Medical network - January 5, drug retail industry is one of the two big sale terminal of the drug. Although it accounts for only about one 5 of the market share, but it is close to people's lives, needed for daily life. Drug retailing industry main body is small, the purchase quantity is little, weak negotiating position, in the industry and social discourse is not large, is a relatively weak market main body. If not rely on their own flexible management and the social public actions to support, it is difficult to establish oneself in the market, let alone development.
Heartbeat, back in 2016 drug retail industry is unchanged: medicine apart is uncertain; Grassroots medical institutions increase slowly with the pharmacy, continue to eat into the market share of social pharmacy; Zero rate to expand the implementation of urban social retail pharmacies and the fiscal subsidies, the hospital image outside the shelter, the prescription match against and control of hospital pharmacy continue repeatedly battle defeat; Retail pharmacies to meet the needs of society, continue to rely on large diversification of health products in health care medicine. Of course, there are also 2016, policy and market changes, and has begun to gradually influence the drugs retail business.
There are seven big problems in 2017, the drug retail industry concern.
1, hospital procurement practice "two votes"
Countries to implement the "two votes" is one of the reasons for compression of circulation, reduce circulation costs, thus reduce hospital purchase price. In fact, under the zero rate policy, most hospitals drug purchase price that patients to pay the price, all depends on which is formed by the bidding price; While the actual purchase price, the hospital depends on the secondary bargaining around. Both the purchasing price has nothing to do with "a few votes". Retail pharmacies not for hospital implementation of the "two votes" would increase the price competitiveness of pharmacy. But, is more advantageous to implement the "two votes" will find affiliated business, ticket transaction, so as to effectively guide the government departments a crackdown on illegal business. If in drug retail industry of implementation of affiliated walking ticket behavior main body, should be reined in, as early as possible to stop this kind of illegal business behavior.
2, electronic supervision code
Last July, the new GSP cancelled the description of the electronic supervision code, but no new "no electronic supervision code" such certainty. Therefore, should not be interpreted as the electronic supervision code exit regulation stage. Instead, establish the traceability system of the new GSP increased, the contents of the drug from production to distribution to the consumer, the quality of each link found security problems, needs to be "source available, go back, responsibility accountable". The traceability system, will include electronic monitoring code. CFDA also clear in another file, to encourage the production and operation enterprises use information technology to establish the food and drug traceability system, encourage information technology companies as a third party trace, professional services, is still clear the direction of the electronic supervision.
In my opinion, the implementation of the electronic supervision code rewritten for the implementation of drug traceability system, not the electronic supervision code "exit", but for innovating the mode of regulation, including the innovation of electronic supervision mode. This is not a electronic supervision content this long, but the electronic supervision content expansion and improvement of implementation. After all, electronic supervision code can have very effective regulation effect.
Pharmaceutical retail enterprise to do now, from the main body of fulfill their responsibility and set up its own internal traceability check system, full whole process, all products, to ensure drug quality and safety, and don't take any chances, in the electronic supervision, quality traceability take advantage of the loopholes in the regulatory mechanism is not sound, so as to avoid future traceability system perfect, give yourself a significant loss, more avoid because of the quality of the drugs and bring harm to the society, to the patient.
3, retail pharmacies in distribution
Retail pharmacies united mining distribution drug retailing is not itself a poineer foster strengths and circumvent weaknesses. So-called united distribution, is a few retail pharmacies (now tens of thousands of) together, become a procurement consortium to pharmaceutical producing enterprises or pharmaceutical trading enterprises centralized purchasing of drugs. This method overcomes the retail pharmacies is small the fundamental weaknesses, with a massive new forms and pharmaceutical production enterprise procurement negotiations, with a massive purchases for pharmaceutical production enterprise of low prices. This is the real quantity and price with quantity purchase, hook, with large amount of volume pricing, price low.
Centralized purchasing is different, and the government leading in the distribution of centralized purchasing, follow market openness, fairness, justice and completely legitimate competition law, and no government intervention, all is decided by mining for voluntary negotiations, autonomous. So, this price, no matter how high is legal and reasonable, low to also won't lose money; Such transactions, do more, also be normal profit, doing less, also is sustainable.
According to practice in the pharmaceutical retail industry: mining formation of the purchase price, there will be no mining for complaints; We won't have the second negotiation, bargaining, secondary selected three times; No longer need the compulsory administrative "votes" "two votes" to compress circulation reached is actually not possible to reduce costs, to reduce the price; Won't produce in a province of the identified purchase quantity price would be a city or in the purchase quantity of one or a few yuan identified secondary bargaining to weaken; The prohibition will not produce the kickbacks and bribes; Don't need medicine, to medicine. Compared with the government's centralized purchasing, drug retailing that does not rely on government forces, completely according to the market rules, compliance to obey the law is the behavior of the rock, shall be recognised by society and the government's encouragement and promotion.
4, reduce hospital medicine proportion, and the doctor free practice and prescription
Reduce the "hospital medicine proportion, matchs outside the doctor free practice and prescription" together, because they are beneficial to increase the market share of the store.
Hospital now there is a phenomenon of excessive drug use, drug varieties is overmuch, quantity and price is too high. In terms of correct excessive drug use, reduce the medicine proportion is an important measure. Medicine proportion is medicines on the proportion of total cost. Ways to reduce the medicine proportion has a lot of, such as increasing inspection cost, increase the cost of treatment, reduce or adjust the drug varieties, dose matchs outside, lower drug prices and allow a prescription, let go of some chronic diseases patients to social pharmacy to buy medicine. Different hospitals, adopts the method of mixed.
This is a good for drug retailing. Although there are various administrative measures of hospital drug prices lower, and fiscal subsidies, is unfair competition in retailing for drugs, but allow outside pharmacy, hospital is the real medical measures separately. This like the doctor free practice, help shake hard to pry prescription control the ice for many years, will be conducive to increase the market share of the store. To this, the pharmacy should be prepared to, so as to adapt to new situation. Want to have enough drug varieties, dosage form, specification and quantity of reserves; To be responsive and mixing in a timely manner, transportation and fast logistics system; To have standard quality management system; Make sure sales operation links and effective in the link of quality supervision; Want to have enough pharmaceutical technical personnel, including licensed pharmacists and equipped according to the requirements of national pharmaceutical technical knowledge of drugstore clerk training, establish the talent base. Only in this way, can it be the recent undertake matchs outside hospital prescription, forwards do adapt to medicine.
5, promote the DTP model
DTP model is a pharmaceutical retail enterprise, pharmaceutical factory, hospital to create a new mode of drugs sold direct to the patient. This pattern of drug the benefits of all parties are "direct". With a pharmaceutical production enterprise that can directly give drug sales to patients, can be directly from the patients to understand the situation, can be directly and consumer settlement costs; 2 it is to the patient, can be directly under the guidance of a doctor for needed medicine, can directly reflect the condition changes, reflect the drugmakers to doctor after the drug effect, can direct access to the medical and medicine two aspects of professional services; Three is to the hospital, can directly get rid of the limit of medicine proportion and drug prices high and low, you can deal directly with the contradiction between the treatment of difficult diseases and the use of new drugs apt; Four is to the doctor: can directly contact all special disease, special medicine and new medicine, can through the pharmaceutical production enterprise comprehensive and rapid understanding some special medicine pharmacology, can explore the pharmacist young their long, division of labor is responsible for; Five is on health care, can choose the most suitable drugs reduce the comprehensive cost directly, you can directly to the pharmaceutical production enterprise pay health care costs, can be used directly charity save health care costs; Six is to charity, can be paid directly to the patient, make transparent charity results; Seven is to the government: can directly implement medical separate pilot, truly separate implementation mechanism between medical and medicine; Eight is to the pharmaceutical retail enterprises: add a new communication convenient, stable sales business.
Therefore, larger scale, management norms, have economic strength, the social responsibility of pharmaceutical retail enterprises, can choose the curative effect is better, especially for difficult diseases), drug prices higher, and new research and development, the introduction, the use of medicines, medical cooperation choose to have the same idea, outstanding medical cooperation ability, good medicine pharmaceutical factory and hospital to participate in the partnership, and strive to enter the scope of coverage. With conditions, we can strive for, and charity, promote social influence, strengthen economic bear ability.
From the current practice of medicine retail market, DTP way has strong vitality, in the years to come, will steadily expand use, but not rapid growth, to a certain proportion, will be relatively stable.
6, attaches great importance to the enterprise merger and reorganization
With capital operation as the link, countries are promoting factors of production to the superior enterprises focus. A pharmaceutical retail enterprise merger and pharmacy, its advantage is to have actual strength; A pharmacy can be acquire other companies, its advantage is to make others willing to the value of the merger and acquisition (m&a); Even shut down, shut off the behavior of the advantage is no longer a waste of national resources, capital of investors no longer wear and tear.
Noble balance take its weight, both balance take its weight. Monomer pharmacies pharmaceutical retail enterprises, especially large and medium-sized cities, to change "ning when the head of a dog than the tail of a lion, don't do PND tail-on" mistake idea, attach importance to the current domestic rate of drug retail chain and chain concentration rising trend, seize the advantage of drug chain enterprises is trying to expand its opportunities, capital, capital transactions of cooperation, unity and strive for win-win. All business operations, shall focus on capital appreciation, can reflect the maximization of capital appreciation, independent operation, merging, takeover is a good method. Governments at all levels should also formulate policies to encourage mergers and acquisitions.
7, continue to develop diversified business, business in various fields
Pharmacy management of drug, is the world's common phenomenon, also is the current domestic market needs. Some pharmacies of drug sales now account for almost half of the business turnover, profit and more than half, become the important pillar of support of pharmacy. But the precondition is that must meet the requirements of the quality specification of drug management, to ensure that is not a threat to the safety of drugs.
The New Year, and more diversified to field operation. One is the way to the "two votes" can be difficult to bring rural health clinics and drug distribution, develop into the rural market, replace the roving doctor dealers, for the rural masses to provide a safe and effective drugs; Two internal adjustment of capital structure is the way to the enterprises and institutions and the stripping operation function of the trend, especially the college logistics reform in medical institutions the opportunity of service socialization, enter the market of medical institutions within large enterprises and institutions, promote unit pharmacy pharmacy; 3 it is to enter the community market, to actively promote community health service stations built the clinic not only built pharmacy and promote these institutions and social pharmacy prescription of the cooperation, make the medical and health services and medicine services "business and not capital", make the community crowd can also enjoy the high quality of health service and low price of the drug is safe and effective safeguard; Four is to enter the door to door service market, to play to the advantages of community pharmacies with close links to the surroundings, for patients with chronic diseases, special disease, long-term medication of patients to provide pharmaceutical consulting, online sales, door-to-door delivery and other services needed, even can establish membership, door to door, and one to one service; Five is to expand health field, not only involves the disease treatment, also involves the mentality, mental, and spiritual level. Pharmacy sales both physical and sales service, in the economic developed, high level of consumption of the big cities, health care products, cosmetics, medical equipment, sports equipment and other large sales of health products, nutritional interventions, nutrition, health care, health advice big health services such as sales, market potential is very big, the pharmacy has a unique professional advantage, credit advantage; Six is to enter the medical cooperation and conditional pharmacy can inside the store, sets up the western medicine of traditional Chinese medicine clinic, shop next to the integrated supply of health care, pension, medical and drug rehabilitation services.
In a word, drug retailing should be from against disease and treatment of disease to health as soon as possible, keep fit and increase the management content. Brief is drug retailing Yu Guoji is longer than the livelihood of the people, but not the livelihood of the people, no meter. From this height, drug retail industry will be insipid, stubborn but vibrant future. |
