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    Home > Medical News > Medical World News > Health and Health Commission issued documents for three consecutive years to assess the use of five types of drugs

    Health and Health Commission issued documents for three consecutive years to assess the use of five types of drugs

    • Last Update: 2019-12-22
    • Source: Internet
    • Author: User
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    Issued by the national health and Health Commission, 5 types of drugs were assessed for use nationwide for 3 consecutive years On December 20, the general office of the National Health Commission issued the notice on the assessment of rational use of drugs in medical institutions (hereinafter referred to as the notice), and all medical institutions that have obtained the practice license of medical institutions and use drugs shall be assessed (see the end of the paper for the full text) According to the notice, the key contents of the assessment of rational use of drugs should include at least five items, including the use of drugs negotiated and admitted by the designated medical institutions for medical insurance, the use of varieties selected in the centralized purchase of drugs organized by public medical institutions, and the use and management of antibacterial drugs, anti-tumor drugs and key monitoring drugs As well as the use and management of narcotic drugs and psychotropic drugs, radioactive drugs, toxic drugs for medical use, precursor chemicals of drugs, stimulant drugs and other special management drugs According to the analysis of the insiders, this means that the assessment of rational drug use by the national health and Health Commission will be upgraded again According to the national health and Health Commission, the assessment period of hospitals above the second level (including maternal and child health care hospitals and specialized disease prevention and control institutions, the same below) included in the assessment is 3 years; the assessment period of other grass-roots medical and health institutions included in the assessment is determined by the Provincial Health and health administration department, with a maximum of 3 years According to the notice, by 2021, the assessment coverage of primary medical and health institutions, secondary medical institutions and tertiary medical institutions will reach 10%, 30% and 100% respectively; by 2022, the assessment coverage of primary medical and health institutions and secondary medical institutions will reach 20% and 50% respectively By 2023, the assessment coverage of secondary medical institutions will be realized, and the assessment coverage of primary medical and health institutions will reach more than 50% and increase year by year At the same time, those who fail to pass the examination shall be ordered by the provincial administrative department of health and health to make corrections within a time limit; those who fail to make corrections within the time limit or fail to pass the examination continuously shall be suspended from practice, and the persons in charge and other persons directly responsible for public medical institutions shall be punished according to law According to the analysis of the notice, in addition to the drugs of refined and released drugs, it can be seen that the national health and Health Commission's goal of drug assessment is to guarantee and monitor the use of drugs simultaneously What can be determined is that under the situation of continuous assessment of key monitoring drugs for three years nationwide, it should be a high probability event that clinical use is limited until the market shrinks At the same time, another direction for the national health and Health Commission to assess the rational use of drugs is to negotiate with the state and purchase drugs in quantity On the 19th, the national health and Health Commission issued the notice on further improving the allocation and use of selected drugs in the centralized purchase of drugs organized by the state, which requires all provincial health and health administrative departments to ensure the completion of the contract amount on schedule according to the agreed purchase amount reported by the region Today's release shows the guarantee for the use of drugs purchased with volume It can also be seen that the attitude of the state towards rational use of drugs is relatively firm As a result, the use of drugs will tend to be reasonable, and at the same time, the drug market will grow and fall, with some momentum rising and some declining Attachment: Health and health committees of all provinces, autonomous regions, municipalities directly under the central government and Xinjiang production and Construction Corps: In order to strengthen the assessment of rational use of drugs in medical institutions, improve the level of drug administration in medical institutions, improve the quality of medical treatment, and safeguard the health rights and interests of the people, the following requirements are put forward for the assessment of rational use of drugs in medical institutions: Rational use of drugs is the goal of pharmaceutical management in medical institutions, the inevitable requirement of improving medical quality and ensuring medical safety, as well as the important content of deepening the reform of medical and health system and building a healthy China The administrative departments of health at all levels and all kinds of medical institutions at all levels must attach great importance to the assessment of rational use of drugs, adhere to the principle of people's health as the center, follow the objective, scientific, fair and just, establish the assessment mechanism of rational use of drugs, and take effective measures to ensure the implementation of the assessment (1) Assessment scope All medical institutions that have obtained the medical institution practice license and use drugs shall be examined (2) Assessment content According to the actual situation of the medical institutions within the jurisdiction, the provincial health administrative department should make clear the specific content of the assessment of rational use of drugs, and set up the corresponding assessment indicators The key contents of the assessment of rational use of drugs shall at least include: 1 The use and management of narcotic drugs and psychotropic drugs, radioactive drugs, toxic drugs for medical use, precursor chemicals, stimulant drugs and other special management drugs; 2 The use and management of antibacterial drugs, anti-tumor drugs and key monitoring drugs; 3 The allocation of national essential drugs by public medical institutions Use situation; 4 The use situation of the selected varieties of drugs in the centralized purchase organized by the state of public medical institutions; 5 The use situation of the drugs in the national medical insurance negotiation access of the designated medical institutions (1) Assessment responsibility The provincial administrative department of health and health shall be responsible for formulating the implementation plan for the assessment of rational use of drugs, organizing or entrusting a third party to assess the medical institutions within its jurisdiction (two) assessment cycle The assessment period of hospitals above the second level (including MCH hospitals and specialized disease prevention and control institutions, the same below) included in the assessment is 3 years; the assessment period of other grass-roots medical and health institutions included in the assessment is determined by the provincial health and health administration department, with a maximum of 3 years (3) Assessment method The self-examination and self-assessment of medical institutions and data and information assessment of health administrative departments are adopted for the assessment Medical institutions shall conduct self-examination and self-assessment on the rational use of drugs in their own institutions according to the assessment contents and indicators, and submit the results to the provincial health administrative department According to the self-examination and self-assessment submitted by the medical institutions, the provincial health administrative department collects the key data of the assessment indicators of the medical institutions online through the information platform, and organizes or entrusts a third party to carry out the verification and analysis (4) Assessment results The provincial health administrative department makes a comprehensive evaluation according to the self-examination and self-evaluation of medical institutions and the data information evaluation to form the evaluation results The assessment results are divided into excellent, good, qualified and unqualified If there is a major potential safety hazard in the management of rational use of drugs, or adverse drug events are caused due to wrong use of drugs, the assessment result shall be unqualified (5) Information support Health administrative departments at all levels and all kinds of medical institutions at all levels should strengthen the construction of medical information platform, and promote the assessment work through modern information means It can be improved on the basis of the existing information platform, and gradually realize the interconnection between the provincial health administrative department or its entrusted third party and the key assessment index data of medical institutions Through the "Internet plus assessment" form, we collect data to complete the examination of data information, reduce the burden of medical institutions, improve the efficiency and level of assessment, and ensure the objectivity of the assessment (6) Improve assessment coverage The provincial health administrative department should make a good management plan for rational drug use assessment, and gradually improve the coverage rate of rational drug use assessment in all kinds of medical institutions within the jurisdiction By 2021, the assessment coverage of primary medical and health institutions, secondary medical institutions and tertiary medical institutions will reach 10%, 30% and 100% respectively; by 2022, the assessment coverage of primary medical and health institutions and secondary medical institutions will reach 20% and 50% respectively; by 2023, the assessment coverage of secondary medical institutions will be achieved, and the assessment coverage of primary medical and health institutions will reach more than 50% and increase year by year.
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