Lei Jufang members: in the health food record system directory to add medicine and medicine homologous herbs

Time: 2017-03-04

Source: Sohu Finance

      In 2017 the two sessions of the country, the CPPCC National Committee members, Qizheng Tibetan medicine chairman Lei Jufang submitted one of the proposals focused on the national health care insurance at home to help propaganda efforts. She pointed out in the proposal, "hard for decades, a disease back to liberation", "sick not to the hospital, went to the hospital afraid of spending money." In 2015, the General Office of the State Council forwarded the relevant documents issued by the Ministry of Civil Affairs and other departments to further improve the medical assistance system for serious illness. The document is clear, whether or not the future is low or low income groups, as long as the serious illness, the cost of the burden beyond the burden of the family, you can apply for serious illness relief. Most of the rural poor live in traffic, information relatively closed areas, many people do not understand the above countries and local governments to provide medical assistance policy. In view of this, we propose to improve and increase the national large medical insurance to protect the bottom of the propaganda efforts.

The following is the National Committee of the Chinese People's Political Consultative Conference, Qi Zheng Fang Fang, chairman of the proposal:

Proposal 1: Proposal to improve and increase the propaganda and propaganda of the National Health Care Insurance

      "Hard for decades, a disease back to liberation", "sick not dare to go to the hospital, went to the hospital afraid of spending money" ... ... people are so serious for such a fear, in addition to the pain itself caused by torture and Life threats, the serious economic burden caused by the family, the same unbearable. Serious illness is particularly influential for a family, whether it is a urban household or a rural household.

      In this context, urban and rural residents of the serious illness insurance system launched in 2012, has now covered all provinces. But some poor farmers or poor urban residents, had a serious illness, through the system to rescue is not enough. In 2015, the General Office of the State Council forwarded the relevant documents issued by the Ministry of Civil Affairs and other departments to further improve the medical assistance system for serious illness. The document is clear, whether or not the future is low or low income groups, as long as the serious illness, the cost of the burden beyond the burden of the family, you can apply for serious illness relief. According to the document, the proportion of serious illness relief in 2015 is not less than 70%, plus health insurance, life difficult to rescue the family within the scope of the policy reimbursement ratio can reach 96%.

      In 2016, the National Health Commission, the State Council Poverty Alleviation Office and other 15 departments jointly issued the "on the implementation of health poverty alleviation project guidance", clearly the rural poor people all into the scope of major diseases, large medical treatment, Access to family support, basic life in trouble, increase the temporary relief and charity relief and other help efforts; the same time, put forward in the medical security, the establishment of basic medical insurance, serious illness insurance, medical assistance, emergency rescue, commercial health insurance The system of convergence mechanism, play a synergistic complementary role, the formation of security together, and strive to do a cure for poor patients; in the control of medical expenses, through the implementation of the first treatment after payment, classification treatment, health insurance payment reform and other measures to control poverty The cost of serious illness treatment, effectively reduce the burden of medical expenses for poor people to see a doctor.

      The introduction of these policies and measures, in the medical aid policy objectives, fund raising, object scope, rescue standards, rescue procedures and other aspects of the unified provisions of the masses of medical expenses is the maximum burden of reduction, so that each life can be "emergency "Can not because of suffering from illness and people fall back to poverty, family collapse, not only reflects the social fairness, but also highlights the superiority of the system. At present, these systems in the large and medium cities do better, and effectively help a group of seriously ill, the family economic difficulties in a timely manner to get effective medical treatment, but there are gaps in some small cities, rural areas have a large short board And the room to be improved.

      Most of the rural poor live in traffic, information relatively closed areas, many people do not understand the above countries and local governments to provide medical assistance policy. After illness, either due to heavy medical burden to give up treatment, or through all kinds of good and bad donation platform called the community's love donations, not only may delay the disease, missed the best time to treat, and in all kinds of public service platform The spread of relief information, but also increase the rendering of the people in front of serious illness and helplessness, reducing the government in the large medical insurance at home, health and poverty alleviation work of many efforts and results.

      In view of this, we propose to improve and increase the national health care to protect the bottom of the propaganda efforts, especially in rural areas to promote the promotion of poverty, through a variety of media channels and channels, so that rural poor areas as soon as possible, detailed Understand the relevant national policies and measures to effectively improve the rural poor areas of access to health services, informed capacity, so that a good policy really landed, and effectively play the role of health and poverty alleviation to ensure that by 2020 people in poverty-stricken areas to enjoy basic medical and health services for everyone The disease has a doctor, so that people live with dignity.

Proposal 2: Proposal on reflection on "drug share"

      May 17, 2015 issued by the General Office of the State Council on the "comprehensive reform of urban public hospitals pilot guidance" proposed by 2015 to further expand the urban public hospital comprehensive reform pilot, and strive to 2017, the pilot city public hospital drugs accounted for the overall decline To about 30%. "Drugs accounted for" which became the current medical reform in the popular vocabulary, health authorities around the "drug share" as an important indicator of the assessment of the hospital.

      Since the implementation of drug control indicators since the control, the exchange of medical institutions almost talk about the proportion of drugs. All over the implementation of drug control in the proportion of taking a very strict measures. But more of the survey shows that the people of the problem of expensive medicine still can not be effectively resolved. On the contrary, the disadvantages of drugs accounted for indicators of the drawbacks are gradually exposed, and even evolved into policy factors to increase the treatment of contradictions.

      Such as some local health administrative departments rugged implementation of the policy, the general hospital and the psychiatric hospital treatment. The diagnosis and treatment of mental illness mainly rely on the scale assessment and drug treatment, the examination fee is small, the medicine is the main cost of mental hospital. Drug evaluation will lead to patients who are outpatient treatment for cheap, inefficient, adverse drug reactions, and even face the risk of treatment of patients discontinued.

      There are some hospitals in order to continuously reduce the proportion of drugs, on the one hand to take a variety of ways to increase medical and other non-pharmaceutical income, on the other hand, in drug procurement, drug publicity, drug dynamic monitoring, anti-bacterial drug management and other aspects of the development of a series of corresponding management System, to take a comprehensive management measures, with the clinical departments responsible person signed a letter of responsibility to ensure that the proportion of comprehensive management of drug control. The implementation of drug control accounted for the proportion of assessment, the hospital prescribed the proportion of specific drugs accounted for indicators, such as surgical system was set at 40%, 45% of internal medicine, and cancer medicine, infectious diseases and other medical treatment-based departments for 50%. On the proportion of clinical subjects approved the basis of monthly assessment, and drug share and performance allocation linked. For more than the proportion of drugs accounted for more than the number of departments, according to more than double the level of performance awards, drugs accounted for more than 1%, deducted department performance award 2%; the same time, according to Medicare medication prescribed physician, drugs accounted for more than the hospital caused by excessive Penalty phenomenon, directly from the parties performance award in the amount of deduction.

      Not to strengthen the assessment of the rationality of the diagnosis and treatment, not to improve the way Medicare payment, but mechanical assessment of drug accounting will cause negative effects to patients, but also to medical workers in a dilemma. Drug ratio can only be used as one of the many assessment indicators, absolutely can not force the request. The condition is not the same, the department is not the same, the disease is not the same, how can the same drug? A simple logical analysis is that you want to reduce the proportion of drugs, either to reduce the molecular, or to expand the denominator. Reduce the molecules, then should not open the open, is right, but also can selectively prescribe drugs, even if the clinical must be high-value drugs can not be opened; expand the denominator, increase testing, inspection fees, with A city of the top three hospitals CT, the results of nuclear magnetic resonance do not recognize each of the reasons related to these policies.

      In view of this, we believe that drug control does not fundamentally solve the problem of medical supply induced demand and medical expenses control. But to make the hospital into distortions, patient benefits more "tube" may be lower dilemma. Not only not worth advocating, but should be in-depth reflection and adjustment.

      First, the proportion of drugs on the hospital's macro requirements, the proposed health sector policy, different characteristics for the treatment of different diseases. Explore some special diseases, such as mental illness, as well as high blood pressure, diabetes and other chronic diseases medication is not included in the proportion of drug assessment.

      Second, the proposed change control "drug share" as "prescription comment system". Such as the establishment of the provincial platform of the prescription review mechanism, the establishment of expert teams, all public hospital prescription number upload, random sampling comments. So that those large prescriptions, repeated prescription, adjuvant drug abuse and other phenomena, there will be an invisible deterrent, for the rationalization of the prescription to provide a guarantee.

      Proposal 3: Proposals for the addition of medicinal and herbal medicines in the catalog of health food filing

      "Medicine and food homologous" culture is an important part of the fine traditional culture of the Chinese nation, ancient doctors and health home are advocating "medicine treatment is not as cure", "drug supplement as Sibu", respected diet, with a mild way to conditioning The body, and in practice to create hundreds of thousands of food supplements, many "medicine and food homologous" Chinese herbal medicine is prescription with the medicine is food, through the "diet" can enjoy delicious food, but also nurturing Health care, disease prevention and treatment, highlighting the "medicine and food homologous" in traditional Chinese medicine health care in the unique advantages, and Western modern health care philosophy each other.

      From June 1, 1996 to the end of 2015, China's approved health food, "medicine and food homologous" herbs to add some of the appropriate varieties of health food products made of the total proportion of the total use of raw materials, such as propolis, Grape seed and ginkgo biloba extract were 42.93%, 46.55% and 35.79% respectively. China's 2016 years - 2105 years of 10 years registered a total of 6308 health food, "medicine and food homologous" herbs used in the top 10 kinds of raw materials for medlar, Ganoderma lucidum, American ginseng, astragalus, propolis, ginseng, puerarin, poria, epimedium And Rhodiola, to prove that "medicine and food homologous" herbs in safety, health function has advantages, and as a health food raw materials with irreplaceable.

      At present, the state strongly supports the development of Chinese medicine. In February 2016, the State Council issued the Outline of the Strategic Plan for the Development of  Traditional Chinese Medicine (2016-2030), which encouraged Chinese medicine institutions to make full use of modern science and technology such as biological, bionic and intelligent, and developed a number of health food, health care products and health care equipment The In October 2016, the CPC Central Committee and the State Council issued the Outline of the "Healthy China 2030" Plan, which proposed that in 2030, the leading role of traditional Chinese medicine in the treatment of disease, synergies in the treatment of major diseases, The core role is given full play. In December 2016, the National People's Congress promulgated the "People's Republic of China Traditional Chinese Medicine Law", a clear national development of traditional Chinese medicine health care services direction, and clear for the "ancient classics from the traditional Chinese medicine compound preparation" in the application for drug approval number and medical Institutional preparation applications have relaxed the conditions, health food filing requirements should also refer to the implementation.

      The introduction of many of the above policy advice, and further promote the "medicine and food homologous" herbs play an important role in people's health care, the relevant practitioners are eager to look forward to health care products registration and filing system for the industry to bring new changes and opportunities.

      In this context, July 1, 2016, "health food registration and filing management approach," the formal implementation of the health food products listed on the management model from the original single registration system for the registration and filing combined management model, approach Simplifies the approval process, shorten the approval cycle, reduce the cost of reporting, is conducive to promoting the development of large health industry.

      January 12, 2017, the State Food and Drug Administration in conjunction with the State Health Commission and the State Administration of Traditional Chinese Medicine to develop and formally publish "health food raw materials directory (a)" and "allow health food claims health care function directory (a) ", The directory will be May 1, 2017 from the official implementation.

      We found that the existing health food filing system directory composition of a single, the scope of application is too narrow. In the "health food raw materials directory (a)", the main list of nutrient supplements raw materials, including calcium, magnesium, potassium, manganese and so on. In the "health care products that allow health care products directory (a)", only the current list of vitamin, mineral health functions. Catalog of raw materials for the record mainly concentrated in the nutritional supplements, vitamins, minerals, similar to the Western countries, health care, that is, through the supplement of vitamins, minerals and other substances required to supplement the body, and as a valuable traditional Chinese health essence of "medicine Food homologous "herbs are not included here. The current directory is not conducive to the advantages of resources and unique health advantages of Chinese medicine into a health needs to meet the health needs of the people, at the same time, will also cause serious health food market in the future homogenization of the phenomenon, product quality is difficult to guarantee, is not conducive to industry The healthy development.

      In view of this, we believe that "medicinal and edible homologous" herbs after long-term consumption and scientific evaluation, to prove its safety and the use of methods in line with the requirements of health food filing, "medicine and medicine homologous" herbs urgent need to increase to the directory , To give full play to traditional Chinese medicine in the disease, intervention adjustment, chronic diseases, an important role in health care, enhance the health of the Chinese nation.

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