Medical network - January 10, entering in 2017, the big health files.
On January 9, according to the Chinese government network, the state council recently issued by the "much starker choices-and graver consequences-in" deepening the reform of medical health system planning "(hereinafter referred to as the" planning "), the requirements during the period of "much starker choices-and graver consequences-in" in the classification diagnosis and treatment, the modern hospital management, universal health care, drug supply security and comprehensive regulation of the five new breakthroughs were made in construction of the system, and promote the reform of related areas as a whole.
Among them in the field of involving the public hospital drug procurement, planning requirements, the implementation of drug purchase "two votes" reform. Encourage hospital and pharmaceutical production enterprise direct settlement drugs and drug production and distribution enterprise settlement distribution fees, in accordance with the contract of the receivable.
"Daily economic news" reporter noticed that specific to the "two votes" be born in practice, the same day, the healthcare reform office under the state council in conjunction with 8 departments jointly issued by the national health and family planning commission "on drug procurement in the public medical institutions in implementing the implementation of the" two votes "opinion notice (trial) (hereinafter referred to as" notice "). Notification requirements, comprehensive reform pilot provinces (autonomous regions and municipalities) and the reform of public hospitals pilot cities to take the lead to implement the "two votes", encouraging other areas implement the "two votes", for the 2018 fully implemented throughout the country.
"Camp to increase" is conducive to implement the "two votes"
"Two votes", refers to the drug from the production enterprise to open an invoice of enterprises and circulation enterprises to open an invoice of medical institutions.
Reform of the state council for full-time, deputy director of the national health development planning commission TiGaiSi chief priests Liang Wannian on interpretation of "two votes" news conference pointed out that "two votes" is considered to be drug area is an important reform measures, the purpose is to reduce the drug circulation, make the middle price transparency, further reducing drug prices artificially high, ease the burden.
In spite of all countries of the "two votes" version of the file just formally launched in January 9, but in fact, local and "two votes" is not strange to the pharmaceutical industry.
In early 2016, the state council on the reform to deepen the key task of: "comprehensive reform pilot provinces throughout the province to carry out two votes, actively encourage public hospital comprehensive reform pilot cities introduce two votes". Then, around the positive response, there are more than 20 provinces of publicly will actively promote two votes.
National health development planning commission, said part of the enterprise has the spontaneous formation of the "two votes", part of the large circulation enterprises to promote the rapid development of the "two votes". Foreign experience shows that the medicine be after the cost of medical institutions, through comprehensive market competition and government regulation effect, circulation chain is usually compressed into "two votes" mode. Previously, sanming city, fujian province and has successful experience in practice.
It is worth noting that the national health development planning commission, points out that as the camp in 2016 to increase comprehensive away, bill management more standardized, have created favorable conditions for the implementation of the "two votes".
National health care expert advisory committee of the state council, the national development research institute of Beijing university professor liu gg was in an interview with the daily economic news "reporter said, from the reality of our country, a lot of local traffic inconvenience, remote, market size is small, some big drug firms it is difficult to directly involved in the company. If in such a place to enforce the "two votes", may reduce the enthusiasm of enterprises with drugs, appear even discontinuity of the drug, but it is not about the purpose of the policy.
For this concern, Liang Wannian said, is provided in the file to some very remote and inaccessible place, can be based on the implementation of the "two votes" to open a ticket, its purpose is to ensure the timely supply of the drug. But the above shall be limited to as towns and townships or village-level medical institutions and distribution, and remote areas at or above the county level public medical institution, or must unswervingly implement the "two votes".
Local drug distribution enterprises after the reform
Interpretation national health development planning commission, said the implementation of the "two votes" may be limited by agent, tickets, etc as the main part of the business enterprise to oppose and obstruction. But the reform is to move these enterprises "cheese", standardize enterprise behavior, cut off the gray interests chain, purify the drug circulation market, speed up the formation of large-scale backbone enterprises as the main body, small and medium enterprises to form a complete set complementary medicine circulation network, urban and rural areas to promote the healthy development of industry.
This also means that the implementation of the "two votes" will also be making the medicine circulation industry facing reshuffle. Haitong securities (15.600, 0.00, 0.00%) of the research report pointed out that in promoting the business to concentrate in large circulation enterprises at the same time, will also be compressed "tickets", "wash ticket" and other irregularities. In 2017, with "two votes" national special policy to be born, the industry is expected to usher in a new round of consolidation.
Zhongtai securities research report analyzes believed that in the next few years medicine concentration will further enhance the commercial areas, industry of merger, acquisition and reorganization is expected to be the norm, and will be good medicine circulation enterprises and layout denotation expansion made the large circulation enterprises.
Its influence on the development of the industry and local practice and on the horizon. "Daily economic news" reporter noticed that a place in the "two votes", directly to the number of distribution enterprise to carry on the strict rules. Who, for example, in October 2016, shaanxi province development planning commission formally announced "about deepening the reform of the drug consumables supply security system notice, request level 3 medical institutions and drug were no more than 15, consumables distribution enterprises; Secondary medical institutions and drug, consumables distribution enterprises respectively for no more than five and fifteen.
Minsheng securities research report analyzes believed that the move will compress the number distribution, good specifications, has a modern logistics distribution enterprises. The implementation of the "two votes" means that in the future the cost of circulation channels will be highly transparent, non-standard small and medium circulation enterprises will face the survival crisis, gradually solve the medicine circulation enterprises "small, scattered and disorderly situation.
This also is not a single example. Fujian province after the country took the lead to implement the "two votes", a basic drug distribution enterprises to select the public medical institutions, public selected 11 basic drug distribution enterprises, and provides the procurement area distribution enterprises should not exceed 10.
Fujian province health department chief Zhang Xuanhua said, through selecting the purchasing companies, effectively promote the pharmaceutical distribution enterprise merger and reorganization and integration, the provincial distribution enterprise quantity reduced from 200 to the current 62, improve the concentration degree of pharmaceutical distribution enterprises, reduce the circulation cost. Distribution cost reduced to 3% from 5% ~ 5% ~ 5%, which means that the drug prices will also be reduced accordingly.
The growth of public hospital medical costs will decline
"Two votes" at the same time, to the implementation of the plan for public hospitals "medicine proportion" also made specific indicators on request. For 2017 tasks, planning requirements, and strive to pilot city public hospital medicine accounted for by 2017 (not including Chinese medicine yinpian) overall to around 30%, one hundred yuan of medical income (excluding drug income) of health material consumption has dropped below $20.
Previously, according to a report about reform of public hospitals in 2015, according to the 2015 national public hospitals at the county level medical drugs accounted for the proportion of business income of 39%, 1.9% lower than in 2014.
To reduce the medicine proportion, planning their quest to establish a standard and efficient operation mechanism. Cancel the drug addition (excluding Chinese medicine yinpian), through the adjustment of medical service prices, increasing government investment, reform of payment, reduce hospital operating costs, etc., to establish scientific and reasonable compensation mechanism.
Health management research center of tsinghua university academy of management skill, a researcher told the "daily economic news" reporter, at present a lot of medical service price after accounting found below cost, does not really reflect the medical staff labor value. And through reform will reduce expenses for supplies, drugs crag to medical services, at the same time ensure that health care affordable, basic medical expenses burden means that patients did not increase as a whole.
In addition, the plan also calls for public hospital control unreasonable medical expenses growth. By 2017, the national public hospital medical expenses growth to below 10%, to 2020, growth in stable at a reasonable level.
Reform of public hospitals in recent years on the charged fee also has made certain achievements, the reform of public hospitals, according to a report in 2015, the pilot city public hospital outpatient and hospitalization medical expenses increased by 4.5% and 4.2%, respectively, gains were lower than that of urban residents per capita disposable income growth. |
