The "double line" assessment of the use of basic drugs accounted for 90%

Primary medical institutions in Heilongjiang Province use basic medicine requirements accounted for 90%! It is a general trend to increase the popularity of basic medicine, which is worth thinking about by every primary doctor...

Since The General Office of the State Council issued the Opinions on Improving the National Essential Medicine System last September, many provinces have entered the implementation stage of implementing or improving the national essential Medicine system. In addition to the routine operation, some provinces and cities have cancelled the original local supplementary drug list, and the proportion of basic drugs in primary medical institutions has increased significantly.

On July 22, the Health Commission of Heilongjiang Province issued a Notice on Further Strengthening the Management of the allocation and Use of Essential Medicines in public medical Institutions. The Notice made clear provisions on the allocation and use of essential medicines and the proportion of money, and implemented double-line statistical assessment.

Primary medical institutions account for a large proportion of basic drugs, up to 90%

Primary medical and health institutions are responsible for the diagnosis and treatment of common diseases, frequently occurring diseases and chronic diseases of Chinese residents. However, there is a lack of cohesion in the use of basic drugs between large hospitals and primary medical and health institutions, especially for chronic diseases such as hypertension and diabetes.

To a certain extent, increasing the proportion of primary medical institutions equipped with basic drugs, allowing doctors to give priority to the use of essential drugs, and not including them in the calculation of drug proportion in public hospitals, can improve the drug connection between large hospitals and primary medical institutions, and promote rational drug use by primary doctors.

"Notice" clearly stipulates that the implementation of equipped with the use of variety quantity proportion and the proportion of the amount of double line statistical assessment.

(1) The quantity and the amount of national essential drugs in village clinics should be no less than 90% and 80%, respectively;

(2) No less than 70% and 60% of primary medical and health institutions, respectively.

In addition to Heilongjiang Province, Liaoning province has also made the same provision.

On July 11, the General Office of Liaoning Provincial People's Government issued the Implementation Opinions on Improving the National Essential Medicine System, proposing to carry out the two-line statistical assessment, which is mainly based on the proportion of equipment used and supplemented by the proportion of purchase amount.

Not only confined to the public medical institutions, also included the basic drug system management of the public medical institutions, public and incorporated into the national system for basic drugs management of public basic medical and health institutions, village clinics, national essential drugs with use quantity ratio should reach 80% or more, the purchase amount ratio should reach 60% or more.

Local cancellation of the original supplementary catalogue

In addition to the large proportion of basic drug use in primary medical institutions, some provinces and municipalities directly proposed to cancel the original local supplementary drug list.

Beijing: On May 29, the Beijing Municipal Commission of Health issued a circular on the Implementation Opinions on Improving the National Essential Medicine System, suggesting that, in principle, no more essential medicines will be added to the national essential medicine list in accordance with the adjustment cycle and implementation requirements.

Chongqing Municipality: On July 1, Chongqing Municipal Commission of Health issued a notice on Further Strengthening the Management of the allocation and Use of Essential Medicines in public medical Institutions, proposing that the original Chongqing Supplementary Medicine List of National Essential Medicines (2013 edition) should be automatically abolished as of November 1, 2018.

At the same time, also puts forward the law of the People's Republic of China pharmacopoeia (2015 edition), Chinese medicine yinpian contains purchase amount into the statistic scope, all levels of hospital (including combine traditional Chinese and western medicine hospital), Chinese medicine yinpian procurement value proportion required in the same level general hospital, it is not hard to see, national and local support for the development of the cause of Chinese medicine.

Sichuan Province: On July 11, the Health Commission of Sichuan Province issued the Implementation Plan for Improving the National Essential Medicine System, proposing that the whole province should implement the national essential medicine list in a unified way and not make supplementary lists. Drugs included in the National Essential Medicines List of Supplementary Medicines in Sichuan Province will no longer be administered as essential medicines.

Guizhou Province: On July 22, the Health Commission of Guizhou Province issued a notice on the Implementation of the National Essential Medicine System, suggesting that the original "Guizhou Supplementary medicines" which are not included in the National Essential Medicine List (2018 edition) will no longer retain the attribute of "essential medicine".

Give full play to regional characteristics and appropriately supplement ethnic medicine

While implementing and improving the national essential medicine policy, measures should also be taken in accordance with local conditions. In this regard, the government has proposed a three-year adjustment period for local governments. Gansu, Yunnan, Guangxi, Qinghai and other provinces with regional characteristics and development advantages have added ethnic medicine.

Qinghai Province: On April 8, the General Office of the Qinghai Provincial People's Government issued the Opinions on the Implementation of the National Essential Medicine System, proposing to add 100 kinds of Tibetan patent medicines as additional medicines in Qinghai Province.

Guangxi Province: On May 17, the General Office of the People's Government of Guangxi Zhuang Autonomous Region issued the Implementation Opinions on Improving the Implementation of the National Essential Medicine System, stating that in principle, autonomous regions will not supplement the essential medicine list, with the exception of ethnic medicines.

Yunnan Province: On July 5, the General Office of the People's Government of Yunnan Province issued the "Opinions on the Implementation of the National Essential Medicine System", which proposed to add a small amount of ethnic medicines by province.

Gansu province, on July 24, general office of the people's government of yunnan province issued "about perfecting the implementation of the national system for basic drugs opinions, put forward appropriate chooses some national drug kinds, extended the catalog of basic drugs adjusted in gansu province in 2013 the national medicine, will have delisted or serious adverse reaction case more drugs out timely.

It can be seen that each region has its own characteristics in the implementation of the National Opinions on Improving the National Essential Medicine System. Especially from the gradual increase of the proportion of basic medicine in primary medical institutions in some regions, the popularization of essential medicine in the primary level will be the trend of The Times. The addition and use of non-essential drugs is only a temporary buffer. How to use essential drugs well and enhance the drug use connection with big hospitals is worth pondering and discussing for every primary medical workers.