Difficulties In The Use Of Essential Drugs Part Of The Implementation Of Critical System

Difficulties In The Use Of Essential Drugs Part Of The Implementation Of Critical System

Essential drugs system is implemented one of the major difficulties is the use of links. In the health sector, there is a popular saying that the essential drugs due to low prices, low profits, many companies willing to produce, so the medical institutions to use less and less essential drugs. This argument is reversing cause and effect. In fact, the reality of the situation is generally reluctant to use public hospitals, low-cost drugs, unless the government imposed various mandatory "standard" measures.

Therefore, the implementation of essential drugs system facing the most serious challenge is to use the link. Essential drugs to doctors willing to open; Otherwise, the basic demand for drugs does not exist, there is nothing of its production and circulation.

The problem is, the public medical institutions "to support drug treatment" system of structural distortion of the doctors of prescribing practices. Existing essential drugs system in China is tantamount to waste paper, the fundamental reason is that medical institutions are reluctant to recommend patients with relatively affordable essential drugs, but recommended a relatively high price of drugs.

"To drugs to support medical treatment" is rooted in two improper control of the government: first, the government implemented a strict low-cost health care regulation, doctors are forced to maintain their livelihood by sale of drugs; Second, the government public sector The drugs control the sale set a profit margin, that is known as the "Drug addition policy", currently set a maximum addition rate of 15%. In this way, much the same in the case of other conditions, the public sector procurement prices tend to bias your natural medicines. Drug higher purchase price, sell more drugs, medical institutions, the more income. In such circumstances, the system is of course essential drugs exists in name only.

All seen the "drug dependent doctors," the harm, but on how to cure this disease has different opinions. A very popular idea, is to blame all the chaos in the market, hoping to implement a full range of administrative control of the government to solve the problem. This diagnosis and prescription errors doctors apparently misdiagnosed. To solve this problem, the correct idea is to promote the reform of government regulation, that is to lift some of the improper control to maintain proper control others. Specifically, first, the government canceled the sale of medicine margin (ie pharmaceuticals plus) control, allowing medical institutions to set their own rate increase, the Government set the highest retail pharmaceutical limit; Secondly, the Government promoted Health Insurance Payment system reform in health care organizations focus on cost-effective drugs.

The second measure is the root of the problem. Logically, the Medicare agency, as those who pay for health care services to medical institutions should have the means to become a normal market players that have a strong sense of cost-effective for patients with specific conditions, and reasonable treatment, rational use of drugs. However, the root of the problem of changes take time. Symptoms of the Road is the first of the above measures, the abolition of drugs plus drugs to maintain control but the maximum retail limit control. With the maximum limit retail, health care institutions will naturally be higher purchase cost-effective drugs will not knowingly purchase expensive drugs.

, However, whether the "new Medical reform "Basic medicine system, or the" implementation plan "to eradicate the" drug support of medical treatment "temporary root of the problem are not clearly, but the preferred way of administration and the" norm "in public medical institutions of the use of essential medicines that "urban and rural primary health care and health institutions should be fully equipped with, the use of essential drugs, other types of medical institutions have the basic drugs used as a drug of first choice and to determine the ratio. "But in the" Implementation Plan ", the medical institutions to use the space of non-essential medicines, have greatly broadened.

In fact, the reason why compulsory measures of administrative norms, or because of public medical institutions do not have enough power to use essential drugs, has no incentive to promote the rational use of various drugs. The implementation of coercive measures must be accompanied by top-down, endless examination, assessment, and such initiatives rarely produce the desired effect, but will bring endless, especially for power control related assessment to open up "rent-seeking" space. Slang speaking, this game sucks, will eventually result in "hidden rules" prevailed.

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