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id="i2i2jyu4k" class="t" id="a1"><a href="/xywy/yxtqs/">医讯同期声</a></span></h1> <div id="i2i2jyu4k" class="pa_0_5_0_10"> <h1 class="Content_title" id="hh"> <span id="a" style="">国办发文完善国家基本药物制度推动降低群众药费负担</span> </h1> <script>/*jQuery('#hh').width(jQuery('#a').width());*/</script> <div id="i2i2jyu4k" class="Remark"> <span>2018年09月20日 14:50 | 来源：<a target="_blank">人民网</a></span> <span id="i2i2jyu4k" class="fr"> <div id="i2i2jyu4k" class="bdsharebuttonbox"><a href="#" class="bds_more" data-cmd="more"></a><a href="#" class="bds_qzone" data-cmd="qzone" title="分享到QQ空间"></a><a href="#" class="bds_tsina" data-cmd="tsina" title="分享到新浪微博"></a><a href="#" class="bds_tqq" data-cmd="tqq" title="分享到腾讯微博"></a><a href="#" class="bds_renren" data-cmd="renren" title="分享到人人网"></a><a href="#" class="bds_weixin" data-cmd="weixin" title="分享到微信"></a></div> <script>window._bd_share_config={"common":{"bdSnsKey":{},"bdText":"","bdMini":"2","bdMiniList":false,"bdPic":"","bdStyle":"0","bdSize":"16"},"share":{}};with(document)0[(getElementsByTagName('head')[0]||body).appendChild(createElement('script')).src='http://bdimg.share.baidu.com/static/api/js/share.js?v=89860593.js?cdnversion='+~(-new Date()/36e5)];</script> </span><span id="i2i2jyu4k" class="fr">分享到：<img src="/images/fx.jpg" /> </span> </div> <div id="i2i2jyu4k" class="text_box"> <p align="center"> <div style="text-indent: 2em; text-align: left;"><p style="text-indent: 2em; text-align: left;">人民网北京9月20日电（董童）19日，国务院办公厅印发《关于完善国家基本药物制度的意见》（以下简称《意见》）。出台建立健全全国短缺药品监测预警、降低群众药费负担等举措，在完善国家基本药物制度的同时，也使药品供应保障体系更加健全。</p><p style="text-indent: 2em; text-align: left;">《意见》提出，新一轮医改以来，国家基本药物制度的建立和实施，对健全药品供应保障体系、保障群众基本用药、减轻患者用药负担发挥了重要作用。同时，也还存在不完全适应临床基本用药需求、缺乏使用激励机制、仿制品种与原研品种质量疗效存在差距、保障供应机制不健全等问题。</p><p style="text-indent: 2em; text-align: left;">《意见》要求，全面贯彻党的十九大和十九届二中、三中全会精神，以习近平新时代中国特色社会主义思想为指导，坚持以人民健康为中心，强化基本药物“突出基本、防治必需、保障供应、优先使用、保证质量、降低负?！钡墓δ芏ㄎ唬娲┢饭┯ΡＵ咸逑到ㄉ?，着力保障药品安全有效、价格合理、供应充分，缓解“看病贵”问题。促进上下级医疗机构用药衔接，助力分级诊疗制度建设，推动医药产业转型升级和供给侧结构性改革。</p><p style="text-indent: 2em; text-align: left;">《意见》从基本药物的遴选、生产、流通、使用、支付、监测等环节，明确了五个方面政策措施。</p><p style="text-indent: 2em; text-align: left;">一是动态调整优化目录。坚持中西药并重，满足常见病、慢性病、应急抢救等主要临床需求，兼顾儿童等特殊人群和公共卫生防治用药需求；对基本药物目录定期评估、动态调整，调整周期原则上不超过3年。对新审批上市、疗效较已上市药品有显著改善且价格合理的药品，可适时启动调入程序。</p><p style="text-indent: 2em; text-align: left;">二是切实保障生产供应。对于临床必需、用量小或交易价格偏低、企业生产动力不足等因素造成市场供应易短缺的基本药物，可由政府搭建平台，通过市场撮合确定合理采购价格、定点生产、统一配送、纳入储备等措施保证供应；坚持集中采购方向，落实药品分类采购，引导形成合理价格。做好上下级医疗机构用药衔接，推进市（县）域内公立医疗机构集中带量采购，推动降药价；建立健全全国短缺药品监测预警系统，尽早发现短缺风险，针对不同短缺原因分类应对。对垄断原料市场和推高药价导致药品短缺，涉嫌构成垄断协议和滥用市场支配地位行为的，依法开展反垄断调查，加大惩处力度。</p><p style="text-indent: 2em; text-align: left;">三是全面配备优先使用。坚持基本药物主导地位，以省为单位明确公立医疗机构基本药物使用比例；深化医保支付方式改革，制定药品医保支付标准，引导医疗机构和医务人员合理诊疗、合理诊疗、合理用药；实施临床使用监测，开展以基本药物为重点的药品临床综合评价，指导临床安全合理用药。</p><p style="text-indent: 2em; text-align: left;">四是降低群众药费负担。要求完善医保支付政策，对于基本药物目录内的治疗性药品，医保部门在调整医保目录时，按程序将符合条件的优先纳入目录范围或调整甲乙分类。对于国家免疫规划疫苗和抗艾滋病、结核病、寄生虫病等重大公共卫生防治的基本药物，加大政府投入，降低群众用药负担；鼓励地方将基本药物制度与分级诊疗、家庭医生签约服务、慢性病健康管理等有机结合，在高血压、糖尿病、严重精神障碍等慢性病管理中，在保证药效前提下优先使用基本药物，最大程度减少患者药费支出，增强群众获得感。</p><p style="text-indent: 2em; text-align: left;">五是提升质量安全水平。对基本药物实施全品种覆盖抽检，向社会及时公布抽检结果。加强基本药物不良反应监测和生产环节的监督检验，强化药品安全预警和应急处置机制，督促企业依法合规生产，保证质量；对通过一致性评价的药品品种，按程序优先纳入基本药物目录。对已纳入基本药物目录的仿制药，鼓励企业开展一致性评价，未通过一致性评价的基本药物品种，逐步调出目录。鼓励医疗机构优先采购和使用通过一致性评价、价格适宜的基本药物。</p><p style="text-indent: 2em; text-align: left;">最后，《意见》要求，实施国家基本药物制度是党中央、国务院在卫生健康领域作出的重要部署，各级政府要将国家基本药物制度实施情况纳入政府绩效考核体系。要加强督导评估，建立健全基本药物制度实施督导评估制度，充分发挥第三方评估作用，强化结果运用。要加强宣传引导，通过多种媒体渠道，充分宣传基本药物制度的目标定位、重要意义和政策措施。加强政策解读，营造基本药物制度实施的良好社会氛围。</p></div> </div> <p class="Editor">编辑：赵彦 </p> <div id="i2i2jyu4k" class="Paging"> </div> <p class="Keyword">关键词：国办国家基本药物制度降低群众药费负担</p> <h1 class="pv_title_2 mt_15"><a href="/index.shtml" target="_blank" class="more mtb_14">更多</a><span 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