Medical network - on January 13
Prices are really thin body?
Health under the state council office recently jointly with the state department of health and family planning commission, the food and drug supervision administration issued by the pilot notice, "two votes" will take the lead in comprehensive reform pilot provinces (autonomous regions and municipalities) and the reform of public hospitals pilot cities, to implement the "two votes" encourage other areas. Expanding the scope of the implementation of "two votes", 2017, 2018 for opened throughout the country.
"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. "The goal is to reduce the drug circulation, make the middle price transparency, promote lower drug prices artificially high. This is an important reform measures and drug field." Reform of the state council office full-time, deputy director of the national health and family planning commission TiGaiSi chief priests Liang Wannian health development planning commission told a news conference in 9 countries.
China's drug prices artificially high for a long time, the national development and reform commission (NDRC) 32 forced prices have been carried out for nearly 20 years, have failed. This time to launch the "two votes" successfully squeeze out the moisture in the price?
The implementation of two votes
Drugs circulation field exist "how small scattered bad situation. Because of drug circulation chain length, distribution order is chaotic, the affiliated business, ticket money laundering, cross trade, problems, such as gold sales pharmaceutical commercial bribery occurs frequently. These mess influence each other, pushing up medicine prices, encourages the medicine purchase and sale of corruption, and restrain the further development of medical and health system reform.
Development and reform commission (NDRC) had lower drug prices for many times, but there are policy makers, lower drug prices alone cannot have the effect of real lower drug prices. This leads to a reduction, some medicines disappeared, change the status back, price has not been reduced. Drug prices artificially high not only increased the people health costs, also increased pressure on medical insurance fund. Drugs for the existence of circulation link has not been truly by management.
"Solve the problem of these unhealthy already a long time, only on the market spontaneous adjustment in the short term is difficult to achieve significant results, and China must pass medical treatment, health care, medical reform, linkage punch, speed up the pace of governing revolution." Liang Wannian said.
The implementation of the "two votes", is to encourage the public medical institution and pharmaceutical producing enterprises direct settlement drugs, pharmaceutical production enterprises and circulation enterprises and settlement distribution costs.
In order to supporting the implementation of the "two votes" landing, state development planning commission from the invoice, respectively for pharmaceutical production enterprises, circulation enterprises and medical institutions is to carry out the "two votes" request, the second support the construction of national, regional pharmaceutical logistics park and distribution center, promote more warehouse collaborative distribution; Allow pharmaceutical trading enterprises take different positions, in the provincial trans-regional use in this enterprise eligible drug warehouse, etc., at the same time strengthen supervision and spot checks.
As a comprehensive reform pilot provinces of fujian province, in the whole nation the first implementation of the "two votes". Of 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. "After implementing the province unified distribution, distribution cost reduced to 3% from 5% ~ 5% ~ 5%, and the shipping cost is saved, means that the price is down." Fujian province health department chief Zhang Xuanhua said.
The purchase price shall be unified public bidding
The current drug purchase, the execution is unified bidding mode at the provincial level in the country. But in health experts should Jane's opinion, break mode, provincial centralized bid procurement is cracking drug consumables prices artificially high "the key to the dilemma.
"The current drug prices have inflated, how 'inflated even outrageous, that are bidding out. The result is worth our reflection, whether the root cause lies in system and mechanism for mining?" Said in an interview with the first finance and economics should be the Jane, "don't talk about participating in bidding means to take a lot of businesses to ensure the benefit maximization, but between the provinces for price confidentiality with each other, become the interests of the merchants, why is this?"
Should think Jane, unified bidding procurement, pricing "his gavel," either the collective benefit (rational bidding price), are more likely to risk concentration (the bidding price is not reasonable. Killed the "secondary bargaining", should consider to let the decentralization of power, let QuanZeLi body unity.
"Sanming drug purchase and ningbo consumables purchasing experience shows that as to squeeze the water price as the guidance, to grasp the drug supplies real price information and comply with the premise of medical law and make full use of market competition mechanism, repeatedly bargaining negotiations, is can squeeze out price" moisture "." Should the said Jane. Drugs the direction of the reform, should be innovative drug supplies procurement mechanism, through the public trading platform, to achieve "open and transparent, standardized bargaining".
Lower drug prices founder WeiBaiXing thinks: "two votes and camp change really able to cut down the cost of the flow of parts, the part out of commercial bribery, but mainstream cannot solve the problem. The mainstream is a doctor and don't take the problem of money, is a foreign joint venture pharmaceutical companies leave high to go high, part of China's large enterprises, two votes won't solve."
"Is the second in drug prices artificially high link, doctors benefit distribution mechanism problem. For the main body of drug prices artificially high enterprises (foreign investment, joint venture, part of China's drug firms), most of them have been executed two votes, the reversed transmission drug prices artificially high not too big effect, but the investment promotion agency will do great harm to the enterprise." Of the first financial journalist WeiBaiXing said.
To this, he thought the country should be guided prices, or to establish a price regulation system. Though the tender provinces are in sunshine purchase, but few provinces in the list price is at A glance, seen on procurement must do all to make the whole society to supervise, or similar drugs, 2 yuan A province in the province of B may appear more than ten times as much inflated. As a result, domestic drug firms lost agent, may also leave high to go high copy foreign mode, return to the origin is the problem the doctor bribery profit distribution. |
