List of essential drugs "downsizing" is a foregone conclusion

The list of essential medicines, which has been waiting for a long time, has been pushed forward. But last week, at the first National Pharmacists ' conference, held by the authorities in 2009, authorities and experts from all sides warned that the situation would be over by the end of this month.　　And medical analysts pointed out that in the short and medium term, the market for essential drugs is mainly concentrated in primary health care institutions, which means that drug companies "to the countryside" will be a bumper harvest. Chinese herbal medicine is the focus of the catalogue "slimming". Last week, the first National Pharmacists Congress, jointly sponsored by the Chinese Association of Licensed Pharmacists and the Ministry of Health on Rational use of drugs, became the highest-profile meeting this year to discuss new health reform. At the meeting, Health Minister Chen Zhu, senior financial director of the National People's Congress, Deputy Minister of Health Ma Xiaowei, SFD a secretary Mr Shao and the Ministry of Health Policy and regulation, the Department of Basic Drugs, development and Reform Commission Price Division, Medical Department, the Ministry of Health Insurance Department and other authoritative departments of leadership and experts. The focus of the meeting is still the basic catalogue of long-awaited drugs. The authorities gave clear hope that the catalogue would be very likely to come out in June. "The selection of essential drugs has already been developed, and the Basic Drugs Working Committee has been consulted by various experts, and the relevant programmes are now well developed and are going through the process." "Slimming" is a definite fact about the total amount of drugs in the list of new basic drugs. According to the data, in the latest 2004 edition of the list of basic drugs, Western medicine more than 700 species, more than 1200 kinds of proprietary Chinese medicine, the number is significantly more than W H O (WHO) recommended number.　　Under the new health reform plan, all essential drugs are included in the basic Medical insurance reimbursement list, the proportion of reimbursement is significantly higher than the non-essential drugs. Therefore, experts said, in order to control the national financial health care pressure, the basic drug catalogue "slimming" has become a foregone conclusion, the selection of traditional Chinese medicine is the focus of controversy. Because according to the diversity of TCM treatment mechanism, a disease may be divided into seven kinds of diseases, each disease corresponding to a drug. After many amendments, Chinese medicine has been cut down a lot. "At present, the molding of the basic catalogue, the traditional Chinese medicine is basically one drug in every disease selected." "If the corresponding stroke drugs, from 16 kinds of traditional Chinese medicine cut to 1 kinds." The only exception is that there are two drugs in the compound Danshen tablet.　　"The key focus of the catalogue is" basic, grassroots and basic ", and the focus of the catalogue is on grass-roots medical institutions, the participants in the Basic Medicines Catalogue, which focuses on primary medical institutions, are emphasized. Previously, the market had questions about the proportional use of essential drugs in other medical institutions: "What is the proportion of the species?" Or in proportion to the amount? The meeting was the first to make it clear that basic drugs would be used "in proportion to the amount". However, Yiujie, a pharmaceutical group analyst at Citic Securities Research, said, "It is difficult for the government to establish higher rates of use of essential drugs in large hospitals, especially in the tertiary hospitals, and in the short and medium term, the market for essential drugs is mainly concentrated in primary health care institutions. "Yiujie pointed out," estimated this timeThe catalogue will be divided into two levels, one level is for rural and economically underdeveloped areas of the ' grass-roots drug directory ', this directory will be introduced first, the other level is for the basic medium and large cities of medicine. "It is understood that China currently has a wide range of drugs, including the list of basic drugs, national Health Care Directory, the provincial health care directory, the city community medication directory, the new agricultural combination of drugs directory, the National Children's Medication directory, urban residents of the list of drugs, national strategic reserve Drug directory, etc.　　Since the focus of the list of essential medicines is directed at primary care institutions, the division of the scope of drug use among new rural patients becomes an important part of these catalogues. However, in the face of the broad grassroots new medical reform market, the grassroots doctors are quite a bit "mirrors" feeling. "The scope of the new agricultural combination should be further expanded." "Guangzhou Baiyun District a medical Outpatient department head He Xison (alias) said, at present because more drugs are not reimbursed and affect patients in the grassroots small hospital to see the enthusiasm. "The lower the level of general level hospitals, the less included drugs, and mainly low-cost old drugs, some of the clinical efficacy of the commonly used drugs, the list of drugs is not included, this to the grassroots clinicians to carry out work has brought difficulties." In contrast, the scope of the list of drug use in urban communities is much larger. On the other hand, He Xison is more helpless, the scope of the drug directory, but also subject to the grassroots hospital. "City-wide hospitals are generally equipped with advanced computer systems, and the health care of patients and whether each drug is in the basic drug catalogue or health care directory is clearly shown." However, because the grassroots hospitals generally do not fully cover the computer office, doctors must understand which drugs in their own hospitals are reimbursed, not clear before the application to check the list of drugs, or beyond the list of drugs by the patient's ego will cause unnecessary trouble. "Supporting policies will be published in the line of health reform policy, said the catalogue, the relevant supporting documents will be introduced in order to tie in with the formation of new health reform situation." "These include basic drug implementation advice, basic drug catalogue management methods, basic drug purchase and distribution advice, medical institutions using basic drug management, basic drug pricing, reimbursement, production supervision, reserves, etc." Earlier, health reform experts estimated that the basic drug system policy timetable is roughly the end of April, the introduction of the "Basic Drugs catalogue", at the end of May, the provinces "come up with" their own tender, the end of June, the introduction of basic drug pricing policy.　　However, since the basic catalogue has not yet been introduced, these related policies have to be postponed. In drug pricing, drug companies are the most sensitive nerve, the NDRC price Division, the Department of Medicine led the development of basic drug prices. It is understood that this document will be promulgated soon after the catalogue has been issued.　　In the future, the pricing of essential drugs will be the focus of the NDRC's regulation, and the gap between the previously implemented differential pricing and the unified pricing may gradually shrink.　　Predicting the list of essential drugs local government has 5% adjustment rights? According to China Merchants Securities recently issued a double weekly, will be introduced in late June, the list of essential drugs in 2011 years of full popularity. Health reform rules such as the catalogue of essential drugs, pricing of essential drugs, government tenders and reimbursement ratios are expected to be announced by the end of June.　　Local governments have 5% adjustment rights to the list of essential medicines.　　The Government has formulated a phased approach to the development of the basic drug system: 2009-2011 years, respectively, in 30% provinces and cities, until 2011 all the popularization. Newspaper reporter Wu Jingyan