Optimization Of Basic Drug Selection Mechanism

Research backgroundBasic drug directory selection is States according to itself of conditions and basic drug policy according to science of method from various clinical drug in the elected has representative of drug, this is implementation basic drug of based sex work, is guarantee China drug longitudinal advance of focus and difficulties, for advance basic drug of implementation, meet grass-roots medical institutions basic of medication needs, improve drug reasonable using level, improve drug industry concentrated degrees has important of guide role.China of basic drug selection is according to control required, and security effective, and price reasonable, and using convenient, and in the Western both, and basic guarantees, and clinical preferred of principles, combines China medication features and grass-roots medical health institutions equipped with of requirements, reference international experience, reasonable determines basic drug of varieties(formulations) and number, so for processing good above evaluation indicators of mutual associated sex, is implementation basic drug selection of key.With with basic drug system of implementation, China Government has has introduced has two version national basic drug directory, directory close around grass-roots medical institutions of medication needs, in full considered to disease spectrum, and medication habits, variety factors of based, constantly adjustment and perfect directory selection of content, while in formulations aspects also gradually for refinement, thus constantly improve basic drug selection results of normative, andconsistency. This based, each province, and autonomous regions, and municipalities also in national directory of based, according to China basic drug system of policy to, from grass-roots medical institutions of actual medication needs starting, through grass-roots research, and public sought views, and expert recommended, way appropriate to increased drug species, maximum to improve grass-roots drug of can selective, reduced directory constraint on grass-roots medical institutions of normal business work of effects.But we also to realized that, despite China basic drug directory selection of program and method are gradually to specification, and democratic, and science of method development, but General still in started exploration stage, many details sex, and directional of problem also and no clear, so also exists larger of controversy, these controversy main concentrated in: directory within drug of can selective and has selection drug of grass-roots applicability lower, on clinical medication effects larger; basic drug directory selection principles also in height abstract of of State, Lack of quantifiable evaluation criteria of the selection corresponds to the principles, which, to some extent, has also exacerbated differences around the selection of the type and quantity of drug selection process with little transparency, low levels of social participation, giving rise to greater impartiality questioned, in addition, selection list, market restructuring and subsequent bidding. Therefore, make essential drug list in selection procedures and methods for improvement.1.Introduces the methodology of the World Health Organization’s essential drug list, summarize the major changes and regularity during the selection process, focusing on selection procedures, drug information sources, targets, a weighted grade point of its essential drugs list reference to China.2.System from the Central and local levels is faced with general analysis of selection of essential drugs in China, and summarizes the basic practices in drug selection process, and to adjust the essential drug list of general ideas, methods and procedures. 3.Summarizing the development and adjustment of the national essential drug list the problems faced in the process of, principles in reference to other countries during the selection period, evaluation on the basis of the experience, the number of drug through comparisons to adjust and improve our selection of essential drugs policy recommendations on ways and means.Method1.Literature analysis: access to essential drugs at home and abroad selection principle, guideline, program, selection of literature, focusing on understanding the local document views on the essential medicines selection methods and results, collected perfect selection of essential drugs list major recommendations.2.Case study: empirical research based on listed drugs problems in the selection process at home and abroad as a case study, using the inductive method for some in-depth analysis to reach common conclusions. 3.Comparative study: introduce WHO and typical practices of the countries in the process of selection of essential drugs and the practices of these countries compare it with our selection of essential drugs, and to compare the degree of similarity or dissimilarity and judgment, and exploring essential medicines selection process of the universal laws and special laws.ConclusionSelection of essential medicines and procedures is to be constantly improved, but in the selection of the normative, operational, there are still many problems. Short-term feasible of adjustment measures including:as soon as possible established national basic drug directory of legal and led status; refinement selection principles, increased can operation sex; established timely of dynamic adjustment mechanism, shortened directory update cycle; sound followed card medical, and drug economics evaluation standard and work mechanism; reference abroad experience, enhanced basic drug of selection process transparency; while also to strengthened propaganda, calls for parties active participation basic drug directory of developed.