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| Big guess: 19.2 billion yuan of medicine to start GPO! |
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| Author：中國銘鉉 企劃部 Release Time：2017-8-16 11:18:02 Number Browse：698 |
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Medical network on August 16 - pharmaceutical group procurement (GPO) in 2016, only the Shanghai and shenzhen, more than 2017 as guangzhou, dongguan and other cities in succession to join the GPO, GPO in the scope of implementation in expanding domestic, is understood to have a willingness to carry out the GPO city of chongqing, zhongshan.
Published on August 9, hubei published about 2017 public hospitals in hubei province drug centralized purchasing catalogue of net notice, including the general office of the provincial people's government on further reform and perfect the public hospital drug procurement and supply security mechanism of the implementation opinions "(hubei ZhengBan hair [2017] no. 53), referred to the introduction of the third party group purchasing organization (GPO). This means that in addition to guangdong, another province has joined GPO in the province's procurement platform.
Who is going to tube?
The NDRC subordinate trading platform for GPO or trend
In addition to Shanghai pharmaceutical group purchasing service network, shenzhen full drug network, other cities have no hospital drug group procurement platform. Dongguan will rely on the third-party pharmaceutical group procurement organization established in shenzhen to carry out the procurement of trans-regional joint groups. Guangzhou will establish hospital pharmacy group procurement platform.
Shanghai GPO organization is Shanghai medical health service center, which is a third-party non-profit organization under the guidance of Shanghai medical reform office.
Commitment in shenzhen GPO organization is by selecting the "drug cost than purchasing the same amount in 2015 in guangdong province platform product gauge drugs decreased by more than 30% of the total cost" of the shenzhen sea king group subsidiary "net".
Hubei currently can realize GPO function platform only wuhan huazhong pharmaceutical trading center, in July 2015, the concept of adhering to the fair, just and open, adhere to the principle of government leading, market guide, and under the help of "Internet +" online drug exhibition and trade of the third party service, to actively explore to establish pharmaceutical circulation mechanism, effectively reduce the drug transaction costs, promote scientific and reasonable drug price mechanism, promote the rational regression, drug prices to ease the burden of medical expenses. Huazhong pharmaceutical trading center operations team, composed of proficient in Internet and medical professionals, just ring number is actually a founder of the store in the blessing, alleged to have five years experience in Internet industry accounted for 83%, three years experience in electrical business operations accounted for 71%, with the pharmaceutical industry related experience is about 80%. But it remains to be seen whether this model can outstrip the whole drug network.
Guangzhou will establish GPO platform based on guangzhou public resource trading center in the reform plan of public hospitals. According to the "interim measures for public resources trading platform management (such as the national development and reform commission in 2016, 39 order)," the local people's government at or above the level of district-constituted municipalities designated department jointly with the national development and reform department or government authorities responsible for the administration of public resources trading platform to guide and coordinate related work ". Guangzhou public resources trading center of superior leadership unit is the guangzhou development and reform commission (NDRC), don't know whether this development and reform commission (NDRC) to management of drug prices a signal.
Procurement body?
Pilot projects in shenzhen and Shanghai, guangzhou and dongguan city
The first batch of Shanghai to participate in purchasing alliance member medical institutions, including huashan hospital of fudan university, Shanghai jiaotong university school of medicine, yan chai hospital affiliated first people's hospital of Shanghai, yueyang affiliated to Shanghai university of traditional Chinese medicine, hospital which combines traditional Chinese medicine with western medicine, and the Shanghai Oriental hospital, xuhui district, yangpu district, putuo district, minhang district, jinshan and for its public medical institutions.
The first batch of pilot reforms in shenzhen city and the district of public hospitals, including people's hospital of shenzhen, shenzhen second people's hospital, Peking University shenzhen hospital, shenzhen hospital 25 public hospitals, etc.
Dongguan city all public hospitals and community health service center must participate in the centralized purchasing platform, encourage active participation in the city's social security of private medical establishment that decide a dot, encourage other medical institutions to participate in.
All public hospitals in guangzhou region, including the central, provincial, city and district hospital, national ministries and commissions, the people's liberation army, armed police, public institutions, state-owned enterprises such as public hospitals in guangzhou 152 public hospitals. Among them, 8, 26 provincial hospital affiliated hospital, 23 city hospital, district hospital 73, five forces, armed police hospital, hospital 17 other enterprises and institutions, there are five independent accounting of the medical branch.
In 2017, the upcoming GPO in guangzhou and dongguan will not be the same as shenzhen and Shanghai.
Procurement scale?
The GPO is about 192 million yuan in guangzhou and dongguan
Catalogue of shenzhen, the shenzhen public hospital drug group procurement include: (1) year citywide public hospitals in guangdong province drug purchasing electronic trading platform within the top 80% of total amount of drugs, singular form and bizarre except the specifications of the drug; (2) commonly used low-price drugs, women's and women's specialized medicines, first-aid rescue drugs, and market supply shortages of medicines. The municipal public hospital pharmacy expert committee was established by the shenzhen municipal health administrative department, which was responsible for selecting and compiling the procurement catalogue of the pharmaceutical group of shenzhen public hospital.
The products covered by GPO in Shanghai basically cover all products of the category. At present, Shanghai has issued five batches of medicines, and shenzhen has issued two batches of catalogues.
Table 1 comparison of GPO batches in Shanghai and shenzhen
(source: sensitive information)
Dongguan purchasing drugs include common low medicine, the medicine of fu and the emergency rescue medicine and market shortage of drugs to ensure such drugs, and last year the city's public hospitals in the province platform within the top 80% of total amount of purchase drugs (except singular types and bizarre specifications).
Guangzhou no publish the scope of the purchasing drugs according to the grades of guangzhou in 2016 hospitals of purchasing more than 20 billion yuan (including provincial) scale is expected to be controlled in 4 billion yuan, dongguan, guangzhou, dongguan hospital scale also has 80% of the 19.2 billion yuan. If the GPO is facing GPO and the service of GPO is only 1% ~ 2% of the cost of GPO, then the cost of guangzhou alone will be 120 million yuan.
Where is the provincial platform?
Guangdong drug delivery platform faces a role shift
In guangdong pharmaceutical trading center of guangdong province as a third party drug trading platform, since the end of 2013 to run for more than three years time, the province's basic drug concentration in the online trading platform, drug prices are also gradually decline.
According to the trading scheme, three types of transactions can be allowed on the drug trading platform of guangdong province: one is the total volume of pharmaceutical procurement of medical institutions in the province to be summarized into the bidding price of the platform; Second, it is possible to establish a group purchase of medical medias in the form of group-buying and the production enterprises on the provincial trading platform independently. Three is to reform pilot city prefecture as the unit on the platform to purchase (pilot reform cities: guangdong province shenzhen, zhuhai, dongguan, zhongshan, huizhou, jiangmen, zhaoqing), the specific measures, drawn up by the pilot cities according to the application submitted to the provincial government after approval, reported to the healthcare reform office of the state council for the record.
But at present, the first kind of medical institution or bidding price is basically purchased. The shenzhen all-drug network did not fully adopt the third, and the zhongshan THL platform is said to consider a third mode. Recently, the guangdong province has deliberately promoted zhanjiang model and shenzhen lo wu mode, which means that the second mode is likely to be explored.
The shenzhen GPO original model monopoly medical institution can only purchase on GPO platform and is under investigation by the NDRC. After investigation for development and reform commission (NDRC), shenzhen has made the correction in time, including ensuring public hospital drug procurement autonomy, be sure to select drugs distribution enterprise autonomy, to ensure that the three measures such as pharmaceutical production enterprise autonomy. However, the so-called liberalization in shenzhen, 80% of the drug purchase or the whole drug network mainly.
After the GPO was piloted in guangzhou, the location of guangdong drug delivery platform was still pending in guangzhou GPO scheme. But regardless of the model, the role of the guangdong drug delivery platform is increasingly turning into a market-rate platform, and GPO is charged with negotiating a price cut.
Summary > > >
A single spark can start a fire. As the new model is piloted in shenzhen, guangzhou and Shanghai, the three pilot cities are all first-tier cities in China, meaning that GPO mode will likely be the model of drug purchasing in the future big cities. Provinces or cities with less economic power will refer to anhui model and sanming model.
The GPO mode is still a new model. In the short term, drug companies will be under pressure to reduce prices, and the drug companies will have a bigger rebound in the price reduction of 30%. Whether GPO mode can be piloted in more cities, the core key point is: in GPO mode, it costs 1% of the cost, and whether the reduction is in line with the expected target (e.g., more than 30%). Can drugs and sex be guaranteed? Can reasonable medicine atmosphere be achieved? This means that the GPO model will be able to balance the procurement and price with the drug companies, which will be the most test of the GPO's "power".
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