The Study On The Additional Essential Medicine List Of Primary Health Care Institutions In China

ObjectiveFrom the provinces of the Additional Essential Medicine List, Analysis on the Status Quo and problems of Additional Essential Medicine List of Primary Health Care Institutions in China, to the selection quantity, type and kinds and the selection criteria, the principles and the problem of method two sides, promote our Essential Medicine system to developing of sustainable.Data and MethodsThe information collected included: (1)The Additional Essential Medicine list and relevant documents .(2)The research on the information documented the Essential Medicine List by WHO and other studies both at home and aboard.(3)Health administration and relevant agencies of the site publishing statistics and related information. (4)According to the collection of information, formulating standard form to data extracted. (5) Questionnaires filled by the personnel and the selection experts of the Additional Essential Medicine list in Guangdong province, Hubei province and Chongqing municipality.Results(1)The quantity of contents drugs over surpasses the community health service and the basic unit health agency'requests; the supplementary list of drugs is different among East, Mid, West, so does all provinces/cities, there are more essential medicines in the well developed provinces'essential medicines list than under-developed provinces/cities. (2)Looking from the categories of listed medicines, there are large differences in anesthetics, antidotes, diagnostics, drugs and so on. Even in the same categories, there is big difference between provinces /cities.(3)Looking from the species of listed medicines, supplementary list of drugs'similarities is low in different areas, and the dosage form and uses is also different. The difference of the AEMLs is remarkable, there are 1343 medicines at all, but there is no selected by each province, there are 2 medicines selected by 17 province. There are 13medicines selected by 80 percent province, There are 62 medicines selected by 80 percent province, there are 303 medicines selected by 20 percent province.(4)The quantity of add medicines is positive correlation to local per capita GDP, The quantity of unique medicines is positive correlation to local per capita GDP.(5)Looking from the consist of listed medicines, Anti- tumor medicine, anaesthesia medicine, counteract poison drugs listed at A kind of factor medicine scope. But according to the serviceability of basical medical health insitution, attention must be paied to whether this 3 types of drugs having appropriate arrangements. The most of AEMLs include that antimicrobial, cardiovascular drug, and the digestive system of medication use, specialists, and the impact any particular hormone and blood with the endocrine system and analgesic-antipyretic keeping accordant with EML.(6)Some provinces added more 50% of AEMLs treating common diseases including Ningxia, Shanghai, Henan, Qinghai and Fujian. But some provinces added approximately 25% of AEMLs treating common diseases including Anhui, Inner Mongolia and Shichuan.(7) From the selected standards and principles, the selection method of AEMLs provinces, there is no policy level to the principles and methods and procedures of the unified standards, the technical level has the detailed operational procedures.Suggestions(1)The AEMLs are variance, unreasonable and irregular etc. The standards of screening should be drafted by the central government; The AEML should be made by the province government. The consistent high rate of medicines can be amended in the next edition EML.(2)The AEML is updated to keep to the EML and should be formulated by the central level of basic drug supplementary list of rules and regulations, elementary the directory should be supplemented by medical institutions for the classification level of management, we should distinguish between different information on medicines and medicines indicate selection from a and b, dynamic improve the basic drug list and catalogue is updated to the health of the residents demand for drugs, catalogue of medical and health levels and grassroots organizations service(3)Analysis the basic drugs with a catalogue of the screening policy framework, including the selection, the selection of the selection, number and the selection of the management, the selection process, the selection organization waiting for a few important areas.(4)Technical level shall strengthen the basic medicines with the screening process, exactly the selection of the principle of scientific and scope of the working group and organization of the selection panel of experts to ensure that the selection of the work of science and careful screening of transparency of the organization of work, etc.InnovationThis research and innovation to follow the state's essential medicines system implementation of processes, systems in basic research in our medical and health institutions basic medicines for the AEML and for the country's provinces the basic drugs provided with a catalogue of the screening quantity, type and kinds and the selection criteria, the principles and methods of the strategies proposed.