Medicine net August 3 the news base medicine big release, then "a city"!
▍ 21 disease to let go!
Released yesterday (Aug. 2), ningxia medicine new policy, clearly put forward "the catalog of grass-roots of essential drugs for hypertension and its complications in outpatient service a serious illness such as 21 kinds of medical insurance diseases diagnosis and treatment of drug use is not included in the purchase amount of basic drugs."
This is also the first time after the comprehensive release of the base drugs in guangdong, the first time of full release of the disease.
The document has not yet detailed 21 medical conditions for the purchase of non-basic medicines. Currently, there are 28 major diseases of basic medical insurance in ningxia, including:
High blood pressure and complications of hypertension, coronary heart disease, diabetes and diabetes complications, malignant tumor radiotherapy or anti-rejection treatment after drug treatment, organ transplantation, chronic viral hepatitis, liver cirrhosis, dialysis treatment, chronic kidney disease, rheumatoid arthritis, psychosis, infantile cerebral palsy (only residents health care), children bronchial asthma, aplastic anemia, senile dementia, systemic lupus erythematosus (sle), benzene acetone urine, condensation of antiplatelet therapy after heart stents implantation, Parkinson's disease, ankylosing spondylitis, sjogren's syndrome, chronic obstructive pulmonary disease, epilepsy, cerebrovascular accident sequelae and chronic cor pulmonale, rheumatic heart disease, femoral head necrosis, myasthenia gravis.
▍ based medicine loosen
The drug may be adjusting for better exports.
In April this year, the national medicine GuanPing units issued a notice of the public do not supply ningxia directory or not normal supply of drugs, 16 bid prices for medicines, GMP certificate due reasons, such as production enterprises supply, or normal supply situation, the serious influence to ensure clinical medication of medical institutions, mostly based medicine.
Price is unable to avoid the embarrassment of facts - 11 priced under $2, more for injection, the profit is not high, depends on quantity, for the use of these cheap medicine hospitals lack of motivation, shrinking market, no sales profits, enterprises lack the enthusiasm of the production and promotion.
The pace of adjustment has been pouring in.
More than in ningxia, on June 30, the guangdong health development planning commission issued "about further defined the basic drug system in our province about the required notice, announced that 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.
This is also the first official landing of the nationwide release of the basic drug system.
On July 20, health and family planning commission of shandong province, shandong province human resources and social security department jointly issued "on the adjustment perfect grassroots medical institutions and drug with use policy notice, points out that the basic medical institutions of essential medicines procurement amount of drug purchase under our total amount up to 30%.
In fact, there have been various restrictions on the use of basic drugs in the country.
40% of liaoning primary level; Jiangxi allows 30 to 40 percent of non-essential medicines; Chongqing is allowed to use 50% of non-basic drugs; Hubei province is 20%, and zhejiang, shaanxi and other 12 provinces have adopted a partial release attitude to the drug use of grass-roots medical institutions.
Earlier, the national health development planning commission said publicly at the mention of basic medicine proportion to relax, community health service center part of the large and medium-sized cities and rural towns and townships after years of development, greatly enhance the service function and ability, clinical application demand, to better adapt to the basic level of basic medical service new requirements, new features, further meet the demand of basic medicine, allowing grassroots health institutions with a certain number or percentage of essential drugs.
Medical management of Beijing university, director of the center for international studies at Shi Lu article also analysis, points out that a lot of chronic diseases such as hypertension, diabetes, etc., the use of drug is a medicine, but also long-term use, so in grassroots medical institutions tend to buy less than, patients have to go to large hospital to buy on a regular basis. At the grass-roots level can also use the medicine after, can solve this part of the patient's medicine, join big hospitals and grass-roots units from taking any medication, promote two-way referral, establishing hierarchical diagnosis and treatment, to better meet the needs of patients.
Attached: notice of further strengthening the management of non-essential medicines of primary medical and health institutions
Cities, counties (districts) health and family planning commission (bureau), ningdong social affairs bureau, medical and health institutions at all levels, unified distribution enterprises of various drugs:
In order to further improve the medical service capacity of the primary medical and health institutions, and to guarantee the demand of clinical medicine for clinical activities such as chronic diseases, the two-way referral and grading treatment of medical institutions at all levels should be promoted. Autonomous region health and family planning commission and the autonomous region of human resources and social security hall made "about print and distribute" the ningxia hui autonomous region of grassroots medical institutions of basic drugs directory (2016 edition) > notice (NingWei plan hair [2016] no. 246). We will further implement the relevant information on the use of non-essential medicines of community-level medical and health institutions.
, city and county (district) to take an active family planning department of health and the municipal, district (county) human resources and social security departments to coordinate communication, maintenance updates the region of ningxia hui autonomous region grassroots health institutions of basic drugs directory (2016 edition) "(hereinafter referred to as" the list of essential medicines at the grass-roots level ") data system, to ensure that the catalog of basic of basic drugs in drug reimbursement in time, implement the basic medical and health institutions not equipped with basic drugs using the management work, and ensure the grassroots demand.
2, city and county (district) health family planning department should organize the jurisdiction of community health service agencies, township hospitals and village clinics study the implementation of the ningxia hui autonomous region grassroots health institutions of basic drugs directory (2016 edition) and regulatory requirements and equipped with use.
Three, the catalog of basic of basic drugs in all drugs incorporated in the autonomous region of the basic medical insurance to pay limits, allowed in community health service institutions, township hospitals and village clinics grassroots medical institutions with use. At the same time, the medical insurance outpatient medicine in the basic drug catalog is not included in the prescription quota assessment of primary medical and health institutions.
Iv. Primary medical and health institutions should give priority to the use of drugs in the national basic drug catalog. Community health service center (township central hospitals) and community health service stations (towns and townships, village clinics) basic drugs drug purchase amount ratio shall not be lower than the agency procurement throughout the year by 70% and 80% of the total amount of the drug. The diagnosis and treatment of 21 kinds of medical insurance outpatient diseases, such as hypertension and its complications, are not included in the basic pharmacy. |
