Have seen from national basic medicine catalogue change protected " Basically "

Have seen from national basic medicine catalogue change protected " Basically "
Staff reporter Wang LeMin Interviewed the honoured guest: National the intersection of food and medicines supervise Vice chief, Policy and Regulations Department of administration bureau, let good neat human resources and social security portion Vice chief of medical insurance department loyal the intersection of Ministry of Public Health and the intersection of hospital and management Li study The intersection of medicine and thing manage Wu Yong, director of research department, and wear the new medical reform scheme and get out of and set up national basic medicine system. In a sense, the national basic medicine catalogue can be compared to a " switch of the faucet " ,Only open, hit this one well " The switch " ,It could be that the formulation in policies such as the production, supply, use, pricing, submitting an expense account of the basic medicine,etc. will be improved and completed in the future " The channel " ,Could guarantee national basic medicine system from source " The fresh water flows long " ,Rights and interests that finally to ensure the public's basically using medicine better. Select the principle " Clinical " Change and " prevent and cure " The national basic medicine selects the establishment of the principle, it is a prerequisite of forming the national basic medicine catalogue, also reflect inclination and basic fixed position of setting up national medical policy of a country. The new medical reform scheme proposes, " the central government makes and releases the national basic medicine catalogue in unison, according to must prevent and cure, safe and effective, the intersection of price and reasonable, easy to use, the intersection of Chinese and Western and principle that medicine regard as equally important, combine the characteristic that my country uses medicine, consult the international experience, confirm assortment and quantity rationally " . And before this, it was established from 1992 to 1996 that what our country followed in the selection of the basic medicine is " Clinic must, it is reasonable in safe and effective, price, regard as equally important at user-friendliness, Chinese and Western medicine " Principle. It wear Wu Yong professor say on medical reform schemes new last principle medicines basics national by "it is clinical must " Change into " must prevent and cure " ,Though change two words, make the selection of the basic medicine not merely " clinical " ,Have emphasized further " Defend " With " manage " Combination. This kind of fine setting, make the coverage of the basic medicine more extensive, accord with the realistic demand further too, have reflected " Prevent disease and use medicine " With " medicine for treatment " Equally important position. The change with overall the intersection of enhancement and public health service system that new medical reform put forward build, insist the requirement specializing in preventing from comes down in a continuous line. Yong Wu wear professor say different from other characteristic of country as our country, new the intersection of medical reform and basic medicine that scheme put forward select principle inherit " Chinese and Western medicine regard as equally important " . The new medical reform scheme is here at the same time " Further improve medical service system " China proposes, " give full play to traditional Chinese medicine (national medicine) The function of preventing and cotrolling, tackling happening suddenly at disease in public health event, medical care " . According to authority of government department, in the national basic medicine catalogue announced soon in the near future, traditional Chinese medicine will take very great proportion. It is introduced, the national basic medicine mainly has five requirements to select: First, serve to ensure competence to suit with basic medical treatment with the public health, basic health care of our country; Second, accord with the characteristic of the disease table of our country, can meet our country's common disease, frequently-occurring disease and infectious disease preventing, diagnose, therapeutic demand; Third, selecting the variety can guarantee the supply; Fourth, should choose medicines used clinically at first; Fifth, the catalogue should adjust science, just, open, justice to select. Select, require with ensure the public use medicine rights and interests to be closely linked basically while being both selection principle of the basic medicine and. Variety quantity from " Too fat and clumsy to move" To " slim " " reduce weight " It is an important change of the new national basic medicine catalogue issued soon. In 1981, our country first " national basic medicine catalogue " worked out and finished. In 1996, our country announced <>. The variety quantity of basic medicine at this moment is less than 300 kinds. In 1998, 2000, 2002, 2004, our country carried on revising and adjustment 4 times to " national basic medicine catalogue ", the variety quantity of the basic medicine rises to 2000 multi-type. " the national basic the intersection of medicine and catalogue " of 2004 version contain 23 of Western medicine, 773, 11 of traditional Chinese medicine, 1260 kinds, the variety reaches 2033 kinds altogether. It is reported, the basic medicine catalogue of World Health Organization is 312 kinds, most countries are from 200 kinds to 300 kinds, do not exceed 400 kinds either at most, can already meet the needs of clinical about 80% of the patients. Social each side that cover 2000 the intersection of multi-type and national basic the intersection of medicine and the intersection of catalogue and extensive too, variety of medicine too much in unanimous suggestion. The experts think, in view of the reality that our country is vast in territory, the disease table range is wide, make, include traditional Chinese medicine by one ' National medicine) Inclusive, can meet the demand of basically using medicine preventing disease, curing the disease the basic medicine catalogue of 800 kinds of medicines when covering 500 kinds. Xu Jia show together, more than up to 16,000 kinds of medicines that our country has already list been, and is in the state that there is the same variety more than one hundred enterprises produce. The domestic and foreign medical experience and lessons that use medicine tell us, it is unfavorable to the medical organization to use medicine rationally that there are too many varieties on the medical market, overall level difficult to improve benefit of using medicine. It is reported, the national basic medicine catalogue announced soon will reduce over half of the variety quantity. And new the basic medicine in the the catalogues " on the basis of keeping the quantity relatively stable, ensure situations such as the change, development of national economy, progress of science and technology of competence,etc. according to medical treatment " ,Implement dynamic management, every two is adjusted once every three years in principle. The persons in charge of related departments say, " reduces weight " of the national basic medicine catalogue ,Only for " Guarantee there are the basic medicines " . Basic catalogue from " There is no ample scope for abilities " To " core " Before this, because of the limitations of too many and various supporting policies of the variety, the national basic medicine catalogue has been thought to lack the legal effect and status by each side all the time. At the end of 2008, on basic medicine system policy and industry countermeasure summit forum sponsored by units such as the safe research center of Shanghai food medicines,etc., the personage participating in the conference points out, this catalogue does not " have ample scope for abilities " . Mainly showing in the following aspects, neither guarantee to supply and use, can't become the core of other catalogues either, let alone display superiority,etc. in submitting an expense account compared with non- basic medicine. And the new medical reform scheme has established the authoritativeness of the national basic medicine catalogue. The new medical reform scheme proposes, " the basic medicines all include in the catalogue of ensuring medicines and submitting an expense account of basic medical treatment, wipe out proportion, obviously higher than the non- basic medicine " . This mean, include national basic the intersection of medicine and medicine of catalogue in, enter, wipe out catalogue by various automatically, common people can spend few one's own money on the premise of curing the disease while using the basic medicine. "Liken one concentric circles to the intersection of medicine and relation of catalogue, that round of inside basic medicine most The catalogue, that outside is round it is a medical insurance catalogue again, the round outside is all medicine varieties the most. Can be found out from this concentric circles, the basic medicine is most central. " Many medical insurance experts say to the reporter, the formulation of the national basic medicine catalogue is the first step in the institutional improvement of national basic medicine, the other catalogues should all regard national basic medicine catalogue as the core when the time comes, this one implement new the intersection of medical reform and scheme, change greatly. Besides national basic medicine catalogue, a plurality of medicine catalogues exist yet in our country. These catalogues mainly refer to the catalogue of submitting an expense account of several different medicines. For example, national basic medical insurance and industrial injury insurance medicines catalogue, basic medicine of service organization of community's hygiene consult catalogue and every province (district, city) Lasting catalogueing, doctors rural to use medicine by catalogue basically administration. As to this, the persons in charge of related departments point out, the a plurality of medicine that catalogue coexist phenomenon with our country between town and country, have something to do by social economic the intersection of development level and uneven national conditions between the area. Catalogue of these medicines covers different crowds, contribute to ensuring the basic medical demand, safeguard the health rights and interests of urban and rural residents. Li Zhong's catalogue of saying, the basic medicine catalogue does not mean the medical insurance submits an expense account. The national basic medicine catalogue can't be too big, but the basic medical insurance medicines catalogue should be a relatively bigger catalogue. This shows, the authoritative embodiment of national basic medicine catalogue, has already guaranteed the rights and interests that the public uses the basic medicine, can complement each other with other catalogues, benefit the public to the maximum extent.

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