Ho Chi Minh City Department of Health speaks out about the lack of medicine in medical facilities

The Medical Station of Hiep Phu Ward, Thu Duc City only has an emergency medicine cabinet and a medical insurance medicine cabinet has long been discontinued

According to the Department of Health, through the meeting, it can be affirmed that basically hospitals and facilities in the city can ensure sufficient supply of drugs for the medical examination and treatment needs of the people because most hospitals have and is organizing drug bidding according to regulations.

“However, when asked if the hospital has a shortage of drugs, the answer of most unit directors is yes. But all of them say that these are problems that have existed for a long time due to many reasons. different, but not afraid to make mistakes, but do not dare to organize bidding or bid late” – Department of Health information.

The Department of Health also explained the cause of the shortage of some drugs. Specifically:

Some drugs are on the list of rare drugs because there are no suppliers due to discontinuation of production such as: Dopamine, Dextran polymer solution, antivenom serum, etc.

Drugs subject to special control such as narcotics and psychotropic drugs: Diazepam, injectable Phenobarbital, Midazolam, etc. will be difficult to find in the following years because domestic manufacturers have difficulty in source of raw materials or companies. worldwide has stopped production.

A few drugs have recently been disrupted in supply due to the impact of the Russian-Ukrainian conflict (Methotrexat is manufactured from Belarus), or because the registration number has expired but has not been renewed by the Ministry of Health.

In the face of these new arising situations, hospitals all have plans to use alternative drugs, except for some irreplaceable drugs (such as antivenom serums).

In addition, according to the Department of Health of Ho Chi Minh City, hospitals in the area are still passive in the procurement of drugs on the list of price negotiations and national-level centralized bidding (this work is done by the Central Procurement Center). National drug center shall comply with regulations). If you wait for the results of this center, it is likely that the drug is missing. If you actively bid, you may face payment difficulties when the National Drugs Centralized Shopping Center has bidding results with prices lower than the purchase prices of the hospitals that have bid before.

In addition, a number of new drugs have arisen due to the implementation of new and specialized techniques by the last-level hospitals, such as drugs for oncology, hematology, etc. Most of these drugs do not have registration numbers, mainly import shipments every year after being licensed by the Ministry of Health. In case the Ministry of Health has not issued a permit in time, it is likely that these drugs will be short for a certain period of time (in fact, all hospitals expect the Ministry of Health to consider and approve when the hospital needs to import shipments to meet the requirements of the Ministry of Health). meet the treatment needs of the patient).

Along with that, some medical examination and treatment establishments are small in scale, lack human resources to participate in drug bidding as prescribed, have no experience in procurement (such as district health centers; small-scale district hospitals). These establishments are often passive in drug procurement because of the small quantity procurement and lack of experience in procuring additional drugs as prescribed for those that do not win the bid.

The Department of Health has taken a number of solutions to ensure the timely supply of drugs and medical supplies in the near future, including advising the city’s leaders to allow the health sector to establish a centralized drug procurement center. medical supplies and equipment of the industry. The Department of Health has developed a scheme and submitted it to the City People’s Committee for consideration and approval.

The Department of Health establishes a working group responsible for receiving information, consulting and guiding to handle drug shortage situations (if any) from medical examination and treatment establishments. The Department also organizes expert councils (according to each specialty) to review and update drugs on the list of rare drugs in treatment regimens, to develop alternative drugs that are scientific and suitable to drug supply situation.

In addition, directors of hospitals and medical examination and treatment facilities strengthen inspection and supervision of adherence to treatment regimens in prescribing work at their units. The Department of Health organizes inspection teams on drug supply management activities of hospitals and professional activities of drug and treatment councils related to the above-mentioned drug supply issues.

The Department of Health said the unit has proposed the City People’s Committee to support the budget for the health sector in stockpiling some rare drugs in the emergency work of patients; to soon realize the project of building a high-tech Medical – Pharmaceutical Technology Park; propose the Ministry of Health to continue shortening the registration number extension time for drugs with expired registration numbers; directing the National Centralized Drug Procurement Center to shorten the time for price negotiation and centralized bidding…

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