The medical net on July 21 the base can be used to more non-essential drugs! In shandong province on July 20, who planning commission in the official website announced on the adjustment to perfect the grass-roots medical institutions and drug with use policy notice "(hereinafter referred to as the" notice "), the amount of the grassroots medical institutions of essential medicines procurement organization this total amount of drug purchase percentage increased to 30%, the clinic at the grass-roots level to meet patients' medical demand, promote two-way referral and grading system of diagnosis and treatment of cohesion has a positive meaning.
Base since the establishment of system of medicine, medicine difficult has been plagued by grassroots medical institutions: medicine medicine, commonly used medicines is not in the base directory, cheap medicines not recognised problems such as the existence of the grassroots doctors often have the feeling of "no cure", but also add trouble to patients select clinic: because you can't buy need to, some patients in grassroots medical institutions to see sick had to go to large hospital medicine. Especially in recent years, with the gradual improvement of the basic-level medical ability level, couplet of the medical and the grading system gradually established, more and more patients with slow disease in clinic, the medical couplet body and recovery referral patients needs in grassroots medical institutions to see the doctor, medicine.
To meet the demand for treating patients, promote grass-roots medical institutions and drug cohesion between two tertiary medical institutions, the "notice" to the drug with usage of grassroots medical institutions.
Previously, our province requires basic drug purchasing amount of all grassroots health institutions not less than 80% of the total amount of the drug purchase, that is to say, the base is not higher than 20% of the total amount of purchase. This time, the notice will adjust the proportion of non-basic pharmaceutical procurement from the primary medical institutions to the proportion of the total amount of the total pharmaceutical procurement to no more than 30%. This means that the availability of non-basic medicines for primary-level medical institutions will increase and the range of non-basic medicines available for primary doctors will be expanded.
For available at the grass-roots level which the medicine, "notice" provisions, in order to ensure medication for patients with chronic diseases is a key, grassroots medical institutions can be directly from the list of drugs of insurance of primary medical treatment in our province choose the medicine. The subsidence of non-base drug selection means that the primary medical establishment can choose and adjust the scope of medicine according to the actual needs of the clinical line, and greatly improve the flexibility of the selection of the drugs at the grass-roots level.
Against possible hidden gray transactions, cause drug prices artificially high offline purchase, the "notice" requirements, the grassroots medical institutions with the use of all drugs (except traditional Chinese medicine yinpian) must be through the provincial drug centralized purchasing platform for online purchases, and implement in the provinces units unified payment and settlement, zero rate of sales.
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Essential medicines is able to meet the demand of basic medical and health care, appropriate, to ensure supply of dosage form, at the grass-roots level can be equipped with, national can equitable access to medicines, main characteristic is safe and necessary, effective and cheap. Such as penicillin, erythromycin, and the zhengqi water.
In August 2009, of the implementation opinions on establishing a national system for basic drugs, "the national list of essential medicines management measures (provisional)" and "the national list of essential medicines (grassroots health institutions with using partial)" (2009 edition) issued at the same time, since our country establish a national system for basic drugs work effect. The basic medical and health institutions held by the government are fully equipped and use basic drugs, and all other medical institutions must use the basic drugs as prescribed.
Any drug that is covered by the basic catalogue of insurance reimbursement will be reimbursed in proportion to the needs of the medical insurance coverage and the reimbursement of medical insurance coverage. The same is true of basic drugs, not essential drugs. Essential drugs and the essential drugs in medical insurance reimbursement have different: one is the basic drugs all included in the scope of the basic medical insurance drug list, not the only part of the basic drugs into; Second, the state encourages the use of essential drugs, and the reimbursement ratio of essential drugs is significantly higher than that of non-essential drugs. |
