The national gathering is here! The Health Commission officially issued a notice

The latest, national centralized procurement, health care Commission issued a notice to ensure the use of selected drugs On December 19, 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 (hereinafter referred to as the notice) According to the notice, each provincial health administrative department shall supervise and guide medical institutions (including public medical institutions and social medical institutions voluntarily participating in the pilot to expand the scope of the region) to prepare and use the selected drugs in time according to the agreed purchase volume reported by the region, so as to ensure the completion of the contract amount on schedule The administrative department of health and medical institutions shall not influence the reasonable use and supply guarantee of the selected drugs on the grounds of cost control, drug proportion, requirements for drug varieties, specifications and quantities of medical institutions, examination and approval of Pharmaceutical Affairs Committee, etc Medical institutions should be guided by clinical needs, further optimize the drug use structure, and include the selected drugs in their drug formulary and basic drug supply catalogue The medical consortia is encouraged to implement a unified list of the supply of selected drugs, and implement the unified purchase and distribution of selected drugs At the same time, medical institutions should strengthen the management of the rational use of the selected drugs, standardize the clinical drug use behavior by formulating and improving drug use guidelines, including the selected drugs into the clinical pathway, and strengthening the training of medical personnel Doctors should make reasonable prescriptions according to the diagnosis and treatment specifications, drug instructions, medication guidelines, etc., and give priority to the use of selected drugs on the premise of ensuring medical quality and safety The medical institutions shall strengthen the examination and evaluation of prescriptions, and the medical personnel who do not use the selected drugs in accordance with the regulations shall be seriously dealt with in accordance with the corresponding provisions of the prescription management measures and the hospital prescription evaluation management standard (Trial) We will encourage the provision of pharmaceutical services, such as pharmaceutical outpatient service, pharmaceutical restructuring, and pharmaceutical care, for key patients who use selected drugs Where conditions permit, the convenience of pharmaceutical services can be improved through information technology The main person in charge of the medical institution is the first person responsible for the allocation and use of the selected drugs All provincial health administrative departments and public medical institutions shall include the use of selected drugs in the performance appraisal and performance distribution of public medical institutions and their medical personnel For the medical institutions, clinical departments and doctors who give priority to rational use and ensure the amount of use, they should be inclined in the reform of public hospitals, such as bonus and supplementary funds, evaluation of excellence and evaluation of professional titles; for the public hospitals which can not be equipped as required or have insufficient purchase amount, or have serious clinical unreasonable use problems, they should be given in the evaluation of medical institutions and the evaluation of the objective responsibility of the person in charge of medical institutions Measures such as assessment and evaluation of unqualified drugs and notification within a certain range shall be taken to promote the formation of the guidance of encouraging the use of selected drugs On the basis of the performance evaluation of the third level public hospitals, the index of "proportion of selected drugs in the centralized purchase of drugs organized by the state" is gradually extended to the second level public hospitals We should fully mobilize the enthusiasm of the medical staff, balance the medical service revenue and expenditure, and use them as a whole for the payment of the medical staff according to the requirements of "two permits" Health administrative departments and medical institutions should use information technology to establish and improve the monitoring, evaluation and early warning system for the use of selected drugs Relying on the information platform of drug purchase and use, establish a smooth, timely and efficient information reporting and feedback channel, timely count the use information of selected drugs, monitor, analyze and evaluate the safety, effectiveness, rationality and economy of clinical use of selected drugs, and regularly report the monitoring results and relevant information.