The base medicine supplement "review" expensive
With the gradual deepening and implementation of the base drug system in various regions, a new round of local drug supplementation has become the focus of attention. Relevant departments require all localities to carry out the “review of the supplemented drugs†in conjunction with the implementation of the 2012 edition of the base drug catalog, and analyze the existing supplemental catalogs (with 520 non-overlapping parts) of the provinces and strictly control the number of supplements. Persist in the province as a unit to supplement and supplement the authority, and not to devolve authority to the city (prefecture), county (city, district) or grassroots medical and health institutions, so that the supplemental medicines are controlled at a reasonable level, and the mainstay of the national essential medicine list is maintained and supplemented. Orderly, scientific, and moderate, to better meet the basic needs of the people for medication.
Larger differences across regions
As of the end of last year, more than seven provinces have successively promulgated the supplement list of local essential drugs, including Qinghai, Guangdong, Gansu, Chongqing, Guizhou, Shanxi, and Jiangxi. Other places are still being added. Looking back at the local additions to “looking back,†the wave of new regional supplements to the basic medicine list that the industry generally expects did not emerge, reflecting the general attention paid to the “review†job requirements. However, from the added provinces, the number of supplements is still more than the market expected. A smaller number of Shanxi added 198, which is equivalent to 38% more than the country's new catalogue; Guizhou has a total of 427 additions, which is equivalent to 82% more than the national catalogue.
Considering that there are objective differences in local requirements during the initial implementation period of the basic medicine system, the state has no specific detailed quantitative requirements for the catalogue supplement management measures. There is a big difference in implementation and regulatory effectiveness in different regions. In particular, supplementing and tightening the selection of category A health insurance products, the adjustment of six factors, and the independent argumentation of exclusive species have failed to effectively comply with the requirements, which has affected the drug in varying degrees. Scientific implementation of the system.
You are persistent and open
From the previous national management requirements, we can see the two major principles of addition: First, strict control, and second, comprehensive demonstration.
1. Strict control
Article 14 of the "Implementation Opinions on Establishing a National Fundamental Drug System" emphasizes that the grassroots medical and health institutions organized by the government should increase the use of non-catalogue drug product varieties and should strictly control the necessity of prevention and control, combined with local financial endurance and basic medical security. . The specific varieties are organized by provincial health administrative departments in conjunction with development reform (price), industry and information technology, finance, human resources and social security, food and drug supervision, and Chinese medicine and other departments to organize expert demonstrations, from the National Basic Medical Insurance Drug List (category A). Within the scope of the selection, it is really necessary for the treatment of local special diseases, and can also be selected from the list (category B). Increased drugs should be produced by a number of companies.
2. Comprehensive argumentation
Article 5 of the “Administrative Measures on the National Essential Drug List (Trial)†emphasizes that except for first aid and rescue medications, exclusive production of varieties into the national essential drug list should be independently demonstrated. Article 9 emphasizes that the variety and quantity of basic medicines list adjustments should be determined based on the following factors: first, changes in basic medical and health needs and basic medical security levels in China; second, changes in the spectrum of diseases; third, monitoring and evaluation of adverse drug reactions; and fourth, national Monitoring and evaluation of the application of essential drugs; Fifth, Evidence-based medicine and drug economics evaluation of listed drugs; Sixth, other conditions stipulated by the National Essential Drugs Working Committee.
It can thus be seen that strengthening the regulatory oversight of the supplementation of basic medicines across the country is an important part of the smooth implementation of the basic drug system.
Since the country has already put forward a clear supplement principle, the selection and adjustment of the list of local drug-based drugs should adhere to principles and make public evaluations. With the establishment of a sound evidence-based medicine, pharmacoeconomics evaluation standards and working mechanisms, a reasonable list of supplements will be formulated. He listened extensively to the views and suggestions of all sectors of society and was ready to accept social supervision. At the same time, timely conduct performance appraisal on the supplementation of basic drug catalogs, conduct regular comprehensive assessments in conjunction with the implementation of the base drug system, publish monitoring and evaluation reports, and other relevant information to ensure the scientific supplements and standardized applications of the base drug catalog, and the continuous improvement of the system and Huimin development of.
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