Chinese Pharmaceutical Policy Studies

Drug procurement through central tender   //  Pharmaceutical commerce  // Drugs used in community   // Drug pricing and prices   //  Hospital regulations  //
Pharmaceutical industry   // New rural cooperative medical services // Prescription  // Urban employees' basic medical insurance   // Sectors combination

Regulations on drugs used in community

 

20020820 Suggestions on Further Developing Urban Community Medical Service

 

Establishment and property of community health service centers

Government financial support criteria:

• promoting the involvement of community health service centers conforming to criteria into the designated health facilities of urban employee BMI: copayment rates of patients diagnosed and treated in community should be lower than hospitals;

Personnel and trainings;

Audit and management: 

• Provincial health and drug monitor departments should promptly formulate routine and emergent drug list for community health service uses. Community health service centers can only sell drugs on this list, and cannot engage in other drug distributions.

 

20060221 Guidelines on Developing Urban Community Medical Services

 

Situation: quality medical resources are pooled by large hospitals. Community health service resources are scarce. The service capability is weak and cannot meet local patients’ needs.

Principles and goals to develop community services

Promote the establishment of community health service system:

•  targeted population, service methods and focus services;

• scope and establishment;

• personnel and trainings;

• operation mechanism: staffs’ income cannot be directly linked with the income from health service; encourage producers and distributors producing and supplying high quality and cheap routine drugs for community use; Promoting centrally procurement and supply, distribution with zero margin and separating medical services and drug sales.

• audit: apply the satisfactory of patients who received the services as the key criteria

Actions to improve the development of community health services

•   formulate and implement community health service development plan;

•  increase government financial support;

• strengthen the role of community health service to medical insurance;

• clarify functions of different parties

20060622 Guidelines on Promoting Participants of Medical Insurance to Use Community Health Services Adequately

 

Principles: promote the reforms of urban medical system, medicine production and distribution system and medical insurance system simultaneously;

Actively involve the community health facilities matching relevant standards in designating medical facilities by BIM;

Actively involve the community health service items matching relevant standards in reimbursement scopes;

Actions to promote BMI participants using community medical services:

•  there should be 1-2 community health service centers on the designated facilities lists; if possible, gatekeeper system and two-way transfer should be established;

•  the copayment rates of patients diagnosed and treated in community should be lower than hospitals;

Audit and monitor:

• prescription guidelines and management, STG and medical quality control should be used as the methods to annual assessment; establish information proclaiming system;

• promote that the medical insurance reimbursement bureau is on line to community health service facilities

 

20060627 Notices on Strengthening the Medical Service and Drug Prices Management of Urban Community Medical Service Facilities

 

Reducing the margins of drugs and controlling the actual retail prices of government pricing drugs strictly: government pricing drugs sold in community health service centers are priced at manufacturer prices or border prices plus fixed distribution margins;

Encouraging the production, supply and consumption of cheap medicines: on the premise of quality assurance, encouraging producers and distributors reducing production costs through simplifying packaging, designating production and centralizing supply;

Promoting centrally procurement and supply, distribution with zero margin and separating medical services and drug sales.

 

20070528 Notices on Strengthening the Designated Production Prescription and Price Management at Urban Community and Rural Areas

 

Government-designated manufacturers are encouraged to assure the quality of drugs, print the retail price on even the smallest retail package, and reduce drug costs and prices by simplifying packaging, and centralizing supply;

These drugs’ prices are set by the Government separately with more flexible mark-ups;

Community and rural medical facilities should give priority to procuring and consuming drugs produced by designated manufacturers, not through a central bidding system and they should be procured by medical facilities directly and supplied centrally;

Strengthen the audit of the whole production and distribution process;