Medical network - on July 26, combing the new healthcare reform thorough implementation process, the countries in the new healthcare reform around the "basic, building mechanism, strong base" of the core infrastructure reform policy.
During the period of "much starker choices-and graver consequences-in" with grassroots medical service operation mechanism establishment and full implementation of the national medical and health resources will flow from two tertiary hospitals to public medical organizations at the grass-roots level, and will become more and more strong trend, thus to our country basic medical services and the landscape reconstruction and the development of the medical market to produce a great driving force.
Medical circulation has come to the base
First of all, China's primary medical service and the primary medical market will usher in a golden period of breakthrough during the 13th five-year plan period.
Around the community medical service market fast development, the medicine circulation enterprises integration of grassroots medical channel resources, improving the capacity of grassroots medical and pharmaceutical distribution services, accelerate push terminal business transformation to retail diagnosis and treatment of the rare opportunity. In the new medical reform policy under the influence of the powerful driving force, objectively promote grassroots medical service market gradually become our country medicine circulation industry the most potential market segment, new in-depth implementation of the healthcare reform will undoubtedly become the basic motive force of the development of the medical service market gradually policy. In addition, the state to strengthen the management of medicine circulation industry standard, the implementation of medical institutions and drug bidding procurement mode, promote drug purchase of medical institutions "two votes" policy, as well as to the pharmaceutical production enterprise implementation of the new tax policy, will further strengthen the drug price level tends to reduce policy expected for a long time, the medicine circulation industry into primary care terminal retail market provides a rare policy opportunity.
Second, has the rich product resources and the comprehensive state power of the large cross-regional leading pharmaceutical circulation industry, basic medical services and medical market in our country after the pattern of reconstruction, holding the advantage of developing basic-level market.
In national policy under the influence of the new medical reform, large-scale cross-regional leading pharmaceutical circulation industry to cover to grass-roots medical retail terminal channels and has a first mover advantage of resources integration, and through continuous push channel integration strategy, will be the last kilometer of terminal distribution bottleneck, the first breakthrough will eventually become a share future primary care and retail the biggest beneficiaries of the huge potential market. At the same time, large cross-regional pharmaceutical circulation enterprises intensive integration of grassroots medical services market, will promote grass-roots medical demand and reasonable medication compliance, comprehensively improving the capacity of grassroots medical services, become a new health care reform to achieve grassroots medical operation mechanism target indispensable important factors.
New trend of the 13th five-year plan
Will China's primary medical services and the basic medical market evolve in the 13th five-year plan period? What new pattern will emerge? The author will analyze from the following three aspects.
Policy development opportunities
The country has taken the development goals and direction of the primary medical service industry into the target of the 13th five-year plan. This year, the 2016 government work report of the two sessions of the National People's Congress reaffirmed the need to promote the flow of medical resources to the grass-roots and rural areas.
Can be expected, the state trajectory, to promote the development of grassroots medical services will focus on 3 d linkage mechanism to promote as a starting point, to strengthen the development of grassroots medical services resources and talent base for the gripper, promote transfer of medical resources to the grassroots medical service market in China.
This will bring two significant changes to the primary-level medical market. First, it opens the policy channel for the input of medical and health service resources for the retail medical treatment small terminal, which is represented by primary medical care. Second, the primary rural medical service market, including small and private medical treatment terminals, will be an important part of the future development of the basic medical service market.
Needless to say, "in the country much starker choices-and graver consequences-in" development planning guidance, through policy support and establish the primary care development mechanism, operation mode, the grassroots medical service market will usher in rapid development of our country's historic opportunity.
Terminal structural changes
During the 13th five-year plan period, a major change will be made in the distribution of terminal channel structure of China's basic medical circulation market.
The transformation of the allocation mechanism of medical resources in large and medium-sized public hospitals and primary medical institutions will promote the structural changes in the channels of terminal channels in China's pharmaceutical circulation market. The main channel of drug circulation of large and medium-sized comprehensive public hospitals is inevitably weakened. Correspondingly, grassroots medical institutions as subcontractors to the hospital medicine circulation terminal channel, drugs will gradually slow the disease and common disease areas, including basic drugs such as the original belongs to public hospital drug category, drainage to the area a broader, more intensive distribution, the overall number of larger terminal small retail diagnosis and treatment.
Predictably, during the period of "much starker choices-and graver consequences-in", in "the first option at the grass-roots level, two-way referral, upper and lower linkage, slow divide and conquer" as the core of hierarchical diagnosis model, driven by grassroots medical service market will be rapid development in our country, and large and medium-sized comprehensive public hospitals by the different medical service pattern differentiation development. Grassroots medical service system will gradually become a pure Chinese medicine circulation market following the hospital pin mainstream retail terminal after another mainstream medicine retail terminal, will be followed by Chinese medicine circulation market competition pattern of refactoring.
The basic level two new pattern
The author believes that during the 13th five-year plan period, the market of primary medical service in China will be refactored into the dualistic market pattern, which is mainly based on public grass-roots and social medical treatment.
The traditional core component of the primary public medical service market is also defined as the traditional second terminal of drug circulation, consisting mainly of two medical systems. One is the community medical service center in the administrative region under the jurisdiction of each city, and the role of the medical gatekeeper for the residents in the urban areas of our country. The other is the township health center, which is located in the urban suburb and county administrative district. Basic public health service system directly benefit from the government investment, increasing financial investment and insurance compensation in the country to improve policy support, such as medical service support capability improved steadily, has shown to absorb more patients to give up of large public hospital, select nearest to the trend of community health service center.
Local governments, with an eye on ensuring that the region's ability to improve primary care services in the region are targeted, are equally unsparing in ensuring access to the needs of primary-level public health facilities. In addition to the basic medical insurance payment policy support, drug distribution of medical institutions at the grassroots level security, according to the new drug centralized bidding policy rules, to distributors selection tend to rely on the mainstream of the city or area the size of the medicine circulation enterprises, through its channels of distribution terminal cover and the advantages of traditional logistics distribution ability, guarantee the drug demand for basic public health service system. The government's policy support for the public medical service system in the region has promoted the market structure of the market monopoly of public primary medical service in the region by mainstream drug circulation enterprises.
There are also two types of community-level primary medical care in non-public institutions.
One is the individual clinics in urban and rural areas, including the small medical clinics, such as the clinic health clinics of the factories in the former state capital. In recent years, under the guidance of the state to promote the policy of multi-treatment, the development has been more rapid. The important reason is that the patients need to individualize the treatment and the use of medicine, and the basic medical terminal can be satisfied. Another reason is that the public is relatively concentrated basic-level medical organization, regional radiation ability is insufficient, and almost ubiquitous social do grassroots medical terminal cover a wide range of areas, to meet the needs of patients to treatment.
However, social grassroots medical market because of "quantity, small scale, scattered distribution, poor management, the low level of business", the characteristics of difficult to achieve regional mainstream medicine circulation enterprises provide delivery service standard, so the main area is given priority to with business low-end generic drug non-mainstream medicine circulation enterprises cover, market structure is more dispersed, no advantage outstanding pharmaceutical circulation distribution of enterprises.
Another type of community-run grass-roots medical institutions are small medical institutions located in rural areas, such as individual clinics and clinics located in remote mountainous areas and rural areas. This kind of medical institution has most societies do not only grassroots medical institutions are widespread distribution efficiency and risk control more serious bottlenecks, or primary care last mile delivery most difficult market segment.
During the period of society for primary care as much starker choices-and graver consequences-in "potential market segment, through information technology and the application of the modern cutting-edge technologies such as large data, break through the current business development bottleneck.
Conclusion > > >
Those who took the lead through innovation grassroots medical service market development mode, to succeed in public and social do medical two segments at the grass-roots level two-wheel driven, in public at the grassroots level and social do medical dual-core market comprehensive implementation terminal channel cover, become our country under the new medical service terminal market pattern to maintain leading position of medicine circulation enterprises, will be accompanied by the new reform fit normalize the development trend of grassroots medical services market, share the achievements of the grassroots medical service market rapid development of our country's king. (the author is from guoyao holdings tianjin co., LTD.) |
