RESUMO
Objective:To explore the status quo and development suggestions of the availability of medical insurance for orphan drugs in China through the analysis of international,national and local rare disease drug use system and policy,and the species of orphan drugs in China's health insurance directory.Methods:The website of local government and the Chinese database were retrieved by computer,and the relevant policies and regulations of rare diseases and orphan drugs were obtained.The information of rare diseases and orphan drugs in National Basic Medical Insurance,Employment Injury Insurance and Maternity Insurance Drug Catalog was systematically extracted.Results:There was no official definition of rare diseases and the official list of rare diseases in China.In recent years,with regard to the approval policy and measures of rare diseases and the R&D(research and development) of orphan drugs fully developed.In the medical security,many provinces and municipalities introduced the popular characteristics of local rare diseases and the implementation of the rare diseases protection policy,however,the whole policy of nation level was still blank.The edition of 2017 of the basic medical insurance,industrial injury insurance and maternity insurance drugs directory contained 53 kinds of orphan drugs,added 7 kinds compared to the version of 2009 version,an increase of 15.22％.17 kinds of rare diseases were covered,involving blood diseases,bone or cartilage diseases,congenital metabolic disorders,brain or nervous system diseases,immune system diseases,skin diseases,digestive systemn diseases,endocrine system diseases and other treatment fields.Compared with previous years,the new version of the medicare drug list of orphan drugs also increased the dosage form,of which class A had more types of formulations rather than class B.Conclusion:China's rare disease social security system policy focused on the field of R&D approval,medical security was dominated by local policy-based.The scope of orphan drugs in the new edition of national health insurance drug list was expanded,but the supporting policies needed to be improved.Therefore,the problem of rare disease social security system policy in China needed to be paid more attention.
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OBJECTIVE:To provide a reference for setting codes in national New Rural Cooperative Medical System (NRC-MS) drug catalog. METHODS:Current conditions of drug catalog coding at home and abroad were introduced,the problems in the process of setting codes in national NRCMS drug catalog were analyzed and the countermeasures were put forward. RESULTS& CONCLUSIONS:Existing drug catalog codes mainly include those published by World Health Organization(WHO)in anatomi-cal,therapeutic and chemical classification system,and those in Chemical (Raw Material and Preparation) Classification and Code of China,Classification and Code of Drugs Covered by Social Insurance,meanwhile,the setting code method of relevant drugs can be also learnt from Chinese Pharmacopoeia and National Essential Drug List,etc. In setting codes in national NRCMS drug catalog,there were problems such as difficulty in classifying and mapping drug codes,insufficient authority of references for drug codes,too many reference standards for drug codes,and poor normalization of drug code extension. We should further refer to definitely authoritative standards for drug codes,establish appropriate rules on drug code integrated mapping,develop uniform and perfect drug code category set,and establish a system subject to continuous update and an effective evaluation mechanism,to solve the problems in the process of setting codes in national NRCMS drug catalog.
RESUMO
OBJECTIVE:To construct a high-efficiency, high-performance, low-cost flow of drug purchasing. METHODS: The defects involved in the current drug purchasing flowsheet prevalent in many hospitals were analyzed and the optimized flowsheet was put into practice by combining the actuality of our hospital. RESULTS & CONCLUSIONS: The traditional drug purchasing modality can not meet the requirement of current hospitals in that it involves large work load and high probability of error, and it is tedious and time-consuming. The establishment of drug catalog database and the online drug purchase by means of instant communication software can help simplify drug purchase flow, lessen work load, enhance work efficiency, and effectuate a high-efficiency, high-performance, low-cost flow of drug purchasing.