Liaoning has completely abolished ＂hanging bottles＂ in outpatient clinics of medical institutions above the third level.
People’s Daily Online, Shenyang, November 14 (Reporter He Yong) Starting from this year, outpatient intravenous infusion in medical institutions above grade 3 (except pediatric hospitals or pediatric clinics) will be completely cancelled; By the end of next year, all hospitals above the second level should join the monitoring network of clinical application of antibacterial drugs and bacterial resistance in the province; The top 10 physicians of each drug prescription amount are publicized in the whole province … …
In order to further control the use of drugs, reduce the abuse of antibiotics, and improve the level of rational use of drugs and medical services, the Liaoning Provincial Health and Family Planning Commission recently issued the Notice on Further Implementing the Key Work Plan of the Action Plan for Further Improving Medical Services.
According to the plan, this year, Liaoning will gradually cancel the outpatient intravenous infusion in medical institutions (except pediatric hospitals or pediatric outpatient clinics) above the third level, and patients in emergency and daytime surgery can take intravenous infusion treatment under the condition of strict control of indications.
In view of the problem of excessive drugs in some medical institutions, the Notice also requires medical institutions in all parts of the province to account for no more than 30% of drugs, and the utilization rate of antibacterial drugs for Class I incisions should not exceed 30%. Before the end of 2017, tertiary hospitals and 50% secondary hospitals in Liaoning Province must join the "Monitoring Network for Clinical Application of Antibiotics and Monitoring Network for Bacterial Resistance"; Before the end of 2018, all medical institutions above the second level in Liaoning Province should be included.
According to the responsible comrades of the Medical Affairs Department of the Provincial Health Planning Commission, at present, several major hospitals in Shenyang have cancelled outpatient infusion, and the First Affiliated Hospital of China Medical University, the Second Affiliated Hospital and the Provincial People’s Hospital have all cancelled outpatient infusion, and all tertiary hospitals will stop before the end of the year. The reporter learned in Shengjing Hospital (the Second Affiliated Hospital) that at present, infusion has been cancelled in other clinics except pediatric clinics and emergency departments.
The relevant person in charge of the Provincial Health and Family Planning Commission said that in order to strengthen the management of clinical drug use, medical institutions above the second level in the province need to take the top 10 drugs with the total monthly purchase amount as the list of drugs to be monitored by their own institutions, and publicize the top 10 doctors with the prescription amount of each drug. At the same time, hospitals need to establish a special prescription review system for key monitoring drugs, and instruct relevant departments and doctors to implement improvement measures for problems.
According to experts, many outpatient diseases do not need infusion, but at present, there is a common phenomenon of abuse of antibacterial drugs in patients with colds and diarrhea after surgery. "If you can take medicine, don’t give an injection, and if you can give an injection, don’t give an infusion" is the World Health Organization’s medication principle. Because oral drugs are absorbed by the gastrointestinal digestive system, not by the blood circulation system, it has less side effects on the body; Intravenous drugs directly inject drugs into the blood, participate in the internal circulation, have a heavy metabolic burden on the liver and kidney, and are easy to cause adverse reactions, and even sudden death in severe cases.
According to incomplete statistics, China’s annual infusion volume exceeds 10 billion bottles, which is equivalent to 8 bottles per 1.3 billion people. Three out of every 10 outpatients are infused, far higher than the global level of about 2 bottles. Even many people think that infusion can make the disease better faster, and even if it is not sick, it can supplement nutrition.