The new version of the base drug catalogue will be released on the ground and the restrictions on non base drug varieties will be cancelled

The latest news, Shandong Province to cancel the basic medical and health institutions to purchase non essential drugs varieties of restrictions! Since the implementation of the 2018 edition of the national essential drug catalog on November 1, 2018, various regions have issued documents to implement the catalog According to their own conditions, local governments have also carried out appropriate reforms in specific documents Recently, Shandong provincial health and Health Commission issued the notice on the implementation of the national essential drug catalog (2018 version) (hereinafter referred to as the notice), and announced a series of detailed measures for the implementation of the new version of the basic drug catalog Generally speaking, it is not only strictly implemented, but also flexible It pays attention to the connection of drug use between upper and lower medical institutions The National Essential Drug Catalogue (2018 Edition) is an important basis for public medical and health institutions at all levels to allocate and use essential drugs Public medical and health institutions at all levels should reasonably select and give priority to the use of essential drugs on the basis of comprehensive allocation The use of national essential drugs catalogue (2018 Edition) should be regarded as the key content of prescription review, and the essential drugs that are not preferred without justified reasons should be notified It has always been one of the limiting factors for the construction and operation of medical consortia to eliminate the restrictions on non base drug varieties in the medical institutions at higher and lower levels Therefore, strengthening the drug use connection between the higher and lower levels has also been written into the opinions of the general office of the State Council on improving the national basic drug system In this regard, Shandong Province specifically does so In order to ensure the drug use connection between the upper and lower level medical and health institutions, and to remove the restrictions on the varieties of non essential drugs purchased by the basic medical and health institutions on the provincial platform, all localities can choose the city, county (city, district) or medical association, medical community as the single unified public hospital and the basic medical and health institutions purchase catalogue on the basis of comprehensive allocation of essential drugs Although the restrictions on non essential drugs have been removed, the notice requires that the proportion of basic drugs purchased by basic medical and health institutions in the total amount of drugs purchased should be controlled above the original level in principle Since August 1, 2017, Shandong Province has raised the proportion of non essential drug purchase amount of primary medical institutions in the total drug purchase amount of this institution to 30%, so as to ensure that more non essential drugs can be used at the primary level Therefore, the proportion of the basic drug amount required in the notice should be controlled over 30% The construction of Medical Association will promote the unification of drug purchase catalogue As mentioned above, we need to strengthen the connection between the upper and lower levels in the Medical Association In fact, it is not only the use of drugs So far, there have been many national and local documents that have mentioned various unified problems within the Medical Association, especially the integrated construction of county and rural medical and health institutions, most of which require the standardized implementation of unified management of county, township, village administration, personnel, finance, business, performance, medical equipment, etc We should gradually establish a new pattern of integration of "people, finance, materials, responsibilities, rights and interests" In the guidance on promoting the construction and development of medical consortia issued by the general office of the State Council in 2017, it was mentioned that we should explore the establishment of a unified platform for drug bidding, procurement and management within the medical consortia, and form a mechanism for prescription flow, drug sharing and distribution within the medical consortia This shows that the trend is to propose a unified drug purchase catalogue within the Medical Association, and the Guiding Opinions also set the goal of all secondary public hospitals and grass-roots medical and health institutions run by the government to participate in the medical association by 2020 In this way, while maintaining the dominant position of essential drugs, it is also an inevitable requirement for the construction of medical consortia to strengthen the drug use connection between the upper and lower levels of the medical consortia, relax or even cancel the restrictions on the varieties of non essential drugs purchased by primary medical and health institutions.