Medical network - on February 7th February 3, fujian medical security management committee office of the implementation of medical insurance payment settlement price based medicine joint limit sunlight procurement notice. Drug price according to the fujian province joint procurement sunshine, according to the work schedule rule out directory search time, from the joint procurement notice issued until February 3 provincial joint procurement results on February 20 rounds include during registration, reporting, auditing, related links such as quotation, price negotiations, a total of only 18 days!
Despite starting from the second half of 2016, the fujian medicine voice has been lingering in the ear, but when it really comes, or some surprising: 18 days of time to complete a step-by-step provincial medicine (not lozenges area negotiation purchasing), since it in no. 7 and no. 70, even in the last ten years, is the fastest in the history of medicine at the provincial level.
The author thinks that, haven't experienced a glorious history of medicine is not enough to talk about life, and fujian medicine recruit that exist -- GouBiao district hospital, two votes, landing area at the provincial level standard, according to the professional route selection indeed slimming directory... Could someone might say: fujian medicine so have skill, why don't you god? Smell this, fujian medicine will recruit a captivating smile, the answer is simple: sorry, I have been in the heaven!
, though, are the fastest in the history of medicine at the provincial level behind the recruiting activity, what is the profound mystery and background? The author thinks that there may be those four sorts of tip:
Part one, 2016 "CCTV exposure hu xiang hospital" event is the pioneer
"Silent night" in 2016, Shanghai, hunan related hospital never thought, they do not have in the "jingle bells" holiday gifts to celebrate the Christmas grandpa, but inadvertently received from CCTV team night investigations. The author thinks that, this is organized, planned, the depth of the decorate and arrange interview. Because in the modern society, to solve a problem, or to carry out a job, one of the most significant characteristic is military forces, leading public opinion.
So, from this perspective, the CCTV AnZha drug kickbacks, together will not merely average depth of drug prices artificially high and kickbacks event investigation as simple as that. The author believed that the early detection of temperature by balloon, scraping the bone healing beaten down for the next step to public opinion, to "drug prices to go down, to come up, health care service to keep" the ultimate goal.
CCTV report, drug price in the price of the goods and become a lightning rod for criticism of the huge contrast can be seen, reporters from the beginning focused target is very clear, is for drug prices. But, after all, the media is a kind of propaganda, an objective attitude, behind it, you really want to say is that the province in terms of drug purchase way, to speed up the transformation of the speed and frequency, can't wait, can't drag.
Second, the GPO, pilot cities purchase indicated that transformation of the mode of drug purchase to speed up to the provinces
Since 2015, no. 7 and no. 2015, say, had an obvious change in his province in the aspect of drug purchase, but there is still a gap from the state's overall requirements.
So, this for more than a year, and no. 7 and no. 70 obvious result from purchase way arises at the historic moment: pilot cities and GPO, self-built platform independent procurement, provincial drug centralized purchasing has been serious "fragmented", although this year, make drug firms already drugs down squealed, Shouting to bear, but believe that there is still no related desired.
In fact, "drug prices artificially high" and "expensive", is actually the use of medical insurance funds has led to increasingly in the bottom. That is why, countries in recent years, has been to promote sanming mode.
Such as in health care do in fujian province was established only a month's time, is issued "about further violation of patients rights and interests of diddle medical insurance fund and notice, the production and circulation of medicines, including the fixed-point hospital, put forward to hospitals and doctors clear the constraints of the requirement, if the breach and violation is included in the" blacklist ". Is, in short, through the health insurance fee, hit the "tickets, money laundering", compression drug prices artificially high moisture, drug consumption price, adjust straighten out medical service price, and to supervise the price.
Three, fujian "10 standard" will play the role of leading the direction of the wind
Read through the fujian ten standard file, combining with the relevant policies, we see that fujian joint procurement directory is based on standard drug purchase 9 directory of fujian province, with reference to the province medical professional committee of classification, commissioned two seven hospital experts to recommend joint limit sunlight procurement directory. Joint limit in the directory under the strangulation of the compressor, the sunlight procurement through "filters", determine the directory a total of 1979 of 2253, among them, 1432 species of western medicine, 1697, 547 kinds of proprietary Chinese medicine, 556, the drug is divided again "therapeutic drugs", "adjuvant drug" and "nutritional medicine" attribute.
According to fujian province medical security management committee office yesterday released the latest documents, fujian ten standard catalogue purchasing large during the implementation of the nine standard adjuvant drug varieties, monitored, and does not belong to the medicine, cheap medicine directory of proprietary Chinese medicine injection and artificially high price of drugs to be obvious; To not in the catalogue of clinical application of antibacterial drugs classification management of fujian province (2012 edition) of antimicrobial not included in the procurement directory; For some nine standard had not been shortlisted for the provincial medical institutions to declare and through the national essential drugs and the varieties of the assessment and some inexpensive "effective" drugs in common use.
It is not hard to see, in the whole country study, learning under the background of fujian sanming, fujian medicine thought that as the ultimate goal, to "lite directory + drug purchase, medicare payment" three tightly bound, give full play to the health of throttling function, in "below the price difference to the medical institutions of medical insurance settlement price" of the background, the enthusiasm of medical institutions at all levels to bargain would increase greatly. In health care costs into cost under the trend of gradually, through the "ensure clinical requirements are met and to ensure that strengthens the medical insurance fund retained, to ensure the profitability of the hospital" of the "three guarantees", then to realize to speed up the pace of reform of public hospitals, achieve the goal that we should standardize the order of drug circulation, thus improve the drug supply security system in the new situation.
All of this mean for the drug companies are, under the new situation of fujian drug purchase, will break the traditional "play", more resolute attitude (a new scheme for public opinion, not directly in the form of "rules" issued), voice more vehement (sun selection real-name assumes overall responsibility for the procurement catalogue, in the related media and website, accept social supervision). Under the new situation of fujian drug purchase, either from the perspective of the compression of profit margins or in market access link lead, both in terms of sales model of the beginning of the qualitative change or to the top of the market planning, bring people is more of a "barbaric" interest exchange type shift towards the direction of the "green ecological development", and that, in the future will become a country of drug purchase an irreversible trend.
Four, drug price system will go next
Therefore, combined with the recent relevant policies and dynamic spirit of medicine for fujian, the author expected the next step, involving the drug price system, will have the following actions:
One is in the pay standards for health care policy after the rectification, medical insurance payment standard specific party in all the provincial level, is not a problem do or do not, cannot "wait and see", "look," but after the country issued instructive documents, must act immediately to the provinces.
Second, drug purchase allow continued fragmentation, as long as the ability to quickly reduce the price, GPO, pilot cities and county alone may be rapid advance purchase. Provincial procurement to shift wait-and-see attitude, in the provincial level shall first cut a knife, cut, and successive cutting at least once a year!
Three is a new pattern of fujian in the near future will be rapid promotion in the country. |
