Medical network - January 10, 2017 January 11 national comprehensive reform pilot provinces and 200 public hospital reform pilot city will take the lead in pushing drugs of two votes, strive for to the 2018 national open medicine of two votes.
And medical consumables of two votes, at present also has the reform pilot provinces such as shanxi, fujian, ningxia and hebei 6 city and county, wuhan and other places, to pioneering since 2017.
Two votes will open medicine industry consolidation, circulation further compression. In January 9, countries who two votes special press conference sponsored by the department of planning commission, the country's first introduce two votes province, provides a data in fujian province, the province through the selection of two votes procurement enterprises, the provincial distribution enterprise quantity reduced from 200 to the current 62, that up to two-thirds of distribution are dead!
The following for medicare office director of fujian province Zhang Xuanhua introduction to the province of two votes is implemented by:
As a comprehensive reform pilot provinces of fujian province, in the whole nation the first implementation of the "two votes". In 2009, in the provincial drug purchase supply work adhere to and seriously implement the "two votes" system, clear drug purchase bidding directly by the pharmaceutical producing enterprises, bypassing the intermediate links, unified purchase, unified distribution, unified pricing. Clear distribution cost control standard, reduce the circulation, edging out drug prices artificially high moisture, effectively combat drug circulation base of underwriting, ticket money laundering behavior, effective control of drug artificially high prices.
Our main way is:
A clear definition of the "two votes", curb ticket, ticket behavior.
Clear drug purchase in fujian province to recruit production enterprises, unified distribution pattern, for manufacturing enterprise is that we no longer to circulation enterprises bidding, direct production enterprises, make the responsibility of the production enterprises and circulation enterprises jointly and severally. Unified distribution, in order to reduce shipping.
At the same time we also to define "two votes", is the production enterprise to issue the invoices for the first ticket distribution enterprises, distribution companies to the medical institutions to issue the invoices for the second ticket, that is just liang, director of introduction. Clear the first and second ticket distribution cost difference between the standard, we "see two test one" means, is to see the second votes must check first, see if implement the "two votes", to look at the difference between the first and second ticket is very big, is a common sense.
Through the relevant departments of supervision, contain hang votes go phenomenon, regulate the behavior of the drug circulation.
The second is to improve the concentration of drug distribution, reducing distribution costs.
We through basic drug distribution enterprises to select the public medical institutions, public selected 11 basic drug distribution enterprises as a basic drug distribution enterprises in our province, provides the procurement area distribution enterprises cannot exceed 10, distribution area with our fund as a whole level is adapted. Funds of fujian province has implemented city as a whole, is a city divided into districts a procurement section.
By selecting the purchasing companies, effectively promote the pharmaceutical distribution enterprises, mergers and reorganization and integration of the number of distribution companies reduced from 200 to the current 62, improve the concentration degree of pharmaceutical distribution enterprises, reduce the circulation cost.
For essential medicines, we cancel the fragmentation distribution mode, implement the provincial unified distribution, after implementing the province unified distribution, distribution cost reduced to 3% from 5% - 5% - 5%, so the shipping cost is saved, means that the price has gone down.
Third, strict policy, containing the drug circulation mess.
The current medicine circulation chaos has spread to the upstream and downstream, spread to the production enterprise, also spread to medical institutions, so must carry on the multilateral joint governance, take combination. Fujian province in order to be able to play this combination, set up a new health care do in fujian province.
Fujian province health care for health care related policy and the supervision and management of the medical insurance fund, medical service price negotiations adjustment, joint procurement and distribution of drug supplies and settlement management, management of the medical establishment that decide a dot, the supervision and management of the medical behavior and the responsibilities of the medical insurance information system construction, etc.
Do after the establishment of health care, we quickly issued two files, the first is "about a further blow to diddle medical insurance fund and the violation of patients' behavior notice, clearly stipulated in the" notice ", do not implement the "two votes" production enterprise, falsely making out VAT invoices, for tickets, money laundering, the production of drug supplies through the agent to reserve underwriting, layers of agents and sales promotions for rebates or property by a representative of the pharmaceutical methods such as bribes to promote health care fixed-point medical institutions and medical personnel, bribery medical security system management personnel, don't keep good faith, without any justified reason, not on time delivery, etc, we are all recorded in the "blacklist". Drug supplies distribution business if we do not implement the "two votes", falsely making out VAT invoice, help illegal drug, money laundering, malicious cooperate medicine material production enterprise bribery of medical staff, we also recorded in the "blacklist".
In addition, in order to promote implementation of the "two votes", we introduced the second file, is the provincial health care physicians code management, set up the health care physician code library, from the system specification doctors not disorderly prescriptions, expensive medicine, not accepting kickbacks, lay a foundation for the implementation of "two votes".
At present, our province is set out to change the procurement rules, change from the bidding procurement for joint procurement price sunshine.
At the same time, we also in accordance with the rules of the "four general", namely, common name, general dosage forms, specifications, general packaging, to health care and drug procurement directory, the medical insurance payment settlement price based medicine joint procurement price sunshine, the purpose is to promote the further implementation of the "two votes".
I believe that, as in the public medical institutions carrying out "two votes" drug purchase implementation opinions (try out) ", the implementation of the unified national "two votes", is no longer a island in fujian province depressions, we will be able to rebuild good order in the field of drug circulation.
In addition, in response to a reporter about the relations between the two votes and drug prices artificially high, Zhang Xuanhua explained as follows:
The problem of drug prices artificially high, now see everyone more clearly. Reporter asks the friend is formed in the purchasing or formed in circulation, because of the procurement and is one of the circulation, purchasing is just one part of the circulation. Drug prices artificially high, how much moisture, if the total public hospital drug use to calculate, I don't think it's the artificially high moisture at about 30%.
The problem of drug prices artificially high development today, has become a disease, the interests of the chain is long and big. On the one hand, has now been affected upstream production enterprises, using the established sales channel control production enterprises, so now part of the "medical representatives" ticket money laundering, to reserve before underwriting, national total generation, layers of subcontract this way, and now has a new pattern, in the case of the "two votes" unable to vote money laundering, so demand production enterprise, and the price is out of the ticket, and founded their own advertising companies, such as meeting provides false meetings, advertisement invoice from production enterprise money laundering, which is a new way of money laundering. Originally there is a reasonable medical representative profession, promote drug originally, but now some medicine representative into selling drugs, there, nature has changed, so I speak of "medical representatives" should be in quotes.
On the other hand also affects the downstream of the public medical institutions, about some of the doctor's behavior. Now we are back to the doctor's role is to make the medical, pharmaceutical return to cure function, so the implementation of the "two votes", is not only a means, is also a very good policy for social responsibility. |
