Recently, Duntou Town, Hai’an City, Jiangsu Province launched a health science popularization activity of “rational use of drugs, refusal to abuse”. The picture shows a doctor teaching villagers how to prevent drug abuse. Zhou Qiangshe (People’s Vision)
Small pills are related to people’s livelihood. Safe, effective, economical and appropriate use of drugs is not only related to people’s health, but also can effectively avoid the waste of medical resources and improve hospital medical services. quality.
Recently, the 3rd National Experience Exchange Conference of “Rational Drug Use·China Action” was held in Xiamen, Fujian Province. The event was guided by the Medical Administration and Hospital Administration of the National Health and Health Commission, sponsored by Health News, and co-organized by the Fujian Provincial Health and Health Commission. Workers from health and medical institutions across the country gathered together to discuss how to promote the level of rational drug use. promote.
“In recent years, the level of rational drug use in my country has been continuously improved. The performance evaluation results of public hospitals show that from 2018 to 2021, the indicators related to rational drug use in secondary and tertiary public hospitals have increased year by year. Quality control indicators continue to improve.” Li Dachuan, deputy director of the National Health and Health Commission’s Medical Administration and Hospital Administration Bureau, said that from an overall perspective, rational drug use still needs to continue to meet the growing needs of the people. At the same time, the Healthy China strategy and active response to population aging The chemical strategy puts forward higher requirements for rational drug use. In the future, it is necessary to continuously improve the level of rational drug use in China and make due contributions to the construction of a healthy China.
In 2020, the National Health Commission and other six departments jointly issued the “Opinions on Strengthening the Management of Pharmaceutical Affairs in Medical Institutions and Promoting Rational Use of Drugs”, which will become the working guidelines for the management of pharmaceutical affairs in medical institutions for a period of time in the future.
“Recently, the National Health Commission and the State Administration of Traditional Chinese Medicine jointly issued the “Notice on Further Strengthening the Safety Management of Drug Use to Improve the Level of Rational Drug Use”. The work should be promoted in a prominent position and stick to the bottom line of drug safety.” Wang Manli, deputy director of the Medical Management Division of the Medical Administration and Hospital Administration Bureau of the National Health and Health Commission, emphasized that it is necessary to give full play to the role of professional organizations in rational drug use or pharmaceutical quality control, and strengthen professional technical support. ; Strengthen monitoring reports and analysis, actively respond to adverse drug reactions; strengthen drug safety supervision, and promote the improvement of rational drug use. The National Health and Medical Commission and the State Administration of Traditional Chinese Medicine will organize and strengthen the promotion and regular reporting of the work situation in various places, take interviews and other methods for areas with poor work or management, and urge timely rectification and follow-up review.
At the meeting, Hu Yin, director of the National Rational Drug Use Monitoring Network Office, introduced the clinical drug monitoring of 1,829 sample hospitals across the country. Hu Yin pointed out that the current rational drug use monitoring network covers 30 provinces and is distributed in more than 300 cities under separate state planning and prefecture-level cities. Hu Yin said that in the future, the National Rational Drug Use Monitoring Office will strengthen special research on rational drug use in various places, targeting key diseases. Systematic key diseases, key drugs, combined with local disease spectrum, incidence, epidemiology, etc., carry out in-depth and multi-angle special research and analysis of big data.
“We must build the concept of ‘value medical care’, and we must use scientific ideas and technical means, combined with scientific management concepts, to build a standardized clinical path for drug selection, and in the future, we must strictly promote economic savings under the reform of medical insurance payment methods. Expenses.” According to Shi Luwen, director of the International Research Center for Pharmaceutical Management at Peking University, only by combining clinical practice and integrating pharmaceutical management into every aspect of the hospital’s clinical practice can drugs be truly used. The hospital should highlight the construction of professional teams, and the construction of key specialties in the hospital should be closely integrated with clinical practice, and be patient-centered to promote the cultivation of a team of pharmacists who are truly suitable for clinical pharmacy services. Combined with drug monitoring, including the implementation of intervention plans, precision drug use, the establishment of a pharmaceutical service system and medical insurance payment methods, comprehensive services are provided for a patient-centered rational drug use system.
“Specifically for special groups such as the elderly and children, it is recommended to strengthen the training and team building of clinical pharmacists in relevant medical professions, and add clinical pharmacists for geriatric and pediatric medication.” Peking University First Hospital Pharmacy Zhou Ying, deputy director of the department, said that it is hoped that hospitals above the second level and all geriatric and children’s specialized hospitals will be equipped with at least one clinical pharmacist specializing in geriatric medicine or (and) one clinical pharmacist specializing in pediatric medicine.
In the opinion of Zhou Zhangyan, Secretary of the Party Committee of the First Hospital of Sanming City, Fujian Province, the practice of Sanming medical reform is to be problem-oriented, to build a people-centered security system, and to plug the loopholes of inflated prices of medicines and consumables. , standardize and purify the medical practice environment, dynamically adjust the price of medical services, strengthen and standardize the management of medication, and increase the price of medical services and the sunshine salary of medical staff.