Medical network - December 29, again a few days, we will say goodbye to 2016. The reform of public hospitals in our country's "ice-breaking" pace and slow for because the coming of the New Year.
On December 25, CCTV "topics in focus" to "to say no to higher medical consumables" exposure under medical consumables prices "black hole", between the manufacturer and the doctor again in the public face of "hidden rules".
This is within a month, following the "medtronic on suspicion of medical equipment price monopoly and unfair business d by the national development and reform commission fined 118.5 million yuan" and "silent night exposure and doctors medical representatives gruesome" rebate phenomenon, our country to reform deep dark strip cut out of the third ax.
The graph is: on December 25, CCTV focus interview program "to say no to higher medical consumables" screenshot
"He's not artificially high But profits"
Said to "expensive", in the hospital surgery patients may have feelings, often tens of thousands, even tens of materials is too expensive, let patients under strain.
In the CCTV program, as a representative of the water to crack the problem of ningbo, in the most representative of three hospitals have done a survey, the results found that between 2010 and 2012, three hospitals of medical treatment cost to increase in average annual rate of 20%, which consumes the material cost increase more reached 31.1%, it accounts for 22% of all hospitalized patients total - 30%, accounted for about 50% had the surgery patient's medical spending.
"(medical) supplies the profits may be more than one hundred percent", ive ningbo medical center hospital jian-qing zhou said, "is not inflated, it's a matter of profits."
Medical consumables in hospital medical costs of increased year by year, but at the same time, the specification management of the hospital for medical consumables was obviously lags behind, especially the trend has become increasingly significant low-value consumables etc, both increased the burden of patients, but also to the health insurance fund expenditure caused great waste.
"While the priest climbs a post, the devil climbs While the priest climbs a post,"
Under normal circumstances, the hospital after sales way of consumables, passes through the national total generation - province, area generation - a medical representative, finally to patients. In addition to each link layers of premium, in around the bidding, the moisture in the drug prices standing up even vendors often, to make kickbacks from space.
Long interests chain, left medical consumables prices artificially high enough growing space.
Report shows that in order to solve the problem of medical consumables artificially high, ningbo has also thought a lot. Five years ago, for example, they will take the lead in the national implementation of the policy of "zero price difference", medical consumables purchase price how many money, patients with how much money. That is to say, regardless of the number of hospital purchase price is all make less than a penny, hope can restrain the impulse of the hospital, and the price is purchasing. But the price of medical consumables and, therefore, is not down.
Why is this?
Originally, although the implementation of "zero price difference", the hospital in the consumable purchase and use, no benefits, however, on the one hand, since hospitals are fragmented, in bargaining with the manufacturers don't have much bargaining power, it is difficult to talk about the price down.
And, more importantly, the doctor has a lot of autonomy in the material choice, "bay" on the price, but there are still operating space on brand choice.
"Consumables prices artificially high, the manufacturer or distributor have considerable profit space, will do some non-standard illegal economic exchanges." Jian-qing zhou said.
Is the so-called "while the priest climbs a post, the devil climbs, while the priest climbs a post, the devil," as long as there is interest drive, it will be difficult to stop the carrier in a variety of interests "appearance".
Such as through academic study, training, seminars, promotion in the doctor, and even hit "emotional" brand, the doctor will consciously or unconsciously use some of their more high price products. "So on the one hand can aggravate the patient's burden, but also to the adverse impact on hospital image." The second hospital ningbo Cai Ting said.
"Snake three inches" pilot centralized purchasing
In order to solve the problem of "empty", from the source of the water, since the end of 2012, ningbo health took a key step: implement material centralized purchasing.
Ningbo city planning commission secretary of the party committee, director of China said, "to reform medical consumables purchase way, involving the interests of all aspects, to satisfy all aspects, will considerate, do the work solid, careful, be open, fair and transparent. The reform will face a lot of pressure, in fact, the most sad is RenQingGuan."
To this end, ningbo build the "three lines of defence".
The first line of defense: shortlisted for the enterprise qualification to calculate by computer
First of all, the rating of the supplier qualification elements by computer, the evaluation results on the spot open, let the unqualified enterprises couldn't get into the gate, and walk not to the back door.
The second line of defense: brand selected by experts in charge
Second, how to living quality, but also a difficulty in centralized purchasing. How to guarantee the quality of medical consumables, let the doctor make the comfortable, let patients get satisfaction, ningbo set from each big hospital experts recommend, independent vote for the qualification for the brand, according to the number of votes to select price negotiations for the brand.
The third line of defense: type combination, cut down the price
In quality assurance at the same time, the key to keep the price down.
On the one hand, the material centralized purchasing to ningbo the quantity of the whole market to strengthen the bargaining power;
On the other hand, in order to prevent some vendors loophole, in comply with the same specification product price clinch a deal at the same time, the principle of special proposed a "principle of the whole series of products to clinch a deal," which is the same kinds of different specifications of the products, clinch a deal can only be one of the specifications of the products.
The implementation of a series of measures, brought a welcome change.
So far, ningbo has five points, 18 categories of 1436 kinds of medical consumables products for the centralized purchasing, the average decline reached 43.15%. By the end of June this year, already save medical costs 576 million yuan.
Surprisingly, when costs decline, the amount of medical consumables has also appeared to be markedly reduced. Jian-qing zhou thinks, this shows that without their pr, doctors tend to be more rational use of consumables.
Postscript:
Reduced cost of medical consumables, let patients gained, at the same time, the costs of health care spending growth also received effective control.
Ningbo Chen ying, deputy director of the social security administration, said in 2015, ningbo four 5 medical institutions, and for better control fee, get the medical insurance fund.
Blue whale health thought, not only the reform of public hospitals must break "medicine for the medical mechanism, also want to break" consumable materials for medical, guide the active control medical costs, medical institutions to control the use of consumables. As, national center for health development planning commission health development research yuan should be mentioned in the Jane, although medical consumables procurement reform is very difficult, but if we can break the existing some not perfect purchasing system, using public trading platform, to achieve cross-regional league, will have greater effect. |
