ABSTRACT
OBJECTIVE:To provide reference for improving the policies and countermeasures for national essential medicines. METHODS:The existing problems of medicine distribution under essential medicine system were analyzed and countermeasures were put forward. RESULTS:Due to the regional economic environment and industry development level differences,local policy had conflict with national laws and regulations,lacking of systembasis in regulatory process and drug centralized bidding and pur-chasing department weakened responsibility in terms of administrative supervision when performing national essential medicine sys-tem;distribution distribution capability had weakened,distribution enterprise internal management was not standard,the essential medicine storage and distribution process quality showed safety hidden risks in terms of marketization. It is suggested to establish and improve the national essential medicine system overall implementation programs and regional implementation programs,inte-grate medicine distribution market,explore and establish modernized pharmaceutical logistics system,intensify supervision and management of distribution,support distvibution transformation development to reduce social risk and further improve bidding and purchasing mechanism to reduce distribution costs. CONCLUSIONS:The existing problems in distribution can be gradually solved only by further promoting the medical and health system and improving the national essential medicine system.
ABSTRACT
Marketization has become the mainstream since the new public management emerges globally in second half of the 20th century. Some countries infuse private capital into medical institutions which used to be managed by the government originally, and cause the medical industry reforms to be market-oriented. Market-oriented reforms of medical institutions may have risks in the following aspects: the risk of uneven distribution of medical resources, the risk of market failure, the moral risk of government renting-seeking and corruption and the decay of social justice values. Measures of controlling these risks include deifning the function orientation of the government, completing the institution-building of healthcare system, improving primary medical system and strengthening social consciousness of hospitals.