Base medicine and two big heavy positive has already hospitals began to phase out non-base drugs

Medical Network June 12, June 9, the National Health and Care Commission issued two heavy-duty documents, one of which is "on doing a good job in the new situation of the clinical application management of antimicrobial drugs" for the draft for comments, the second is to start the second and third-level hospital performance appraisal data collection notice, the base drug ushered in a major policy benefits.
Under the strong promotion of the National Health and Care Commission, there have been local and hospital stake in positive measures, not only to improve the proportion of base medicine use, and even hospitals directly introduced non-base drug removal catalog.
New Deal on Antibiotic Management: Preferably Base Drug Limitation Antibiotics has been the policy focus of recent years, this year the National Health and Care Commission issued another new policy on antibiotic management, which is particularly noteworthy, the document mentions: medical institutions to combine the basic drugs-led "1 plus X" drug use model ("1" for the national list of essential drugs, "X" for non-essential drugs), optimize the supply of antimicrobial drugs catalogWhen formulating the catalogue and prescription set of antimicrobial drugs supply of this institution, in addition to ensuring the specifications of the varieties in accordance with the provisions, the selection of similar drugs shall be selected with safe, effective, economical and evidence-based varieties.
The State has always stressed that hospital drug management should be selected to optimize the drug catalog, public hospitals at all levels should establish a basic drug-led "1 plus X" drug use model ("1" for the national list of essential drugs, "X" for non-essential drugs), the proportion of basic drugs at the grass-roots level is 90%, secondary hospitals for 80%, tertiary hospitals for 60%In antibiotic selection, essential medicines are taking the lead.
Second, three-level hospital assessment: the basic drug into an important assessment indicators have been, doctors' income has been linked with drugs, inspection, supplies and other business income.
Since the new medical reform, the state has always stressed the need to adhere to the public welfare of public hospitals, in 2017, the General Office of the State Council issued "guidance on the establishment of a modern hospital management system", set the direction of public hospital reform, strictly prohibit the setting of income-generating indicators for medical personnel; The document requires that a performance appraisal system should be established according to post performance, workload, medical quality and safety, and that the results of the appraisal be linked to the employment of medical personnel, promotion of titles and personal remuneration.
Second, third-level hospital performance appraisal target is the above-mentioned documents, because of the salary promotion and other linkage, will greatly strengthen the implementation of medical personnelIn the performance appraisal system of the second and third level hospitals, the use of essential drugs has become an important appraisal indexAmong them, the three-level hospitals related to the basic drug assessment indicators are: outpatientprescription ratio, inpatient systomic drug utilization rate, basic drug procurement of the number of varieties accounted for three, secondary hospitals in the basic drug assessment indicators for the proportion of basic drugs procurement amount.
Already, hospitals have begun to phase out non-base drugs under the strong promotion of the National Health and Care Commission, there have been local and hospital stake in positive measures.
In May this year, Nanyang Health and Health Commission issued a summary of the use of drugs and basic drugs in 2019 and the main points of work in 2020, mentioned that this year the government-run primary health care institutions, secondary comprehensive (including Chinese medicine) hospitals, tertiary comprehensive (including Chinese medicine) hospitals, the proportion of basic drug use is not less than 70%, 50%, 30%; It is clear that the assessment of essential drugs has fallen on the proportion of use.
In addition, the author is concerned that many hospitals in the new drug selection announcement, many are priority to essential drugs, there is more severe direct removal of non-essential drugs.
According to the Jiangsu Provincial Medical Union news, in April 2020, Jiangmen City, Guangdong Province, the new meeting area people's hospital due to the use of base drugs did not meet the standards, will be interviewed by the Health and Care Commission, in principle, for the use of basic drugs non-standard units will not be ratedTherefore, Jiangmen New Club District People's Hospital urgently to the clinical department to collect the national base drug substitution needs, the introduction of national-based drugs, in the clinical treatment process, the use of similar drugs, in the case of guaranteed efficacy, priority use of basic drugs, and the use of basic drugs as an important part of prescription review, at the same time in the hospital sales of non-base drugs limited use.
The same Jiangsu Pharmaceutical Alliance news also said that recently, Shenzhen Central Hospital announced the 2020 phase-out of non-national basic drug varieties catalog, including a total of 148 varieties, including some of the market popular varieties.