Medical network - January 10, the reporter learns from the national health and family planning commission, our country will promote in the public medical institutions and drug procurement "two votes", namely the circulation of medicines from the production enterprise to open an invoice, circulation enterprise to open an invoice of medical institutions, the purpose is compressed medicine circulation, make the middle price transparency, further reducing drug prices artificially high, ease the burden.
According to introducing, the healthcare reform office under the state council in conjunction with the national health and family planning commission and other departments recently jointly issued by the 8 "on drug procurement in the public medical institutions in implementing the implementation of the" two votes "opinion (trial) notice, require comprehensive reform pilot provinces (autonomous regions and municipalities) and the public medical institutions of public hospital reform pilot city take the lead in execution" two votes ", to implement the "two votes" encourage other areas. In 2017, further expand the scope of implementation of "two votes", 2018 fully implemented throughout the country.
Reform of the state council for full-time, deputy director of the national health and family planning commission TiGaiSi chief priests Liang Wannian said, "two votes" is helpful to reduce drug circulation, standardize the distribution order, lower drug prices artificially high; Is beneficial to strengthen the supervision of drugs and drug quality, the price goes back, and ensure the safety; For purifying the circulation environment, in accordance with the law to crack down on illegal callings, commercial bribery, tax evasion and other illegal activities; Is conducive to deepening the reform of medicine field, improve the industry concentration, promote the healthy development of the pharmaceutical industry, realize "three medical linkage" reform.
According to the implementation opinion, "two votes" will change the past drug from manufacturer to layers of premium of medical institutions, the status quo of make out an invoice for many times, save the patient and the medical insurance fund.
"If the public hospital total drug usage to calculate, I think drug prices artificially high moisture at about 30%." Fujian province health department chief Zhang Xuanhua think, first wider Mr Samaras chain is very long, affects the upstream production enterprise, also affects the downstream of the public medical institutions, about some of the doctor's behavior.
Implementation opinions, points out that sell drugs pharmaceutical production, circulation enterprises, shall be in accordance with the relevant provisions of the invoice management issue special VAT invoice or commercial invoice, the invoice of purchase, annul name shall be just walk with along with the goods, payment flow direction, the amount is consistent. Buy medicine circulation enterprises, should take the initiative to ask for bill to the production enterprise. Public medical institutions in drug check incoming, it must be identified ticket, cargo, and account agreement shall be put in storage, use, not only to charge distribution pharmaceutical circulation enterprises, validation, invoices, also should be required to circulation enterprises to issue purchase invoice evidence provided by the production enterprise, in order to confirm each other. Encourage conditional area to use electronic invoice, through the information means to verify "two votes".
In some situation, implementation opinions made special provisions. For example, in order to guarantee the effective supply of the basic medicine, prescribed drugs circulation enterprises for special remote township (town) or village, traffic inconvenience, medicines, medical and health institutions distribution allowed on the basis of the "two votes" to open a pharmaceutical sales invoice; In response to the outbreak of natural disasters, major, major events and the patient (rob) save the special circumstances, such as emergency purchasing drugs or national pharmaceutical reserve drugs, can carry out special processing.
According to the regulations of the implementation opinions, right according to the provisions of the "two votes" requirements of the pharmaceutical production enterprises, circulation enterprise, will cancel the drug centralized purchasing bidding, bid and distribution, and included in the drug purchase bad record; Lax to line (card), "two votes" to carry out the default payment for goods is not in place, and makes no medical institution to be criticized, until the responsibility shall be investigated for relevant personnel. |
