Speech by Zheng Hong, director general of the Department of drug administration of the state health and Family Planning Commission, on March 4 at the "2015 Symposium of deputies to the National People's Congress and CPPCC members of the pharmaceutical industry"

Source: on March 6, 2015, the China Council for the promotion of drugs just released the No The centralized purchase of drugs in China has gone through more than ten years There are both rules to follow and lessons to be learned The top-level design of "opinions" has a high starting point, wide vision, strong foresight, pertinence and guidance, which can play a good role in regulating the centralized purchase of drugs in public hospitals I also note that the business community is full of expectations and hopes to be fully implemented The opinions draws lessons from the common practices of international drug procurement, but does not simply copy foreign experience Instead, it starts from the basic national conditions, coordinates the local and overall situation, takes problem-solving as the guide, fully absorbs the experience of basic drug procurement The biggest highlight is the combination of release and management, classified procurement, mainly including bidding procurement, negotiation procurement, hospital direct procurement, designated production, special drugs In addition, some flexible policies have been given to the pilot areas of public hospital reform This is fully in line with the spirit of the Third Plenary Session of the 18th CPC Central Committee, that is, the market plays a decisive role in the allocation of resources and better plays the role of the government Classified purchase is not like what some people say, all drugs are bidding, and I don't think drugs can be done in one move We cannot bid for all drugs We should give full play to the role of market mechanism We should let go what we should, and we should control what we should, and ensure the quality and supply of drugs through fair competition Some people say that by relying on the market, we can straighten out the price of drugs, that is, we can do it according to foreign methods Now, we can't simply take some foreign practices back and apply them to domestic practice Maybe your solutions can solve the problems in a part of our region, but they can't solve the overall problems Essential drugs are the main carrier and tool to promote public health equity in the field of drugs After the implementation of the basic drug system, it was proposed to fully equip and use basic drugs at the grass-roots level, which is a tightening approach Later, many people attributed the main reason for the overcrowding of large hospitals to the lack of access to drugs at the grass-roots level But when we went to the grass-roots level, a chairman just said that he also did research Now we are relatively short of talents at the grass-roots level Drugs are a special commodity and many drugs The management of drugs, especially prescription drugs, should be strengthened In foreign countries, the management of prescription drugs is very strict It is difficult to buy drugs in the United States and easy to buy guns, just the opposite of our domestic situation The article that grass-roots communities and health centers are equipped with a general practitioner has not been completed yet Is it OK to release all the drugs at the basic level? In recent years, the health and Family Planning Commission has taken measures to speed up personnel training to strengthen and refine the talent team at the grassroots level The health and Family Planning Commission is responsible for the use of drugs We need experienced and high-quality doctors for prescription drug use Simply follow the instructions to prescribe drugs will not work The service capacity of the grassroots has been improved, but the overall level is not high Does medical reform require medical institutions at all levels? There are also requirements Medical personnel are the main force of medical reform and should play a full role Public hospitals do have a bad mechanism at work over the years I have worked in the hospital for more than ten years, and the president of the hospital will have a look at the drug income this month This leads to a lot of irrational use of drugs, and it is the proper meaning of medical reform to break through the breakthrough point of drug-based medicine As long as the medicine is regarded as a revenue of the hospital and the medicine is used to support the doctor, it is difficult to do it reasonably In the long run, people will not believe in doctors at the grassroots level or in large hospitals At this stage, we need to interpret the opinions together with relevant departments If you have any questions, you can voice them to us through various channels The top-level design cannot cover all aspects After the document is released, specific implementation plans shall be formulated in combination with the actual situation Four advantages are emphasized in the opinions, one of which is to be beneficial to the healthy development of enterprises Therefore, it is not that the expectations and reasonable demands of the enterprise have not been taken into account I hope you will work with us to implement this document.