To support the development of pharmaceutical services, three jobs will be done

On September 22, the official website of the State Administration of Medical Security issued a reply to recommendation No. 4974 of the Third Session of the 13th National People's Congress (Medical Insurance Letter (2020) No. 22), in response to the representative's proposal to implement compensation for pharmaceutical services and strengthen the construction of a team of pharmacists to promote rational drug use. On the introduction of standardized pharmaceutical service standards as soon as possible, speed up the pace of pharmacy legislation, the establishment of a pharmacist management system, through the "pharmacy service fee" compensation for pharmaceutical professional and technical costs of three aspects to reply.The State Health Insurance Administration pointed out that the next step will be to actively cooperate with the Health and Health Commission, the Drug Administration and other relevant departments to do a good job in pharmaceutical management of medical institutions, overall consideration of the cost and value of pharmaceutical services, to support the development of pharmaceutical services. In addition, the Pharmacist Law of the People's Republic of China (Draft Second Draft for Comments) was perfected in June this year, the relevant system design and specific content is being further solicited and demonstrated, the next step will be to further strengthen the unified management of China's practicing pharmacists and medical institutions pharmacists.

to improve the quality and treatment of practicing pharmacists or theOn September 15, the State Drug Administration issued the "National Registration of Practicing Pharmacists in August 2020", and by the end of August 2020, the number of registered practicing pharmacists nationwide was 556,326, an increase of 4,402 month-on-month. The number of practicing pharmacists per 10,000 population is 4.0, which meets the target of 4 pharmacists per 10,000 population in the 13th Five-Year Plan for Drug Safety. Among them, 505,147 practicing pharmacists registered in pharmaceutical retail enterprises, accounting for 90.8% of the total number of registered pharmacists, are the "main force" among practicing pharmacists.With the implementation of the centralized drug procurement policy, including the people's big pharmacy, dasin lin, including the chain of pharmacies announced the price reduction of related drugs, to achieve the same price as the hospital, which means that the price of drugstores chains down by up to 90%, profit margins further compressed. In this case, the major drugstore chain layout medical services business to explore new profit points, to provide high-quality pharmaceutical services has become the trend.In fact, charging fees for pharmaceutical services is a worldwide practice, with many developed countries' social pharmacies and hospital pharmacy departments using separate fees to compensate for pharmaceutical services. However, the charges for pharmaceutical services cannot simply be understood as compensation for the abolition of drug charges in public hospitals, but rather as an affirmation of the value of professional and technical services for pharmacists, which can better train and motivate pharmacists.In addition, the Action Plan for Deepening the Comprehensive Reform of Public Hospitals in Guangdong Province also clearly proposes to explore the establishment of pharmaceutical service fees and give full play to the role of pharmacists in rational drug use and cost-control. Industry insiders point out that with the saturation of the number of practicing pharmacists in the next step, controlling the increase of practicing pharmacists, balancing the differences between urban and rural areas, widening the content of services, improving the quality of service and improving the treatment of practicing pharmacists may become a major trend.

support the development of pharmaceutical services in threeAccording to the Pharmacist Law of the People's Republic of China (Draft Second Draft for Comments), pharmacists and practicing pharmacists in medical institutions in China will be unified in their management and adopt the practice of "unified examination, classification registration and classification management". Industry insiders pointed out that if the Bill were to land, the scope of employment of practicing pharmacists would be significantly expanded, their status would be enhanced and their income would change greatly. With the outflow of prescriptions and the gradual landing of out-of-hospital trials, the path of practicing pharmacists will become wider and wider, and it is only a matter of time before the standard system of increasing pharmaceutical services is increased.The Bureau of Health Insurance also points out that scientific pharmaceutical services play an important role in promoting rational drug use, serving public health and improving the efficiency of the use of medical resources. In 2009, the Central Committee of the Communist Party of China and the State Council issued the Opinions on Deepening the Reform of the Medical and Health System, which for the first time referred to the "pharmacy service fee" as a special form of transition of the drug surcharge policy, in order to adjust the proportional increase to a fixed quota plus, so that the hospital's increase income is decoupled from the price and quantity of the drug.With the deepening of the reform of the medical and health system, in 2012 the CPC Central Committee and the State Council further clarified the new direction of reforming the drug-plus policy, that is, to completely eliminate the drug-plus rate, free up space for rationaling the price of medical services, and first of all in the county-level public hospital comprehensive reform. In accordance with the decision-making and deployment of the CPC Central Committee and the State Council, in September 2017 all public hospitals have been abolished, and the reduced reasonable income has been compensated by adjusting the price of medical services and increasing financial input. After the reform, the drug add-on income shifted in sync with the abolition of the plus-rate, and the allocation was included in the price of medical services.According to the National Health Insurance Administration in its reply, the next step, it will actively cooperate with the Health And Health Commission, the Drug Administration and other relevant departments to do a good job in pharmaceutical management of medical institutions, overall consideration of the cost and value of pharmaceutical services, to support the development of pharmaceutical services. First, to guide local governments to promote the reform of medical service prices, summarize and promote local practices that reflect the value of pharmaceutical services, and actively promote beneficial experience. Second, in line with the reform of the pay system in public hospitals, we should support pharmacists to enjoy reasonable remuneration, protect the reasonable income level of pharmacists and enhance the professional attractiveness of pharmacists. Third, improve medical services and price policies. For pharmaceutical service activities with independent service output and patients' choice, the project transformation is studied and adjusted reasonably. (Medical Economics)