On June 29, the medical website said, "I dreamed of the arrival of fish sperm protein." -- it's hard to imagine, this turned out to be a cardiologist the realistic predicament of anxiety, "in general I do 8 surgery a week, the first week of may, but I only had four surgery, has halved since."
The culprit was a cheap drug, the fish protein injection, which supplies nervous and even broken supplies. "We usually have at least 100 to 200 fish in our hospital, but there are only a dozen or so left," said the heart surgeon. "it's not enough to cope with the emergency."
In order to avoid such a shortage of medicines, patients and doctors have been unable to take the initiative, the relevant ministries and commissions have issued policies to try to guide the market supply.
On June 28, the state council held a press conference on the implementation of the implementation of the mechanism for improving the supply of medicines for shortage of medicines (hereinafter referred to as the "opinions").
The deputy director of the national health and family planning commission, zeng yixin, said at the press conference that the "opinions" had been issued by the national health and family planning commission and eight departments. In the process of drafting the document, the national health and family planning commission (NHFPC) has conducted a monitoring and analysis of the shortage of medicines, and has now compiled a list of about 130 clinical shortfalls. It also classified the production of designated points, coordinated emergency production, strengthened supply and demand, improved shortage of drug reserves, cracked down on illegal and illegal behaviors, and improved the drug policy of rare diseases.
Zeng said that in the near term, the ministry of information technology, sasac, food and drug administration and other departments have solved the shortage of drugs in nearly 50 lists.
But he also noted that the list of shortages is not fixed, but dynamic. Through the establishment of monitoring information of sentinel points, timely investigation and judgment, timely reflection of the situation and timely measures. To solve the present problem with six measures, and to take into account the long term, we should make an in-depth analysis of the causes of these shortages.
Profit is low as the main reason for "bidding death"
There is a shortage of medicines for children, low-priced drugs and rare diseases. For example, fish sperm protein is a drug that can be used to treat heart disease. The price is only about a dozen yuan, and in the last year or so, the drug has been running short and even breaking up in the country. And it's not the first time that fish protein is in short supply. As early as the second half of 2011, fish sperm protein had been in short supply in many provinces and cities around the country.
For the shortage of drugs, the Beijing minister, head of the medical management consulting center Shi Lichen analyzing the "daily economic news" reporter said, some lower profits low-cost drugs, drug firms produce steam. In addition, there are other reasons to raise prices, so as to make the market "hungry" for a period of time to raise the price of drugs. For example, the price increases of middlemen, or the combination of several production companies, are similar. In addition, it also includes the daily use of drugs, small production enterprises, insufficient reserves, etc.
"The cost of some low-cost drugs in the market is eight, but the bid price is only five. In this case, the company is not willing to engage in production at all." "Said shi.
Aiming at the question of enterprise production underpowered, the daily economic news "reporter noticed that drugs zero bonus policy implementation, in to reduce the financial burden of the people to see the doctor at the same time, due to some places can not form a complete set of compensation measures, make public hospital under pressure, and even some drug companies after the bid is not production, the so-called" tender death ", "the winning death" phenomenon.
The medical industry to the "daily economic news" reporter said, low bid price may cause imbalance between demand and supply of medicines, also need to pay attention to low environment for this drug quality hidden trouble.
Yi-xin zeng pointed out that the drug bid price is not a bad thing, first of all reflect the drug demand hope to get a lower price as much as possible, to reduce the burden of medical institutions and ordinary people. Although the desire and the starting point are good, we also need to respect the market rules and not allow the long-term loss of supply.
The government coordinated to propose a reasonable price
The opinion will also address this issue. Yi-xin zeng said, in this time, complete market mechanism alone won't solve these problems, by the government to coordinate, to build a platform, the two sides of supply and demand of medical institutions and companies tell their difficulties, everyone after consultations, form an acceptable to both parties as a result, the government here play a "build platform, promote the docking" coordinating role.
"In the" opinions "about the government's position is a new mechanism, which is neither a referee is not athletes, a bit like a coordinator. Not a price specified by the government, also is not perfect market mechanism, is the government as the coordinator, the enterprise, procurement, hospitals, experts please together, on the premise of guarantee the stability of supply, to give a reasonable price." Zeng yixin said.
On June 26, members of the standing committee of the National People's Congress considered the state council's report on drug administration, and the law enforcement inspection report of the standing committee of the NPC standing committee.
, vice chairman of the standing committee of the National People's Congress, said Chen zhu for drugs must adhere to quality first, quantity and price, appropriate to raise prices, make a pharmaceutical production enterprise has both reasonable return, and ensure the health of affordability and sustainability. The combination of government departments, industry associations and enterprises is conducive to the rational price of medicines.
Chen zhu said that the policy basis for negotiating or negotiating prices is the study of pharmaceutical economics. The education, research and application of this field in China are very weak. The role of industry associations has also not been fully played. Relevant functional departments should immediately organize forces, serious shortage cost and price formation mechanism of the drug research, study the international market and domestic market of drug price difference, the shortage of health care and the patient's family after drug pricing bear ability, thus in price adjustment of drugs for mining and essential drugs policy guidance, can make evidence-based decisions, target-oriented.
The work is now under way. "Daily economic news" reporter learns from shandong province development planning commission website, recently, the shandong province participated in the national health development planning commission drug administration department of the organization's shortage of pharmaceuticals market matching work, supply and demand of protamine sulfate injection, penicillamine piece of these two drugs with three companies to match the market, eventually formed the delivery price. |
