新版国家基本药物目录管理办法公布

Core Viewpoint - The National Health Commission and other departments have revised the management measures for the National Essential Medicines List to enhance the selection and management mechanism of essential medicines in China [1][2] Group 1: Revision of Management Measures - The revised management measures include the addition of legal policy bases and a rational optimization of the list structure, categorizing essential medicines into chemical drugs, biological products, and traditional Chinese medicine [1] - The classification of chemical drugs and biological products is primarily based on clinical pharmacology, while traditional Chinese medicine is classified according to its functions [1] Group 2: Management Mechanism Improvement - The management mechanism for the essential medicines list is improved to align with policies on supply and use, hierarchical diagnosis and treatment, centralized procurement, and payment reimbursement [1] - The National Health Commission will identify the classification of renamed or differently named essential medicines according to established procedures [1] Group 3: Emphasis on Clinical Value - The revision emphasizes the clinical value of medicines, considering changes in disease spectrum, clinical application practices, changes in drug standards, and the introduction of new drugs [1] - The adjustments to the types and quantities of essential medicines will be made based on the needs of basic medical services, the level of medical insurance, and the assurance of drug supply [1] Group 4: Dynamic Adjustment Mechanism - A dynamic adjustment mechanism is established to strengthen the functional positioning of essential medicines, with a principle that the adjustment cycle should not exceed three years, and adjustments can be organized as necessary [2] - The country will enhance monitoring and evaluation, establishing a comprehensive evaluation system focused on essential medicines to support dynamic optimization of the list and management policies [2] Group 5: Importance of the Essential Medicines System - The essential medicines system is fundamental to the national drug supply guarantee system and is a key management arrangement for critical clinical drugs necessary for disease prevention and treatment [2] - This system is an important part of the health governance mechanism that collaborates with basic medical and insurance systems, reflecting international practices for ensuring residents' basic medication needs [2]