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The Study on the Additional Essential Medicine List of Primary Health Care Institutions in China

Author: TanYaLi
Tutor: ZhangXinPing
School: Huazhong University of Science and Technology
Course: Social Medicine and Health Management
Keywords: Essential drugs added to the directory Variety Select Tactics
CLC: R95
Type: Master's thesis
Year: 2011
Downloads: 63
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Abstract

Objective: To start from the essential drugs provinces (municipalities and autonomous regions) in China added to catalog the status quo, in-depth analysis of the selection of the number of categories and varieties and selection criteria, principles and methods proposed strategy recommendations to promote the sustainable development of China's essential drug system. Data Sources and Methods: Source: (1) provinces (municipalities and autonomous regions) the introduction of basic drugs added to the directory and related documents. (2) domestic and foreign literature. (3) domestic and foreign government health administrative departments, the statistics released by the National Bureau of Statistics website and related information. (4) the development of a standard data extraction form based on the information collected, combined research purposes. (5) of the eastern part of Guangdong Province, in central Hubei Province, the western city of Chongqing to develop essential drugs added to the directory of experts, conducted interviews with management personnel. The research methods include literature study, a typical regional analysis, descriptive analysis, statistical methods, Pareto Law, expert interviews and other research methods; combination of quantitative research with qualitative analysis. Results: (1) the directory number of drugs from the point of view between the eastern, central and western provinces (municipalities) be added to the catalog number of drugs are quite different, the economically developed areas significantly more than the economically backward provinces and cities; overall , the number of supplementary drugs far beyond the requirements of community health services and primary health institutions. (2) point of view, the types of drugs from the catalog supplement types on the 18 provinces and cities with a large difference mainly anesthetics, antidotes, diagnosis, medication, etc., there are large differences between the addition of the number of different provinces and cities. (3) point of view, from the directory drugs varieties around the addition of drugs varieties differences in drug similarity (concordance rate) lower in 18 provinces and cities to be added to the 1,343 kinds of drugs, 18 provinces and cities are additions the drug is not only 62, only two kinds of drugs were added to the 17 provinces, more than 80% of the province were supplemented only 13 kinds of drugs, more than 50% of the province are the addition of the drug. Performance even if the same dosage form of a drug over the use classification is not uniform. (4) The number of drugs around the essential drugs added to the directory with the local per capita GDP and financial expenditure was positively correlated, and added to over the directory number of exclusive varieties of drugs was positively correlated with the local per capita GDP. (5) from the point of view of the directory pharmaceutical composition of each directory antimicrobial drugs, cardiovascular system drugs, digestive system drugs, specialist special medication, hormones and affect endocrine drugs, blood system drugs, antipyretic analgesics seven categories of drugs Most directories are located in the Class A range of factors that drugs are basically the same, with the National Essential Drugs List. Antineoplastic agents, anesthetic, antidote factors in the Class A drug range, according to the service capacity of the primary health care institutions, whether these three classes of drugs configuration appropriate concern. (6) from the the directory common disease drugs configuration point of view, the configuration of the five major categories of disease, Ningxia, Shanghai, Henan, Qinghai and Fujian five regional directory for the residents of common diseases common drugs accounted directory drugs constitute ratio of 50.00%, but the treatment of common diseases Anhui, Inner Mongolia and Sichuan directory configuration drugs accounted for a proportion of the total number of directory drugs only 22.05%, 23.81% and 25.89%, respectively. For visible, in the supplementary catalog common drugs configuration, exists in some areas understaffing phenomenon. (7) from provinces (City) to be added to the the directory selection criteria and principles, the methodological point of view, a unified standard for the principles, methods, and procedures around neither at the policy level, not at the technical level detailed operating procedures. Provinces directory of the discussions and recommendations: (1) differences grading less, the development of non-standard directory, the structure is not reasonable. Should the central level to develop selection criteria should be formulated in order to save more press medical institution level grading core supplementary catalog varieties can be derived from the frequency ten times more than 76 drugs in 18 provinces and cities in the study, one of the most critical 15 kinds of drugs to be added to more than 80% of the provinces and cities. Similarity (concordance rate) drugs can be amended into the next edition of the National Essential Drugs List. (2) essential drugs added to the directory need to try to keep the consistency of the National Essential Drugs List, criteria and norms should be formulated from the central level to be added to the catalog of essential drugs, basic drugs added to the directory should be carried out according to the medical institution level hierarchical management, a distinction should be made between the different selection of medicines, drugs derived from Medicare A or B indicate dynamically improve essential drugs added to the directory, add to the directory to the health needs of the residents oriented configuration levels of the drugs should be compatible with the service capacity of the primary health care institutions . (3) analysis of the macroeconomic policy framework worked out a selection of essential drugs added to the directory, including several major aspects of the selection principle, the selection range, the selection of the number of the selection to adjust management, selection process, the selection of organizations. (4) technical levels should strengthen the management of essential drugs added to the directory selection process accurately grasp the principles and scope of the selection, scientific formation of the selection of working and expert groups, to ensure the selection of scientific transparency, carefully organize the selection process. Creative innovations of this study is that the implementation of the process followed by the national essential drug system, in-depth study of primary health care institutions essential drugs to be added to the directory to develop the status quo, formulated to provide the selection of the number added to the catalog of essential drugs in national provinces (municipalities), category strategy and variety and selection criteria, principles and methods recommended.

The Study on the Additional Essential Medicine List of Primary Health Care Institutions in China

Abstract

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