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Essential medicine policy in China: pros and cons

, : Essential medicine policy in China: pros and cons. Journal of Medical Economics 16(2): 289-294

To analyze the achievements, issues and policy recommendations for implementing essential medicine system in China after a 3-year effort. Policy documents analysis and Literature reviews are conducted. From 2009-2011, a series of national essential medicine (EM) policies has been established which contain EM list, organizing production, quality assurance, pricing, tendering and procurement, distribution, rational use, monitoring and evaluation, etc. About 98.8% government-run primary healthcare institutions and 41.5% village health posts are conducting zero-mark-up policy while buying EMs. The average cost per visit, per admission, and per description in outpatient and inpatient departments has declined. The issues with the national EM list cannot meet the requirements of clinical practice at the local level, all provinces have to increase additional 64-455 EMs in their local supplementary list; the limitation of EML in primary healthcare institutions causes patients to transfer directly to secondary or tertiary hospitals to search appropriate treatment; there is no defined regulation or legislation regarding the responsibility and accountability of government to compensate for the financial loss after implementing a zero mark-up policy in primary healthcare institutions. In the future, some innovative reform should be taken into account, such as revising EML, quality assurance, control margins within the distribution system, differential pricing and internal reference-based pricing, waive taxes and import duties of EMs, and separation between prescribing and dispensing in public hospital reform. Establishing a national essential medicine system is a difficult task to accomplish. The role of the zero-mark-up policy of EMs is to cut off the economic profit chain among different stakeholders. Using pharmaceutical profit to subsidize hospital revenue will be gradually eliminated in China.


PMID: 23215958

DOI: 10.3111/13696998.2012.751176

Other references

Rodriguez Iturbe G.; Garcia R.A.; Rubio L., 1981: Long term 11 12 years prognosis of epidemic post streptococcal glomerulo nephritis. Kidney International 19(1): 136

Gudivok, I.I.; Shevchuk, M.G.; Gerega, I.I., 1980: Intensive therapy in suppurative septic processes and bacterial shock. Klinicheskaia Khirurgiia: 21-23

Xu, H-zhang.; Yu, B.; Zhang, Q-guo.; Chen, X-ran., 2003: Treatment of 48 cases of frozen shoulder with manual therapy under brachial plexus anesthesia through a retained tube. Manual therapy was adopted for treatment of 48 patients with frozen shoulder, under brachial plexus block through a tube that was not withdrawn until 1 to 2 weeks after the initiation of the treatment course. Satisfactory results were achieved in...

Grand R.J.A., 1976: Characterization of a beta 1 4 glucan hydrolase ec 3214 from the snail helix pomatia. Comparative Biochemistry & Physiology B: 231-237

Stockfleth, E.; Ulrich, C.; Christophers, E.; Meyer, T., 2000: Successful treatment of epidermodysplasia verruciformis with topical imiquimod 5% creme. Infection 28(Supplement 1): 50, November

Souttar, H.S.; Hunter, J., 1949: John Hunter the observer. British Medical Journal 1(4600): 379-383

Vanneste, S.; van Dongen, M.;, B.; Hiseni, S.; van der Velden, E.; Strydis, C.; Joos, K.; Norena, A.; Serdijn, W.; D.R.dder, D., 2013: Does enriched acoustic environment in humans abolish chronic tinnitus clinically and electrophysiologically? A double blind placebo controlled study. Animal research has shown that loss of normal acoustic stimulation can increase spontaneous firing in the central auditory system and induce cortical map plasticity. Enriched acoustic environment after noise trauma prevents map plasticity and abol...

Bogdañska-Czarnyszewicz; Czaplicki, S.; Michajlik, A., 1972: Effect of pangamic acid (Calgam) in type II hyperlipidemia. Polski Tygodnik Lekarski 27(51): 2032-2035

Roth, K.A., 2013: The American Journal of Pathology Centennial Project: the centennial celebration is over, but the science moves forward. American Journal of Pathology 182(4): 1050-1051

Hoff, I.Elise.; Høiseth, L.Øivind.; Hisdal, J.; Røislien, J.; Landsverk, S.Aslak.; Kirkebøen, K.Arvid., 2014: Respiratory Variations in Pulse Pressure Reflect Central Hypovolemia during Noninvasive Positive Pressure Ventilation. Background. Correct volume management is essential in patients with respiratory failure. We investigated the ability of respiratory variations in noninvasive pulse pressure (ΔPP), photoplethysmographic waveform amplitude (ΔPOP), and pleth variab...