"Paying Equal Attention To Both Chinese And Western Medicine" Meets The Key Implementation: The Work Of Integrated Chinese And Western Medicine Is Included In The Hospital Assessment For The First Time

With the introduction and implementation of various promotion policies, the development policy of "attaching equal importance to both Chinese and Western medicine" proposed by the state is being fully implemented. Traditional Chinese medicine and Western medicine "equal" will become a reality.

On July 1, the national development and Reform Commission, the national health and Health Commission, the State Administration of traditional Chinese medicine and the State Bureau of disease control and prevention jointly prepared the implementation plan for the construction of high quality and efficient medical and health service system during the 14th Five Year Plan period. The basic principle is to attach equal importance to the development of Chinese and Western medicine with the following basic principles: adhere to the same planning, deployment and implementation of the construction of Chinese and Western medicine, We should follow the development law of traditional Chinese medicine, conscientiously summarize the experience and practice of traditional Chinese medicine in the prevention and treatment of new crown pneumonia, establish a service system in line with the characteristics of traditional Chinese medicine, give better play to the characteristics and comparative advantages of traditional Chinese medicine, and promote the complementary and coordinated development of traditional Chinese medicine and Western medicine. On June 30, the National Health Commission, the State Administration of traditional Chinese medicine and the Health Bureau of the logistics support department of the Central Military Commission jointly issued the opinions on Further Strengthening the work of traditional Chinese medicine in general hospitals and promoting the coordinated development of Chinese and Western medicine, which for the first time included the work of integration of traditional Chinese and Western medicine into hospital evaluation and performance evaluation of public hospitals.

In this regard, Sun Jian, an analyst of Zhejiang securities, believes that the highlight of this opinion is to strengthen the work of traditional Chinese medicine in general hospitals by strengthening the setting of clinical departments of traditional Chinese medicine, encouraging the establishment of secondary disciplines or professional groups of traditional Chinese medicine, and promoting the coordinated development of Chinese and Western medicine by improving the coordination system of Chinese and Western medicine, which has constructive significance for the transformation of general hospitals from western medicine oriented to integrated Chinese and Western medicine.

On July 6, Shi lichen, founder of Beijing Dingchen medical management consulting company, told reporters in an interview with 21st century economic news that the first proposal of collaborative performance appraisal of traditional Chinese medicine and Western medicine will change the nature of strengthening the work of traditional Chinese medicine in hospitals, which means that the hospital must arrange the work of traditional Chinese medicine, and the follow-up financial support from relevant departments should be followed up simultaneously.

First inclusion in performance

In recent years, the state has devoted a lot of efforts to promoting the development of traditional Chinese medicine.

On January 22, the general office of the State Council issued a number of policies and measures to accelerate the development of traditional Chinese medicine, pointing out that there are some problems in traditional Chinese medicine, such as insufficient high-quality supply, insufficient total talents, imperfect innovation system, and not prominent development characteristics, etc., and put forward 28 measures in 7 aspects; During the two sessions of the NPC and CPPCC this year, the government work report once again stressed the need to attach equal importance to both traditional Chinese medicine and Western medicine, implement the major project of revitalizing and developing traditional Chinese medicine, and continue to promote the "standardization" process of traditional Chinese medicine; On May 13, the Ministry of Commerce, the State Administration of traditional Chinese medicine and other seven departments issued the notice on several measures to support the high-quality development of the national Chinese medicine service export base, proposing 18 specific policies and measures to support the national Chinese medicine service export base to vigorously develop Chinese medicine service trade and accelerate the internationalization of Chinese medicine service.

With the support of relevant policies, the market of traditional Chinese medicine is growing steadily. According to the data of China Business Industry Research Institute, the market scale of Chinese medicine manufacturing in China has increased from 63.7 billion yuan in 2016 to 73.7 billion yuan in 2020, with an average annual compound growth rate of 3.7%. It is estimated that the market size will reach 75.3 billion yuan in 2021.

Wang Jun, an investment banker at a securities firm in Shanghai, said in an interview, "it will be difficult to judge the products that can really be used in hospitals. Only when Chinese medicine enterprises arrange valuable products in advance can they enjoy dividends. On the premise of hardware and personnel allocation, we should actively explore new clinical application models

It is worth noting that the "opinions on Further Strengthening the work of traditional Chinese medicine in general hospitals and promoting the coordinated development of Chinese and Western medicine" issued on June 30 pointed out for the first time that "the health and health administrative departments should incorporate the work of Integrated Chinese and Western medicine into the hospital evaluation and performance evaluation of public hospitals, so as to promote the development of traditional Chinese medicine in comprehensive hospitals."

Shi lichen said, "with the first proposal of collaborative performance appraisal of traditional Chinese medicine and Western medicine, the nature of strengthening TCM work in hospitals will change. After the introduction of the policy, the hospital must arrange the work of traditional Chinese medicine, and the general hospital also needs to set up relevant TCM departments. " Wang Jun also believes that the introduction of the assessment mechanism reflects the determination of the state to promote the policy.

Although general hospitals above level 3 have the ability to build secondary departments of traditional Chinese medicine, Shi lichen pointed out that "hospitals are financial balance subsidies, subject to factors such as funds, diagnosis and treatment effect, a large number of tertiary hospitals do not have TCM departments at present." Therefore, the introduction of this policy needs the financial support of relevant departments and follow up.

In addition, according to Sun Jian's analysis, compared with previous relevant policies, the highlights of the "opinions" are to strengthen the work of traditional Chinese medicine in general hospitals by strengthening the setting of clinical departments of traditional Chinese medicine, encouraging the establishment of secondary disciplines or professional groups of traditional Chinese medicine, and improving the collaborative system of Chinese and Western medicine to promote the coordinated development of Chinese and Western medicine, It is of constructive significance for the transformation of general hospital from western medicine to integrated Chinese and Western medicine.

According to Sun Jian, "the coordination of Chinese and Western medicine helps the rapid development of traditional Chinese medicine. Traditional Chinese medicine and Western medicine are two medical systems developed under different social and cultural backgrounds. They have their own advantages in different diseases and at different times. Western medicine is better than virus identification, development of related drugs and vaccines, and life support for critically ill patients We have thousands of years of experience in enhancing the resistance to epidemic diseases, and have unique insights and experience in prevention and control. "

According to the "implementation plan for the construction of high quality and efficient medical and health service system during the 14th five year plan" issued on July 1, Wang Jun believes that the document pays more attention to early prevention and medical prevention coordination“ In the past, China's medical treatment mainly focused on the treatment of diseases. At present, it is proposed to pay attention to early prevention and medical prevention coordination, which shows that China's overall medical level and medical awareness of management have been greatly improved

Difficulties in standardization

Driven by the policy, many enterprises in the TCM industry chain began to layout.

Sun Jian pointed out that many traditional Chinese medicine enterprises have accelerated the transformation and upgrading and explored the integration of Chinese and Western medicine“ Tongrentang, which pays close attention to the integration of traditional Chinese and Western medicine, Yiling pharmaceutical industry, which has won the consensus of experts, is controlled by Shanxi state owned assets committee and has broken the influence of fund shortage. Yunnan Baiyao, which is a mixed ownership reform, has been vigorously developed in the fields of Medicine, aesthetics and Stomatology, as well as the head TCM companies such as Pianzihuang, Baiyunshan, Zhongxin pharmaceutical, and China Resources Sanjiu, may usher in development opportunities. "

However, Shi lichen stressed that "although the national level has been vigorously supporting the development of traditional Chinese medicine, and has issued many policy documents. In addition, due to the lack of clinical data, it is difficult to confirm the safety and effectiveness of traditional Chinese medicine, especially the effectiveness. " At present, hospitals and medical insurance payments are reducing the use of traditional Chinese medicine, most of which have not entered the clinical link, and the development of traditional Chinese medicine in general hospitals is declining.

In Wang Jun's view, it will be a difficult point to avoid the abuse of traditional Chinese medicine as an auxiliary drug in the actual implementation process“ To strictly regulate the medical behavior of traditional Chinese medicine, and carry out the treatment and exploration with clinical treatment as the core, it is necessary to clarify the standardized treatment and medication of traditional Chinese medicine in order to promote the level of standardization of traditional Chinese medicine. If there is no standardized policy, it is very difficult for traditional Chinese medicine to develop. "

Shi lichen further analyzed that the development of traditional Chinese medicine needs to solve three problems“ First of all, drug standardization, including the standardization of R & D and approval. Traditional Chinese medicine industry needs to form standards for efficacy data and effective ingredients of related drugs. The second is the standardization of TCM diagnosis and treatment, which is the most difficult to achieve. At present, many diagnosis and treatment methods are far from standard, and there are many schools of traditional Chinese medicine. At present, under the premise of safety and effectiveness, traditional Chinese medicine needs to sort out the standardized drugs and operations, form the text, and promote it. This can also provide guidance for western medicine prescribing Chinese medicine. "

In addition, the standardization system of API also needs to be established, and the indicators of effective ingredients of animal and plant drugs need to be clear, including the standards of pesticide residues, heavy metals exceeding the standard, sulfur fumigation, etc.