Only 7 provinces finish calling for bid the new round ofly The basic medicine system is entangled with

Only 7 provinces finish calling for bid the new round ofly The basic medicine system is entangled with
Author: Liu well up, " have seven province begin, carry on the new round of to bid and purchase according to central file of the State Council probably at present, more provinces are still in making implementing method and concrete measure in this province. " The basic medicine policy department's chief Zheng Hong of Ministry of Public Health says in this way. "Because and the difference of the timeliness that the system is phased in the course of advancing, in fact our medical organization at the basic level is that the new or old mechanism is contributing. " Zheng Hong says, " we see the progress of all parts is uneven, there are old problems in the phenomenon reflected, there is new situation. " The national medical reform expert consults Liu GuoEn, committee member of committee and professor of Peking University Guanghua School of Management to reveal, it is still a key problem to be solved in the middle of the five-year-plan in the future to solve the problem of mending medicine with medicine, reduce medicine, take than still a direction hard. The basic medicine calls for bid and pursues the job placement according to five key reforms of medical reform of 2011 years of the State Council of the progress, realize in 2011 the basic medicine system go through the medical organization at the basic level to cover in the government completely. But just at this moment, it is basic medicine system to medicine price problems highs timid seem exist still. August 5, the committee of national development and reform gives notice again, the supreme retail price that determines to reduce some hormone, regulate medicines such as endocrine type and nervous systems,etc. from September 1, involve 82 varieties, more than 400 dosage form specifications together, the average range on a price reduction is 14%. During ten years or so in the past, the national development and reform committee reduced the situation of the supreme retail price of medicines to have nearly 30 times. But up until now, the empty high problem of the medicine price remains unchanged " strongly " Existence,in resident medicines expenditure is at medical care for total expenditure proportion not accounted for(hereafter referred to as "medicine take than " )Remain high for a long time. Liu GuoEn has offered a group of data: It does not than generally exceed 20% for medicine of the American-European developed country to account for, this proportion of U.S.A. is even only 10%-12%; But for a long time, medicine of our country accounts for to than basically maintain at 40%-50%. After the basic medicine system is started, in November of 2010, the State Council will announce " sets up and standardizes the instruction that the government runs the basic medicine of medical health organ in the basic unit and purchases the mechanism ", call for bid and purchase the method after fixing concrete medicines. But Zheng Hong points out, " do for several decades, should say the past bid and purchase solved some problems, but left more questions, has produced more new situation. " But the new file of the State Council is the reconstruction of the original system. But some let people down, file announce since more than half a year, 7 provinces went on the new round of bid and purchase according to the file of the State Council only in the whole country, implementing method and measure that other provinces are still made. This means, in a situation that the basic medicine system will be realized soon the basic unit covers completely, but is implementing two kinds of old purchase systems newly. Different problems that and two kinds of mechanisms produce, pester in this system together. " basically " Still unresolved through implementing the investigation of the state to the basic medicine system of each province and municipality, Zheng Hong has summed up the problem existing at present, comprisings: The medicines manufacturing enterprise thinks the system imperfect, the regional standard differs; Provide and deliver smallly, uncompletely, concentration degree is not high, initiate the shortage of medicines; The fund turnover of medicine is not enough to influence paying; Cheap, quantity is little, the profit is thin medical procurement is difficult; The exclusive medicines negociation price result is not obvious. Zhou Peng of the holding Hubei Company of traditional Chinese medicines points out on the economic forum: The system is a odd-shaped product that one pair of envelopes calls for bid, have not really reflected quality having priority, principle with reasonable price. The main reason for this current situation is, the quality in one pair of envelope systems is marked and has not played a due role, cause medical procurement to develop and become a price competition, even the empty low phenomenon of medicine price that the biding price is lower than the cost price appears. Zheng Hong says that is considering that improves the purchase mechanism of the basic medicine through several ways at present: Become person who lead purchase for person who lead and lead the budget purchase, combine together in the past, give consideration to the quantity, quality and price in the course of making and purchasing the plan; On the other hand set up and amplify medicines and produce and appraise the system, produce one pair of envelopes and bid and purchase the function that quality marks in the system. However, at the place where indeterminate on the localization to the basic medicine system and thinking. The concrete one says about what is " basically " Understanding still no unified. "Really there are basic medical demand and non- basic medical demand on the medical problem at present actually, two kinds of demands must both face two kinds of markets. " But how to divide it basically with basically needing concrete standard. But Zheng Hong reveals, in the discussion that Ministry of Public Health has a meeting recently, about what is that the basic medical treatment was not still totally put in order.

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