卫生部官员： Health officials:

新版基药目录本月将出台 New base medicine catalogue will be issued this month

比2009版新增200多个品种，向二级以上医院扩大使用 More than 2009 new version of more than 200 varieties,To level 2 above hospitals expanding the use of

　　随着2012年药交会12月4日-6日期间在广州举办，“2012医药政策与医药行业发展论坛”、“2012广东基层医疗机构用药调研报告”等重量级论坛也轮番上演。羊城晚报记者昨日从相关论坛上获悉，基本药物目录自2009年出台以来，如今已经到了三年一调整的期限。有卫生部官员在论坛上透露，今年年底之前一定会出台这个目录，并将向二级以上医院扩大使用。

With the 2012 medicine intersection on December 4, - 6, to be held in guangzhou during,"2012 medical policies and medicine industry development BBS"/"2012 grassroots medical institutions in guangdong medicine research report"And also take turns on BBS heavyweight.The yangcheng evening news reporters yesterday from the relevant BBS about,Essential drugs list since 2009 has come,Now in the third year of the adjustment period.Have health officials in BBS on revealed,Before the end of this year will be on this list,And the second class above to expanding the use of hospital.

地方增补或全面取消 Local supplemented or elimination

　　国家卫生部药政司基本药物制度研究处处长韩会学在一个论坛上表示，2009年8月，卫生部下发了实施意见，规定基本药物目录三年调整一次，今年是调整目录之年，今年年底之前要出台这个目录，而且出台之后相关配套政策以及解读口径会在同期面向社会各界进行解读。

The state ministry of health department of drug administration system for basic drugs HanHuiXue research department, in a BBS on Wednesday,In August 2009,The ministry of health issued the implementation opinions,Provisions essential drugs list three years adjustment once,This year is the year of adjustment directory,Before the end of the year should publish this directory,And after on relevant supporting policies and interpret diameter will be in the reading for the social from all walks of life.

　　和第一版基药目录还有不同的是，新版基药目录不再仅适用于基层医疗机构，而是明确向二级以上医院扩大使用。事实上，2011年，河北、浙江、山东、四川等13个省份规定，包括二级以上综合医院等在内的非基层医疗机构，也要推广使用基本药物。广东今年也出台了类似的规定，如在三级医院基药使用比例不低于20%。

And the first edition base medicine catalogue and the difference is,New base medicine catalogue no longer applies only to grassroots medical institutions,But clear to level 2 above hospitals expanding the use of.In fact,In 2011,,hebei/zhejiang/shandong/Sichuan 13 provinces provisions,Include at least two general hospital, the grassroots medical institutions,Also want to promote the use of essential drugs.Guangdong this year also issued similar rules,As in tertiary hospital base drug use proportion is less than 20%.

　　一位不愿意具名的药政司官员指出，“根据基药制度的实施步骤，前三年在基层医疗机构实施，而随着制度的往前推进，二、三级医院也会逐步纳入。这就意味着，新版基药目录的使用范围将进一步扩大，基药的品种会随之增加，并且稳定在一定的数量范围。”

A named would not like company officials say,"According to the base medicine system the implementation steps,The first three years in primary care offices to implement,And as system forward propulsion,two/Tertiary hospital will also gradually into.This means that,New base medicine directory using range will further enlarge,Base medicine varieties is increased,And stable in a certain number of range."

　　据知情人士透露，新版基药比2009版新增200多个品种，其中化学制药与中成药各增加100多种。值得注意的是，由于此次增补数量较大，原则上不再允许地方做新的品种增补，但目前正在执行的各地基药增补目录，允许存在过渡期。

According to informed sources,New base medicine - 2009 edition added more than 200 varieties,The chemical medicine and traditional Chinese medicine all increase more than 100.It is important to note that,Due to the large number of supplement,In principle, no longer allowed to place new varieties supplemented,But currently running the various foundation medicine supplementary directory,Allowed in transitional period.

带预算招标或推行 With the tender or implementation of the budget

　　据悉，2009年中国出台了第一版基本药物目录后，由于相配套实施的招标制度出现“唯低价是取”倾向，中标的基药价格被大幅降低，企业缺乏生产动力，同时由于“以药养医”等行业规则的存在，基层医疗机构使用基本药物的动力并不足。

It is reported,In 2009, China issued the first edition basic drugs after directory,Because of the implementation of the corresponding bidding system appeared"And low price is take"tendency,The foundation of the medicine price is greatly reduced,Lack of enterprise production power,At the same time because"To raise the medical medicine"The presence of rules, etc,Primary care agencies use basic drugs and power shortage.

　　记者从商业流通获得的数据显示，2012年7月份广东省开始基药招标后，全省的基药采购额并无明显增加。2012年前6个月的基药采购金额45.42亿元，占广东省医院采购总额的19.5%。而7月份开始基药招标后，1-9月基药采购金额为69.21亿元，也是占采购总额的19.5%。而在基药品规数上则显得更加集中。如6月采购的基药品规数是7015个，到了9月份仅有3361个，大幅减少了52.1%。

Reporters from commercial distribution obtained data display,In July 2012, guangdong province began to base medicine after bidding,The base of those from medicine and no obvious increase.2012 years ago, six months of base medicine purchase amount is 4.542 billion yuan,Guangdong provincial hospital accounted for 19.5% of the total amount of purchase.July began to base medicine after bidding,1-9 month base medicine purchase amount for 6.921 billion yuan,Also accounted for 19.5% of the total amount of purchase.And in the drug gauge number, it is more concentrated.As June procurement base drug gauge number is 7015,By September 3361 only,Significantly decreased by 52.1%.

　　为此，有部分企业对新版基药目录出台表示看淡，理由主要是产品进入后也难以放量，“以价换量”逻辑难以成立。

therefore,Some enterprises for new base medicine catalogue issued said see light,The main reason is the product into the hard measures,"To price in quantity"Logic was difficult to.

　　上述药政司官员透露，卫生部正探索建立基本药物采购资金纳入预算管理机制，以及按照药品通用名等额报销机制。一方面是要让企业有竞标测算的依据，避免低价中标；另一方面也尽量消除因报销额度不同而对基药使用造成的冲击。(记者陆志霖)

The drug administration department officials said,The department of health is exploring to establish basic drug purchase funds into the budget management mechanism,In accordance with the general name and drug reimbursement mechanism equal.On the one hand is to make the enterprise have bid calculation basis,To avoid the low;On the other hand also try to eliminate the reimbursement amount for different ground to the impact of drug use.(Reporter LiuZhiLin)