China's national essential medicine system is a system that effectively manages the links between the formulation of basic medicines, production and supply, procurement and distribution, rational use, price management, payment and reimbursement, quality supervision, and monitoring and evaluation. The state's basic medical system can improve the current drug supply guarantee system and protect the people's safe medication. At present, Shandong has taken the lead in establishing a basic drug system throughout the country. The price of essential drugs has dropped by more than 50%, and ordinary people have enjoyed real benefits. The irreversible trend in the development of the Chinese pharmaceutical industry is, first of all, an irreversible rise in the cost of medicines; followed by an irreversible drop in drug prices; and finally, the country’s determination to implement essential medicines is irreversible. On the other hand, what are the hospitals that are no longer "taking drugs to support the doctors" and pharmaceutical manufacturers that are making big profits? How can we ensure that we no longer use medicine to provide medical care? Can the basic drug system work long-term health?

How can we ensure that we no longer use medicine to provide medical care?
A reporter from the village to the province’s “net” procurement site visited the clinic of Xiatun Village, Guoli Town, Jining City, Zoucheng. The doctor Wang Zejie told reporters that as long as he landed on the Provincial Essential Drug Centralized Procurement Platform website, he chose the name and quantity of the required drugs and clicked. Determine the key, a net go world, provinces, counties, towns and other levels will know the needs of the health room, through the nearest distribution principle, send someone to send medicine. General medicines are delivered within 12 hours, and priority medicines are given priority for delivery.

“One Platform and Two Concentrations” ensures the smooth progress of procurement, distribution and sales, and realizes information sharing between the administrative departments, basic pharmaceutical production and operation enterprises and primary medical and health institutions. We will pay close attention to the centralized purchase of basic drugs and centralized payment at the provincial level, focusing on grasping the three cores of “quality, price, and supply” of essential drugs, ensuring reliable quality of essential drugs, reasonable prices, and timely supply.

Unified pricing of basic medicines A deputy general manager of a pharmaceutical company told the reporter that in the past, the distribution companies had negotiated prices between the two sides, and they talked about the purchase prices with the pharmaceutical manufacturers and the sales prices with the hospitals. Now that the prices of basic medicines have been set, only the manufacturers will discuss the purchase prices. The basic price of the essential medicines contains the distribution fee, which is generally 5%-8% of the bid price, which is very simple. "And now is the province's unified settlement, we do not have to worry about money back. Before the salesman to find the director of township hospitals to account, today is not tomorrow, is very laborious, and now the provincial drug mining center to pay us a month, very Guaranteed."

The people enjoyed real benefits. The reporters interviewed major hospitals to learn about the initial results. It used to be hospitals, and pharmacies bought medicine. Now it is different, because in the hospital, the same amount of money can be used to get twice the amount of medicine. It really brings economic disadvantages to the patients. It is understood that there are "for tender procurement of essential drugs." Basic Drugs Centralized Bidding and Procurement Regulations, but this document still cannot solve the drawbacks of “only low-cost” in the procurement of essential drugs.
Because there is no uniform standard for quality evaluation, there are too many subjective indicators for the evaluation of base drug bidding, and there are too few objective indicators, and subjective comments by experts are inevitable. Therefore, it is imperative to improve the evaluation system for essential drugs.

Can the basic drug system work long-term health?
We must further unify our thinking, raise awareness, and earnestly enhance the mission, sense of urgency, and sense of responsibility in implementing the essential medicine system.
We must conscientiously implement the online centralized tender procurement system and allocate essential drugs as required to ensure the procurement and distribution of essential drugs.
All regions should strengthen the supervision of centralized drug procurement and strictly implement the online drug procurement system.
At the same time, it is necessary to improve the emergency procurement plan to ensure that, in the event of a shortage of a few basic medicines, the clinical procurement of drugs is guaranteed in accordance with the emergency procurement process.

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