Катрен Стиль
Минздрав планирует изменить порядок выписки и назначения лекарств
Министерство здравоохранения планирует внести изменения в порядок назначения и выписки лекарств. Речь идет о случаях, когда препарат назначается без учета показаний к применению, указанных в инструкции. Уведомления о разработке проекта изменений появилось на Федеральном портале проектов нормативных актов 6 июля.
Согласно действующему законодательству, лекарственные средства, не входящие в стандарт медицинской помощи, могут быть назначены пациенту только по решению врачебной комиссии в случае медицинских показаний (например, индивидуальной непереносимости).
В то же время Порядок назначения и выписывания лекарственных препаратов (приказ Минздрава от 20.12.2012 № 1175н) запрещает врачам выписывать рецепты при отсутствии медицинских показаний.
Понятие «медицинские показания» не тождественно «показаниям к применению», написанным в инструкции к лекарству.
Однако на практике бывают случаи, когда врач может считать, что медицинские показания к применению определенного ЛС у пациента имеются (к примеру, это могут быть данные последних клинических исследований). Поэтому он может назначить препарат для лечения заболевания, которое не содержится среди «показаний к применению» в инструкции к препарату.
В этом случае порядок назначения лекарств никак не прописан.
Будущий законопроект как раз направлен на урегулирование этой коллизии. Каким образом это будет реализовано, станет ясно в ближайшее время: общественное обсуждение готовящегося приказа продлится до 20 июля, а уже в августе ведомство планирует его вступление в силу.
Источник:
Федеральный портал проектов нормативных актов11 июля 2017
Фото: www.istockphoto.com/18percentgrey
Выпуск: №162, июль 20172008 просмотров
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2008 просмотров
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