO3wR1zw/640?wx_fmt=jpeg&tp=webp&wxfrom=5&wx_lazy=1&wx_co=1" style="width: 50%; margin-bottom: 20px;"></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;"><span style="color: black;"><span style="color: black;">为何</span>癌症救命药纳入<span style="color: black;">医疗保险</span>，但你在医院却买不到？</span></strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">我<span style="color: black;">此刻</span>治疗所用药是TDM-1,<span style="color: black;">日前</span>这个药己纳入<span style="color: black;">医疗保险</span>报销范畴，<span style="color: black;">然则</span>医院<span style="color: black;">无</span>这个药，<span style="color: black;">必须</span>我在外面<span style="color: black;">药店</span>购买。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">2020年<span style="color: black;">医疗保险</span>新目录执行，<span style="color: black;">非常多</span>靶向药纳入报销范但抗癌药、创新药等价格<span style="color: black;">昂贵</span>动辄几千上万的<span style="color: black;">药物</span>，最后<span style="color: black;">亦</span>能需自费购站在<span style="color: black;">大夫</span>的<span style="color: black;">方向</span>，他<span style="color: black;">亦</span>不愿意<span style="color: black;">这般</span>折腾病患。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><span style="color: black;">医疗保险</span><span style="color: black;">分部</span>每年会给医院<span style="color: black;">必定</span>数额的<span style="color: black;">医疗保险</span><span style="color: black;">运用</span>额度，超过这个额度 的<span style="color: black;">花费</span>，就<span style="color: black;">必须</span>医院自己<span style="color: black;">包袱</span>。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"> 而<span style="color: black;">医疗保险</span>报销的这部分花费，<span style="color: black;">通常</span>是医院先垫付，之后再向<span style="color: black;">医疗保险</span>局进行结算。 假如医院今年垫付了1000万，但额度<span style="color: black;">仅有</span>800万，剩下的200万 就<span style="color: black;">没</span>法结算，等于医院贴钱给病人看病。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="https://mmbiz.qpic.cn/sz_mmbiz_jpg/0DPic5laG1IcvIia3bDp9AAylnicFcuno7ibZHJ9ibmBxGRwJWLicsOyPvLLUHYEV1LwWa6UBy6FwiaEsFO8gSfxO4BUw/640?wx_fmt=jpeg&tp=webp&wxfrom=5&wx_lazy=1&wx_co=1" style="width: 50%; margin-bottom: 20px;"></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"> 这种方式的初衷是让<span style="color: black;">大夫</span>有足够动力<span style="color: black;">掌控</span>医疗<span style="color: black;">花费</span>、<span style="color: black;">恰当</span><span style="color: black;">运用</span>医 疗资源，<span style="color: black;">亦</span>确实在<span style="color: black;">必定</span>程度上减轻了<span style="color: black;">医疗保险</span>资金压力和<span style="color: black;">病人</span><span style="color: black;">看病</span>负 担。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><span style="color: black;">大夫</span>除了治病救人，还要<span style="color: black;">每日</span>花心思计算<span style="color: black;">医疗保险</span><span style="color: black;">花费</span>。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"> 药占比<span style="color: black;">便是</span><span style="color: black;">大夫</span>开出处方时，<span style="color: black;">药品</span><span style="color: black;">花费</span>占病人所有<span style="color: black;">花费</span>的百分比。<span style="color: black;"><span style="color: black;">例如</span>说一个病人看病，拍片子花了100，又开了100块钱的药，<span style="color: black;">那样</span>药占比<span style="color: black;">便是</span>50%。设计药占比的初衷是监督<span style="color: black;">大夫</span><span style="color: black;">恰当</span>用药，减轻病人医疗<span style="color: black;">花费</span><span style="color: black;">包袱</span>但<span style="color: black;">实质</span>操作中，<span style="color: black;">引起</span><span style="color: black;">非常多</span><span style="color: black;">大夫</span>不敢开 药，尤其是<span style="color: black;">有些</span>高价药，一开，药占比就直线<span style="color: black;">上升</span>。</span></span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"> <span style="color: black;">另一</span>药占比本身<span style="color: black;">便是</span>医院一个考核细则，哪个<span style="color: black;">大夫</span>药占比 过高是要罚款的。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"> <span style="color: black;">大夫</span><span style="color: black;">亦</span><span style="color: black;">必须</span>挣钱养家，<span style="color: black;">不可</span><span style="color: black;">始终</span>被扣 <span style="color: black;">病人</span>又不得<span style="color: black;">不消</span>药，怎么 办呢？</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"> 结果<span style="color: black;">便是</span>让<span style="color: black;">病人</span>去医院外自费买药</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"> 3、<span style="color: black;">药物</span>进入医院，要进行严格审批。大<span style="color: black;">型的三甲医院， <span style="color: black;">一般</span>不 会超过1500种，不同的地区、不同的等级、不同定位的医院，<span style="color: black;">病人</span> 的<span style="color: black;">疾患</span>组别不同，临床<span style="color: black;">药品</span>治疗需求<span style="color: black;">亦</span>不同，<span style="color: black;">因此呢</span>医院<span style="color: black;">药物</span>的遴选<span style="color: black;">重点</span>与医院的功能定位、与临床科室的专业方向非常密切<span style="color: black;">关联</span>，<span style="color: black;">因此呢</span> 不同医院的<span style="color: black;">药物</span>目录<span style="color: black;">亦</span>存在非常大的差异。</span></span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"> （以上观点仅为个人理解，如有差错，请以国家规定政策和标准为准）</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"> 癌症是一场持久战，<span style="color: black;">亦</span>是一场消耗战，算一算，为了抗癌花了多少钱了。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="https://mmbiz.qpic.cn/mmbiz_gif/0DPic5laG1Icrkx47ic5Vf3gmJEhyVYv2CryuuToyERIlTfLGjZsuuQJnlBOZmzqSHBjLEkPfZ3Wj3s1dDCOHLRw/640?wx_fmt=gif&tp=webp&wxfrom=5&wx_lazy=1" style="width: 50%; margin-bottom: 20px;"></p><span style="color: black;"><strong style="color: blue;"><span style="color: black;">作者介绍：</span></strong></span><span style="color: black;"><strong style="color: blue;"><span style="color: black;">阿樊：癌症晚期<span style="color: black;">病人</span>，爱读书，爱写作，爱生活，有<span style="color: black;">非常多</span><span style="color: black;">非常多</span>的苦恼，<span style="color: black;">亦</span>有<span style="color: black;">非常多</span><span style="color: black;">非常多</span>的不甘，为<span style="color: black;">疾患</span>所迫，为生活所迫，<span style="color: black;">经过</span>写作记</span></strong></span><strong style="color: blue;"><span style="color: black;">录自己在<span style="color: black;">奋斗</span>坚强的活着，<span style="color: black;">倘若</span>我的<span style="color: black;">文案</span>对你有<span style="color: black;">帮忙</span>。<span style="color: black;">倘若</span><span style="color: black;">爱好</span>，记得点赞关注我喔。</span></strong>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="https://mmbiz.qpic.cn/mmbiz_jpg/0DPic5laG1Ic8CtotJgsGcSWrI9F41217w3eOfOMqzlHMPJZVrZhYujbnyiaFrkCZRSAGbq97HtJGjRu0Jdd98fg/640?wx_fmt=jpeg&tp=webp&wxfrom=5&wx_lazy=1&wx_co=1" style="width: 50%; margin-bottom: 20px;"></p>
你的话语如春风拂面，让我感到无比温暖。 你的见解独到，让我受益匪浅，非常感谢。 感谢楼主的分享！我学到了很多。
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