On August 17, the Shanghai Municipal Health and Family Planning Commission issued the “Opinions on Strengthening the Construction of the Rebate Governance System for Pharmaceutical Products” (hereinafter referred to as the “Opinions”). The “Opinions” proposed that the current medical product rebates have rebounded in some medical and health institutions, and the forms are more diverse. The means are more subtle. In order to effectively solve the hotspots, difficulties and outstanding problems of medical products, the opinions were put forward, and the opinions were not strictly converged after the issuance of the opinions, the problems were not collected, the problem clues were concentrated, and the masses responded strongly to the medical product rebate cases, consolidating the style. Building a high-pressure situation. Focus on the key areas and key links, find out the characteristics and laws of the construction of the health and family planning system, and form a long-term mechanism based on the law.

At the same time, the "Opinions" proposed the following rectification measures:

Improve the organizational structure and working system of the Pharmaceutical Affairs Committee of the medical institution, standardize the drug selection process, strengthen the centralized and unified management of drug selection, procurement, and supervision in various medical institutions, and promote the rational application of drugs;

Establish and improve the systematic review system for standardization and continuous improvement of medical institutions, and implement dynamic monitoring and super-warning of prescriptions;

The joint working group that constitutes the three levels of the city, district, and medical institutions forms a three-level interview method for doctors, department heads, and hospital leaders, and conducts interviews with doctors, departments, and relevant person in charge of designated medical institutions. Joint interview;

The self-funded drugs used by medical institutions must be purchased through the “Shanghai Pharmaceutical Purchasing Service and Supervision Information System”, and the net procurement method of “variety directly linked to the net, price negotiated transaction” should be fully implemented. The transaction price should not be higher than Beijing, Tianjin, Zhejiang. , Jiangsu, Guangdong and other provincial drug procurement platforms on the purchase price, medical institutions should strengthen the use of self-funded drugs management, strict implementation of the patient informed notification system;

For the medical staff, on the basis of the current prescription drug dosage, incompatibility, and adverse reaction intelligent prompts, further increase the practice behavior reminding function;

Regulate the reception of medical representatives, implement the registration and registration management of medical representatives, and improve and strictly implement the internal medical representative process in medical institutions in accordance with the “three fixed and one having” (fixed time, place, personnel, records);

When a medical institution signs a procurement contract with a pharmaceutical production and operation enterprise and its agent, it must also sign a clean sales contract. Establish a level-by-level reporting system for bad record information. For pharmaceutical production and operation enterprises and their agents listed in the bad records, the public medical institutions of this Municipality shall not purchase their medicines, medical equipment and medical consumables within 2 years. Develop a more systematic approach to discretionary standards for medical institutions and personnel receiving commercial bribery.

Among them, it is worth paying special attention to the fact that it is necessary to carry out registration and registration management of medicines, and there are records in the places specified at the prescribed time. This means that medical representatives can really not go to the hospital, this time it is not prohibited from entering the hospital. But I don't want to go, but some people in the industry said that medical representatives don't go to the hospital, but the business will not break. As for the way, you know.

In fact, while the government is supervising, it is even more necessary for the industry to be more self-disciplined, to achieve self-management, and ultimately to achieve industry and social progress.

Attached

Opinions on Strengthening the Construction of Rebate Governance System for Pharmaceutical Products

District Health and Family Planning Commission, Development and Reform Commission, Human Resources and Social Security Bureau, Medical Insurance Office, Finance Bureau, Market Supervision Bureau, Shenkang Hospital Development Center, relevant universities, Zhongfu Association, municipal medical institutions:

A good industry ecology is the foundation for the development of health and family planning, and it is also the key to deepening the medical reform. It is related to the vital interests of the people and the working face of medical staff. In recent years, the city's health and family planning system has been uniformly deployed in accordance with the municipal party committee and the municipal government, strengthening organizational leadership, taking effective measures, promoting propaganda and education, self-examination and self-examination, investigating cases and working mechanisms, and the legal discipline concept of the majority of cadres and workers in the health and family planning system. The sense of integrity and integrity has been continuously enhanced, and the order of purchase and sale of medicines has been gradually standardized. However, the current medical product rebates have rebounded in some medical and health institutions, the forms are more diverse, and the means are more concealed, seriously damaging the interests of the people and the health care industry image, and the impact is very bad. In order to further implement the National Health and Family Planning Commission, the State Administration of Traditional Chinese Medicine, "Opinions on Strengthening the Construction of Health and Family Planning System", "Strengthening the Construction of Health Care and Health", "Nine Mistakes", "On Printing and Distributing 2017 to Correct Pharmaceutical Purchase and Sale and In the spirit of the "Notice on the main points of the special treatment of unhealthy winds in medical services" and the "Notice on Printing and Distributing the Special Remediation Activities for Medical Consumables", combined with the actual situation of the city, we will further strengthen the construction of the drug product remediation system and effectively correct the health care plan. The industry is not correct, and the following system construction opinions are proposed:

First, the overall idea

Further unifying thoughts, raising awareness, standing on the responsibility of the party and government, co-management and discipline inspection, strict supervision, insisting on "who is in charge of who is responsible", "one job and double responsibility", "management industry must manage the style", in accordance with the "specialization of the symptoms and the comprehensive management The principle is to solve the problem of rebates for pharmaceutical products, with the provisions of “Nine inaccurate” and “Ten Unacceptable” as the starting point, strengthen the construction of medical product rebate management system, continue to maintain the style of work, strictly investigate and control the high pressure situation, and promote Standardized management of medical and health institutions provides a strong guarantee for deepening the reform of the city's medical and health system and promoting the healthy development of health care programs.

Second, the work target

Through continuous efforts to strengthen the construction of the style of work, the formation of a targeted, specific, operational, and responsible pharmaceutical product rebate governance system, the long-term mechanism of the construction of the wind is more perfect, so that the purpose of the health and family planning system team has a new enhancement, The industry's work style has been improved. The hotspots, difficulties and outstanding problems of pharmaceutical products have been effectively solved, and the image of the health and family planning industry in the city has been further improved.

Third, the working principle

(1) Adhere to the unity of problem orientation and goal guidance. In response to the shortcomings, it is aimed at the whole industry and highlights the “key areas”, focusing on key areas such as institutions, personnel, places, behaviors, and processes in the rebates of pharmaceutical products, starting with key links and focusing on management and regulation. Focusing on the requirements of the target, closely combining the actual and innovative ways of work, and implementing them one by one.

(2) Adhere to the current rectification and the long-term integration of construction. Strictly investigate and punish the situation after the issuance of this opinion does not converge, do not close, the problem clues concentrated, the masses reflect strong drug product rebates, and consolidate the high-pressure situation of work style construction. Focus on the key areas and key links, find out the characteristics and laws of the construction of the health and family planning system, and form a long-term mechanism based on the law.

(3) Adhere to the principle of prevention and responsibility. Mainly for prevention, strengthen responsibility, strengthen discipline, grasp early and grasp small, put responsibility and discipline at the forefront of all work, prevent and timely discover the signs of commercial purchase and sale of medical services and commercial bribery of medical services.

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