On the 12th, the "Catalogue of Supplementary Drugs for Shanghai Primary Health Care Institutions" was formally issued, marking that Shanghai has started to implement the national essential medicine system. According to the introduction of the Municipal Health Bureau, the Shanghai Essential Drugs Catalog, based on the 307 medicines in the National Essential Drug List, has added 381 essential medicines that meet the city's economic development level and citizens' medication habits, and a total of 688 medicines. The use of drugs in health institutions will be limited to the basic drug list and zero-sales sales will be performed without any increase.
After the implementation of the basic drug system, what changes will the citizens make to see the doctor? What are the characteristics of the Shanghai edition of the Essential Drug List and how can comprehensive measures be taken to ensure that the superiority of the essential medicine system is fully utilized?
The burden of further reduction in the burden of drugs is a concept proposed by the World Health Organization (WHO). In layman's terms, it is commonly used drugs that meet the “priority needs of health care†of the population, are relatively cost-effective, and are inexpensive.
For a long time, the “high drug price†has been one of the keys to expensive medical treatment. According to expert analysis, the high drug price actually includes two aspects. On the one hand, some medical institutions or doctors open new medicines and expensive medicines for patients in the hope that they can use essential medicines and have no significant differences in efficacy. On the other hand, medicines are produced from the end of production to the hands of patients. There are many links and price increase, and the price and value are seriously deviated from each other.
To this end, the new round of medical reform proposed the implementation of the national essential medicine system. Last September, the Ministry of Health and other departments determined 307 drug species including chemical drugs and proprietary Chinese medicines as national essential drugs according to the principles of "prevention and control necessary, safe and effective, easy to use, equal emphasis on Chinese and Western medicines, basic guarantee, and clinical first choice". It also stipulates that government-sponsored primary-level medical institutions shall uniformly equip and use basic national drugs. At the same time, the government has established a non-profit online procurement system to implement centralized procurement and distribution of essential drugs so as to minimize intermediate links and reduce procurement costs.
According to the person in charge of the Municipal Health Bureau, the city’s basic drug bidding procurement plan has been determined. Specifically, based on the principle of "quality first, price is reasonable," the basic medicines used by the community's primary medical institutions shall be selected from among a number of companies participating in bidding for quality assurance, reasonable prices and adequate supply. , price and price linked to reduce drug prices. Correspondingly, after the end of the city's basic drug purchases in the first half of next year, all community health service centers in Shanghai will be able to use drugs only within the scope of supplements to the national essential medicines and the city's primary health care institutions. At the same time, all of these essential drugs were sold at zero margin to further reduce the burden on patients' medical expenses.
Types of Drug Additions After the nation’s top basic drug system is formally implemented in the city, citizens will see the doctors in the community and the drugs will only be allocated to essential drugs.
It is understood that for a long time, the level of medication in Shanghai is higher. Most of the drugs used by the community health service centers in the city are more than 700, and some even exceed 1,000. The final list of Shanghai's basic drugs, a total of 688 kinds of drugs, can meet the public in the community to treat common and frequently-occurring disease needs?
“The Shanghai Supplementary List has been repeatedly examined by a number of experts and based on the actual needs of the Shanghai community.†The person in charge of the Municipal Health Bureau explained that, on the one hand, there are some medicines such as anti-malarial and snake venom drugs in the National Essential Drug List, Shanghai On the other hand, Shanghai is the country with the highest degree of aging, and citizens have relatively high demand for the prevention and treatment of chronic diseases. To this end, the city's health management department repeatedly investigated and finalized the addition of 381 kinds of drugs as the city's essential drugs, and its many types in the country's various local essential drug directory.
According to reports, 688 basic medicines in the city cover antimicrobials, antipyretic analgesics, cardiovascular system drugs, Respiratory system drugs, digestive system drugs, hormones, and endocrine drugs, vitamins and minerals, blood system drugs, etc. 24 kinds of drugs, 95% of commonly used drugs in Shanghai community medical institutions have been included. “These basic drugs are classic drugs that have been proven through long-term clinical practice and can meet the health care and basic medical needs of the people.†In the past, some community medical institutions also used drugs. Unreasonable ingredients. This time through the formulation of the Shanghai Catalog, some of the drugs used by only a few communities were excluded, further raising the level of rational drug use.
Large hospitals also need to use basic drug experts to point out that advancing medical reform is a long-term process. At the beginning of the implementation of the basic drug system, “difficult adjustments†are unavoidable, and medical personnel are required to do a good job in guiding work. After a certain period of implementation, the management department should continue to adjust the catalog according to the actual situation and try to achieve the balance between guaranteeing the basic medication and taking into account the citizens' medication habits. Community health service center staff at the grassroots level also proposes to adopt a multi-standard management approach for essential drugs, that is, a generic drug with different specifications, including imports, joint ventures, and domestically produced drugs, to meet the multi-level needs of citizens.
Zero sales of basic medicines means that 15% of the price increase will be cancelled, which will bring economic pressure to the community medical institutions. “Financial and medical insurance subsidies for zero-sum rates should be put in place in time to ease the operational difficulties of community health service centers and make the implementation of the basic drug system more smooth,†said a manager of a community health service center in Yangpu District.
In addition, in order to maximize the effectiveness of the essential medicines system, large hospitals are also obliged to do nothing but advance at the community level. It is understood that at present, the basic drug use rate of the tertiary medical institutions in Shanghai is less than 10%. "The burden of citizen medicine is reflected more in the treatment of major hospitals. The relevant departments should promptly issue regulations on the use of essential drugs in second- and third-tier hospitals, and take effective supervision and assessment measures to ensure that basic medicines benefit more patients."
After the implementation of the basic drug system, what changes will the citizens make to see the doctor? What are the characteristics of the Shanghai edition of the Essential Drug List and how can comprehensive measures be taken to ensure that the superiority of the essential medicine system is fully utilized?
The burden of further reduction in the burden of drugs is a concept proposed by the World Health Organization (WHO). In layman's terms, it is commonly used drugs that meet the “priority needs of health care†of the population, are relatively cost-effective, and are inexpensive.
For a long time, the “high drug price†has been one of the keys to expensive medical treatment. According to expert analysis, the high drug price actually includes two aspects. On the one hand, some medical institutions or doctors open new medicines and expensive medicines for patients in the hope that they can use essential medicines and have no significant differences in efficacy. On the other hand, medicines are produced from the end of production to the hands of patients. There are many links and price increase, and the price and value are seriously deviated from each other.
To this end, the new round of medical reform proposed the implementation of the national essential medicine system. Last September, the Ministry of Health and other departments determined 307 drug species including chemical drugs and proprietary Chinese medicines as national essential drugs according to the principles of "prevention and control necessary, safe and effective, easy to use, equal emphasis on Chinese and Western medicines, basic guarantee, and clinical first choice". It also stipulates that government-sponsored primary-level medical institutions shall uniformly equip and use basic national drugs. At the same time, the government has established a non-profit online procurement system to implement centralized procurement and distribution of essential drugs so as to minimize intermediate links and reduce procurement costs.
According to the person in charge of the Municipal Health Bureau, the city’s basic drug bidding procurement plan has been determined. Specifically, based on the principle of "quality first, price is reasonable," the basic medicines used by the community's primary medical institutions shall be selected from among a number of companies participating in bidding for quality assurance, reasonable prices and adequate supply. , price and price linked to reduce drug prices. Correspondingly, after the end of the city's basic drug purchases in the first half of next year, all community health service centers in Shanghai will be able to use drugs only within the scope of supplements to the national essential medicines and the city's primary health care institutions. At the same time, all of these essential drugs were sold at zero margin to further reduce the burden on patients' medical expenses.
Types of Drug Additions After the nation’s top basic drug system is formally implemented in the city, citizens will see the doctors in the community and the drugs will only be allocated to essential drugs.
It is understood that for a long time, the level of medication in Shanghai is higher. Most of the drugs used by the community health service centers in the city are more than 700, and some even exceed 1,000. The final list of Shanghai's basic drugs, a total of 688 kinds of drugs, can meet the public in the community to treat common and frequently-occurring disease needs?
“The Shanghai Supplementary List has been repeatedly examined by a number of experts and based on the actual needs of the Shanghai community.†The person in charge of the Municipal Health Bureau explained that, on the one hand, there are some medicines such as anti-malarial and snake venom drugs in the National Essential Drug List, Shanghai On the other hand, Shanghai is the country with the highest degree of aging, and citizens have relatively high demand for the prevention and treatment of chronic diseases. To this end, the city's health management department repeatedly investigated and finalized the addition of 381 kinds of drugs as the city's essential drugs, and its many types in the country's various local essential drug directory.
According to reports, 688 basic medicines in the city cover antimicrobials, antipyretic analgesics, cardiovascular system drugs, Respiratory system drugs, digestive system drugs, hormones, and endocrine drugs, vitamins and minerals, blood system drugs, etc. 24 kinds of drugs, 95% of commonly used drugs in Shanghai community medical institutions have been included. “These basic drugs are classic drugs that have been proven through long-term clinical practice and can meet the health care and basic medical needs of the people.†In the past, some community medical institutions also used drugs. Unreasonable ingredients. This time through the formulation of the Shanghai Catalog, some of the drugs used by only a few communities were excluded, further raising the level of rational drug use.
Large hospitals also need to use basic drug experts to point out that advancing medical reform is a long-term process. At the beginning of the implementation of the basic drug system, “difficult adjustments†are unavoidable, and medical personnel are required to do a good job in guiding work. After a certain period of implementation, the management department should continue to adjust the catalog according to the actual situation and try to achieve the balance between guaranteeing the basic medication and taking into account the citizens' medication habits. Community health service center staff at the grassroots level also proposes to adopt a multi-standard management approach for essential drugs, that is, a generic drug with different specifications, including imports, joint ventures, and domestically produced drugs, to meet the multi-level needs of citizens.
Zero sales of basic medicines means that 15% of the price increase will be cancelled, which will bring economic pressure to the community medical institutions. “Financial and medical insurance subsidies for zero-sum rates should be put in place in time to ease the operational difficulties of community health service centers and make the implementation of the basic drug system more smooth,†said a manager of a community health service center in Yangpu District.
In addition, in order to maximize the effectiveness of the essential medicines system, large hospitals are also obliged to do nothing but advance at the community level. It is understood that at present, the basic drug use rate of the tertiary medical institutions in Shanghai is less than 10%. "The burden of citizen medicine is reflected more in the treatment of major hospitals. The relevant departments should promptly issue regulations on the use of essential drugs in second- and third-tier hospitals, and take effective supervision and assessment measures to ensure that basic medicines benefit more patients."
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