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| These drugs are being monitored! The illegal multi-purpose stop medicine, stop prescription! |
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| Author：中國銘鉉 企劃部 Release Time：2017-8-18 11:11:30 Number Browse：683 |
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On August 18, the pharmaceutical network followed jiangsu, sichuan and other provinces, and zhejiang also began to monitor the drug.
Yesterday (17), the Internet, according to a document circulating in zhejiang province who planning commission issued about informing monitored drugs for the management of medical institutions, tip 8 drugs will be monitored:
Antibacterial drugs, including tonic kind of proprietary Chinese medicine, Chinese medicine injection, the auxiliary treatment, nutritional medicine, clinical, high incidence of adverse reactions, and no special causes rapid growth of usage of medicine to hospital or think it is necessary to the family planning administrative department of public health in the key monitoring of other drugs.
The notice requires the inclusion of complementary, nutritive, and highly abused drugs in the list of key surveillance drugs, and reported to the medical and administrative department for the record by September 30, 2017.
According to this notice, medical institutions should warn doctors who have had more than three overprescription and have no justification to limit their rights; After restricting the right of prescription, the rights of the party shall be cancelled after more than two consecutive supernormal prescriptions and no justifiable reasons.
Found for 3 months in a row number of top ten ranking unit consumption, and drug use inappropriate rate more than 10% of the drug can suspend or limited supply, is really necessary to make use of their suspension, should through the hospital pharmaceutical affairs committee agreed to rear can use.
Since April this year, the state council on national health planning and administration of traditional Chinese medicine instruction for auxiliary, nutrition, etc, and the price is after drug lists the specific listing, jiangsu, sichuan, anhui, qinghai and henan have unveiled a key monitoring drug varieties, respectively.
A comprehensive review of the list of key monitors published in the provinces above can be found to be high in price, high in dosage, and often in the list of medicines that are not treated with complementary medicines.
From monitoring species, proton pump inhibitors, TCM injections, auxiliary medicine belongs to the key monitoring sort is more, these three drugs especially proton pump inhibitors, frequently appear in the focus of the provincial monitoring list.
In traditional Chinese medicine injection, injection of hematocrit, intravenous thrombus, and shenmai injection are more common varieties. In the adjuvant drug category, bone melon extract injection, monosialic acid tetrasin sodium injection, and more common.
And the calf serum albumen injection, Kang Yi injection, injection plug injection with thrombosis, blood, bone melon extract injection, rabeprazole azole, sola, panxi tora etc, omeprazole and other drugs in the provincial key monitoring list, appears the frequency is higher.
After following the above province, zhejiang province also released and the management of monitored drugs, plus in recent years, the national pharmaceutical policy progressively tighter, analysis of the personage inside course of study, the future national drug monitoring with large extension is expected to become a big trend.
Market analysis, combined with the medical insurance directory adjustment policy in 2017, the reform orientation and bright, there is a clear curative effect of therapeutic drugs, innovative medicine and cancer, severe mental illness, hemophilia, a serious illness such as diabetes, cardiovascular disease, drugs become a national level to promote drugs, and the auxiliary drug use will be a certain degree of compression.
Analysis from the perspective of pharmaceutical economics, low ratio of drugs into the key monitoring directory, led directly to the corresponding drug sales volume compression, for example, in henan province people's hospital of the monitored drugs management method ", the directory for monthly sales amount of the top three drugs, stop using 6 months; Again, for example, in 2016, after some drugs was listed in anhui monitored directory, hospital purchases fell by 14%, in this case, the price of these medicines have to adjust accordingly.
Attached: the office of the health and family planning commission of zhejiang province is informed of the supervision and administration of medical institutions
I. establish a catalogue of key surveillance drugs
Municipal family planning administrative department of health and provincial hospital to build a suitable for the region, the focus of this unit to monitor drug management directory, main to auxiliary, nutritional and clinical easy to abuse the price is high, the dosage of the drug into the catalogue of drugs to be monitored, and report on September 30 2017 by medical administration medical affairs department for the record (provincial Chinese medicine hospital submitted to the provincial administration of traditional Chinese medicine for the record).
Municipal or county (city, area) medical institutions can be combined with various cities monitored drugs directory, this agency use of auxiliary, nutritional and clinical easy price is high, a large dosage of the drug abuse in statistics and sorting, the pharmaceutical affairs committee organization while analyzing the rational drug use evaluation experts, this unit is monitored drugs selected directory (including cities monitored all varieties of drugs in the directory).
Monitored drugs catalog should include the following drugs: antibacterial drugs, tonic kind of proprietary Chinese medicine, Chinese medicine injection, the auxiliary treatment, high nutritional medicine, clinical incidence of adverse reactions, and no special causes rapid growth of usage of medicine to hospital or think it is necessary to the family planning administrative department of public health in the key monitoring of other drugs.
Directory should be monitored drugs according to the actual situation of dynamic adjustment, all kinds of medical institutions at all levels should be monitored drugs directory at this institution issued "license of medical institution" of the family planning administrative department of public health for the record. The key monitoring catalogues of municipal health and family planning administrations and provincial hospitals have been put on the record by the provincial health and family planning commission within a week after the adjustment.
Second, implement the monitoring, early warning and review and notification system of key surveillance drugs
Various medical institutions at all levels shall establish key monitoring drug prescription review system, application of information technology means, to focus on monitoring of drug purchase, use, and so on and so forth to implement dynamic monitoring, extraordinary warning and public announcement, and regularly monitored drugs for clinical departments and medical application and situation of unreasonable drug use, reports including drug name, use the name of its top 10 doctors and their departments, such as unreasonable usage.
Work to strengthen the department coordination, form the joint effort, clinical departments and medical, pharmaceutical and other related departments to do their job well, strengthen the management of drug use and so on each link of the whole process management and monitoring, to further improve the system of key monitoring drug clinical application management, working mechanism and the responsibility system, to ensure that the responsibility to the people.
3. Establish a key monitoring and punishment mechanism for drug rewards and punishment
The various medical institutions at various levels shall establish and improve the key monitoring drug prescription reviews relevant rewards and punishment system, the rational use of drugs as a unit and physician allocation, performance rewards and punishment, limit or cancel ChuFangQuan important basis, strengthen management, the deterrent and warning effect.
In accordance with the relevant provisions of the prescription management measures, medical institutions should warn doctors who have had more than three overprescribed prescriptions and have no justification to limit their right of treatment. After restricting the right of prescription, the rights of the party shall be cancelled after more than two consecutive supernormal prescriptions and no justifiable reasons. Found for 3 months in a row number of top ten ranking unit consumption, and drug use inappropriate rate more than 10% of the drug can suspend or limited supply, is really necessary to make use of their suspension, should through the hospital pharmaceutical affairs committee agreed to rear can use.
To strengthen supervision and inspection of drug administration
Municipal family planning administrative department of public health should strengthen the supervision over the use situation of the drug purchase of medical institutions within its jurisdiction examination, the quality control of pharmaceutical affairs center at various levels shall give full play to the role, strengthen the guidance of jurisdiction key monitoring drug management and examination, provincial quality evaluation management office should be monitored around the drug use drug quality control will be included in the annual examination content. The provincial health and family planning commission will report to the prefectural and provincial hospitals that have not timely formulated and adjusted the catalogue of the drugs and failed to file timely records. Family planning administrative department of public health at all levels to work does not reach the designated position, in violation of relevant provisions of the principal heads in the questioning of medical institutions, supervise and urge the rectification, track, review the problems seriously, rectification implementation does not reach the designated position, shall be investigated for the responsibility of the relevant persons responsible to serious.
The provincial health and family planning commission will conduct regular inspections of the work of various cities and departments, and will monitor the results of the supervision.
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