Redhead file: These antibacterial drugs, grass roots can not be used

On December 29th, Hunan Public Resources Trading Service Platform issued the Notice on Adjusting the Qualifications for The Purchase of Some Antibacterial Drugs (hereinafter referred to as the Notice).
these antimicrobial drugs, the grass-roots can not use the "Notice" proposed, in order to effectively regulate the special centralized procurement of antimicrobial drugs in the procurement and use of the winning drugs, to reduce the burden of drug use by the masses.
the purchase price of some of the drugs, the purchase amount abnormally increased, suspended its inclusion in the scope of procurement of primary medical institutions qualification.
other words, the following antimicrobials, primary care doctors will temporarily be unavailable.
The specific details are as follows: It is understood that this year, in addition to the national volume procurement, the provinces for the local use of large quantities, the purchase of high amount of drugs, will also carry out a volume procurement pilot, of which Hunan Province is the first to include antimicrobial drugs into the volume of procurement provinces.
Antimicrobial drug management continued to increase the code of primary doctors to be alert to antimicrobials have a larger market, from the official antimicrobial drugs in recent years multi-dimensional control results: the abuse of antimicrobial drugs, not only serious consequences for patients, but also put users at risk.
basic physician commune in recent years, according to the relevant documents issued in various places, organized a number of precautions for the reference of primary care doctors.
, antimicrobials must be used after training and assessment, and cannot be used across levels.
must be trained and assessed to pass, primary-level doctors can obtain the right to prescribe antimicrobial drugs, and can not cross-level use of antimicrobial drugs.
generally speaking, individual clinic doctors must be qualified as medical practitioners and have been engaged in their own work for more than 5 years;
The authorized qualification of the corresponding level of antimicrobial drugs (1) to physicians qualified for junior professional and technical positions and practicing assistant physicians who independently engage in general practice activities in township (town) or village medical institutions, as well as village doctors, may be granted the right to prescribe non-restricted use of grade antimicrobial drugs; Physicians may grant prescription rights for restricted-grade antimicrobial drugs, (3) physicians qualified for senior professional and technical positions may be granted the right to prescribe special-use grade antimicrobial drugs (medical institutions without inpatients may grant prescription rights for restricted-grade antimicrobial drugs); and pharmacists may grant antimicrobial transfer qualifications.
, the unauthorized use of antibacterial drugs to carry out intravenous infusion activities, the maximum penalty of 10,000.
intravenous infusion activities using antimicrobial drugs in village health rooms, clinics and community health service stations shall be approved by the county health administrative departments and at least six conditions shall be met.
In accordance with Article 54 of the Measures for the Clinical Application of Antimicrobial Drugs, if an intravenous infusion activity is carried out using antimicrobial drugs without the approval of the county-level health administrative department, the village health room, clinic or community health service station shall be ordered by the local health administrative department at or above the county level to make corrections within a time limit and give a warning;
noteworthy, this year, Shandong Province formulated the "Shandong Province Village Health Room Provincial Model Standard", explicitly requires the village doctor infusion rate of ≤25%, antimicrobial drug prescription ratio of ≤20%.
the national level, in August this year, the National Health and Wellness Commission issued the Guidance on Strengthening performance appraisal of primary health care institutions (Trial) to include the proportion of prescriptions for antimicrobials and the proportion of injection use in the assessment.
, it is strictly prohibited for primary-level doctors to receive drug rebates.
industry analysis, the original demand for antimicrobial drugs is larger, some primary doctors or due to rebate-driven, will further enlarge the purchase of high-priced antimicrobial drugs.
In June this year, the National Health and Safety Commission issued a Notice on the Issue of the 2020 Notice on Correcting The Wrong Wind in the Field of Pharmaceutical Purchase and Sale and Medical Services, referring to the practice of focusing on the examination of medical institutions practitioners receiving rebates in various names and forms for the production, operation or distribution of pharmaceutical products such as pharmaceutical products, medical devices and medical hygiene materials.
recently, Guangxi Health and Health Commission issued the "Guangxi Zhuang Autonomous Region medical and health institutions and their staff clean practice regulations", but also clearly put forward that doctors can withdraw 2000 yuan deduction can be suspended from practice.
in short, the future management of antimicrobial drugs will be more and more refined, primary care doctors should be used without time, need to use it well.
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