Selection principle of essential drugs

Clinical necessity, safety and effectiveness, reasonable price, convenient use, and equal emphasis on Chinese and western medicine.

Article 4 of the Measures for the Administration of National Essential Drugs List stipulates that the selection of national essential drugs should follow the principles of prevention and control, safety and effectiveness, reasonable price, convenient use, equal emphasis on Chinese and western medicines, basic guarantee, first choice in clinical practice and availability at the grassroots level, and reasonably determine the varieties (dosage forms) and quantities in combination with the characteristics of drug use in China and with reference to international experience.

China's national essential drug system is a system for effective management of essential drug list formulation, production and supply, procurement and distribution, rational use, price management, payment and reimbursement, quality supervision, monitoring and evaluation. The national essential drug system can improve the current drug supply security system and ensure the safety of people's medication. Ensuring the adequate supply and rational use of essential drugs is conducive to safeguarding the people's rights and interests of essential drugs, changing the mechanism of "supplementing medicine with medicine" and promoting the optimal integration of resources in pharmaceutical production and circulation enterprises, which is of great significance for realizing everyone's access to basic medical and health services, safeguarding people's health, embodying social equity, reducing the burden of people's medication and promoting the development of health undertakings.

In 2009, 30% government-run urban community health service institutions and counties (primary medical and health institutions) in all provinces (autonomous regions and municipalities) implemented the basic drug system, including centralized online public bidding and procurement at the provincial level, unified distribution, all equipped with basic drugs and zero-difference sales. All essential drugs are included in the reimbursement list of basic medical insurance drugs, and the reimbursement ratio is significantly higher than that of non-essential drugs. By 20 1 1 year, the national essential drug system will be initially established. By 2020, the standardized national essential drug system covering both urban and rural areas will be fully implemented.