Look at the 14th Five-Year Plan medical reform from "one pill"

Nearly 5 years of innovative drugs into the review, a large number of "zombie drugs" face withdrawal, 2020 national health insurance drug catalog adjustment into the countdown.
this unprecedented adjustment will be an upgrade of the 1.4 billion people drug basket.
year, the pharmaceutical sector has been in the doss.
fell into the "thousand-dollar era" of the crown stent hit the high-value medical supplies national collection of the starting gun; a total of 112 countries collected drugs, the average drug price fell by 54%;A pill that affects people's livelihood.
the "14th Five-Year Plan" medical reform towards the deep-water area, how to reverse the falsely high drug prices, medicine to supplement medical treatment and other chaos, how to take drug reform as a breakthrough, so that the people spend less money and enjoy better health?Collection of "three plate axes": drug price reduction will become the norm Recently, Jilin Province, Changchun Chaoyang District People's Hospital physician Yuan magnificent in the prescription of drugs found that the system appeared a low price to "unfathonable" metformin hydrochloride tablets, a question to know that it is the national collection of selected drugs.
- December 14, Jilin Province, Changchun City Chaoyang District People's Hospital Physicians Yuan magnificent treatment for patients in early December, the third batch of state organizations collected 55 varieties of drugs in public hospitals across the country.
metformin hydrochloride is one of the "star drugs" - a first-line sugar-lowering drug for type 2 diabetes that costs an average of just 6 cents per tablet in 44 pharmaceutical companies.
, a Changchun resident in his 60s, has been taking metformin hydrochloride tablets for a long time due to illness.
her daughter told reporters that the former mother in the hospital to open the medicine is Ghua, each box size of 10g, need to take 6 boxes a month, a total cost of more than 140 yuan.
not long ago, she went to the hospital again to help her mother with medicine, found that each box of 25g specifications of metformin hydrochloride tablets, the price of 3.56 yuan, a monthly cost of 8.5 yuan, only 6% of the past cost.
doctor explained to us that the quality of cheap medicine is determined by the state and can be used with confidence.
parents do not take medicine pain, the burden of their children is also light.
," Chen Shuyun's daughter said.
- This is December 14 in The Chaoyang District People's Hospital pharmacy in Changchun City, Jilin Province, filmed the hydrochloric acid metformin tablets of drugs a few cents of cheap medicine how to come? The answer is centralized volume purchases.
, deputy director of the pharmaceutical price and tender procurement department of the State Health Security Administration, said that "with volume" is the core of the reform, the treatment is the circulation link to raise prices.
national and local health care departments are "with volume" spokesman, holding the ledger directly with manufacturers "group purchase."
the concentration of pharmaceuticals and high-value medical supplies this year? The State Health Insurance Administration gave a book: small bracket price reduction of 93% - the first batch of national centralized procurement of crown bracket average price from 13,000 yuan to 700 yuan.
the same products by the same companies by an average of 93% compared to 2019.
the latest procurement volume, the projected savings amount to $11.7 billion.
"collecting drugs" hit the fold - patients have been able to use three batches of national collection of 112 cheap drugs, the average drug price fell by 54%, some drugs the highest price reduction of more than 95%, covering diabetes, hypertension, anti-infection, anti-tumor and other therapeutic areas, are clinically used drugs.
drug costs saved 53.9 billion yuan - according to the amount of procurement agreed by the state collection, the annual drug costs fell from 65.9 billion yuan to 12 billion yuan, saving 53.9 billion yuan.
if calculated at 60% reimbursement rate, it could save patients $21.6 billion and the health insurance fund $32.3 billion.
people can't help asking, why can the price of medicine be reduced so much? Can cheap medicine be used with confidence?"The core of the price cut is first and foremost that medicines are better, not cheaper.
" Ding Said that the "three-plate axe" of the centralized volume procurement system is the first to curb clinical abuse with demand-oriented, the second is to guide drug prices back to a reasonable range with competition rules, and the third is to use the banding rules to promote the pharmaceutical industry to clean up.
To sort out the course of China's pharmaceutical reform, from the zero price of drugs in circulation, two-vote system reform, to the use of clinical prescription supervision, key drug monitoring directory, to the production side of the drug consistency evaluation, listing licensee system, for the "one-pill" reform is like a fine operation, the goal is to gradually return to the drug market normal value system, while significantly reducing drug prices, not only to let the price "one down."
reporter noted that the state-organized drug collection from procurement, payment, advance payment to landing use, quality control, etc. , have formed a normal mechanism.
, including non-evaluation of drugs and other varieties of local drug collection has become a fire.
Ding said that as long as the number of drug varieties eligible for collection conditions or their amount reached a certain level, that is, trigger the national organization of mining.
national organization of drug collection is expected to be carried out twice a year.
means more cut-price drugs and medical supplies are on the way.
change in the pattern of medicine: for medical reform "Teng cage for birds" zombie medicine clear out, life-saving medicine please come in.
the annual adjustment of the medical insurance catalogue, but also a dynamic adjustment of the pharmaceutical pattern.
reporters observed that from January 1, 2015 to August 17, 2020, new drugs are included in the scope of the catalog adjustment, can be said to encourage innovation "gates" to the maximum;
medical reform in the deep-water area, manifested in medicine, the root cause is in medicine, so take a "drug" and move the whole body.
Throughout the year 2020, the changes in the pharmaceutical landscape, from the beginning of the epidemic to the Internet medicine on the fast train, to the mid-year "price reduction tide" spread to pharmacies, non-public medical institutions, to the end of the year crown bracket price dive, the depth of the adjustment of the health insurance catalog, the effect of its linkage reform is gradually showing.
people's hospital in Shanghai, Guangxi, has been collecting since January 1 this year.
previously, drug revenues accounted for about a quarter of the hospital's total revenue, which fell to about 15 percent after the collection.
but President Pan Maohua said there are not enough varieties to collect at present.
. .Mr. Pan said the move has greatly promoted rational drug use and optimized the revenue structure of the medical business.
" used to be a lot of medicine, some people do not understand will scold, now doctors open more consideration is reasonable medication.
Coupled with the savings of medical insurance balance can be retained, the money for hospital development and staff income can be followed by an increase, stimulate the enthusiasm of medical personnel, hospitals have also stepped into a cost reduction, excellent structure, promote the healthy development of management.
"Where's the sky-high amount of health care money saved?" This is the answer - Ding Erlei said that the reform is essentially to free up the drug price is inflated, with gold sales atmosphere difficult to eliminate, the tension between doctors and patients in the "old cage", into the public hospitals to return to public welfare, purify the ecological environment of the pharmaceutical industry, promote industrial transformation and upgrading of the "new bird."
Guangxi Zhuang Autonomous Region Medical Security Bureau, medical prices and tender procurement director Lu Sheng introduced, Guangxi in the active promotion of drug collection and landing primary hospitals, but also through information system transformation, medical insurance fund advance and other means, so that the procurement of selected products transaction costs reduced, medical institutions, production enterprises, the repayment time greatly shortened, effectively improve the local pharmaceutical industry ecology.
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for ordinary people, the effect of supply-side reform of medical services is also emerging.
first-line drugs used to treat hepatitis B, tynofovir and enticave, used to be expensive, initially costing between $13,000 and $18,000 per person per year.
2019, the national health-care sector will reduce the price of both drugs by more than 200 yuan per person per year through centralized procurement.
" collection not only reduces the burden on patients who have taken the drug for a long time, but also benefits those who have been sick and unable to afford it in the past.
Jia Jidong, director of the Liver Disease Research Center at Beijing Friendship Hospital affiliated with Capital Medical University, said that in Entikawe, for example, the patient selection rate rose from about 20% in the first period to nearly 80% after the harvest, and the situation of non-treatment or incasive treatment for economic reasons was greatly reduced, greatly promoting the prevention and treatment of hepatitis B.
but Shi Weiwen, a professor at Peking University's School of Pharmacy, also cautioned that centralized procurement and drug price reform could not become policy silos.
only by truly realizing the three-doctor linkage, "Teng Cage" and "Changing Birds" in concert, can we ensure that the space freed up is not crowded by other interests, to achieve a reasonable return of drug prices.
health care reform new "drug" side: innovation led to high-quality development in Nanning City, The bright town of Kowloon Village, the former villagers take medicine as long as it is a swipe of health insurance card, you have to run to the big hospital.
because the village health room did not connect to the direct settlement system of medical insurance, the determination of chronic disease must also go to the second-level or above hospital identification.
, the villages with health rooms in Guangxi are connected to the medical insurance "village doctors".
villagers can swipe at the door, but also face recognition, very convenient.
some diseases are also decentralized to qualified first-level fixed-point hospitals can be identified.
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is of great significance for the implementation of graded diagnosis and treatment.
" village doctor Meng Mei feeling quite deep, like the commonly used Amosilin particles, now reduced to more than a dollar per box, the villagers will not complain that the fare is more expensive than the cost of medicine.
in the health room of Lionnan Village in Pinggui District, Hezhou City, Guangxi Province, doctors used the "village medical pass" system to brush the patient's ID card for medical expenses settlement" The previous reform we have been around the drug unit price to do the article, but in fact, the drug price problem may be only a symptom, not the cause.
gu Xuefei, director of the Medical Security Research Office of the Health Development Research Center of the National Health and Health Commission, said that in the past, people's problems such as the high price of medicine and the use of medicine for medical treatment were fundamentally problems of inadequate incentive mechanism for doctors and inadequate medical security.
to prescribe a new "drug" prescription, you have to come up with a new "trick".
in the health room of Lionnan Village in Pinggui District, Hezhou City, Guangxi Province, doctors to see villagers from drugs, supplies collection normal door open, to the medical insurance catalog update negotiations, bidding access rules; 2020 is a year of innovation for the pharmaceutical sector.
"14th Five-Year" to lead the high-quality development of the field of medicine with innovation, has become the consensus of all parties.
Hu Yinglian, a professor at the Central Party School (National School of Administration) and director of the China Drug Regulatory Research Association, said china's drug governance has entered a new stage under the challenge of an aging population and an increase in chronically ill patients, especially after the outbreak of neo-crown pneumonia.
the pursuit of the pharmaceutical industry scale and product quantity, from the past to the people's health as the center, to ensure the quality of drugs safety and promote innovation.
Gu Xuefei said that during the 14th Five-Year Plan period, it is urgent to take "one pill" as a breakthrough, through the innovative implementation of various mechanisms, and truly establish a people's health-centered, integrated health care and health service system, as well as health value-oriented health insurance payment system.
the "Internet plus medicine" that shines during the outbreak may become a new round of medical reform overdrage tools.
, Beijing, Shanghai, Fuzhou, Ningbo and other places have incorporated Internet hospitals into the local new infrastructure development plan.
new policies, such as "Internet Plus" health insurance payments and mutual recognition of health information sharing, are also being explored.
experts believe that the Internet hospital as an offline entity "standard" will become the "14th Five-Year Plan" medical reform trend, but drugs are the Internet medical service scene of higher-risk products, the promotion process should be cautious.
Hu Yinglian said that in the next five to ten years, we must coordinate the development and security of the medical field, keep the bottom line, and strive for a high line.
to coordinate the policy objectives of drug quality and safety, medical insurance fund safety and anti-monopoly economic security to prevent and defuse major risks.
, with efficient supervision and governance to promote the high-quality development of the pharmaceutical industry, so that Chinese cans filled with their own good medicine.
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