The root is being compensated uncompletely to make vaccine and charge

The root is being compensated uncompletely to make vaccine and charge
The root is being compensated uncompletely to make vaccine and charge
Staff reporter Meng QingPu A few days ago, reporters received one of parents' E-mails of Hubei, claimed the local immunization campaign clinic substitutes a kind of free vaccine with the class II vaccine charging. The reporter visits finding, this kind of phenomenon exists in much areas of our country. The expert says, substitute a kind of vaccine and charge and inoculate with class II vaccine, bury the hidden danger for normal implementation of national immune planning. A kind of vaccine " Charged " "A few days ago, I take daughter two years old the intersection of hospital and Child Healthcare Dept. play rough the intersection of cheek and the intersection of wind and vaccine. Nurse say play rough the intersection of cheek and the intersection of wind and vaccine, need at one's own expense now, vaccine charge 71.3 yuan among them, inject the fee of 2.5 yuan. " This Ms. Lin from male genital of Hubei date says in the mail, " I felt strange at that time, the friend's child hits this kind of vaccine freely last year, how to charge now? Though wonder, I have paid the bill for children to hit vaccine by oneself. Wait for me to come back home to surf the Net to check, vaccine of wind really injects this policy free to find the rough cheek. What is the matter? " The experience of Ms. Lin is not an example. In Shanxi vaccine incident that happened not long ago, a phenomenon that the informer mentioned repeatedly was, vaccine Curry has a kind of free vaccine obviously, but disease accuses of department's recommending the vaccine charging to basic unit repeatedly. Reporter Israel on Internet " Vaccine charges " Keyword search, in the over a million result, it has to be nearly the intersection of half and content with " inoculate free vaccine, charge " Have something to do. In Nanning of Guangxi, not long ago, when Ms. Chen brought the child to a commune hospital to inoculate vaccine and B -type influenza vaccine of whooping cough, diphtheritis and tetanus, collected the inoculation fee of 101 yuan. Ms. Chen feels that feels uncertain very much. Through understanding, vaccine of B -type influenza belongs to class II vaccine inoculated at one's own expense, and whooping cough, diphtheritis and tetanus vaccine is divided into freely and charging two kinds, parents can choose by oneself. Old women doubt: "Since there is free vaccine, why did but the doctor recommend charging repeatedly? " Vaccine free and at one's own expense: It is difficult to want to make it clear That June 1, 2005 implemented " vaccine circulated with the management rule of immunization campaign " ' Hereafter referred to as the regulations) Stipulate, vaccine is divided into two kinds. The first type vaccine, mean the government provides for citizen free, vaccine that the citizen should be planted according to government's regulation. The second type vaccine, refer to it by citizen other vaccine planted at one's own expense and voluntary. A kind of vaccine at that time included vaccine of hepatitis B, Bacillus Calmette-Guerin, spine gray vaccine, whooping cough, diphtheritis and tetanus vaccine and Measles Vaccine. 2008, plan dilatation in national immunity, a kind of vaccine increases vaccine of hepatitis A used for children of the right age, vaccine of epidemic encephalitis, second brain vaccine, rough cheek wind vaccine and used in bleeding hot vaccine, anthracia vaccine and hook end spirillum vaccine of key area, key crowd. At the time of implementing for 5 years " regulations", the reporter inoculates the unit and visits finding in ones such as Shanxi, Jiangsu, Hebei, Beijing and other places, the free policy implementation of a kind of vaccine is not optimistic at present. In order to include vaccine of the measles composition as the example, Measles Vaccine is free, but rough cheek (can prevent measles and parotitis and two kinds of diseases) , leprosy ( Used for preventing measles and nettle rash) , leprosy cheek ( Used for preventing measles, nettle rash and parotitis) Vaccine belongs to the free one in some areas, some areas are at one's own expense. The same kind of vaccine, because production technologies are different, there is a free difference at one's own expense. Such as the intersection of hepatitis A and vaccine, have, reduce the intersection of poison and living vaccine and deactivate two of vaccine, some regional the former free, the latter is at one's own expense, some areas are both free. The same kind of vaccine, " come from " Different, charge the policy is different too. There is a free difference at one's own expense in A +C vaccine such as epidemic encephalitis, the ones that import, domestic, even the domestic different producers one. "Vaccine inoculation charge, come, divide by the intersection of vaccine and kind, closely related with with immune procedure, vaccine source not merely. " Shanxi the intersection of Taiyuan and the intersection of city and little the intersection of West Vancouver and the intersection of village and the intersection of township and hospital, district of shop, prevent from, protect doctor Guo of department, tell reporters. It is likewise vaccine of hepatitis B, it is free to inoculate children of the right age against, but inoculate adult against and charge; Epidemic encephalitis A +C vaccine, it is free to inoculate 3 years old, 6 -year-old child against, but it charges to inoculate child under the age of 3 against. Generally speaking, it is free to accuse of a kind of vaccine that the centre provides and delivers in unison by higher authorities' disease, but sometimes at free vaccine supply with, the substitute chosen will charge soon. "Policy room for maneuver old and vaccine provide and deliver in time, image all in fact, base in that the government compensates uncompletely. " Disease in Shijiazhuang of Hebei accuses of Zhao Chuan, director of centre, to analyze. Free vaccine is offered by government, have no repayment to only pay to inoculate the unit, lose money instead of making money sometimes job funds such as the fee of material; Vaccine at one's own expense can earn the price differential, such as a influenza vaccine about 70 yuans, there can be profits about 5 yuans to inoculate some. The government compensates uncompletely, inoculating the unit will find out all sorts of items are " gained " ,The common form is as follows, in order to speak the diction, induce parents to inoculate and charge vaccine; Build falsely and inoculate and record, divert, apply a kind of vaccine mechanically and inoculate with compensation for other crowds; It is recommended for the children of the right age that ahead of time inoculate class II vaccine, such as nettle rash, parotitis, combining A +C a group of epidemic encephalitis vaccine of single seedling,etc. at one's own expense; While launching the colony or meeting an urgent need to immunize, use class II vaccine containing the same composition to substitute a kind of vaccine and charge and inoculate etc.. "Think the horse runs, does not also graze for horses. " Disease in Chongqing accuses of once describing some attitudes toward work of immunization campaign of local government so in the pre- forest of the centre director and king. According to " regulations " provision, the government above county level must guarantee the job funds of immune planning of area under one's jurisdiction, but many areas have not carried out conscientiously at present. Without job funds, there is not cold chain that upgrade the funds that operated, the grass-roots unit has to be funded by creating income and maintaining. Make every effort to promote and inoculate and fulfill Zhao Sichuan free to think, the government's purpose to offer free vaccine is to safeguard people to be healthy, but because of execution " Turn into the taste " ,Have changed the public service properties that disease accuses of the work. More important, the grass-roots unit is in order to create income to make a living to exist, form a kind of vicious circle, create income more and more on one hand, on the other hand the government puts into fewer and fewerly. The surface seems, work and operate as usual, actually by reducing the number of times of the basic vaccination and immunoprophylaxis, reduce the service quality as cost. "In recent years, the reason why measles is breaking out in some places constantly, because weak area and weak link accumulated for a long time. " The expert says, it inoculates the policy to need to be multicell to leave together free to implement a kind of vaccine. First of all, inoculating the unit should set up the announcement column, one kind of announcement, class II vaccine and charge situation in accordance with the law, let parents choose voluntarily on the in the know basis, can act as the bearing at the same time. Secondly, provincial disease accuses of department's making a kind of vaccine and supplying the application plan scientifically, one while guaranteeing to inoculate The source of goods of vaccine is sufficient. Third, through pursuing means such as the immunization campaign note,etc., strengthen management. Disease accuses of centre's releasing the note when the neonate builds the card for the first time and builds the card, parents point out and inoculate some and inoculate free according to the ticket according to the note. The note is very ocular, can let parents experience the free policy of a kind of vaccine in the country directly. "The most basic settlement route or governments at all levels shoulder responsibility conscientiously, ensure the relevant funds of immune planning. " Zhao Chuan says. The intersection of announcement and might as well go wall, note, must based on the fact that the government compensate in place. He think, the basic public health of promotion that the medical reform tried hard to recommend has served equally and melted and offered very good opportunity for this, immunization campaign main project that public health serve, central government when being allocated service funds of public health, should define the immunization campaign partly, the input responsibility to the local government is thinning at the same time. Let the national immunity planned to really come back public beneficially, let vaccine really become the healthy patron saint of children.


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