Medical network on December 8 - one month ago, "guangdong province third party drugs medical consumable electronic trading platform trading system" is launched, opened the prelude of guangdong medical consumables concentration on-line trading. On November 23, drug trading center of guangdong province announced that guangdong medical consumables to realize all the net trade, and implement the "day trading".
Drug trading center in guangdong province, deputy general manager of Yu Feng told reporters: the 21st century economic report "the net is a transitional phase, before bidding not ready this transition is longstanding. Eventually or negotiation, or bid."
The past few years, medical consumable bidding price war to play around, both spread to high-value consumables, also spread to the ordinary materials and test reagents. At the same time, the medical consumables have waved past high profits era.
Even so, the 21st century economic report reporter discovery, medical consumables prices artificially high phenomenon is still there. And unlike drugs in medical consumables for lack of unified and standard management information, inconsistent standards differ, name, logo is not clear problems such as frequency, purchasing difficulty to carry out the bidding and negotiation.
Centralized purchasing is still in groping
Guangdong medical consumables trading platform, according to data so far, the platform application unit 3825 have 3825 production enterprises, distribution enterprises, the product has validity of nearly 500000, 8095, clinch a deal the contract transaction value of 1.17 billion RMB. In addition, the platform on a bargaining updated every day, bidding by the original once a month instead of once a quarter, more concentrated purchase quantity.
Yu Feng told 21st century economic report reporter: "now just started hanging net, it's difficult to assess the effect. But a lot of varieties of price fell by 30%, especially the high-value consumables, such as heart stents and pacemakers, from tens of thousands of yuan to thousands of yuan."
Medical consumables generally divided into high-value consumables, low-value consumables and diagnostic reagents, among them, the high value consumables are used for planting, burial, fixed in the body is damaged or pathological changes, to support, repair, replace the function of medical consumables; Low-value consumables refers to the clinical departments more extensive use of the medical health materials, such as infusion apparatus, cotton swabs.
Medical consumables gross margin is higher, often share investment general manager Zhao Hong pointed out: "medical consumables production cost is not high, price is not low, before in the age of a windfall."
As with drugs, centralized purchasing has been as a means of reducing medical consumables prices artificially high.
In July this year, guangdong province development planning commission and other nine departments of medical institutions in guangdong province medical consumables trade measures, regulations of medical institutions must through the trading platform to purchase all medical consumables.
"Compared with drugs, material centralized purchasing policy document is small, the provinces material centralized purchasing is proceeding as drug vigorous, it also lack of the basis, is difficult. So either use hanging net trade, or choose a few varieties of centralized purchasing and negotiation." Yu Feng said.
Domestic existing medical consumables main reference drug procurement rules, at present there are mainly three kinds of procurement mode.
Among them, the guangdong medical consumables belongs to hang net purchase trading platform, its advantage is flexible classification, directories, good compatibility, interoperability is better. But in terms of price bidding and negotiation purchasing effect is good.
The second is centralized purchasing, divided into pure bidding and double envelope. Pure bidding may appear vicious competition; Double envelope function is the same, competition in the market for a full product, but different material and drug, a lot of specificity than are common, objective evaluation index is difficult to determine. In addition, part of the material name and classification of chaos, is not conducive to bidding grouping, a variety of product competition is not sufficient or function of the same kind of difference is bigger.
The third one is negotiating procurement, doing less. Typical case is after is known as "ningbo rules", in the whole area of consumable purchase amount for chip, through supplier qualification review, expert brand selection and purchasing price negotiations review to ensure the effect.
Way, even with the netting Yu Feng said: "the material price is very high, the artificially high degree than drugs, drug centralized purchasing now walk in front of consumables, material has been in a state of relative scattered, then can use the method of drug purchase, remains to be discussed."
Reporters learned that guangdong medical consumables centralized purchasing is divided into a few steps, since December 18, 2015 to start the consumable transaction registration work, October 26, supplies the net trading launched after the operation, the system will be implemented for 2017 parts of high-value consumables for trading, finally realizes the full varieties bidding or negotiation.
Yu Feng further said: "the next step is to bidding and negotiation transactions, high-value consumables used for trading, others use bargaining way, 2017 will do at least one batch of high value material bidding."
Small scattered industry
Centralized purchasing to production and distribution enterprises and hospital no small impact. In guangdong, for example, three sides feedback on current medical consumables in guangdong trading platform.
Among them, the production enterprise of new rules on trades scope definition is not clear, part of the enterprise registration is not positive, worry about the price was collected as the price, product data maintenance is not clear; Bargain hospital focused on trading volume, procurement not complete species, distribution agreement has not been established, the purchase price is difficult to determine, etc.; Distribution companies are not timely response contract, beyond distribution and coordinate with production companies and hospitals.
Yu Feng said: "both centralized purchasing and net purchase by sunlight means lower prices, if this is the source of profit hospital, hospital enthusiasm is not high. If the drug, consumables into hospital costs, the hospital must have an incentive to reduce costs."
Manufacturer's attitude towards centralized purchasing is more obvious. Zhao Hong told 21st century business herald reporters: "the manufacturer's participation will certainly is not high, because the price lower profits thin."
Medical consumables, meanwhile, low barriers to entry, many manufacturers, and complex, the bidding system, also affects the centralized purchasing process. Guangdong province people's hospital equipment coco long ming-hua zou, points out that medical consumables industry product gauge indiscriminate, price, circulation problems.
Product gauge disorderly refers to a lack of unified quality standards and product coding. Reporter understanding, at present the national association of various material coding is still in the research, the national unified high-value consumables) was no database.
In addition, the similar species in such aspects as material, specifications, models differ in thousands ways. Good and bad are intermingled of low class material vendor number, confused; Product update quickly, manufacturers often upgrade price.
Price disorderly refers to the same varieties of different production enterprise price difference is very big, do not match the price the same manufacturer varieties in different regions.
Circulation is walking ticket company more, the intermediate links. The national accounts for most of the small and medium-sized suppliers, poor coverage. Medical institutions purchasing of autonomy, distribution lack of unified standard.
"In the hospital, medical consumables cost high growth, in 2009 to the present medical expense is the fastest growing high-value consumables." Ming-hua zou said.
It is worth noting that the medical consumables in trans-provincial joint procurement gradually rise. Joint, beijing-tianjin-hebei medical consumables in six western province centralized purchasing starts, in mid-november, Shanghai, jiangsu, zhejiang, anhui and fujian province signed the "Shanghai neighboring fujian system of joint conference for establishing comprehensive health care reform, four provinces and one city agreement, consumable purchase synergy among them.
"Now consumes the material procurement platform tend to be more than a province, cities, some hospitals also have their own platform. The industry has been calling for a unified procurement platform, unified platform or area." Yu Feng said. |
