Medical network - on November 30th November 29, have a friend to offer the blue parker a micro on the public medical institutions in sichuan province drug purchase for the implementation of the "two votes" opinion (draft) ". Instant WeChat group, WeChat friends also got around, everyone's in exclamation: "sichuan two votes is here!"
From friends and micro information provided, the document, dated unit for health reform in sichuan province, according to documents require, as of December 31, 2016, in the public medical institutions (with the exception of the ethnic minority areas and other areas outside the grassroots medical institutions) of full implementation of two votes.
If the document are correct, this means that still have a month's time, will be introduced in most areas in sichuan two votes.
Released earlier this year, the state council general office on the deepening medical and health system reform in 2016 key task ", clearly in the health care reform pilot provinces to spread all over the whole range of two votes, encourage a vote, hospital and pharmaceutical production enterprise direct settlement payment for goods, drug companies and distribution enterprise computing distribution costs.
After the reform pilot province of anhui, fujian, jiangsu, shaanxi and other provinces, has two votes policy fall to the ground. Also, as a reform pilot provinces of sichuan, is also the industry focus on the object.
According to the network spread sichuan fare types of files, there is the following points to note:
1, only parts of public hospital full implementation of two votes
According to the documentation requirements, as of December 31, 2016, in the public medical institutions (with the exception of the ethnic minority areas and other areas at the grass-roots level medical institutions) of full implementation of two votes. Circulation enterprises in ethnic minority areas and other areas at the grass-roots level distribution of medical institutions and drug, allowed on the basis of the "two votes" to open a pharmaceutical sales invoice.
Previously, there are media reports, the state council concerning the implementation of the "two votes" will be appropriate. According to the requirement of the network spread implementation opinions, xu, according to the principle of distance, linkage between urban and rural areas, encourage support regional drug distribution of urban and rural integration, "the last kilometer" through rural drug distribution, based on "two votes" allow to open a pharmaceutical sales invoice, ensure the effective supply of the drug at the grass-roots level, allowing for appropriate distribution.
Sinopharm industry analysts do RongFu told media that our country medicine business development is not balanced, some provinces business concentration is not high, in accord with the premise of the "two votes", realize the distribution of basic drugs in remote areas is difficult indeed. On the basis of appropriate relax, will improve the accessibility of drugs in the countryside, remote areas at the grass-roots level.
Now, two votes policy in sichuan, largely to the adjust measures to local conditions and make the appropriate relaxation of direction. Have the personage inside course of study thinks, this approach is conducive to the promotion of two votes, after a public hospital in the city carried out smoothly, to explore the method of the grass-roots promotion, greatly enhance the support capability of basic drugs.
2, large circulation enterprises can be an additional tickets
Definition of two votes according to the relevant provisions of the file is a pharmaceutical production enterprise to a sales invoice issued by business enterprises, trading enterprises to issue a purchase and sale invoices of medical institutions. The following three conditions shall be regarded as production enterprises:
Integration of trade and industry (1) production enterprises or enterprise (group) the internal only sales of the business enterprise (only one in the group business enterprise);
(2) import general agent (a) only;
(3) trust pharmaceutical producing enterprises or enterprise to sell drugs pharmaceutical marketing authorisation holder.
For the drug circulation group wholly owned or holding subsidiaries to allocate drugs within the enterprise, whether as a ticket that has been more controversial issue, has the definition of sichuan province in the clear explanation.
Files clear, domestic circulation group within the enterprise as a wholly owned or holding subsidiaries in allocating drugs is not seen as a vote, but only allowed to open up an invoice.
According to the blue parker, circulation within the group is seen as a vote of make out an invoice, has always been the focus of debate, industry in fujian province from the earlier to anhui, jiangsu, zhejiang, to the more recent ground of two votes in shaanxi, item would not make that clear.
Medicine circulation industry, he says, if, in accordance with the previously defined, each independent legal enterprise open the invoice for one vote, two votes basically is hard to fall to the ground. And many, if the inside is not a ticket, commercial companies can unite, composed of a large holding group, and then into the internal of make out an invoice, this has to do with the state encourages enterprises bigger and stronger,, mergers and reorganization of the group of intensive development direction is consistent.
Recently, the central committee of the communist party of China and the state council issued the "healthy China 2030" planning outline, in medicine industry, points out that should promote transformation and upgrading of medicine circulation industry, and improve the circulation market concentration, the formation of a group of multinational large medicine circulation enterprises. , so to speak, encourage large medicine circulation enterprises bigger and stronger, is the country's development request, also the provinces are now in the exploration direction. Previously, it is through two votes, fujian raises the concentration of doing business, from the original hundreds of business integration for 11 commercial company with legal distribution of drugs to the hospital.
Analysis of the personage inside course of study, so far, the domestic medical circulation enterprises in 1.3, but less than three thousands of real compliance. Through the implementation of two votes, a large number of substandard enterprises will be eliminated, will also improve circulation market concentration.
Two votes, the provinces in moderation
At the state department official post, clear "two votes" must be born after the reform pilot provinces, an industry outcry at the same time, people care about most is when to start the implementation of the policy.
From the current two votes to promote the progress of the provinces, fujian, anhui is truly fall to the ground, and shaanxi and guangdong also post, introduced in 2017. Shaanxi and even many hospital executive force strong, have recently issued the notice of our two votes to the ground.
In fact, for the implementation of the two votes, the provinces are also beginning to appropriate relax.
Two votes policy requirements, such as shaanxi since January 1, 2017, in shaanxi province city public medical institutions and drug supplies procurement practice "two votes", on the basis of ensure first-line drug supply security, county, town and village medical institutions to implement the "two votes" timely. The first two votes, performed by the city public hospital in the city public hospital carried out smoothly, to explore the method of the grass-roots promotion, many in the industry recognition.
In sichuan province two votes policy mentioned above, currently only required in the public medical institutions two votes, the full implementation of the ethnic minority areas and other areas except grassroots medical institutions, is also a place for two votes policy loosening.
It is well known that anhui two votes policy from November 1, the entire province all public hospitals and execution of two votes. But recently, also there is some good news about moderate loosening. It is reported that recently regarding luan and huangshan city in anhui province were announced the implementation of two votes in remote mountain villages and towns list, does this imply, these remote mountainous area can temporarily not implement two votes?
Regarding luan jurisdiction mountain remote township list as follows:
Town shucheng: xiao days, seven mountain town, township peak, lu ZhenXiang tent, river town, Shang Chi town, five town. A total of seven.
Huoshan county: dahua chemiacl ping town, river flood water town for transshipment, soil on the town, sun township, taiping township, grind pond town, things creek township, ssangyong temple township, the buddhas temple town, fozi mountain town, ridge town assured source of life, and the street town, FuQiao town, but home town. A total of 14.
Jinzhai: GuanMiao township township, marble, locust tree bay township township, changling, fruit garden township, oil mill shop township, iron township, peach hill township, Paul chang township, wu town, heaven village town for transshipment, spot bamboo garden town, white pagoda town, double river town, Shang Guhui town, shahe township, swallow river town, and all the township, hemp port town, the ancient stone town, QingShan Town, meishan town, NaXi Town. A total of 23.
Huangshan city remote mountain villages and towns list as follows:
Huizhou area (3) : rich creek township, township Yang Village, contact township.
Huangshan area (7) : (township, longmen township, village, wushi town, yongfeng township, xinhua village, xinfeng village.
Rapidly (12) : qi native place town, SAN Yang township, town, pengshan county, fork block town, huang tian township, long Gai township, ogawa township, lions, stone township, ShiMen Township new xikou, jinchuan township, township.
Hugh zhengning county (8) : crane, wang villages and towns, between urban and rural areas LiuKou banqiao township, south township, town, Bai Ji township, township, township tatsuta Juan tip.
Yixian (4) : ko village, HongXing township township, beautiful creek township, macro pool.
Qimen (8) : the ancient creek township, township, township LuXi reed pit, tea township, soluble township, AnLing town town, new AnXiang, and peak. |
