Medical network on Feb. 9 - as the sole supplier of some drugs, a drug firms recently found in jiangxi, nanchang anyi two public hospitals never to purchase drugs, but never broken the drug companies. After that, without open tender to the hospital pharmacy trusteeship to other drug firms to operate, the latter to pay millions of dollars of profits to the hospital, and some other drug companies exclusive supply of drugs with the help of this model into the hospital.
Anyi who planning commission said after investigation, insufficient financial input will be a local hospital pharmacy trusteeship, the main causes of expediency, all now have been suspended.
Experts said the break against the background of medicine for the medical, pharmacy custody will be prohibited, in order to guarantee the normal operation of the hospital, the moment to establish compensation mechanism "can replace drug income".
Was managed, hospital pharmacy suspected party denies
"Simvastatin, potassium chloride sand pills... of 8 kinds of drugs, is exclusive entrust my company supply manufacturers suppliers, in recent years, we have no sell anyi county people's hospital and anyi county hospital of supply, but the hospital has never broken the drug." , jiangxi province, south China pharmaceutical co., LTD. (hereinafter referred to as south China medicine) about li yong, director of (a pseudonym) feel some catch in it somewhere.
It is understood that in jiangxi province since 2008, when the implementation of online drug centralized purchasing, put an end to fake and shoddy products into the hospital. At the same time, use centralized purchasing economies of scale, reduce drug prices further.
Clearly stipulated in jiangxi province, county and above the county level people's government and state-owned enterprises subordinate to the non-profit medical institutions as well as the implementation of the national system for basic drugs grassroots medical and health institutions shall be included in the province online, the drug centralized bid procurement is not allowed to purchase or purchase the winning of drugs.
And one more thing is li yong felt strange, in the case of without open tender, two hospital pharmacy trusteeship to other drug firms to operate: "public hospital pharmacy trusteeship belongs to the government procurement projects, need to through public bidding procedures, such as how can privately managed?"
Aimed at this situation, the reporter came to anyi county people's hospital in January 9, desire it. "Hospital pharmacy is not managed, has been in the management of hospital management." Anyi county people's hospital dean xu said.
Faced with simvastatin, potassium chloride sand pieces of eight kinds of medicine how to buy, strong will, said xu anyi county people's hospital has always been in jiangxi province medical service platform for procurement, but rare in platform can't purchasing drugs, also for the record to the administrative departments of medicine, buy from other sources.
In addition, anyi county hospital also denied the pharmacy custody of this question. Anyi county hospital pharmacy department director ZhanPingYing explained when surveyed, the hospital and another really pharmaceutical enterprises signed a purchase agreement, the related agreement in the province medical service platform for medicines, priority for the enterprise won the bid for drug purchase, and this is for the convenience of hospital centralized purchasing drugs, is not a pharmacy trusteeship, "procurement platform of the bid-winning enterprises and the winning drugs, hospitals are free to choose".
"Learning experience of practice in nanjing"
Stalemate, the south China medicine immediately to the anyi county health and family planning commission (hereinafter referred to as anyi county health development planning commission) presented the anyi public hospital pharmacy trusteeship problems of questioning ", the investigation and handling.
On November 15, 2016, anyi county health development planning commission, according to the survey after the reply reply to rectify unhealthy tendencies in the field of medicine purchase and sale, anyi county people's hospital, anyi county of nanjing traditional Chinese learning experience, successively in 2008 and 2008 to explore the implementation of hospital pharmacy trusteeship. Jiang Xihui benevolence medical scientific research group marketing co., LTD. (hereinafter referred to as hui ren medicine) for two hospitals drug distribution enterprises.
We have learned, in February 2006, led by nanjing commission for discipline inspection, the nanjing 156 secondary medical institutions will be under the full custody to the nanjing medicine, pharmacy or without changing the hospital pharmacy, ownership and staffing entrusted nanjing medicine pharmacy management. Hosting companies responsible for the procurement, distribution and daily management of all drugs, nanjing medicine will pharmacy custody fee will be 35% of the revenue per year back to the hospital.
Anyi who bear recite tree introduction, deputy director of the planning commission to anyi county people's hospital as an example, its annual purchase amount is about tens of millions of yuan, the pharmacy trusteeship, mandatory drug firms to increase the amount of the purchase of nearly 10% a year as profits to the hospital, anyi traditional mode of operation in line with nanjing.
"Because of a shortage of financial burden, medicine for the medical operation mode is the operating funds for hospitals to solve the problem, but it not only develops the momentum of drug prices artificially high, also left a hidden danger for medical kickbacks, so we had to implement public hospital pharmacy trusteeship." Recite the tree bear the truth, in the original idea, pharmacy trusteeship can cut off the interests of the relationship between doctors and drug companies, to put an end to the "excessive" and medical kickbacks, contain "drug prices artificially high" purpose.
County health development planning commission called pharmacy custody
Pharmacy trusteeship, can really play a role?
In fact, in nanjing, because later to bid on the pharmacy trusteeship enterprises is becoming more and more hospitals is becoming more and more high proportion of return is put forward, some even reached 50%. In addition, the drug firms also had to government's commitment to cut prices by 5% ~ 10%, which makes the drug companies hosting costs continue to improve. Under strain, in 2009, jiangsu province health department requires more than secondary medical institutions to implement the provincial drug centralized purchasing for the unit.
"We are 3 years contract, the hospital and mandatory drug firms have been to renew the contract." Bear recite tree explained that the reason without open tender has a pharmacy trusteeship, at first, because in addition to hui ren pharmaceutical and no other big drug companies are willing to participate in bidding, so directly on the hui ren medicine for hosting drug firms.
"Pharmacy trusteeship becoming a beacon, south China medicine is unbearable." Bear recite tree recalls, in October 2014, the south China medicine offered to intervene in the pharmacy custody business, but the two had just renewed public hospital trusteeship contract, it's not reasonable to stop directly, so the anyi who planning commission promised to mandatory completion of the contract, they invited south China with hui ren pharmaceutical medicine competition.
But he did not think of, in the pharmacy trusteeship contract expires, anyi county hospital of breach of promise, still with the pharmacy trusteeship contract renewal the move to other pharmaceutical companies lost patience.
"According to regulations, at that time, our province has implemented online drug centralized bid procurement is not allowed to purchase, we therefore put forward the criticism to the hospital." Bear recite the tree said.
In the face of this situation, under the relevant pharmaceutical companies continue to reflect, anyi county health development planning commission began to demand that anyi county people's hospital and anyi hospital with hui hui medical communication consultation, properly handle the termination of the pharmacy trusteeship contract related matters. Finally, on December 31, 2016, the above two hospitals with hui hui medicine pharmacy trusteeship contract was ended. From January 1 this year, the local began to strictly implement the national drug bidding procurement policy and practice of online bidding procurement.
What should the pharmacy custody qualitative?
Experienced a storm, for pharmacy trusteeship, anyi who planning commission also had a more clear understanding.
"According to the principle of law no ban, allow, if a country has no clear stipulation pharmacy trusteeship is illegal, so as long as after a public bidding such as legal procedures, or can do, but the government's attitude is neither support nor oppose." Recite tree bear the truth.
In a letter in reply for reporting, anyi county health development planning commission made a meaningful way: if there is no clear provisions of the state public hospitals cannot implement pharmacy trusteeship, our county will make bidding scheme, based on the principle of fair, just and open, through the government public resource center, a bidding.
But on the question of pharmacy trusteeship, there are still a question what is confusing to the outside world, "massive custody fee, commercial bribery count?" Pharmaceutical is, after all, the hospital will be needed for all the mandatory drug firms exclusive distribution, who therefore pay a benefit to the hospital, how should be qualitative this charge for?
"If countries banned pharmacy trusteeship, then custody is likely to be suspected of commercial bribery, and belongs to the unit bribery; but under the condition of the policy is unclear,
Everywhere in the pharmacy trusteeship, it was suspected of side-door. "The bear recite trees have their own views.
According to media reports, as a result of system vulnerabilities, "moth" pharmacy trusteeship emerging, more frequent corruption. Sword originally refers to the medical system and drug kickbacks system design of commercial bribery, such as corruption, pharmacy trusteeship in bidding, charge management fees, expenses for medicine JieFu in practical link entities such as holes.
Break medicine for the medical, the compensation mechanism of needs to be built
"Hospital pharmacy trusteeship cannot solve in medicine cure, it is impossible to truly achieve pharmaceutical separately, and there is a lot of risk, is another kind of medicine for healing." , says Hu Shan couplet, a professor at the fudan university school of public health, on the face of the hospital, though no longer sell drugs, reducing drug prices, reduce hospital operating costs and promote corporate profit growth, seems to be beneficial to separate "medicine", but in fact, the trustees have interests appeal, will the hospital pharmacy custody "territory" as their own profit, excluding other drug dealer agent products. Hosting regional range is wider, hosting the more hospital, will pursue the maximization of profit, the more likely it is to achieve the purpose of distribution monopoly.
The personage inside course of study points out that, called the medicine separation for so many years, but there has been no movement, the fundamental reason is that drug is a indispensable in the hospital income, so to break with medicine medical, the most fundamental way is to establish and improve the corresponding compensation mechanism, only increase the government investment, establish compensation mechanism, to return to the value of the doctor, can attain the goal of the reform of the "medical" separately, solve the problem of expensive. |
