Community hospitals: what kind of change? – Hospital – Medical Devices Industry
New year, all over the country have entered a period of a flu outbreak, particularly in Beijing. It is understood that the peak of flu this year, Beijing came a little later than usual, but unusual violent, this one with the cold of the "blocking action" once again exposed the overcrowding in major hospitals, community hospitals, the plight of underserved health care resource allocation.
In the Jan. 8 meeting of the 2007 National Health Conference, Health Minister Gao Qiang said the health services and health protection, we must focus on building urban and rural population to basic health care system, multi-level medical security system, national essential drug system and the scientific and standard management system of public hospitals.
Ago, Beijing has taken the lead in the national implementation of community health services commonly used drugs, "zero difference" sales and commitments will be implemented this year out of medical insurance mechanism designated hospitals, medical insurance is a life-designated hospitals will no longer be introduced to the standard access system.
"These changes will continue the reform of community hospitals in 2006, for the mitigation of 'medical treatment is difficult and expensive' problem is a good news." One of the industry, told reporters.
"Zero difference" whether the lever "medical reform Balance"
2006 12, 25 days, all 18 districts and counties in Beijing for the establishment of the Community Health Center? Station will be in accordance with the transaction price of drugs, "zero spread rate" sales to community residents. The so-called "zero-price differential" means the business enterprise to the community health center? Station for drugs, it should be in accordance with the ex-factory supply, the middle will not increase their level into the flat out.
Order to alleviate this, "your doctor" the farmer concrete measures to implement the Beijing Municipal Health Bureau organized experts on community health centers in these counties? Station carried out a detailed clinical drug research, finalized 312 species, a total of 923 drug products included in the scope of procurement rules, "these are the people the basic daily medication, 85% of the community, including which drugs, which will lead to more patients choose the community hospital." A staff member of the Municipal Health Bureau told reporters.
"Zero spread rate" is guaranteed by the State Purchasing to "cheap drugs", "This policy will give the people a lot of benefits, is none other with the public hospital." Haidian District, Beijing Health Bureau of Community Health Office of the Director Liu Ying said.
It is understood that the 312 drugs are mainly concentrated in the treatment of colds, diarrhea and other common diseases and high blood pressure, diabetes, coronary heart disease and other chronic diseases need drugs, on medication for life. Concentration of these drugs in the previous year based on the average purchase price of 21.11% reduction, according to the previous year community health service calculated in drug sales, were none other for about 3 billion.
In addition, the community health service organizations selling price is the purchase price, cancellation of 15% of the addition, the final sales price of less than 36.1% of large hospitals.
We all know, to hold down prices has been the cause of national health care reform is difficult to bypass the "minefield" is to solve "your doctor" the main problem. It is understood that the main reason for high drug price is still in circulation, a drug from the pharmaceutical companies until the patient hands of the general need to go through 6-9 links, add a link each, drug prices will increase 15-20% because they link the various names of the rebate, Chengdu will provide all the drugs included in cost. As part of layers increases, the price of drugs sold to patients with hands several times higher than the ex-factory price or even 10 times.
For "zero spread rate" in view of the pharmaceutical industry, there are some different opinions, "the middle part of the previous provision allowing 15% increase, and now 'zero difference', which makes the drug price-making power by the change from passive to active , which for many commercial enterprises is very hard to accept. "head of a domestic pharmaceutical company, told reporters.
It is understood that the implementation of the policy after 56 days, a number of community health stations in Beijing drugs on demand, even a stock-out phenomenon. One reason, Haidian District, Bureau of Community Health Office of Health and head of Marin told reporters: "lack of medicine and more in some large or far from the distribution centers of community health posts, because the difference just zero sales, some community health stations are still adjusting Among some species can not delivery in place. "
Reasons for out of stock, there is also another voice, it was involved in drugs who tender will be introduced, "This does not rule out some of the tender due to low profits and abandoned factory standard, and drug profits too small to stop production. "
When a reporter asked the drug out of stock, will expand the supply of the phenomenon, or turned into drug companies in recent years "encirclement and suppression" when things cheap pharmacy, a pharmaceutical sales executives in Beijing, told reporters: " It is not possible because the community hospital more and more attention, and into the mainstream of public health service system has become the company had to consider the facts. Previously, community health care institutions and major hospitals pharmaceutical sales channels compared to channels, as The amount of small, scattered, more common types of drugs, strict price controls, companies are not special attention. "
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