In another place, 60 varieties of auxiliary drugs were strictly controlled

Source: sabilan 2015-10-27 in January this year, the leading group of medical reform of the State Council decided to carry out comprehensive medical reform pilot in Jiangsu and other provinces In May, Suzhou was identified as a provincial pilot city for medical reform by the provincial Party committee and the provincial government In September, the local medical reform group adopted a series of medical reform measures in principle, among which the establishment of key monitoring of auxiliary drugs is one of the important measures According to Suzhou local media city business daily, the first 60 varieties were included in the monitoring catalogue According to the notice issued by Anhui health and Family Planning Commission, from October 1, 2015, Anhui will also monitor the key drugs in Anhui Province, such as high price, large dosage, non treatment assistance, etc., specifically including the product specification, manufacturer name and purchase amount This year, the state will take Jiangsu, Fujian, Anhui and Qinghai as the pilot provinces to deepen medical reform So far, two provinces have begun to focus on the pilot monitoring of auxiliary drugs Although Suzhou is only a city in Jiangsu Province, as a provincial pilot, Suzhou's action can also be seen as a pilot in Jiangsu Province In October, cypress blue also shared with wechat friends the list of 122 adjuvant drugs restricted by the health and Family Planning Commission of Yunnan Province Will 2015 be the year of auxiliary drugs? Which 60 varieties will be included in the key monitoring list? Which drugs will be included in the key monitoring list? With high price, large dosage and non treatment assistance, these drugs are included in the key supervision catalogue, and an early warning management system is implemented 60 drugs are included in the first batch of supervision catalogue "For example, for cancer patients, anti-tumor drugs are necessary, while those drugs that improve the body's immunity and supplement nutrients are auxiliary drugs." Chen Xiaokang, deputy director of Suzhou health and Family Planning Commission, introduced that the key drug early warning and supervision mechanism is to monitor the "dispensable" drugs with high price on the basis of ensuring that patients must use drugs, because the excessive use of these drugs will cause the increase of medical expenses, increase the burden of medical expenses of patients, and even lead to the disharmony between doctors and patients For this reason, Suzhou health and family planning department, based on the centralized drug purchase data of all levels of medical institutions in the provincial drug purchase platform, and with reference to the proportion of medical insurance drug expense compensation and disease diagnosis and treatment data in our city, organizes relevant experts among all kinds of drugs with high price, large dosage, non treatment assistance, etc., and follows the drug safety According to the principles of effectiveness, economy and applicability, the key drugs monitoring catalogue has been selected and compiled There are 60 varieties in the first catalogue Dynamic management shall be carried out for the catalogue of key drugs, and the monitoring catalogue shall be adjusted and updated once every half a year, and shall be regularly published on the website of the municipal health and Family Planning Commission How to manage? For relevant medical institutions and medical personnel in Suzhou City (District), the purchase amount and usage of key drugs in the monitoring catalogue will be included in the monitoring management The use of key drugs in the monitoring catalogue will be evaluated by doctors' prescriptions, and the evaluation results of medical institutions notified by early warning will be submitted to the competent department If there is any unreasonable use of drugs, or there may be problems with drugs, relevant measures will be taken to control and intervene At the same time, it will also guide the purchasing body to focus on the early-warning varieties in the monitoring catalogue, combine the consumption information of corresponding drugs, implement the linking of quantity and price, and further reduce the false high price (note to cypress blue: second bargaining?) In addition, coordination and cooperation with discipline inspection, supervision, industry and commerce, food and drug supervision, human resources and social security and other departments will be further strengthened in the early warning management of key drug monitoring catalogue Medical institutions, medical personnel and drug production and marketing enterprises found to be in violation of rules and regulations will be seriously dealt with according to the relevant regulations Those involving commercial bribery and other corruption behaviors will be seriously investigated and punished according to the law and included in the management Medical insurance performance and integrity assessment Will auxiliary strict control spread? Compared with the selection criteria, cypress blue found that the criteria of Anhui Province and Suzhou are the same: high price, large dosage, non treatment assistance Anhui and Suzhou both said they would implement dynamic and flexible management of auxiliary drugs The former would adjust a list in the first quarter, while the latter would be updated every six months The hidden reason behind the high price, large dosage and non treatment auxiliary products is that "the excessive use of this part of drugs will lead to the increase of medical expenses and increase the burden of medical expenses of patients." in the increasingly tense situation of medical insurance funds in each province, the possibility of these auxiliary drugs to encounter strict control in the future is also very large However, there is a problem in the strict control of auxiliary drugs, which drugs belong to auxiliary drugs, so far, there is no unified standard The price is high and the dosage is large It's easy to select from the drug purchase platform, but it's quite flexible if it's non therapeutic.