The national essential medicine system faces five major adjustments and will det

Copyfrom： Release time：2018-09-18 The editor：

The national essential medicine system faces five major adjustments and will determine the future trend.
      According to the Voice of China report, "Basic drugs" refer to drugs that can meet basic medical and health needs, have appropriate dosage forms, ensure supply, can be equipped at the grassroots level, and can be fairly obtained by the nationals. The main features are safety, necessity, effectiveness, and low price. The essential medicine system is of vital interest to every citizen of a country. A few days ago, the "Opinions on Further Improving the National Essential Drug System (Draft for Comment)" was solicited in the industry. What are the hot spots involved in this system adjustment? What changes will be made to the medication?

 Hot spot 1: No intramuscular injection if taking orally can work, No transfusion if intramuscular injection can work
   
      For a long time, many people have always had the misconception that "infusion works fast". Pharmacists stress that as long as the blood vessels are not broken, the tiny particles in the drug may be circulated throughout the life of the drug, or may form a plug, granuloma, etc. disease. The consultation draft clearly emphasizes that the drug can be administered orally without intramuscular injection, and can be intramuscularly injected without infusion.
  
     Prof. Feng Wanyu, director of the Pharmacy Department of Peking University People's Hospital, analyzed that through the comparison of effects, it was found that the effect of using intramuscular injection or oral administration was the same as that of intravenous drip, requiring pharmacists to participate and rational management of medication. The overall reduction of outpatient infusion or infusion in the community, the harm caused by infusion is great.

Hot spot 2: Priority transfer to generic drug which has passed the consistency evaluation       
 
       The Exposure Draft proposes that the basic drug list should be adjusted once in principle for three years, insisting on equal emphasis on transfer and transfer, and prioritizing the transfer of generic drugs through consistency evaluation, which can cure or effectively improve the quality of life, cost-effectiveness and other effects. drug. At the same time, serious adverse reactions occur, and it is not appropriate to be assessed as a basic drug.
   
       A generic drug is an imitation that is identical to a generic drug in terms of dosage, safety, efficacy, quality, function, and indication. After the expiration of the patented drug protection period, other countries and pharmaceutical factories can produce generic drugs.
Feng Wanyu explained that the raw materials, processes, packaging and excipients of generic drugs are the same as branded drugs to ensure the quality of their products. The generics can save money, reduce the burden, and use quality-guaranteed drugs.
 
Hot spot 3: Counterfeit medicine will be out
   
     The consultation draft once again clarified that “the clinical value of the drug is highlighted”, the counterfeit medicine and auxiliary drugs that are costly and have no clear curative effect will be abandoned.
       
     Professor Shi Luwen, director of the Center for Medical Management International Studies at Peking University, said that to meet the needs of basic medical and health care, combined with the characteristics of disease spectrum and clinical medication, with clinical orientation as the core, adhere to the principle of scientific fairness and justice, and take the clinical value of medicine as the core. , select essential drugs. Feng Yuyu said that the experts unanimously supported the "God Medicine" out. "Shen medicine" is a safe, ineffective, or a little effective medicine. The exit is to further save the expenses of medical insurance funds in the "Shenzhen medicine", so that the people can use the medicine that can cure the disease.

Hot spot 4: The chronic medication may be free
 
      China is already in an aging stage, and the market for chronic diseases, represented by obesity, cancer, high blood pressure, high blood sugar, and high blood lipids, is also expanding rapidly. According to industry insiders, the basic medications for chronic diseases such as hypertension, diabetes, and severe mental disorders may be fully guaranteed or fully reimbursed by medical insurance.
        
     Feng Wanyu pointed out that the most important item in the people's livelihood project is that the people can use medicines and can afford medicines. The medicines for chronic diseases such as high blood pressure, high blood sugar and severe mental disorders are gradually becoming more and more important in the future. Feng Wanyu further analyzed that after entering the elderly society, high blood pressure is a disease that a large part of people suffer, but the awareness rate is not high, and even if it is known, the medication is not timely. In addition, it is critical to provide free medication for patients with severe mental disorders, which will help alleviate the patient's condition and thus ensure social stability.
 
Hot spot 5: Increase the promotion of basic drugs
    
       According to the draft for comment, the hospital information system should label the drugs in the essential drug list, prompting the doctor to give priority. Prescription reviews should focus on the use of essential drugs and be notified of non-preferred reasons.
        
       According to the analysis of the historical records, the consultation draft proposes that medical institutions should increase the proportion of basic drugs used, and the increase in the proportion of use ensures that large hospitals and grassroots hospitals are consistent, and they are connected with the corresponding systems to ensure the quality and safety of public drugs and to ensure the public. The burden of medication is correspondingly reduced. Through a dynamic monitoring system, it may be beneficial for medical institutions to use essential drugs rationally. Shi Luwen believes that the management of the implementation of the basic drug system should be further strengthened, and good experience should be promoted nationwide. Whether it is public or private, involving public health, it is necessary to increase management, and it is necessary to increase the intensity of scientific management and medical medical law management, medical market economic law management.