The medical network July 3, from July 1, guangdong provincial hospital basic medicine "straitjacket curse" is lifted! No longer restrict the number of articles and proportions!
▍ guangdong cancel medicine use restrictions, on July 1
On June 30, the guangdong health and family planning commission issued a notice on further clarifying the requirements of the basic drug system of our province.
Notice the province: since July 1, 2017, guangdong to medical institutions at all levels (including basic medical and health institutions, similarly hereinafter) equipped with use of national basic drugs (including provincial supplement essential medicines) the product quantity and amount proportion for specific requirements.
Medical institutions at all levels can comprehensive clinical demand, curative effect and the price of drugs, from the new version of the basic medical insurance, inductrial injury insurance and maternity insurance in guangdong province the list of drugs to equipped with use, and implement zero rate of sales (except traditional Chinese medicine yinpian).
Among them, the city public hospital comprehensive reform in public hospitals in guangdong province city work arranged time node has drugs zero sales rate, basic modes of centralized purchasing of drugs and reimbursement policy unchanged.
On base of 12 provinces ▍ medicine of use, and the incision
There has been a long history of the use of "loosing" drugs for grassroots medical institutions, in fact some provinces have opened their mouths.
For example, in jiangxi, 30% to 40% of non-essential drugs are permitted; Chongqing is allowed to use 50% of non-basic drugs; Hubei is 20 percent, as well as a total of 12 provinces, including zhejiang, shandong and shaanxi, to adopt a partially liberalized approach to the use of drugs in primary care organizations.
The proportion of non-basic medicines is allowed to be less than 50%, mostly hovering around 30%. The complete lifting of restrictions on the use of basic medicines in guangdong province has taken a big step forward.
Cancel medicine use 'background, is complied with the current grading diagnosis and treatment of grassroots medical institutions to give more mission policies - not a serious illness county, increase proportion of first option at the grassroots level as well as in all big 3 armour hospital, led by the national medical couplet body construction, to get through medical couplet body internal medicine directory is unified, with the necessity of the obvious.
▍ base medicine use restrictions gradually disappear, it's a trend
Guangdong has completely eliminated the restrictions on the use of basic drugs, but it is not cool to judge that the system will be completely disintegrated. It must be noted that the withdrawal of guangdong province is rooted in economic strength. Can health insurance cover the lifting of the ban and bring up the incremental use of non-basic drugs? Non-basic drugs are much more expensive!
Obviously, not all provinces have this power. It is thus possible that, perhaps, the provincial capitals of the economy will follow the example of guangdong.
However, the above analysis, in the context of the current grading diagnosis and treatment, and the great construction of medical medias, it should be a question of time to gradually weaken the base drug and gradually weaken it until it is gone. That may be good news in a time of policy tightening and a surge in corporate pressure.
Attachment: further clarifying the requirements of the basic drug system in our province
All local levels are listed in the listed and shunde district health and family planning bureau (committee), the affiliated hospitals and the affiliated hospitals and commissions affiliated to the ministry of medicine and medical schools are affiliated with the relevant units:
According to the guangdong provincial people's government concerning the deepening comprehensive reform of medical care system in guangdong province implementation plan notice (guangdong province [2017] no. 32) about medical insurance drug catalogue applies to both the requirements of the grassroots health institutions, as well as the implementation of the provincial government about to do a good job of "pipes" the overall deployment, in order to further deepen the medical and health system reform in our province, the hierarchical diagnosis and treatment, ensure drug supply, will now about the request as follows, please earnest implementation.
1. The health insurance drug catalog is applicable to the primary medical and health institutions
Since July 1, 2017, our province to medical institutions at all levels (including basic medical and health institutions, similarly hereinafter) equipped with use of national basic drugs (hereinafter generally referred to as the basic basic drugs, including provincial supplemented drugs) the product quantity and amount proportion for specific requirements.
Medical institutions at all levels can comprehensive clinical demand, curative effect and the price of drugs, from the new version of the basic medical insurance, inductrial injury insurance and maternity insurance in guangdong province the list of drugs to equipped with use, and implement zero rate of sales (except traditional Chinese medicine yinpian, similarly hereinafter). Among them, the city public hospital has a zero-rate sale of drugs according to the comprehensive reform work of municipal public hospitals in our province. The centralized purchasing method and reimbursement policy of basic drugs are unchanged.
Ii. New mechanism for the innovation of basic drug systems
Since the beginning of 2017, the mandatory assessment indicators for the use of basic drugs will be adjusted to the encouraging assessment indicators in various assessment reviews and allocation of funds, such as health reform in our province. Specific requirements will be announced in the related assessment assessment scheme.
The local government should coordinate with the health care departments to integrate basic drugs into the health care clinics. Conditional region can be combined with local actual, to explore the selection from the list of essential medicines in treatment of heavy mental illness and other major drug of choice for chronic non-communicable diseases and appropriate dosage forms, for patients voluntary choice, free to use, improve the masses of the acquisition. We will accelerate the establishment of a new mechanism for the improvement of prescription flow, drug sharing, distribution, settlement and use of medicines in the medical community. Encourage a regional integration around the drug distribution and different level medical institutions to high blood pressure, diabetes, cancer, chronic non-communicable diseases such as heavy psychosis interface drugs, drug supply security remote and inaccessible regions, promote two-way referral, diagnosis and classification.
Third, strengthen the promotion and training work
The local authorities shall promptly communicate this notice to the medical institutions at all levels of the district, and strengthen publicity and implementation of the work. We will hold special training courses to ensure the implementation of relevant requirements.
There are problems or Suggestions in the implementation process. Please contact our office for feedback.
Contact: Lin jiang, contact number: 020-83812576.
Guangdong provincial health and family planning commission office
June 27, 2017 |
