for patients with chronic diseases, medications can be prescribed for up to 12 weeks! these 8 chronic diseases in beijing are included in long-term prescriptions
2024-09-27
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i don’t know if you have ever encountered such a situation when you go to the doctor. when outpatient, as a patient, you always hope that the doctor can prescribe medicine for a longer period of time. this situation often happens to patients with chronic diseases. outpatient doctors are also helpless about this. after all, long-term prescription medication is risky and the country has strict regulations.
however, there is good news recently——“long prescription drugs have been expanded”. recently, the beijing municipal health commission, beijing municipal medical security bureau, and beijing municipal food and drug administration issued the "notice on further improving the management and use of long-term prescriptions for outpatient chronic diseases".eight categories of chronic diseases were explicitly included in beijing’s first batch of municipal long-term prescription catalogs.
category 5 diseases expanded to 8 categories!
long prescription can be filled for 2 months
beijing’s first batch of municipal-level chronic disease catalogs suitable for long-term prescriptions include:eight types of chronic diseases including hypertension, diabetes, coronary heart disease, cerebrovascular disease, chronic obstructive pulmonary disease, hyperlipidemia, bone and joint diseases, and mental diseases.regarding long prescriptions, beijing has actually been exploring it for a long time. this time, the catalog of commonly used drugs and patient management procedures for eight types of chronic diseases have been clarified, increasing the practicality at the grassroots level. it is understood that as early as 2017, during the implementation of the comprehensive reform policy on the separation of medicines, beijing officially promoted two-month community prescriptions for four types of chronic diseases, including hypertension, diabetes, coronary heart disease, and cerebrovascular disease, in the city. further optimization has been made based on the previous ones.
wang hong, director of chaoyangmen community health service center in dongcheng district, beijing:now the number of diseases has been expanded from 5 to 8. in fact, the most important thing is to include dyslipidemia in the management of long prescriptions. in the past, long prescriptions had to sign a long prescription agreement, upload a diagnosis certificate, and then renew the prescription. the agreement has now been broadened to allow first diagnosis at the grassroots level, omitting links and making it more convenient for doctors to implement.
can be opened for up to 12 weeks!
injectable insulin is also included
taking into account the huge base of people with chronic diseases, each additional category of chronic disease in the long prescription list means that many people, especially the elderly, can save many trips to the hospital, and limited medical resources can be used more efficiently. so, why choose these 8 types of chronic disease drugs? how many weeks can it be open for at most? are injectable drugs, such as injectable insulin often used by diabetics, included? let’s see the experts answer.
according to experts, according to the patient's diagnosis and treatment needs, long-term prescriptions are generally prescribed within 4 weeks; according to the characteristics of chronic diseases, patients with stable conditions may be given an appropriate extension.no more than 12 weeks. this time, the long prescription catalog also focuses on comprehensive consideration from multiple dimensions when selecting drugs.
yang yiheng, deputy director of beijing pharmaceutical quality control and improvement center:consider the effectiveness, safety, and economy of the drug. we also consider that patients with chronic diseases need to store 1 to 3 months' worth of medicines after returning home, so we also choose medicines with relatively good stability. in addition, it is also considered that patients take medicine at home, so the dosage form is considered. for example, injections may not be convenient for patients to inject themselves, so most of the injections are not put in. but there is an exception here, which is insulin. this time it was added.
the reporter noticed that beijing’s updated eight categories of long-prescription medication guidelines include different recommendations for the duration of long-term prescriptions for different diseases. if a diabetic patient has a clear diagnosis, a stable drug treatment regimen, stable blood sugar control for 3 months or more, and no history of severe hypoglycemia, a long prescription of 8 to 12 weeks can be issued. patients with coronary heart disease who meet the requirements of no longer requiring complex treatment, continuous medication regimen without adjustment for more than 3 months, and relevant clinical laboratory test indicators being basically normal or stable can be issued a long-term prescription for 4 to 12 weeks by a doctor.
mental illness is included
among the first batch of long prescription catalogs
it is worth noting that mental illnesses have also been included in beijing’s first batch of long prescription lists. for which mental illnesses can long-term prescriptions be prescribed? let’s see the experts answer.
zhang qing'e, deputy director of the beijing psychiatric quality control center and deputy director of beijing anding hospital:the chief psychiatric drug list covers common first-line drugs for chronic mental illnesses. psychiatric patients can be issued long-term prescriptions for 4 to 12 weeks when they meet the following conditions;
the patient has a clear diagnosis of mental illness, and acute mental disorder due to organic causes is excluded;
the patient's mental symptoms are relatively stable, and the current medication regimen is relatively clear;
the patient's current clinical examination indicators are basically normal or stable.
zhang qing'e, deputy director of the beijing psychiatric quality control center and deputy director of beijing anding hospital:according to the management regulations of long-term prescriptions and based on the patient's diagnosis and treatment needs, the prescription quantity of long-term prescriptions is generally within 4 weeks. considering the characteristics of chronic diseases, patients with stable conditions can appropriately extend the time, up to 12 weeks.
long prescription is not "the longer the better"
balance convenience and safety
in daily diagnosis and treatment, semen and anesthetic drugs are under strict control. after related diseases are included in the long prescription list, how to control drug risks?
according to experts, commonly used drugs for mental illness mainly include antipsychotics, mood stabilizers, antidepressants, anti-anxiety drugs, cognitive drugs, psychostimulants, etc. special drugs such as toxic drugs for medical use, radioactive drugs, precursor drugs, narcotic drugs, and first and second class psychotropic drugs are on the long prescription negative list and are not allowed to be issued.
finally, i would like to remind you thatlonger prescriptions are not always better. first of all, medication safety needs to be ensured and no room should be left for “drug dealers”. for long-term prescription expansion, convenience and safety need to be considered.
(cctv reporter mou titi, zhang jing and deng yuzhou)
(source: cctv news client)
