On July 7th, the basic drug system of "restricting the use of drugs for primary medical institutions" has become an obstacle to the construction of graded diagnosis and treatment system. The health and family planning commission of guangdong province issued a notice on further clarifying the requirements of the basic drug system of our province, deepening the reform of the medical and health system, promoting the classification and treatment of medicines, and ensuring the supply of medicines.
Recently, everywhere in the home with drug purchase "two votes", and when the spotlight is guangdong, surprisingly suddenly health and family planning commission of guangdong province issued a "about further defined the basic drug system in our province announcement concerning the requirements (yue who do [2017] no. 37, hereinafter referred to as the" notice "), was dumbfounded so sad.
The announcement immediately drew widespread attention as the announcement emboldened the "essential drug regime" that has been in force for many years since the overhaul was overturned. From the official website of the health and family planning commission of guangdong province, the notice has been viewed by a staggering 30,000 people. Sina medical columnists, medical independent observer @shandong style "officially disintegrated" from "guangdong ji yao"? Hospital medicine finally release!!" The issue of "notice" has attracted the attention of the industry, and most of the people have given a favorable view of guangdong. I suddenly think of lu xun's "the reverse of the tower of thunder".
To figure out why. The author read the notice carefully. An opening, explicitly points out that the "notice" issued on the basis of, is the people's government of guangdong province about print and distribute to deepen reform of comprehensive medical care system implementation plan of guangdong province notice (guangdong province [2017] no. 32) about medical insurance drug catalogue applies to both medical and health institutions at the grass-roots level. Check guangdong province no. 32, of which about medicare drug catalogue applies to both medical and health institutions at the grass-roots level "is only a word, is" reform and perfect the system for basic drugs, health care medicine catalogue applies to both medical and health institutions at the grass-roots level." This regulation is the content in the section of "perfecting the classification and treatment protection mechanism". Thus it can be seen that the basic drug system, which has been used to "limit the use of drugs for grass-roots medical institutions", has become an obstacle to the construction of graded diagnosis and treatment system. Therefore, the purpose of the notice is to deepen the reform of the medical and health care system, promote the classification diagnosis and treatment, and guarantee the supply of medicines.
The main content of the notice is divided into three parts. The first is that the "health care drug directory is applicable to grass-roots medical and health institutions". Since July 1, 2017, no longer for 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). In fact, it is open to all medical institutions clinical medication list, whether it is not subject to the basis or non-base drug restriction.
Second, the new system of basic drug innovation. It is clear that, from the beginning of 2017, all kinds of assessment and assessment and allocation of funds, such as medical reform, will be adjusted to the encouraging assessment indicators for the compulsory assessment of the proportion of basic drugs in use. We will actively coordinate the health care sector and integrate basic drugs into the overall plan of the health care clinics of primary medical and health institutions. In this sentence, it seems to be possible to read out the loss of the right to control and seize the helpless and helpless of the "medicine" procurement rights. Perhaps this is where the health sector's "pinup" is at all.
Third, "strengthening the education and training". It is pointed out that the local authorities should 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. It looks more like a dog's tail. You think, what do you need to train for a popular document? So after the media spread the document, many netizens said they wanted their provinces to do the same. Shandong feng light also send out "in hot June, read this article, the author just want to say one word: cool!"
To look back at the beginning of the reform proposed "national system for basic drugs for the definition of the concept of" essential drugs ", namely "essential drugs is to meet the needs of basic medical and health care, dosage form is appropriate, the price is reasonable, can guarantee the supply, the public can be equitable access to medicines". "Basic medicines are all equipped and used by the government, and all other medical institutions must use essential drugs as prescribed," he said. Note: the "to meet the needs of basic medical and health care, dosage form is appropriate, reasonable price", perhaps is to provide basic medical and health services "must have" rather than we then perform "can only be equipped with", "to secure supplies" is "must guarantee supply" rather than because of all sorts of "concentration" "shortage", so that "the public is equitable access to medicines". The government's primary medical and health institutions are required to be fully equipped and using essential drugs for "guaranteed supply" rather than "to be used only". Thus, we have for many years of "essential drugs system" may be under some government officials have big mistake, so now the guangdong basic medicine system bold implementation mechanism innovation is not only the basic medicine system error "collapse" is also the base of execution system executed correctly "return".
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