Health Care Commission, the Chinese Medicine Bureau jointly issued a paper, affecting the hospital drug market!

Medicine Network September 28 - September 27, the National Health and Health Commission, the State Administration of Traditional Chinese Medicine jointly issued the "Medical institutions in accordance with the law practice self-examination management measures" (hereinafter referred to as the "Measures"), officially hung on the official website of the National Health and Health Commission.
measures have been implemented since the date of publication and are regarded by the industry as an important measure to crush the responsibility of the self-management subject of medical institutions.
drug and medical devices, clinical blood management as one of the 12 aspects of self-examination in accordance with the law, will undoubtedly be strengthened under the supervision of the Measures, the impact on the hospital terminal drug market will continue.
Reasonable drug use assessment continues to strengthen analysts pointed out that the main focus of the Measures is to promote the comprehensive supervision system of the medical and health industry, the effective implementation of medical records in accordance with the law practice self-management of the main responsibility, can be said to be an important step in the improvement of long-term governance mechanism.
For the management of drugs and medical devices and clinical blood as proposed in the Measures, reference may be made to the "Guidelines on Reforming and Perfecting the Comprehensive Supervision System for the Medical and Health Industry" issued earlier by the General Office of the State Council- supervision of the procurement and use of medical-related products such as medicines, consumables and medical devices by medical institutions, including: the implementation of clinical path management and the system of clinical pharmacists; We will improve standards and norms such as drug selection, procurement, prescription review, prescription adjustment, clinical application and evaluation, strengthen pharmaceutical management and pharmaceutical services, establish and improve the system of early warning of clinical drug use and follow-up and monitoring systems for auxiliary drugs, high-value medical supplies, etc., carry out supervision and evaluation of the use of large-scale medical equipment, and correct and deal with illegal and illegal use in accordance with the law.
Among them, physician prescription behavior is undoubtedly one of the most concerned, in order to regulate it, the competent departments in the issuance of a number of normative documents, to carry out prescription reviews and prescription reviews, prescription review results as a department and medical personnel prescription authority grant, performance appraisal, job title evaluation and evaluation of pharmacists to review the quality of prescriptions, and included in the local health and family planning administrative departments of the performance appraisal indicators of medical institutions.
In addition, among the 55 indicators of performance appraisal of three-level public hospitals determined by the Health and Safety Commission, there are also 6 reasonable drug use indicators, such as the proportion of review prescriptions to the total number of prescriptions and the proportion of prescriptions for basic drugs for outpatients, and included them in the medical quality assessment.
market data, the policy-level "combination punch" has a visible effect.
As the most important drug sales, the largest share of China's drug market in the public hospital terminal, by the public hospital reform in-depth promotion, medical insurance control fees, volume procurement, focus on monitoring the implementation of the rational drug catalog and prescription outflow and other factors, the market share of public hospitals is declining year by year.
2019, the market share of public hospital terminals was 66.6%, down 0.8 percentage points year-on-year, according to the company.
, drug sales in urban public hospitals amounted to 873.9 billion yuan, up 3.0% YoY, and the growth rate was significantly lower than that of county-level public hospitals during the same period.
hospital self-examination routine from the competent departments of the series of actions can be found that the recent domestic speed up the clean-up of medical system violations.
The National Health and Safety Commission issued a notice on September 18, soliciting unfair competition such as commercial bribery in the pharmaceutical field, illegal practice of medical institutions, illegal publication of medical advertisements, irregular use of medical insurance funds by designated medical institutions, failure of public medical institutions to implement collection and cancellation of the increase, medical and health industry institutions and related personnel illegal marketing of infant-related food and other issues clues.
In fact, in the "2020 Medical Industry Style Construction Special Action Plan" published in July this year, "standardized medical treatment behavior, to ensure reasonable drug use, reasonable use of materials, reasonable inspection, resolutely investigate and punish serious violations such as induced medical treatment, excessive medical treatment, the establishment of long-term governance mechanism" as one of the key tasks.
at that time, there were comments that during the inspection period, self-examination and self-correction will become the norm in medical institutions nationwide.
and the introduction of the Measures, so that self-examination has become the permanent new normal of medical institutions.
In accordance with the Measures, medical institutions shall conduct at least one comprehensive self-examination per year for the self-examination practising in accordance with the law, while various departments shall conduct daily self-examination at least once a quarter within their respective areas of responsibility.
For local health administrative departments at all levels, the Measures require that the self-management of medical institutions practising in accordance with the law be incorporated into the index system of medical institutions for rating, evaluation, evaluation and appraisal (including performance appraisal), and as an important reference for the industry to evaluate excellence first;
can be expected that when the self-examination management in accordance with the law is institutionalized within medical institutions, the management intensity of related aspects will be further enhanced.
industry believes that, under the promotion of the policy, medical institutions will become the main force in the fight against gold sales, hospital terminal traditional marketing model has really come close.
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