The use rate of essential medicines is less than 70%, which affects the salary of primary doctors

Source / Health News, Cyberlan-Primary Physician Commune

Finishing / Xiaolin

The local health and health commission has clarified that the proportion of basic medicines used by primary medical institutions should be increased and linked to doctors’ salaries.

Base drug usage rate is less than 70%

Affect the salary of primary doctors

Recently, a reporter from the Health Daily learned from the Jiangxi Health Commission that Jiangxi will adjust the proportion of basic medicines in the province this year.

The primary, secondary, and tertiary medical institutions accounted for 70%, 50%, and 37%, respectively, the provincial-level tertiary comprehensive medical institutions accounted for 33%, and the specialized medical institutions were reduced by 10 percentage points.

At the same time, Jiangxi Province has included the use of essential medicines in the annual assessment indicators, which are linked to doctors’ performance salaries, medical ethics and medical ethics.

In other words, if the basic medicine usage rate in primary medical institutions is less than 70%, it will directly affect the salary of primary doctors.

The proportion of basic medicines is gradually increasing in primary medical institutions

In fact, it is not Jiangxi Province.

Shandong Province

In 2020, the Shandong Provincial Health and Health Commission issued a notice stating that primary medical and health institutions will gradually realize that the number of essential medicines should not be less than 90% in principle.

Jiangsu Province

In 2019, the Jiangsu Provincial Health Commission issued a notice requiring that the number of products and the amount of money required to be equipped with essential drugs be increased by 5-10% per year on the basis of relevant regulations.

In the end, it will be realized that basic medical and health institutions are equipped with basic drug products and the proportion of the amount is not less than 90%.

Heilongjiang Province

In 2019, the Heilongjiang Provincial Health and Health Commission issued a notice stating that the number of national essential medicines used in village clinics and the proportion of the amount used shall not be less than 90% and 80% respectively; the primary medical and health institutions shall not be less than 70% and 60% respectively;

Liaoning Province

In 2019, the People’s Government of Liaoning Province issued a document stating that for public and non-public primary medical and health institutions and village clinics that are included in the management of the national essential medicine system, the proportion of national essential medicines should be 80% or more, and the proportion of the purchase amount should be Reach 60% and above.

In addition, Beijing, Chongqing City, Sichuan Province, and Guizhou Province have cancelled the original local supplementary drug lists.

A village doctor sells non-basic drugs, deducting all subsidies

The importance of giving priority to the use of basic medicines is self-evident, especially when basic-level doctors make daily prescriptions.

The Hunan Provincial Commission for Discipline Inspection once announced a case in which village clinics had not implemented the zero markup rate of essential medicines and were suspended.

Law enforcement officers found that the profit of a local village clinic selling non-essential drugs exceeded 20%.

According to objective analysis, it is indeed wrong for grassroots doctors to use non-basic drugs as prescribed, but sometimes it is really helpless.

① The price of basic medicines in primary medical institutions is inflated and continues to rise, some even doubled, even more expensive than outside pharmacies.

② There are not complete varieties of basic medicines in primary medical institutions, generally there are only a dozen kinds, and some commonly used cheap medicines are basically not available for purchase.
For example, there is a shortage of drugs for chronic diseases such as hypertension and diabetes.
The original common chronic diseases can be taken at the grassroots level to get medicine, but now the patients are lost because there is no medicine at the grassroots level.

③ The price fluctuates greatly.
The two prices of the same product and the same manufacturer are higher than those of the same type of drugs.

④ Some medicines that are common, commonly used, and inexpensive in rural areas are not included in the scope of basic medicines.
It is really helpless for primary doctors to prescribe non-basic drugs.

⑤ The stock of basic medicines is severely out of stock.
It is common for medicines to be out of stock within two to three months after the purchase order is submitted by the hospital.

Written at the end:

In March of this year, the 2021 National Pharmaceutical Administration Video and Telephone Conference was held.
The first key task was to fully promote the implementation of the essential drug system.
That is, we will give priority to the allocation and use of essential medicines, strengthen the evaluation and publicity of the essential medicine system, and optimize and adjust the national essential medicine list.

The author predicts that adjusting the list of essential medicines will be the highlight of the work of relevant departments this year.
Optimizing and adjusting the list of essential medicines is of great significance to primary medical institutions.

Only by making medicines available and affordable for the common people at the grassroots level can more patients with common and chronic diseases stay at the grassroots level and promote hierarchical diagnosis and treatment.
At the same time, it can also reverse the phenomenon that grassroots doctors have "prescriptions but no medicines" and "risk selling non-basic medicines.
"

We will wait and see!