Medical network - on January 11, drug prices artificially high has long been a problem, to solve this problem, highly attention to policy of "two votes" officially announced, 9 countries who planning commission held a regular news briefing in the morning, the eight departments recently jointly issued "on the public medical institutions carrying out" two votes "drug purchase notice.
What is a "two votes"? "Two votes" doing? How to implement? We come to understand one by one.
A, what is the two votes?
In our country, most of the production enterprises to adopt drug sales mode is the agent for the sale, and through the layers of premium, there will be three votes, four votes, and even more. "Two votes". This means that drugs from the production enterprise to open an invoice of enterprises and circulation enterprises to open an invoice of medical institutions. Purpose is to compress pharmaceutical circulation, make the middle price transparency, further reducing drug prices artificially high, ease the burden.
Second, the "two votes" how to implement?
"Notice" requirements, the comprehensive reform pilot provinces, autonomous regions and municipalities and public hospital reform pilot city public medical institutions should take the lead in implementation of "two votes", to implement the "two votes" encourage other areas. In 2017, further expand the scope of implementation of "two votes", in the national push for 2018.
Three, how to stipulate special circumstances?
In order to ensure the "two votes" smooth, guarantee the timely and effective drug supply, "notice" also made special provisions for some special cases, including:
In order to guarantee the effective supply of the basic medicine, prescribed drugs circulation enterprises for special remote township (town) or village, traffic inconvenience, pharmaceutical, medical and health institutions distribution based on "two votes" allow to open a pharmaceutical sales invoice.
In response to the outbreak of natural disasters, major, major events and the patient (rob) save the special circumstances, such as emergency purchasing drugs or national pharmaceutical reserve drugs, can carry out special processing.
For the circulation of narcotic drugs and the psychotropic drugs of category I, still according to the regulations of the state.
What is the cause of the four, drug prices artificially high?
In the conference, the state council reform office deputy director of the full-time Liang Wannian responded to the society for some controversy on the implementation of the "two votes", including the idea that drug prices artificially high moisture mainly in procurement, pricing, is not in the circulation. Liang Wannian said that part of the drug prices artificially high because circulation is not rational, the first comprehensive reform pilot provinces, jiangsu, anhui, qinghai, the reform practice of fujian do further verified the circulation water can be further compressed, let common people benefit truly, this is the direction of the reform.
National health development planning commission, points out that due to historical reasons, medicine circulation field "more poor small scattered" status has not been fundamentally improved, medicine circulation chain length, distribution order is chaotic, the affiliated business, ticket money laundering, cross trade, problems, such as gold sales pharmaceutical commercial bribery occurs frequently. Medicine circulation field these mess interaction, mutual influence, and push up prices for medicines, fuelling corruption medicine purchase and sale, restrict the further development of medical and health system reform, cause a great loss to the government, society and individual. To solve these problems deeply, only by the market spontaneous adjustment in the short term is difficult to achieve significant results, and China must pass medical treatment, health care, medical reform, linkage punch, speed up the pace of governing revolution.
Five, the implementation of the "two votes" can bring what change?
At present it has 12 provinces, introduced the implementation of the "two votes" policy, including fujian, anhui, shaanxi has officially fall to the ground. Researcher at the national center for health and family planning commission research Fu Hongpeng said pharmaceutical producing enterprises to consider the cost of the original, including multi-layer agent cost, the cost of ticket money laundering these gray, etc., through the "two votes" purification of circulation, drug firms in the tender offer, the costs can be substantially decreased, purify the circulation, reduce the cost.
Six, "two votes" can solve the "expensive" stubborn?
In a large public hospital, with medicine cure is still the dominant mode. Experts think, want to prevent "press the gourd float gourd ladle" phenomenon, even if the two votes to drug prices down, but the patient's medical treatment cost can not down. In the implementation of the "two votes" at the same time, should speed up the perfect public hospital compensation mechanism, to break "to the medicine cure" mechanism, adjustment of medical service prices, salary system reform, improve the medical staff of the sun. When the hospital have a reasonable income channel, do not need to generate income from drugs, drug prices will come down in the middle of the competition.
, a researcher at the national center for health and family planning commission research Fu Hongpeng said two votes to deal with drug prices artificially high have motivated effect, it needs a series of combination, including the verification of production enterprise production costs, more specification for public hospital drug centralized purchasing management, payment and drug standard policy, as well as the comprehensive reform of public hospitals, which are the final prices boost return to normal. |
