Source: national health care commission
Policy: cypress-blue-distant-look
The national health care commission published an important document to re-plan the use of medication in tertiary public hospitals.
On May 31, the National Health Commission released the Notice of the General Office of the National Health Commission on the Issuance of the Operational Manual for Performance Assessment of National Tertiary Public Hospitals (2019 Edition).
PhilippinesNational Tertiary Hospitals Welcome Performance Assessment Indicators
According to the performance assessment manual, the entire indicator system of the performance assessment of tertiary public hospitals contains 4 first-level indicators, 14 second-level indicators, and 55 tertiary-level indicators (50 quantitative and 5 qualitative).
Nearly 10 of these indicators are highly related to the use of drugs in tertiary hospitals, for which the Health Commission has given a gradual decline or increase in the guiding requirements.
According to January 3, 2019, the General Office of the State Council issued the "Opinions of the General Office of the State Council on Strengthening the Performance Assessment Work of Tertiary Public Hospitals" (hereinafter referred to as "Opinions").
By the end of June 2019, each province will establish a provincial performance appraisal information system, which will be interconnected with the national performance appraisal information system of the three-tier public hospitals, and will be based on data and information appraisal, supplemented by necessary on-site reviews, and will utilize the "Internet + appraisal" method to collect objective appraisal data and carry out the performance appraisal work of the three-tier public hospitals. The performance appraisal work.
That is to say, there is still a month's time, the country's three levels of public hospitals need to formally carry out performance appraisal work, these performance appraisal indexes also began to form a constraint on the country's three levels of hospitals.
In addition, the performance appraisal of tertiary public hospitals is implemented on an annual basis, and the first national performance appraisal of tertiary public hospitals will be completed by the end of December 2019.
PhilippinesNational Health Commission requires tertiary hospitals to gradually reduce the use of medication
National Health Commission's work this time is mainly aimed at - through the performance assessment, to promote the tertiary public hospitals in the development of the way from the scale-expansion type to quality-effectiveness type.
The Opinion puts forward that by 2020, basically establish a more perfect performance appraisal system of the three-level public hospitals, the three-level public hospitals to further implement the functional position, more standardized internal management, the overall efficiency of the medical services effectively improve the hierarchical diagnosis and treatment system is more perfect.
For the 55 tertiary indicators, the National Health Commission put forward three kinds of orientation: gradual improvement, gradual reduction and monitoring and comparison.
In the 55 tertiary indicators, there are a number of indicators that are closely related to the tertiary hospital drug market.
For example:
Gradual increase in the number of patients transferred down (outpatient, emergency and inpatient);
Gradual increase in the ratio of review prescriptions to total prescriptions;
Gradual decrease in the intensity of antimicrobials (DDDs);
Gradual increase in the ratio of outpatient prescriptions of basic drugs;
Gradual increase in the ratio of state-organized centralized procurement of pharmaceuticals to the use of the bidding The proportion of drug use has been gradually increased;
Monitoring and comparison of the proportion of revenue from auxiliary drugs;
Gradual decrease in the increase of outpatient per capita drug costs;
Gradual decrease in the increase of inpatient per capita drug costs, etc.
In the back of the handbook, for each of the 55 indicators, the NHRC gives the corresponding definition, calculation method, description and interpretation of the meaning, and in the interpretation of the significance of the indicators, some policy guidance can be seen.
PhilosophyPatients continue to sink to the grassroots
In terms of the number of patients transferred from tertiary hospitals (outpatient, emergency, and inpatient), the NHMRC has asked for this number to gradually increase - focusing on the annual assessment of the number of patients from tertiary The number of patients transferred from public hospitals to secondary hospitals or primary care institutions, including outpatients and inpatients.
From the documents issued by the relevant departments, it is easy to see that the policy advocates graded diagnosis and treatment, two-way referral, relieve the pressure on large hospitals, and require tertiary hospitals to adjust their functional positioning, focusing on difficult and complicated cases.
The "Decision of the Central Committee and State Council on Health Reform and Development" proposed for the first time the establishment of a two-way referral system.
In addition to the two-way referral system, the state also hopes to truly realize hierarchical diagnosis and treatment through the construction of medical associations.
A series of documents, including the Guiding Opinions on Promoting the Construction of a Graded Diagnosis and Treatment System by the General Office of the State Council, the Notice on Issuing the "13th Five-Year Plan" for Deepening the Reform of the Pharmaceutical and Healthcare System by the State Council, and the Guiding Opinions on Promoting the Construction and Development of Medical Associations, have proposed that, in 2017, a pilot construction of medical associations of various forms will be launched in a comprehensive way. A variety of forms of medical consortium construction pilot, the three levels of public hospitals to participate in all and play a leading role, comprehensive health care reform pilot provinces in each city as well as hierarchical diagnosis and treatment pilot cities at least built a medical consortium with obvious results.
The policy requires that by 2020, all second-tier public hospitals and government-run primary healthcare organizations participate in the medical association.
Tertiary hospitals should focus on admitting and treating patients with difficult and complex diseases and acute phases of illnesses according to their functional positioning, and refer appropriate patients downward so as to improve the efficiency of medical resource utilization.
PhilosophyMedicine consortiums blossom everywhere
In the manual, the National Health Commission also named four types of medical consortiums - there are currently four main organizational modes of medical consortiums:
One is the medical group. In cities above the municipal level with districts, it is led by a tertiary public hospital or a hospital with strong business capacity, and unites community health service organizations, nursing homes, and professional rehabilitation institutions to form a management model of resource ****sharing and division of labor.
The second is the medical *** same body, with county hospitals as the leader, township health centers as the hub, village health offices as the basis of the integrated management of the county and townships, and the integrated management of the countryside to effectively converge.
Third is the specialty alliance, the medical institutions to form a consortium with specialty collaboration as a link.
Fourth is the telemedicine collaboration network, in which the lead unit establishes a telemedicine service network with medical institutions at the grassroots, remote and underdeveloped areas.
In fact, for some time now, the policy level has been releasing favorable information for the grassroots.
I. On May 22, the Premier of the State Council presided over a State Council executive meeting, which determined that the government does not impose planning restrictions on the total number of social medical areas and spatial distribution. Allow in-service or suspended medical personnel to apply for medical institutions.
Two days ago, the National Health and Health Commission, the National Development and Reform Commission, the Ministry of Finance, the Ministry of Human Resources and Social Security and the National Health Insurance Bureau formulated the Opinions on Carrying Out Pilot Projects to Promote the Development of Clinics (hereinafter referred to as "Opinions").
The Opinions state that the plan is to use 2 years to carry out pilot clinic construction in 10 cities, including Beijing, Shenyang, Shanghai, Nanjing, Hangzhou, Wuhan, Guangzhou, Shenzhen, Chengdu and Xi'an.
Based on the pilot experience to improve the clinic construction and management policies - the clinic from the practice permit to record management, revise the basic standards of the clinic, from focusing on the audit of equipment and facilities, such as hardware adjusted to the qualifications of the physician and the ability of the audit.
Third, on May 22, the Medical Affairs Bureau of the Medical Affairs Bureau issued a document "on the development of urban medical consortium construction pilot work notice" (hereinafter referred to as "notice").
The notice specifies the future work objectives: by the end of 2019, 100 pilot cities to fully launch the grid layout and management of urban medical consortiums, each pilot city to build at least one medical consortium with obvious results, the initial formation of the urban tertiary hospitals led by the primary health care institutions as the basis for the participation of other medical institutions, such as rehabilitation, nursing and other medical institutions in the management mode of medical consortiums.
By 2020, 100 pilot cities will have formed a grid layout of medical consortia and achieved significant results.
Fourth, on May 28, the National Health Commission issued the Notice on Promoting the Construction of Close-knit County Medical and Healthcare ****similarities (hereinafter referred to as the Notice).
The Notice makes it clear that by the end of 2020, a new county medical and healthcare service system with clear goals, clear powers and responsibilities, and division of labor and coordination will be initially built in 500 counties (including county-level cities and municipal districts, hereinafter the same), gradually forming a ****similarity of services, responsibilities, benefits, and management.
In fact, as early as April 2017, the General Office of the State Council issued the "Guiding Opinions on Promoting the Construction and Development of Medical Consortia" (State Office of the People's Republic of China [2017] No. 32), which makes it clear that medical ****similarities should be formed in the counties, and medical resources ****sharing should be gradually realized in the region to further enhance the grass-roots service capacity, and to promote the formation of a grass-roots first diagnosis, bidirectional referral, emergency and slow treatment, and an up-and-down The model of hierarchical diagnosis and treatment is linked.
After nearly two years of reform and practice, more than 3,000 county medical ****similarities have been formed nationwide. The rise of the primary drug market will also be followed by the release of volume.
Previously, some scholars have analyzed the best-selling varieties of grassroots drugs, township health centers are mainly concentrated in the varieties of general medicine, anti-infectives, cardiovascular and cerebrovascular drugs, such as common diseases, multi-disease varieties, the top ten are mainly for the injectable varieties; of which the chemical varieties of the more manufacturers, fierce competition for the general medicine, and proprietary Chinese medicines, mainly to exclusive or exclusive varieties of the main.
See, the above varieties will continue to usher in favorable. In addition, Cyberland previously learned in the 35th China Pharmaceutical Industry Development Summit Forum site, in 4, 5 line cities and even grass-roots level, innovative drugs are also more and more market.
"Because these areas want to keep patients through the use of innovative drugs," explained Conway, executive president of the Pharmaceutical Research and Development Industry Committee (RDPAC) of the China Association of Enterprises with Foreign Investment (CAEFI).
It is well known that foreign drug companies, which have a considerable advantage in tertiary hospitals, have actually been taking the lead in laying out the grassroots market.
Note: The pushed article is only for communication and learning to share, non-commercial use, if it involves copyright issues, please contact us to delete.
Source: Talent Hunting Pharmaceutical Network Public