Medical network on January 6 - in recent years, our country public hospital appears expanding trend, due to reasons such as response to market competition, some hospitals have a crush on spending heavily to buy large super equipment imports. Reporters interview found that many public hospitals in hunan units often need to invest tens of millions of yuan Da Vinci surgical robot system, DSA (digital subtraction angiography system), PET - CT system (non-invasive technology medical imaging technology and equipment), such as the world's leading medical equipment, basic is super hospital "standard".
The personage inside course of study points out that, at present, our country parts of medical device field exist "foreign brands" monopoly, the price is high, objectively aggravated the masses "expensive". For this kind of situation, have important influence on the national pharmaceutical market in the three provinces of the beijing-tianjin-hebei region, are teaming up to start public hospital medical consumables joint procurement, as a demonstration, a move that could change the public hospital for high purchasing price to buy "guns foreign gun" approach.
Public hospitals for high price to buy "guns foreign gun"
Who the relevant person in charge of development planning commission of hunan province, according to some hospitals in favour of purchasing imported medical equipment and medical consumables, from implanted heart stent, artificial joints to check the equipment of color doppler ultrasonic diagnosis system, the cardiovascular colour to exceed, etc., some hospitals reporting requirement purchasing imported equipment.
"An imported stents ex-factory price 2000 yuan, is more than ten thousand yuan, use patients prefer purchasing imported medical equipment, hospital for imported equipment manufacturers and dealers will be 15% of the product price as pr fee." This means that every give patients a imported stents, the doctor can get at least 2000 yuan rebate, this is the main cause of stent dosage is bigger and bigger. With a lot of medical equipment management experience for many years in hunan province industry insiders.
"We are a famous hospital of hunan province, and now the hospital procurement of medical equipment is also keeping up with large comprehensive hospital, only purchase original imported equipment, such as high-grade color doppler ultrasonic diagnostic instrument, automatic analysis of ecg machine, the dynamic ecg analysis system and other traditional Chinese everything." In hunan province is a traditional Chinese doctor told reporters.
As with drug sales, medical apparatus and instruments in the middle of the above phenomenon is serious. In general, a high value material from the manufacturer to a hospital, should pass level, regional agents, provincial agents, such as multiple layers, each time to increase about 30% of the profits to be made, and the higher the price of the product, after the price of profits.
Guangdong price bureau, according to a research report on all the hospital surveyed, 89% of the hospitals buy medical consumables, mainly from the wholesale enterprises 11% of the hospitals were purchased from wholesale and production enterprises at the same time. The vast majority of medical consumables, it takes the wholesaler of the intermediate links. On the other hand, in the field of circulation markup percentage and mark-up is lack of effective supervision.
Some patients report, have declined in big hospital expenses for medicine, but the inspection fee is high, all hospitalized patients are doing B to exceed, electrocardiogram (ecg) and CT examination, the patient of heart head blood-vessel, cerebral infarction patients often needs to make inspection of nuclear magnetic resonance (NMR), and the subordinate hospital, between the hospital at the same level of medical equipment inspection report cannot be universal, such as patients transferred to the superior hospitals, large medical equipment by the hospital at lower levels hospital for check is not approved, need to check, it objectively aggravated the expensive problem.
Design of medical equipment procurement lack of complete system
The personage inside course of study analysis, the cause of public hospital flocking to buy imported medical equipment mainly has three aspects:
The lack of a complete system design. At present our country mainly through a directory of hospital brand access and use of equipment and consumable price ceilings. As to which brand, which one to choose, from the directory to the price into the hospital, all the final decisions in the hands of the hospital. Due to the strong professional, choose what kind of equipment decisions sometimes in the hands of individual departments and individuals.
Weak supervision. Although the industry report, the department in charge of, but due to the large hospital, shopping activity is frequent, settlement system held by hospitals themselves, lead to policy time, under the undercurrent.
The hospital according to the enterprise operation is the inevitable consequences. In order to profit, some hospitals to department issued management indicators, doctor is next to each department head, to complete the indicators, the higher medicine, excessive examination, ailment rectification become the means of the hospital.
Xiangya 2nd hospital of hunan province CPPCC, professor Wang Yunhua advice, limiting the power of the hospital procurement and government procurement platform personnel, improve the financial system, establish responsibility tracing system, set up a medical device adverse events and risk supervision, assessment, early warning and the subsequent disposal mechanism. In the purchase of medical apparatus and instruments excessively high price or quality problems, the supervision department should serious investigation, according to actual condition, strict accountability and punishment according to regulation.
Medical consumables joint procurement work started
Beijing-tianjin-hebei places health and family planning commission recently signed in Beijing the beijing-tianjin-hebei public hospital medical consumables joint procurement framework agreement, officially launched three medical consumables joint procurement work. Agreement clearly put forward the joint procurement is the core of "quantity price, direct negotiations with medical consumables production enterprise".
This means, beijing-tianjin-hebei medical consumable demand, combined with abundant medical resources and to include heart stents, the heart pacemaker and artificial joint production enterprises directly of medical consumables such as price negotiations, the maximum extrusion in the past caused by multi-stage, more agents involved in the provincial tendering price "moisture".
According to the beijing-tianjin-hebei public hospital medical consumables joint procurement plan request, 2017 years, the three places will complete the beijing-tianjin-hebei medical consumables joint procurement platform for a period of development and construction, start the centralized purchasing work. In the future, 10 categories of more than 40, ten thousand kinds of medical consumables is expected to pass this platform to complete the centralized purchasing.
Said to be the first selected heart stent, cardiac rhythm management, prevent adhesion, bleeding, artificial joints and stapling six types of medical consumables, bidding, negotiation, etc were used respectively to different way of centralized purchasing, partial classification to carry out the centralized purchasing work, eventually form a unified beijing-tianjin-hebei, Hong Kong and clinch a deal the price, product procurement results in beijing-tianjin-hebei above three secondary public hospitals to perform together, and implement purchasing catalogue all the varieties of online purchasing.
Beijing health and family planning commission said party to the director, medical consumables joint procurement of the beijing-tianjin-hebei region, will adhere to the direction of centralized purchasing online, follow the principle of price linkage, open and transparent, quantity and price to recruit unity, hook, comprehensive regulatory measures, such as "build medical consumables unified joint procurement platform, unified form medical consumables evaluation expert database and selecting medical consumables procurement catalogue, standardized medical consumables qualification standard, unified medical consumable price system, the formation of the final focus group review", to achieve "a platform, information sharing, sharing results".
"The combination of beijing-tianjin-hebei three total quality health resources and medical consumables used can be concluded that beijing-tianjin-hebei start medical consumables joint procurement, to speed up the reform of public hospitals, reduce the cost of medical service of the beijing-tianjin-hebei region, in turn, reduce medical service cost, reduce the financial burden on patients go to a doctor." Deputy director of the Beijing municipal health and family planning commission said hairiness.
It is understood that the first phase of platform construction completed in January 2017. Next, beijing-tianjin-hebei medical consumables joint procurement will also improve platform construction, strengthening comprehensive procurement process supervision, ensure product quality and supply; Continuously review purchasing experience, explore other categories joint procurement of medical consumables. |
