| China’s drug regulatory system is developing with the development of economy and society and the changes of its own laws.The pace of building and adjusting the drug supervision system has never stopped since the reform and opening up.The strength of drug supervision is growing in the process of adjustment.Reform and development have become the main melody of the evolution of the drug supervision system.In the institutional reform in 2018,the listed drug regulatory authorities were set at the provincial level and above.Different from the hierarchical management of big market supervision,Relatively speaking,it is more flexible to carry out supervision,Provincial-level drug regulatory authorities can strengthen the allocation of regulatory resources and business guidance to prefecture-level,city-level and county-level drug regulatory authorities with insufficient regulatory capabilities.However,in the actual integration process,Market supervision departments at the prefecture-level and below have seen imperfect institutional settings,Poor coordination of regulatory matters,There is a large shortage of professional talents and prominent problems such as heavy and complex work tasks.Under the "big market,specialized drugs" model after the institutional reform,Drug supervision is facing new situations and new tasks,We must face up to the difficulties and problems in drug supervision,and actively take countermeasures to solve them seriously.The author studies the important literature results published at home and abroad by reference,Combining government regulation theory,risk management theory,information asymmetry theory,and holistic governance theory,Taking the drug supervision system within the jurisdiction of City X,Henan Province as an example,Combined with rich experience in first-line drug supervision work,From the microscopic point of view at the city and county level,To study the problems existing in drug safety under the large market supervision mode after the institutional reform,Identify problems in a targeted manner,analyze the causes,and learn from the advanced experience and practices of drug supervision at home and abroad,A series of improvement measures have been proposed in light of the actual regulatory situation,To further play a functional role in the city and county drug regulatory system,It provides more reasonable ideas and suggestions to better ensure the safety of people’s medication. |