The explosion of basic drug market? Use amount increased by 124.7%

[pharmaceutical network market analysis] recently, the China Pharmaceutical Association released the monitoring report on drug use in hospitals of China Pharmaceutical Association - chemical and biological products in 2019 (hereinafter referred to as the report), which analyzed the drug use in hospitals in the first half of 2019 and the trend change in the past five years The results show that with the implementation of the relevant national medical policies, the clinical drug use is becoming more and more reasonable at the dosage form level, and the level of basic drug security is greatly improved It is understood that this report is based on the network member Hospital of the national medical economic information network, which comes from 31 provinces (cities, autonomous regions) and covers more than 270 prefecture level cities or county-level cities In 2019, there are nearly 1500 network hospitals, and the sample hospitals are mainly class II and class III hospitals In the report, the continuous samples from 2014 to the first half of 2019 were taken as the research objects, and 926 consecutive sample hospitals were included It is worth noting that the report provides a detailed analysis of the use of essential drugs The results show that after the adjustment of the National Essential Drug Catalogue in 2018, the proportion of basic drug use amount and frequency of hospitals at all levels has increased The number of regulations for the use of essential drugs increased from 783 to 1052, and the proportion of money used increased from 12.1% to 27.2% The gap in the proportion of money used by secondary and tertiary hospitals is narrowing Based on the data of the first half of 2019, the report compares the national essential drug catalog (2012 version) with the national essential drug catalog (2018 version), and finds that the overall drug product specification of essential drugs increased by 34.4%, the overall amount increased by 124.7%, and the overall frequency of use increased by 50.8% Among them, anti-tumor and immunomodulators increased the number of varieties by 10% in five years In addition, the report also pointed out that in the implementation of the national "4 + 7" volume procurement policy, the implementation effect of most varieties was significant, and the proportion of the selected enterprises of 15 varieties, such as irbesartan, accounted for more than 70% in the pilot cities In fact, in recent years, in addition to the "4 + 7" volume procurement policy, relevant departments have been continuously releasing favorable policies on base drugs Since the promulgation of the National Essential Drug Catalogue (2018 Edition) in October last year, 27 regions in the country have entered the implementation stage of implementing or improving the national essential drug system Among them, 15 places have made clear regulations on the proportion of basic drugs equipped and used, and 8 places have indicated that they will not select the varieties that fail the consistency evaluation in terms of centralized drug procurement Qinghai, Yunnan and other places have the needs of local supplement On May 15, the Health Commission issued the notice on promoting close county medical community, which proposed to build 500 close county communities First of all, the change of county public medical market is reflected in the change of drug use catalogue of county level hospitals This has led to a significant increase in the status of national 685 essential drugs in the Jianghu, and a clear proportion of secondary hospitals and tertiary hospitals have been included in the assessment of secondary and tertiary hospitals The national 685 essential drugs catalogue varieties in the national public medical institutions at all levels also welcome the spring of future development On October 11, the relevant departments of the state issued a document to deploy the work of ensuring the supply and price of drugs in short supply In particular, it is mentioned that the proportion of basic drugs in government run primary medical and health institutions, secondary public hospitals and tertiary public hospitals should be no less than 90%, 80% and 60% respectively in principle In the future, with the in-depth promotion of hierarchical diagnosis and treatment, county-level hospitals will inherit the large hospitals and the grass-roots market, and gradually realize the sharing of medical resources In addition, the outline of drug "group purchase" mode is becoming clear For the basic drugs that are endowed with the attributes of "prevention and control, supply guarantee and priority use", it is just around the corner to usher in a "big outbreak".