Mianyang basic drug system full coverage drug prices drop by 25.3%

In order to further deepen the reform of the medical and health system, in 2010, Mianyang City started the implementation of a national essential medicine system at a grass-roots medical institution run by the government, and achieved citywide coverage in March 2011. The reporter recently learned from the Municipal Health Bureau that since the implementation of the basic drug system in our city, the drug prices of the primary medical institutions in the city have dropped by an average of 25.3%, the outpatient fees have dropped by an average of 22.8%, and the hospitalization fee has decreased by an average of 9.4%. The medical burden on the people has been significantly reduced. .

In order to protect the people's basic medications and raise the health level of the entire nation, the government has listed the drugs with appropriate dosage forms, reasonable prices, and good results as essential medicines. There are 503 kinds of drugs included in the basic drug system in the city, including 307 kinds of basic drug lists published by the state and 196 kinds of supplements in our province. These 503 essential drugs are safe, effective, easy to use, and inexpensive. They can solve most common and frequently-occurring diseases and can basically meet the basic medical needs of the people. For some patients who really need drugs that are not in the Essential Drug List, the hospital will prescribe a prescription for the patient and advise the patient to purchase it at the pharmacy, which can also greatly reduce the patient's medical expenses.

While advancing the basic drug system, the city has improved its multi-channel compensation mechanism for primary medical institutions and formulated the “Measurement for the Fundamental Medical Institutions in Mianyang City to Implement the Fundamental Funding for the National Fundamental Drug System.” In conjunction with the provincial financial subsidy standards, the comprehensive county The financial services population, financial level, ethnic areas and other factors determine the subsidy standards of municipal finance for non-expanded counties. While implementing the central and provincial subsidies as soon as possible, the city and county should actively arrange subsidies for the government by adjusting the structure of fiscal expenditure. County-level finances compensate basic-level medical institutions according to the “quarterly advance allocation in the same year, assessment and settlement in the following year, and extra refunds and less subsidies”.

The city also vigorously carried out the online centralized bidding and procurement training for basic medicines, organized related experts to the leaders of basic medical and health institutions and basic drug procurement personnel in nine counties and municipalities, and conducted national essential drug system policy points and online procurement operation training. Guaranteed the smooth progress of online procurement of essential drugs on the Internet. In order to ensure the authenticity and reliability of various survey data, the Municipal Health Bureau has also established a more scientific survey questionnaire on the use of essential medicines and equipment, the financial revenue and expenditure of medical institutions, and the status of diagnosis and treatment for the basic medical and health institutions and distribution companies in the city. A sample survey was conducted on 19 aspects including the establishment of talents in medical institutions and basic drug distribution.