Tianjin issue: Aiming at irrational drug use

Source: Cypress blue issued a document on April 19, 2018 in Tianjin, aiming at irrational drug use with three consecutive guns On April 18, Tianjin Health and Family Planning Commission issued the notice on Revising the regular evaluation system for drug use in medical institutions, the quantitative and hierarchical management system for rational drug use in medical institutions, and the exit system for interview on the use of abnormal varieties ▍ in the top 200 of quarterly purchase amount, experts voted to select one notice of abnormal drugs, which contains three contents, the core of which is to control unreasonable drug use The first is "regular evaluation system of drug use in medical institutions" Tianjin Health and Family Planning Commission should analyze the purchase and use of drugs in medical institutions to find out the drugs with abnormal use, including auxiliary, nutritional and high price drugs According to the common name, the top 200 drugs in the amount of online purchase every quarter are evaluated by anonymous experts Through the method of two voting and one evaluation, a list of suggestions is generated After the final catalog is formed, it will be released in the form of official documents of the health and Family Planning Commission Health and family planning departments at all levels in Tianjin have increased the monitoring of the use of medical institutions ▍ the hospital that purchases the most abnormal drugs shall be punished according to the second content of "quantitative and hierarchical management system of rational drug use in medical institutions" Based on the information of Tianjin medical procurement platform, the amount of abnormal drugs purchased by all medical institutions in the city every quarter, the proportion of the total amount of online drugs purchased by this institution and the amount of hospital preparations sales of medical institutions (the amount of hospital preparations allocation is included in the medical institutions receiving the allocation) are calculated The average value of the amount of abnormal drugs used by the medical institutions in the city is taken as the critical point, and the medical institutions are classified quantitatively (the critical points of TCM hospitals are calculated separately, and the grades are determined separately) there are four grades: Grade A, grade B, grade C and grade D, and grade D is the worst The specific determination method of evaluation is as follows: the medical institutions designated as level D are identified as key rectification units, and the medical institutions assessed as level D for two consecutive rounds will be submitted to the special governance leading group for non responsibility issues, which will be dealt with according to relevant regulations ▍ if the product is positioned abnormally, the third content of interview with pharmaceutical companies and bribery investigation is "interview exit system of using abnormal varieties" In principle, an interview shall be held once a quarter for the use of abnormal varieties There are three levels For drugs assessed as using abnormal varieties, Tianjin Health and Family Planning Commission will interview drug manufacturers, urge them to further standardize drug sales behavior, put an end to billing Commission, cash sales and any name and form of kickback and benefit transfer, and form interview records for future reference For two consecutive rounds of drugs assessed as using abnormal varieties, each medical institution shall carry out key monitoring and special prescription evaluation, and transfer the clues of suspected illegal problems to relevant departments for investigation and handling If any suspected commercial bribery is found through the quantitative grading assessment of rational use of drugs by medical institutions, it shall be submitted to the relevant departments for verification in accordance with the relevant provisions Once verified, it shall be handled in accordance with the notice on the implementation of the provisions on bad records of commercial bribery in the field of pharmaceutical purchase and sale (jwy [2014] No 141) ▍ there is a long way to go to completely eliminate it There are three promising plans for Tianjin, which are a chain gun The core is to control the spread of irrational drugs It's also a cliche to say that unreasonable drugs are used We have arrested many people and monitored many drugs Objectively speaking, it has played a certain role However, if we want to completely eliminate it, we need to go a long way, which is also a goal of medical reform There are many links involved, such as doctor's salary, centralized bidding, change of hospital revenue and expenditure cycle, reform of medical insurance payment mode, consciousness of pharmaceutical enterprises, professional quality of pharmaceutical representatives, etc When all this is straightened out, it's almost done.