After the national health care reform, what are the provisions of the hospital's purchase channels?

In the process of socialist market economic system gradually improved and sound, due to China's medical industry, a hundred industries to be lifted, a hundred wastes, a hundred by the drug. Some domestic pharmaceutical production level of low, simple, duplication of operations and the introduction of a large number of imported drugs, circulation links are too many, resulting in inflated pricing of medicines, so that the pharmaceutical market competition is exceptionally fierce, vicious circle, the clinical use of medicines in a perilous situation; in such a competitive market tide of medicines, the quality of medicines, to eliminate fake, counterfeit, counterfeit, poor quality of medicines into the hospital, into the human body, to eliminate the occurrence of medical accidents; to combat the purchase and distribution of drugs in the incorrect way. In such a competitive drug market, it is of great significance to strictly control the quality of drugs to prevent fake, counterfeit, fake and inferior drugs from entering hospitals and entering human bodies, to prevent the occurrence of medical accidents, to combat the unhealthy practices in the process of drug purchasing and selling, to guarantee the quality of drugs, and to make the clinical use of medicines safe, effective and economical. In these years, our hospital in the correct leadership of the departments above, in the hospital pharmacy comrades *** with efforts, do a lot of serious and meticulous groundwork, in the hospital drug governance has achieved fruitful results. 1 strict standards for drugs, and decisively eliminate the inflow of counterfeit and shoddy drugs into the hospital pharmacy drugs are not only a matter of people's lives and health of important substances, but also - a kind of extraordinary commodities, the quality of the good and bad and the people's health is closely related to the counterfeit and shoddy medicines not only can not cure the disease, but also to take away the lives of people. Standing on the height of protecting people's life and health safety, the hospital leaders strictly control the five gates in the purchase of medicines, such as the gate of favors, the gate of purchase, the gate of storage, the gate of use and the gate of monitoring of adverse reactions. Decisively eliminate counterfeit and shoddy drugs into the hospital pharmacy, all drugs into the hospital pharmacy must be fully licensed legal companies and large and medium-sized pharmaceutical factories of qualified products; the introduction of new drugs must be strictly implemented in the application of each department, the hospital pharmacy management committee to discuss, and according to the procedures for the introduction of the purchase of drugs, the purchase of drugs, drug plans must be approved by the hospital leadership before implementation; the purchase of drugs must be approved by the pharmacy before entering the warehouse; the drugs must be approved by the hospital leadership before implementation; the purchase of drugs must be approved by the pharmacy management committee before entering the warehouse. For all purchased medicines, the purchasing plan must be approved by the hospital leadership before implementation; for all purchased medicines, they must be strictly inspected and accepted by the custodian of the pharmacy before storage, and they are allowed to be stored only when the quality, quantity, specification and price are in line with the plan. Our hospital by grasping the five gates and five must and so on a series of measures, so as to completely guarantee the quality of hospital drugs, eliminate the counterfeit and shoddy drugs into the hospital pharmacy. 2 strengthen the drug governance, improve the effective use of the quality of medicines with the hospital's reputation and the medical level of the continuous improvement of the use of medicines is also the year by year is a substantial increase in the momentum of the hospital's increasing use of drugs, resulting in the stock of the drug warehouse is also in the increasing. The amount of medicines used in the hospital is increasing, which leads to the stock of medicines in the warehouse also increasing. So how does the hospital maximize the quality of the effective use of drugs under the premise of ensuring the normal supply of drugs? First of all, the hospital will not commonly used varieties divided into rescue drugs and non-rescue drugs, rescue with a small amount of storage, non-rescue drugs purchased with the use of high-grade drugs, temporary requisition, the amount of how much, how much procurement, so that both the control of the inventory, but also to ensure that the use of drugs normal; Secondly, the hospital strict implementation of the job responsibility system, strengthen the supervision of the expiration date of the drug, each pharmacy regularly report on the expiration date of the drug situation, the expiration date of the drug within three months are always uploaded to the hospital, the drug will not be used in the hospital, but will be used in the hospital. All drugs within the validity period are reported. Pharmacy Division organized a special meeting, focusing on the near expiration date of the drug, the formation of treatment opinions; again, the hospital strictly prohibit the return of drugs, for the extraordinary situation, to clinical departments according to the patient's medical status, fill out an adverse drug reaction report form, and signed by the physician in charge, the pharmacist audited and returned before the return of the drug, which not only solves the problem of the extraordinary patients with the medication, but also avoids the return of the process of stealing and exchanging medicines Adverse phenomenon. At the same time, we also make full use of the network advantages of electronic computers to realize the network management of medicines and form an integrated computer network management system in the hospital, which greatly improves the effective use of the quality of medicines in the hospital through a series of management measures.3. Grasp the work of clinical pharmacy and improve the quality of medical services in order to use medicines in a scientific, reasonable, safe, economic and effective way, and strengthen the management of the use of medicines in clinical practice and improve the level of rational use of medicines in clinical practice. In order to improve the level of rational use of drugs in the clinic, the department regularly or irregularly organizes personnel to inspect the storage and use of drugs in the clinic. Under the situation of shortage of personnel in the Pharmacy Department, overcoming all difficulties, two licensed pharmacists with high business quality, high level of English, strong sense of responsibility, and positive thinking and demand for advancement have been drawn to set up the Clinical Pharmacy Office to go into the clinic; to carry out guidance on medication in combination with the actual situation of the doctors and patients, to translate foreign languages; and to introduce the advanced clinical medication management measures and methods both at home and abroad, especially for the new medicines and special medicines in clinic, to communicate with the clinical doctors in a timely manner, and to exchange information with them to improve the level of rational use of medicines. To be able to communicate with clinical doctors in a timely manner, exchanges; will be patients with drugs after the symptomatic and adverse reactions in a timely manner back to the manufacturers, so that the drug service clinic, clinical feedback information; thus further strengthening the Pharmacy Department to carry out the work of rational use of clinical medication, and greatly improve the quality of our hospital's health care services. 4 blocking and combining, combating the unethical in the purchase and sale of medicines in recent years, due to the hospital's substantial increase in the amount of drugs, the pharmaceutical market is not sound, some departments and unscrupulous, and some of them are not the only ones. In recent years, due to the substantial increase in the amount of medicines used in our hospital, the pharmaceutical market is not sound, some departments and unscrupulous drug dealers by all means, through a variety of forms of involvement in the distribution of medicines, some manufacturers, drug dealers to find relationships, backdoor, to the hospital to promote. In the face of the great temptation of some high-profit varieties, the leadership of our hospital has taken a series of measures to curb these unhealthy winds: firstly, the hospital leadership to set an example, cleanliness, do not take advantage of the power to introduce the manufacturers, the introduction of the drug dealers, so that manufacturers can compete on an equal footing in the bidding; Secondly, hospitals use meetings, edition of the newspaper, video and other forms of publicity and education of professional ethics, so that we can keep the poverty, resistance to temptation, and to enhance their own immunity, while using clear and secret information and so on. At the same time, the use of open and secret investigation and other forms, a heavy blow to combat drug kickbacks; again, in violation of the hospital's provisions of the manufacturers, drug dealers to implement a permanent suspension of drug treatment, violation of the provisions of the doctor to give severe treatment, the Pharmacy Department also provides for the code of integrity and self-discipline, requiring that all relevant personnel are not allowed to accept the manufacturers, drug dealers