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Medical network, June 29 June 28, the state council information office held a press conference, deputy director of the national health and family planning commission, please yi-xin zeng is introduced on the reform to perfect the shortage of drug supply security mechanism of the implementation opinions ", and a reporter asked.
Yi-xin zeng said that the recent national health and family planning commission jointly eight departments issued "on the reform to perfect the shortage of drug supply security mechanism of the implementation opinions", to pay special attention to the drug supply security system construction, and take effective measures to solve the good price, "life-saving medicine", "orphan drug" designation, and children's drugs supply problems.
It is reported, for drug shortage problem, the document classification has been clear about the fixed-point production, coordination of emergency production, strengthening the supply and demand docking, shortage of perfect pharmaceutical reserve, to crack down on illegal behavior, improve the rare disease medication policy and so on six countermeasures. Introduce yi-xin zeng, the comb out of the list of clinical easy shortage of about 130, recently jointly with the ministry of industry, the state-owned assets supervision and administration, food drug safety administration departments, has solved the nearly 50 kinds of package listing in the shortage of the drug.
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The host hit the spring:
Good morning, ladies and gentlemen. Welcome to the press conference of the state council. Drug shortage problem has always been a people are very concerned about a problem, today is very pleased to invite to the deputy director of the national health and family planning commission, Mr Yi-xin zeng, please him to introduce you about reform and improve the shortage of the opinions of the implementation of the drug supply security mechanism, and to answer your questions.
Let's start with Mr. Zeng yixin.
Zeng yixin:
According to the arrangement of the conference, I would like to introduce to you the relevant information about the reform and improvement of the supply guarantee mechanism for the shortage of medicines.
The shortage of medicines is a global problem. Drug shortage in our country at present is mainly clinical medical supplies necessary for the quality and efficiency is not high, not enough supply security policy refinement, related links to connect smoothly and part of the drug clinical supplies, affects the patients' medication, endanger public health.
Shortage of drug supply guarantee is a major livelihood project. The CPC central committee and the state council has always attached great importance to drug shortage, clear requirements pays special attention to the drug supply security system construction, take effective measures to solve the good cheap drugs, "life-saving medicine", "orphan drug" and children's drugs supply problems. In accordance with the overall deployment, the national health and family planning commission jointly with relevant departments in many other aspects of in-depth research, widely listen to opinions, on the basis of formed on the reform to perfect the shortage of drug supply security mechanism of the implementation opinions "(hereinafter referred to as" opinions ") SongShenGao, reform leading group after the meeting examined and approved by the state council on April 18 central deep reorganization 34 meeting, xi jinping, general secretary of the host reviewed the "opinions", is the implementation of the specific requirements are put forward. Recently, the opinion has been issued by the national health and family planning commission (NHFPC) and 8 departments.
I would like to take this opportunity to introduce the salient features of the two aspects of the opinion to the friends of the media.
First, we will stress the issue orientation and enhance the sense of people's reform and acquisition. First, the problem of seedling is detected by monitoring. Layout in the present each province on the basis of not less than 15 monitoring sentinel, unicom register pharmaceutical research, procurement, production circulation use such as the key link, gradually formed national, provincial, city and county level monitoring network system and early warning mechanism. Comprehensive analysis on the disease changes, key crowd clinical medication requirements, emergency safeguard demand, production of active pharmaceutical ingredients and drug approval, etc., reasonable definition standards necessary for clinical drug shortage, build national and provincial levels shortage drug inventory management system. According to the situation of shortage, shortage and scope of influence, timely launch the national or provincial response mechanism and release relevant information regularly. In the process of drafting the document, we synchronous monitoring analysis of the shortage of drugs, the teasing out the shortages of about 130 clinical easy drug list, classification has been clear about the fixed-point production, coordination of emergency production, strengthening the supply and demand docking, shortage of perfect pharmaceutical reserve, to crack down on illegal behavior, improve the rare disease medication policy and so on six countermeasures. In recent years, the ministry of industry and information technology, sasac, food and drug administration and other departments have solved the shortage of drugs in nearly 50 lists.
The second is to emphasize the establishment of long-term mechanism, pay attention to the linkage of consultation, and improve the system of drug supply and guarantee. Mainly by the national health and family planning commission, the national development and reform commission, ministry of industry and information technology, ministry of finance, human resources and social security ministry, the ministry of commerce, state-owned assets supervision and administration commission of the state council, state administration for industry and commerce, food and drug supervision administration and so on national drug supply shortage of security work in consultation with the linkage mechanism, policy of outstanding interdisciplinary and multi-sectoral overall, coordinated and effective linkage, we have to formulate the specific work rules and division of tasks. National level key around national drug shortage list varieties, organization in production of active pharmaceutical ingredients and drug supply shortage of support capability assessment, the perfect drug supply shortage of major policy and institutional guarantee, coordinate to solve shortages across the province. Provincial key is to establish a corresponding consultation with the linkage mechanism, comprehensive evaluation of drug shortage information within their respective jurisdictions and respond to Suggestions, as a whole the solve the problem of shortage of locality, timely report and deal with a shortage of information, analysis, strengthen comprehensive response ability.
"Opinion" is mainly composed of general requirements, tasks, measures and organization guarantee of three parts, highlighted the new development concept as the instruction, the comprehensive combed the effective measures in recent years, adhere to people's health as the center, in order to ensure supply as the main line, pay attention to improve the system mechanism, study and formulate a package of reform policies and management measures, which is beneficial to strengthen the government expected to solve the problem of market externalities and resultant force, to strengthen market main body we will deepen reform of the medical supply side structural determination and confidence, to arouse the enthusiasm of market main body restore drug supply shortage and vitality.
Shortage at the same time, drug supply security involving r&d registration, production, circulation and purchasing using multiple links and multiple departments, such as relationship between patients and medical institutions, the production circulation enterprise, industry association and other aspects, the participation main body, high social awareness, more difficult to deal with, is also an urgent need to innovation work mode, strengthen the department coordination, strengthen risk prevention, timely response to social concern, solve the problem of common people basic medical needs such a livelihood of the people. National health and family planning commission will be released in conjunction with the relevant departments in the file, make sure that the file spirit and measures implemented, the years 2020 to form the shortage of the drug supply security mechanism with Chinese characteristics.
Thank you!
The host hit the spring:
Thank you, Mr. Zeng, for your introduction. Through the introduction, we have learned that this work involves multiple departments and joint efforts. Today the scene also invited to the ministry of industry and information technology, the ministry of commerce, state-owned assets supervision and administration, and food and drug supervision administration departments responsible comrades, they are sitting in the front row, if involve the issue of these departments and fields, also welcome them to participate in the quiz.
Please check the news organization before you ask the usual questions.
Mentioned, director of the central people's broadcasting station reporter: once part of the drug in our country still exists the phenomenon of tight supply, excuse me, "opinion" issued will be how to solve this problem, how to tangible benefits to the people and benefit?
Zeng yixin:
How to solve the problem, according to the shortage of drugs cause analysis, we take the six aspects of measures to solve the current shortage, at the same time to build a long-term mechanism to prevent the occurrence of drug shortage phenomenon, and this is the basic idea of files.
What benefits can these measures bring to ordinary people? This is a crucial question.
First, we hope that by doing so, doctors and patients should not be caught in the urgent need to use them. Some clinics are in urgent need of medicine, and not only patients are not treated, but doctors are also very embarrassed. Through such institutional measures, we can solve the shortage of medical supplies, solve problems, solve medical problems, and let doctors and patients not be trapped by drugs.
Second, let companies not worry about profits and development. Some medicines are caused by price factors or material supply factors, or small and unstable clinical dosage. By adjusting the system, we can ensure that the enterprises can make basic and reasonable profits and ensure the normal production and supply, and the enterprises should not worry about producing the drug at a loss.
Third, let the industry not be disturbed by violations. A clause in the six measures are specially against illegal ACTS such as hoarding to drive up prices, some enterprise hoarding, drive up prices, interfere with the healthy development of the industry, file the measure, is to make the industry healthy development state, have a good ecological environment, build the atmosphere of whole industry fresh air wind is. It's good for doctors, for patients, for businesses, for industry.
China news service reporter: two questions, why do you have some shortage of medicines? Is it necessary for the government to intervene in the market economy?
Zeng yixin:
Both of these questions are critical. There should be no shortage of medicines, and there is virtually no shortage of medicines.
First, it is productive. Unlike the underserved phenomenon, now the drug shortage is mostly due to some local, individual factors, such as some productive factors may cause drug shortages. Just like the fish protein, which is a necessary medicine for heart surgery, the raw materials are taken from salmon, and the supply is very seasonal and may cause a shortage.
Second, policy factors. For example, sometimes there is a good wish from all places in the procurement of medicines, hoping to make it affordable and affordable. But sometimes the price is low, the company won the bid, but in the long run, the company produces a lot of money but not much profit, which is difficult to sustain.
The third is the institutional factor. For example, in the reform of public hospitals, some medical institutions have not yet been fully transferred to the public welfare orientation.
Fourth, speculation and monopoly. There are some medicines that may be produced by two or three companies in the country, control the supply in order to raise the price, and collude to raise the price, and there is a man-made shortage. So the drug shortage is complicated.
For such a situation, it is theoretically possible to regulate the supply of medicines by improving the market mechanism. But the market mechanism is not a complete intervention for some of the factors I mentioned, and it's time for the government to act. The position of the government in the opinion is a new mechanism, not a referee or an athlete, but a bit like a coordinator. Is neither a price specified by the government, nor perfect market mechanism, is the government as the coordinator, the enterprise, procurement, hospitals, experts please together, on the premise of guarantee the stability of supply, to discuss a more reasonable price. At such times, complete market mechanism alone won't solve these problems, the government to coordinate, to build a platform, the two sides of supply and demand of medical institutions and companies say they difficulty, after consultations, form an acceptable to both parties as a result, the government here as "a platform to promote docking" coordinating role.
Hong Kong cable television reporter: drug shortage situation a lot of people say it's because the drug cost is too low, one of the reasons are related to the mechanism of hospital procurement, "opinion" how to solve these problems?
Zeng yixin:
This is one reason for the shortage of drugs, some media called "the tender death", after the bid is "winning death", is the bid, the pharmaceutical factory also agreed, but after a period of time after the drug had disappeared. There's a couple of things that happened in this situation that you're talking about. Drug bidding price lower, of course, is not a bad thing, first of all reflect the drug demand hope to get a lower price as much as possible, to reduce the burden of medical institutions and ordinary people, desire and the starting point is good. But we have to respect the market rule, can't let companies lose money supply for a long time, this situation requires the government to coordinate, ask an expert to analyze, to pharmaceutical raw material supply, production process, production process were analyzed, and put forward a more appropriate price. On the basis of the basic reflection of the market rules, it is necessary to respect the willingness of the two parties to provide the supply of medicines back to a more stable state through the coordination mechanism of the government. This is also the important task of the issue of the opinion, which is to tackle the problem in this area.
Economic daily reporter: the introduction of the "opinions" in the material to improve the monitoring and early warning mechanism of the shortage of drugs, please brief us on how to carry out the monitoring and warning mechanism. Where is the sentinel coverage? How can I guarantee the timely and effective warning?
Zeng yixin:
We focus on long-term, establish a long-term mechanism to prevent repeated drug shortage phenomenon, at present in every province of the layout of not less than 15 monitoring, comprehensive drug supply to ensure comprehensive platform, provincial drug centralized mining platform, through the industry association, reasonable layout of monitoring sentinel, drug shortages, collect, on a regular basis so that it can timely understand the national provinces, ground, city and county, including towns and townships and drug shortages, in such a way, form a complete coverage throughout the country at all levels of hospital network of monitoring sentinel and report timely grasp the situation, once appear drug shortages will start coping mechanism.
Xinhua central news center reporter: shortage of medicine and the absence of cheap drugs and lost is also a long-term adjustment, the process of dynamic change, our country in the future in science and dynamic adjustment have any idea about the standard of shortage of medicine? For the application of large data collected, where are the key points and difficulties?
Zeng yixin:
The list of shortages is certainly not fixed and dynamic. This will require a comprehensive analysis of our country's disease changes, key crowd clinical medication requirements, emergency safeguard demand, production of active pharmaceutical ingredients and drug approval, etc., reasonable definition standards necessary for clinical drug shortage, build national and provincial levels shortage drug inventory management system. By establishing monitoring information of sentinel points, timely research and judgment, so it is dynamic. Building a network and sentinel is to ensure that our list is timely, timely and timely. For example, the current list is 130 species, and 50 are currently solved. Next year, it will be less and less. It is our goal to reduce the shortage of drugs and even become rare. Therefore, it is necessary to solve the present problem with six major measures, while taking into account the long term, which is to make an in-depth analysis of the causes of these shortages. You just talked about big data analysis at the same time, especially for some urgent rescue drug usage were analyzed, and the drug use tell a trend, then set up a corresponding drug normal reserve system. Through reserves, there will be no shortage of medicines once there is demand, which is also a factor in the measures.
Southern metropolis daily reporter: the child medicine shortage problem is more obvious, now many parents also care about the shortage problem of children's medicine should how to solve? I wonder if there are any specific measures and mechanisms to address this issue. There is a new situation, some recent clinical doctors, some foreign children has been disabled and restricted medicine, in the country is still in use, and this is the shortage of domestic children's medicine has a certain relationship history or have other reasons?
Zeng yixin:
The two problems that you're talking about are actually a problem, children's medicine. This problem, people reflect a lot, reflect the hospital also many, often say children medicine is half break, break a quarter, or even break one 8, use this method to solve the problem of children's medicine, this is not an ideal state. The issue has drawn high attention from all sides. In recent years, six departments of the national health and family planning commission have issued a number of opinions on the protection of children's medicines, and two batches of encouraging research and development lists have been formulated. Especially this year, including the administration of drug safety and the national health and family planning commission, ministry of science and technology are very seriously, in the midst of the national major projects in development of new, have put the children's medicine research and development and as a key task for examination and approval of the layout, the Treasury Department also give strong support, set up the subject of major projects, research and development and speed up the approval for Chinese children to use the children's medicine. For children, one is the dose, the weight of the child is different, the new baby is not the same as the small child and the large child, all should have the appropriate dosage. Again it is dosage form, tablet child how can also drink not go down, want to use the way of oral liquid, still have the taste that suits a child, want to let a child want to drink to go down. This is the key task of the 13th five-year plan, together with the ministry of science and technology, the ministry of finance, the pharmaceutical administration and the health and family planning commission, to speed up the development and approval process for the drug use of Chinese children. It is estimated that the shortage of children's medicines will be effectively solved in a few years.
Hong Kong cable TV reporter: just mentioned that there should be a reasonable price, but will the hospital procurement mechanism change? In addition, with regard to fixed-point production, how many drugs will be produced in the new reform "opinions"? What manufacturers will you be looking for in order to secure supplies?
Zeng yixin:
The two problems are quite good, you speak of this problem is one of the key task to our current, the ministry, the national development and reform commission, planning commission, food and drug administration after years of exploration, formed the two batches of seven drugs designated production pilot a package of measures, supply stability, the effect is very good. At the same time, the appropriate and reasonable price of drugs should be more through the market and explore the formation of a scientific decision-making mechanism. Such as foreign specialises in pharmacoeconomics evaluation institutions, not only has medical and pharmaceutical experts, including economics, finance, ethics expert, experts in many disciplines of such an institution, to do a reasonable drug economics evaluation, comprehensive consideration of clinical curative effect, the cost of production, ethics, sociology effect, form a reasonable drug clinical value, make rational use of medical institutions.
China has been doing some hard, some domestic research institutions, national health commission also doing research in this field, is hope in China can also set up scientific evaluation mechanism of the drug, which is based on more scientific estimation of the drugs on the basis of the economics and the reasonable evaluation of evidence-based medicine. We are aware of such problems and are coordinating research to provide scientific evidence for the return of drugs to clinical value and policy decisions.
Second, the question of fixed-point production. China has a list of basic medicines, and many countries, including the world health organization, have a list of essential medicines. The basic drug catalog is a basic medical treatment for every citizen. This basic drug catalog is the basic guarantee of the right to health of citizens. How does the medicine protect the supply? It is worth exploring whether we can consider the use of fixed-point production methods to guarantee the supply and guarantee quality, as well as guarantee the basic profit of the pharmaceutical factory. This respect our country has established the basic drug system, but the subsequent how to play a good list of essential medicines, make it really become the foundation of the national health basic guarantee, we are in, and multiple departments to discuss how to good play to the role of the list of essential medicines, is worthy of our thinking and discussion. After the location is clear, it can be combined with fixed-point production and reasonable pricing, which is one of the things that we all work together on.
The host hit the spring:
Thank you again for your introduction and thank you for your attention. Today's press conference is over!
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