September 23，The National Pharmacy Platform published an article entitled "Liaoning Province with shortage of drug monitoring and early warnings as a breakthrough to improve the drug supply guarantee system，Arisp our attention。
Why? At the 33rd National Medical Industry Information Annual Meeting hosted by the China Pharmaceutical Industry Information Center in July this year，Han Huixue, Director of the Pharmaceutical Supply and Management Office of the National Health and Family Planning Commission, made a special speech on the purchase of drugs，Saibailan participated in the meeting as a new media platform for the cooperation of the forum。In the report of Hanhui,，Short drugs are important content，It can be seen that the Health and Family Planning Commission attaches great importance to this。
The National Health and Family Planning Commission is highly concerned
Liaoning as a typical，Also talked about。Han Huixue mentioned，In April this year，Selected medical institutions that are not less than 15 in each province as shortage of drug monitoring whistle。Current，There are many provinces to start shortage drug monitoring，Liaoning Province took the lead in issuing notifications of the 1st shortage of drug warning reports，List the reasons for the shortage quality rules and shortage。
Data from the provinces，The Health and Family Planning Commission regularly determines the shortage drug list，At the same time with ICBC、Drug Administration and other units establish a multi -departmental linkage mechanism，Make sure problems in time、Find the reason、Copy in advance、Reasonable solution。Of course，These policies need to strengthen publicity and interpretation，Raise awareness rate，Avoid policy implementation caused by information asymmetry。
This time the national pharmaceutical pipe platform also publishes Liaoning Province with a large space，It can be seen that the emphasis on Liaoning practices。
Pharmaceutical companies must supply enough at a price
So，In experience in Liaoning，Mainly there are the following information worthy of attention:
Requirement of drug production (operation) Enterprises must be timely、Full supply。
If the price increases or the means of control can be timely, it cannot be timely、Full supply，Once verified，It will be included in Liaoning Provincial Pharmaceutical Purchase and Sales Integrity Record，and handle it in accordance with relevant regulations。
Actions that are not settled for medical institutions in time，Drug production (operation) can protect rights through legitimate means，But you must not take drug disconnection measures，Otherwise, it will be regarded as default;
It is required that medical institutions must settle the medicine in time during the procurement of drugs，The situation that the medicine cannot be purchased due to the arrears of the medicine，Can't be regarded as a shortage of medicines。
Not settled in time for medicine for medicine，The normal supply of the medicine，The responsibility of the medical institution and the person in charge will be investigated，It is also included in Liaoning Provincial Pharmaceutical Purchase and Sales Integrity Record。
Four rounds surveys have been launched
Control of production (operating) enterprises、Monopoly、Pharmaceutical shortage caused by price increases，Conducting the supply of bidding for the second -time shortage drugs through coordination。
During the investigation and verification process，Adhere to the main position of the establishment of a pharmaceutical manufacturer，and clarify the main responsibility。For the collected drug Stake Sports Bettingshortage stake betting appinformation，First investigate and verify the cause of the shortage of production enterprises，Then distinguish the reason according to the results of the survey、Processing separately，Reason for production (operating) enterprises，Interview with production (operation) enterprises，Requirement rectification。
Monopoly for raw materials、Coaxing drug prices、illegal acts such as unauthorized price increases，Establish a joint investigation work system with the price authority。
Since May，4 rounds of surveys have been launched，105 drug manufacturers、37 business companies，and 8 pharmaceutical manufacturers、2 business companies conducted interviews，Most drug production (business) enterprises actively cooperate，All said that they would correct illegal prices as soon as possible、No supply、Under -web supply and other behaviors，Make sure to supply timely in time according to the winning price of the bid;
Reasons for not timely repayment of medical institutions，A rectification notice of the health and family planning administrative department and medical institution in the area under its jurisdiction。
Attachment: Liaoning Province takes the shortage drug monitoring and early warning to improve the drug supply guarantee system
In order to thoroughly implement the National Health and Health Conference General Secretary Xi Jinping's efforts to promote the construction of the basic medical and health system，Efforts in the hierarchical diagnosis and treatment system、Modern Hospital Management System、National Medical Insurance System、Drug Supply Guarantee System、Five basic medical and health systems in the comprehensive regulatory system made breakthroughs in the construction of the basic medical and health system” overall requirements and "Guidance Opinions of the General Office of the State Council on improving the centralized procurement of drugs in public medical institutions" (National Office Fa [2015] No. 7) spirit，Liaoning Province changes thinking、Ahead of planning、Active exploration，Taking the shortage of drug monitoring and early warning as the breakthrough，Preliminary establishment of shortage drug monitoring and early warning、Emergency response and supply guarantee working mechanism。
1. Create a platform
Provincial Health and Family Planning Commission with the Provincial Government Procurement Center，Relying on the centralized procurement platform of drug and medical consumables in Liaoning Province，R & D、Designed a shortage of drug monitoring and early warning systems in Liaoning Province，officially launched in May。All medical institutions (including grass -roots stake betting appmedical and health institutions and village clinics) in the province's centralized procurement of drugs in the province can report to the drug shortage information in real time through the Liaoning Province shortage drug monitoring and early warning system。Provincial Government Procurement Center specially compiled the "Liaoning Province Short Drug Early Warning Monitoring and Supply and Security System Operation Manual"，Guide the health and family planning administrative departments and medical institutions at all levels to do a good job of information、Collection and daily management。
2. Improve two systems
The Provincial Health and Family Planning Commission has formulated and issued the "Notice on Strengthening the Monitoring and Earness and Supply and Guarantee of Drugs in Drugs" (Liaoshi Sub -Fa [2016] No. 53) and "Regarding Drug Production (Business) Company Short Drug Monitoring Notice of Early Warning and Supply Guarantee Work "(Liao Yaogai and CIP [2016] No. 45)，For the administrative department of health and family planning at all levels、Medical institution、Drug production and operating enterprise shortage of drug monitoring information、Report、Investigation、Delivery、Early warning and supply guarantees have made clear regulations。
According to the supply of drugs for shortage，Divide it into three categories: One type of shortage drugs refers to drugs that cannot be supplied normally for 6 consecutive months or more; two types of shortage drugs refer to drugs that cannot be supplied normally for 3 months and more; Refers to medicines that cannot be supplied normally for 1 month or more。
3. Carry out three -dimensional monitoring
In order、Precision，Fully mobilize all parties，From a drug manufacturer、Three dimensions of pharmaceutical stake betting appbusiness enterprises and stake betting appmedical and health institutions to carry out comprehensive information collection、Monitoring and early warning。
(1) Establishing a warning system for drug production enterprises for shortage of drug production enterprises。For the shortage of raw materials for manufacturers、Corporate production line reconstruction、Drug GMP authentication or adjustment of production varieties, which cause the drug to be unable to supply normally，Liaoning Province requires manufacturers to report to the Provincial Health and Family Planning Commission for at least 30 days in advance，so as to early warning。
(2) Establishing a drug shortage monitoring and early warning system for drug operation enterprises。Give full play to the advantages of high sensitivity to the sensitivity of drugs in drug operations，In China Resources Liaoning Pharmaceutical Co., Ltd.、Chinese Medicine Holdings Shenyang Co., Ltd.、Liaoning Kyushu Pharmaceutical Co., Ltd.、Liaoning Pharmaceutical Foreign Trade Co., Ltd. and other distribution network coverage、Business companies with large market share established 20 drug shortage monitoring whistle。
If the supply of drugs is insufficient、The supply is not timely、Can't meet the clinical needs of medical institutions in time，Requires the shortage drug monitoring whistle in various shortage of drugs to timely purchase the company's shortage of drug information in the centralized procurement platform of drugs and medical consumables in Liaoning Province.，On the 25th of each month (extension of the holiday holiday), report to the Provincial Health and Family Planning Commission。
At the same time, all operating companies involved in drug distribution activities in Liaoning Province should report the shortage of drug information in time if they discover the shortage of drugs，so as to improve the accuracy of the shortage of drugs，Make it early、Early Report、Course early，Improve the shortage of medicines for information、The accuracy of monitoring and early warning and timely supply guarantee。
(3) Implement a direct report system for medical institutions for shortage of drug information。Medical institutions at all levels are filled in the shortage of drug information in the subordinate area to report to the Liaoning Province shortage drug monitoring and early warning platform，Drug information of shorts should include winning the water number、General name、Format、Specification、Production Enterprise、Delivery Enterprise、The cause of the shortage and the shortage time category。Incorporate the provincial medical institution into the unified management of the prefecture -level health and family planning administrative department where the provincial medical institutions are located。
At the same time，According to the unified deployment of the National Health and Family Planning Commission，15 public stake betting appmedical and health institutions were selected as a shortage of drug monitoring points in the province，Including 6 types of public medical and health institutions: First, the three -level comprehensive hospital of the provincial capital cities，Including Shengjing Hospital affiliated to the Provincial People's Hospital and China Medical University; the second is the obstetrics and gynecology、Children、Oncology Specialist Hospital，Including the Provincial Maternal and Child Health Hospital、Shenyang Children's Hospital and Provincial Cancer Hospital; Three Prefecture -level Comprehensive Hospitals of the Provincial Capital City，Including Dalian Central Hospital and Jinzhou Central Hospital;
Fourth is a county -level comprehensive hospital in remote areas，Including Shenyang Kangping County People's Hospital、Dalian Zhuanghe City Central Hospital and Chaoyang Jianping County Hospital; Fifth, the community health service center，Including the Fengyu Tan Community Health Service Center of Shenhe District, Shenyang City and Xianghuo Jiao Community Health Service Center in Xigang District, Xigang District;，Including Zhangqiang Town Central Health Center, Shenyang City、Xiaotang Central Health Center of Chaoyang City and Dalian Lizifang Town Central Health Center。Monitoring and early warning system and 15 monitoring points through the province's shortage drug monitoring and early warning system，Create a three -dimensional shortage drug information direct reporting system stake sports betting appthat combines a bit and faces。
Fourth, implement three -level warning
stake sports betting appImplement province、City、County Level Three Early Warning。Over 15 days of each month，The county -level health and family planning administrative department summarizes the information reported by the medical institutions in the district、Analysis。For the shortage of medicines that cannot be coordinated，The county -level health and family planning administrative department summarizes the information reported by the medical institutions in the district，Municipal Health and Family Planning Administrative Department to the province、Municipal medical institutions and county -level health and family planning administrative departments shall be summarized、Research and judgment。For the shortage of medicines that cannot be coordinated，The office of the centralized procurement of drugs and medical consumables in the Provincial Medical Institutional Pharmaceutical and Medical Consumption Work Leading Group。15 shortage drug monitoring points information Directly report to the office of the provincial medical and medical consumables centralized procurement work office。
For short -vacancy drug information reported by medical institutions，County、City、Provincial three -level health and family planning administrative department investigation and verification、Comparison of screening and early warning forecast。
To improve the emergency response ability of medical institutions，Improve the level of supply guarantee，In July, the Provincial Health and Family Planning Commission released the "Liaoning Province No. 1 drug shortage early warning forecast" to the medical institution and society，Announced the shortage information of 17 medicines。Requirement of drug production (operation) Enterprises must be timely、Full supply。If the price increases or the means of control can be timely, it cannot be timely、Full supply，Once verified，It will be included in Liaoning Provincial Pharmaceutical Purchase and Sales Integrity Record，and handle it in accordance with relevant regulations。Actions that are not settled for medical institutions in time，Drug production (operation) can protect rights through legitimate means，But you must not take drug disconnection measures，Otherwise, it will be regarded as a default; the medical institution is required to settle the medicine in time during the pharmaceutical procurement process，The situation that the medicine cannot be purchased due to the arrears of the medicine，Can't be regarded as a shortage of medicines。Not settled in time for medicine for medicine，The normal supply of the medicine，The responsibility of the medical institution and the person in charge will be investigated，It is also included in Liaoning Provincial Pharmaceutical Purchase and Sales Integrity Record。
Five, License Supply Guarantee
Supply guarantee for shortage drugs，Supply through adjustment、Talk to rectification、Comprehensive measures such as shortage reserves，Liech up and down，Improve supply guarantee capabilities。Requires the health and family planning administrative departments at all levels to be responsible for summarizing the shortage of drugs reported by medical institutions in the area every month、Analysis and judgment，Responsible for adjusting the shortage drugs of medical institutions in the area in the area，Drug shortage problems that cannot be coordinated in the jurisdiction，Report the first -level health and family planning administrative department according to the prescribed time and procedures。Drugs that cause the province's shortage due to the shortage of raw materials，Reported to the comprehensive management platform of national drug supply guarantee。
For small -scale shortages in the area，According to jurisdiction permissions，Implementation county、City、Provincial three -level adjustment，Guarantee supply。
Control of production (operating) enterprises、Monopoly、Pharmaceutical shortage caused by price increases，Conducting the supply of bidding for the second -time shortage drugs through coordination。During the investigation and verification process，Adhere to the main position of the establishment of a pharmaceutical manufacturer，and clarify the main responsibility。For the collected drug Stake Sports Bettingshortage stake betting appinformation，First investigate and verify the cause of the shortage of production enterprises，Then distinguish the reason according to the results of the survey、Processing separately，Reason for production (operating) enterprises，Interview with production (operation) enterprises，Requirement rectification。
Monopoly for raw materials、Coaxing drug prices、illegal acts such as unauthorized price increases，Establish a joint investigation work system with the price authority。Since May，4 rounds of surveys have been launched，105 drug manufacturers、37 business companies，and 8 pharmaceutical manufacturers、2 business companies conducted interviews，Most drug production (business) enterprises actively cooperate，All said that they would correct illegal prices as soon as possible、No supply、Under -web supply and other behaviors，Make sure to supply timely in time according to the purchase price of the winning bid;，A rectification notice of the health and family planning administrative department and medical institution in the area under its jurisdiction。
For regional drugs in the province，Integrated into the province's medical reserve overall plan，Establish a normal shortage of drug reserve mechanism。The "Measures for the Administration of Medicine Reserve in Liaoning Province" with the Provincial Department of Finance，Therefore, the system foundation has been laid for the establishment of a normal shortage drug reserve mechanism。
It runs through the past six months，Enhanced shortage drug monitoring and early warning、A certain expected effect has been achieved in the establishment of a drug supply guarantee system:
First, the shortage drug supply guarantee system was initially established.
Second, the early warning service of the drug shortage of medical institutions began，Implement quarterly warning。
Third, the drug purchase and sales behavior is further standard。Through investigation、Interview，Performance consciousness of pharmaceutical production (business) enterprises has increased，Price increase without authorization、Malicious sales and other phenomena are curb。
Fourth is to establish stake sports betting appa fair market environment stake online sports bettingfor drug purchase and sales。Establish a two -way guidance by establishing two -way guidance in pharmaceutical production (operating) enterprises and medical institutions、Management and control mechanism，Purchase and selling and selling duties is equivalent、Clear，Once the breach of contract is verified，It is also included in Liaoning Provincial Pharmaceutical Purchase and Sales Integrity Record。
Through the implementation of a series of measures，Further play the role of government supervision and market regulation，Strengthening department coordination、Lieutenant parties、Enhanced punishment and other measures，The ability and level of shortage drug monitoring and early warning and supply guarantee continuously increased。
