This year's list of basic drugs will adjust the control of medical expenses into a focus

Business News Agency reported on January 8 that the National Essential Drugs Directory “Not Enough to Use” is expected to be further improved this year. At the same time, “rising up” medical expenses will also become the key monitoring target of the Ministry of Health.

At the National Health Work Conference 2011 held yesterday (January 6th), the Minister of Health of the People's Republic of China pointed out that it is necessary to pay close attention to studying and adjusting the national essential drug list (at the grassroots level) and to control the excessive growth of medical expenses as one of the items of this year. Important task.

Basic medicine list will be adjusted

This year is the last year for the implementation of the key work of the recent medical reform, and it is also the beginning of the “Twelfth Five-Year Plan”. Chen Hao said that this year's medical reform should focus on the construction of basic drug systems and public hospital reform pilots.

According to the latest monitoring results, the basic drug system has been fully implemented in 57.2% of government-run grassroots medical and health institutions. Preliminary coverage of grass-roots levels was initially achieved in Anhui, Tianjin, Ningxia, Jilin, Jiangxi, Shaanxi, Gansu, and Hainan.

According to the Ministry of Health's 2011 work plan, the scope of the implementation of the basic drug system will continue to expand. The government will run basic medical and health institutions to implement the basic drug system and encourage qualified local village clinics and non-government organizations to run basic medical and health institutions. Include the implementation of basic drug system.

Since the implementation of the basic drug system for one and a half years, many parties have reported that "the number and types of essential drugs are not enough." Zhu Zhixin, deputy director of the National Development and Reform Commission, also said that the demand for drugs in the hyperdirectories in some regions is relatively large. There are 307 drugs in the national basic drug list (baseline), and 300 in general township hospitals and community health service organizations. In some places, the coincidence rate of the two is only 50%.

The Ministry of Health made it clear yesterday that it is imperative to study and adjust the national basic drug list (baseline) to better suit the needs of the people.

On this basis, the full version of the basic drug catalog development work for medical and health institutions at all levels will also be launched in due course.

Control medical expenses grow too fast

"Since last year, various channels have reflected a rapid increase in medical expenses." Chen Yu said that in recent years, the per capita medical and health expenditure in our country has continued to show an upward trend. Unreasonable growth due to institutional problems is worth paying attention to, and the burden on personal medical expenses is heavier. It is a prominent contradiction that must be given priority in the "12th Five-Year Plan" period.

Research by the World Health Organization shows that the proportion of personal expenditures in a country's total health expenditure has been reduced to 15% to 20% in order to basically solve the problem of “dueing to poverty due to illness” and “returning poverty due to illness”. At present, the proportion of personal spending in China is 38%, and the competition for the "12th Five-Year Plan" period is reduced to about 30%.

The Ministry of Health decided that the excessive growth in the control of medical expenses was an important task for this year, and asked all regions to analyze and study the trends and causes of rising medical costs in the region, and to formulate goals and targets for per capita outpatient visits and per capita hospitalization costs. Comprehensive administrative, economic and legal information and other measures were taken to focus on controlling irrational drug use, irrational inspections, and the rapid increase in the cost of some key specialist medical services.

In addition, health administrative departments in various places shall regularly publish information on changes in medical expenses of their medical institutions, and the Ministry of Health and local governments will conduct special evaluations and assessments on the control fees in connection with medical monitoring.

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