echemi logo
Product
  • Product
  • Supplier
  • Inquiry
    Home > Active Ingredient News > Drugs Articles > More terrible than the catalogue, the country even uses the way of shrinking the prescription right of traditional Chinese medicine to strictly control Shenyao!

    More terrible than the catalogue, the country even uses the way of shrinking the prescription right of traditional Chinese medicine to strictly control Shenyao!

    • Last Update: 2019-07-04
    • Source: Internet
    • Author: User
    Search more information of high quality chemicals, good prices and reliable suppliers, visit www.echemi.com
    On July 1, the Bureau of Medical Administration issued 20 kinds of drugs to be listed in the first batch of directories, among which neurology and digestive department are the hardest hit areas! According to the requirements of the notice, the whole process management of the clinical application of drugs in the catalogue shall be strengthened We will further standardize doctors' prescribing behaviors, formulate medication guidelines or technical specifications for the drugs included in the catalog, and clearly define the conditions and principles for clinical application If there are relevant guidelines or guidelines, they should be strictly followed Carry out prescription review and comment on all drugs included in the catalogue, and strengthen the publicity, feedback and utilization of the results of prescription comment The impact on the industry 1 Most of the key monitoring varieties are auxiliary drugs, and their evaluation often lacks the support of authoritative guidance and clinical evidence, so strengthening the whole process management of drug clinical means that drugs lacking high-quality clinical evidence will be further suppressed The efficacy and safety of these drugs need more high-quality clinical trials and evidence-based evaluation Clinical pharmacists and doctors should pay attention to the cultivation of clinical thinking and use literature and evidence-based evidence comprehensively In the future, pharmaceutical enterprises will be forced to do a good job in large-scale clinical observation of products, and can do real world research if conditions permit All enterprises need to pay attention to large-scale clinical case collection based on evidence-based big data, which is an important development direction no matter from market sales or academic promotion 2 Strengthen the prescription management of doctors For prescription review and prescription review, according to the review results of pharmacists' orders, combined with the statistical analysis of the drug use structure of the key monitored varieties, it may be found that the responsible departments and individual doctors who have abusive behaviors are responsible for standardizing the practice behavior by interviewing the department heads through the functional departments, deducting the quality assessment points, and punishing the main responsible doctors economically How to manage the drugs not included in the catalogue? For chemical drugs and biological products not included in the catalog, doctors should strictly implement the prescription management measures and other relevant regulations, and reasonably select the drug varieties, drug delivery routes and dosage and issue a prescription according to the indications, disease diagnosis and treatment standard guidelines and the corresponding prescription authority specified in the drug manual It can be seen that for products not included in the catalog, there is no deregulation In the long run, whether the enterprises have been included in the catalogue or not, they should plan and adjust their industrial structure in advance without any preparation But what really matters is that this notice restricts the prescription of traditional Chinese medicine and traditional Chinese medicine, and makes it clear that only qualified doctors can issue prescriptions According to the notice, doctors who can prescribe traditional Chinese medicine are qualified as follows: 1 Doctors of traditional Chinese medicine category shall prescribe traditional Chinese medicine according to the guiding principles of clinical application of traditional Chinese medicine, the management standard of Chinese medicine Pieces in hospital, etc., and the basic principles of syndrome differentiation and treatment of traditional Chinese medicine; 2 Other types of doctors, after not less than 1 year of systematic learning of TCM professional knowledge and passing the examination, can issue prescriptions of Chinese patent medicine in accordance with the basic principles of syndrome differentiation and treatment of TCM clinical; 3 Those who have obtained the professional education or degree of traditional Chinese medicine, integration of traditional Chinese and Western medicine and national medicine approved by the education administration department at or above the provincial level, or who have participated in the training course of traditional Chinese medicine for more than 2 years approved by the competent department of traditional Chinese medicine at the provincial level (the total number of hours is not less than 850) and obtained the corresponding certificates; 4 Those who have obtained the graduation certificate of traditional medical teachers, or have studied traditional Chinese medicine with their teachers for 3 years and obtained the graduation certificate of traditional medical teachers in accordance with the relevant provisions of the examination methods for the qualification of traditional medical teachers and those with certain expertise, can not only issue the prescription of Chinese patent medicine, but also the prescription of decoction pieces of traditional Chinese medicine How many qualified doctors can prescribe traditional Chinese medicine in China? Let's have a group of data There are about 500000 practicing (Assistant) doctors in the category of traditional Chinese medicine in China, accounting for only about 15% of the total number of practicing doctors in China, but there are fewer hospitals in the level of traditional Chinese medicine In many hospitals at the grass-roots level, the Department of traditional Chinese medicine is a marginal department, and some medical students with low professional titles and self-employed traditional Chinese medicine are deducted It is estimated that there are only about 200000 main TCM doctors in the hospital! So theoretically, more than 70% of Chinese patent medicines are prescribed from western medicine The proportion of traditional Chinese medicine injection is higher, estimated to be more than 90%, because many traditional Chinese medicine do not recognize it as a traditional Chinese medicine, and can not find a basis in any traditional Chinese medicine books, and there are not so many patients available At the same time, patients are mainly hospitalized in cardiology, general medicine, geriatrics and neurology, etc! That is to say, there are only 200000 core prescription Chinese medicine doctors in China If it is clear that only this part of people can prescribe Chinese patent medicine, and Western medicine can't prescribe without training, then there is no suspense about the collapse of sales volume of Chinese patent medicine, Chinese medicine manufacturers will face survival crisis in batches, and the huge Chinese patent medicine market will face difficult transformation! Since the number of traditional Chinese medicine doctors is small, other types of doctors can also prescribe traditional Chinese medicine according to the basic principles of syndrome differentiation and treatment of traditional Chinese medicine after not less than one year of systematic learning of professional knowledge of traditional Chinese medicine and passing the examination How many western medicine associations will participate in the system learning assessment of traditional Chinese medicine? In this scoring area Doctors in tertiary hospitals in big cities lack motivation This kind of doctor's salary amount is considerable, the source of income is diverse, pay more attention to clinical academic and promotion road At the same time, their number of patients is large and stable, their daily work is busy, and their limited time and energy will only be put into more important places, that is to say, the cost of time and opportunity is very high, and there is no lack of other ways to generate income The benefits of going to private clinics to practice more or to open a flying knife, to do a consultation are also better than the benefits of explaining to patients constantly, opening several boxes of safe and invalid kickback drugs, especially It is impossible for senior doctors to go to special training! On the contrary, grassroots doctors, doctors in the third, fourth and fifth tier cities and young doctors in big cities may actively participate because they do not have so many sources of income and patients Under all kinds of strict supervision, there is a strong income generating power The power of Chinese medicine prescription can help them to obtain patients and improve their income at the same time Therefore, this kind of doctors are likely to participate in the training and systematic learning, and obtain the prescription right of Chinese patent medicine through the examination of professional knowledge of traditional Chinese medicine How many questions 1 Chinese medicine injection is exactly Chinese medicine? Chinese patent medicine? There is no clear statement from the management about the western medicine of plant extracts Since this is a category of over 100 billion yuan, it can't be ignored Please make it clear! Many enterprises have publicized it as traditional Chinese medicine or innovative traditional Chinese medicine before Will it be renamed as the plant extract obtained by modern pharmaceutical technology in the future, which is essentially western medicine? Even weaken some of its original propaganda theories, in order to survive, change course? 2 We should strengthen the training of Western medicine in the development of traditional Chinese medicine, especially in the preparation of decoction pieces, and raise our hands for approval However, there is a paradox in the field of Chinese patent medicine! As we all know, the so-called dialectical treatment of traditional Chinese medicine needs to differentiate Yin and Yang, seasons, men and women, age, and combine with other situations to carry out individualized treatment for different patients In short, it can be added or subtracted in decoction or decoction pieces, adjusted, dosage changed or which components are discarded in the contract At least in theory, dialectical treatment can be achieved! So for Chinese patent medicine, it is standardized, and the ingredients can't be adjusted Suppose that doctors differentiate syndromes according to the way of traditional Chinese medicine, then what? It's impossible to make any adjustment You can only choose to prescribe or not to prescribe any proprietary Chinese medicine You can't expect a temporary 850 class hour knowledge structure to be fixed You don't really believe in Western doctors of traditional Chinese medicine Go and really prescribe a bunch of decoction pieces for addition and subtraction! Therefore, as like as two peas, how to treat the Chinese patent medicine is also necessary In other words, no matter who gives the patient, the medicine will be exactly the same The structure of the ingredients will not change How can we treat the disease in theory? 3 For the qualification of traditional Chinese medicine prescription, the provincial level administration of traditional Chinese medicine shall formulate specific rules or study for 850 class hours When will it be implemented? It is implemented immediately or whenever More than 85% of Western doctors need to train at least 850 class hours before they can start to prescribe traditional Chinese medicine Is this large number of traditional Chinese medicine varieties in and out of the hospital breaking the cliff immediately? And how to assess the learning level? If credit system is adopted, will a large number of traditional Chinese medicine enterprises sponsor training, or even purchase some qualifications to send doctors, similar to the credit corruption now prevalent? If there is no unified national examination and standards, I am not optimistic about the implementation of the provincial unit! You only need to see how many fake and shoddy products were made when the approval authority of new Chinese medicine was in the province, how many fake and shoddy products were made, how many products were made as soon as your head slapped and copied a so-called ancient prescription, how many observations were made and how dare you declare, and how much better it will be after being taken back to the whole country The consequences of this great leap forward era are still paying off debts today! Even if he was born with abnormal fetus, but he survived, he will naturally find a way to survive The root cause of excessive kickbacks is that the product is invalid, so what can we do if we don't do so? Therefore, the reason why we should strictly control it today is the result of the previous evil! No matter whether the policy is one size fits all and its rationality and operability, but we have seen the determination of the state! It's a real drastic move It's much harder than issuing a directory It's just for monitoring, but it can still be opened, but it's only limited This kind of qualification access method directly shocks it, or even exterminates it in a short time Its power is no less than centralized mining, or even more than DRG! There are also hundreds of thousands of pharmaceutical representatives and agents of traditional Chinese medicine enterprises, which may face huge employment risks in an instant, because doctors can't drive, and it's useless to do work and run, especially in the level hospitals of big cities! So for many traditional Chinese medicine industry enterprises, they may also face the problem of marketing system collapse Enterprises have the strength to endure slowly, but you can't let salespeople and representatives spend 2000 yuan a month to accompany you through the difficult years! For the capital market, it may be rational to sell most shares of traditional Chinese medicine and traditional Chinese medicine injection companies, because the sky has changed! If the policy is strictly implemented!
    This article is an English version of an article which is originally in the Chinese language on echemi.com and is provided for information purposes only. This website makes no representation or warranty of any kind, either expressed or implied, as to the accuracy, completeness ownership or reliability of the article or any translations thereof. If you have any concerns or complaints relating to the article, please send an email, providing a detailed description of the concern or complaint, to service@echemi.com. A staff member will contact you within 5 working days. Once verified, infringing content will be removed immediately.

    Contact Us

    The source of this page with content of products and services is from Internet, which doesn't represent ECHEMI's opinion. If you have any queries, please write to service@echemi.com. It will be replied within 5 days.

    Moreover, if you find any instances of plagiarism from the page, please send email to service@echemi.com with relevant evidence.