Spread the mode of Minhang and obtain the high level and make comments and instructions in the leading group of the medical reform to go to Shanghai to investigate

Spread the mode of Minhang and obtain the high level and make comments and instructions in the leading group of the medical reform to go to Shanghai to investigate
Recently, because basic medicine pursue the intersection of Shanghai and the intersection of Minhang and mode in place, obtain high level, make comments and instructions, spread far and wide news popularized in the whole country. According to personage in the know, " the leading group of the medical reform will go to Shanghai to investigate the mode of Minhang " . And one of the promoters of this mode, researcher of Deputy Director of research center of medical logistics of the People's University of China Li's constitution, busy in Minhang district of Shanghai too recently. Bribe very close relation in appearance and commerce of the mode of Minhang. Because once involved the returned money commission ungentlemanly conduct of medicines, a plurality of directors in Minhang district failed, the Ministry of Health of requiring area reforms as soon as possible, let in two under the prefecture committee secretary's insistance in the prefecture committee of Minhang, Minhang district has reformed the medical organization in the past and purchased the system. And after what the new medical reform was gone through last year is rash and too much in a haste, the focal point of this year was that the public hospital reforms, but so far, still a policy-making policy is not issued, " on one hand, it is the period of slack sales now, different fields such as the government, hospital and enterprise,etc. are playing chess; On the other hand look, the reliance to that the medicine is sold of public hospital, undoubtedly delay the promotion of the reform. " A variety, a specification, a manufacturer and a supplier, in the industry to pass different judgements on this kind of Minhang mode. The insider thinks, though a lot of disputes still exist in the mode of Minhang, but " medicines centralized purchasing behaviour of medical organization " compared in fermenting talks, Minhang mode control, pay, close, supply these 3 big problems of system with, have a actual meaning solving pricing. But has the mode of Minhang touched the public hospital's own chronic illness? Does negociation price two times strengthen the entreprise cost of production? The most crucial one is, whether this kind of mode has strengthened the human factor of the market of medicine. Reducing the purchase cost of medicines to a certain extent it is reported, medicines of our country concentrate on bidding and purchasing at present, it is with the province (district, city) It is the unit, the ones that are appointed by the government handle the organization with the whole province (district, city) The name of the public hospital, calling for bid to the supplier, price competition, price negotiation, form, win a bid candidate variety and behind the biding price, send to the supplier out and win a bid the notice. Each public hospital selects the medicines variety independently according to the price already confirmed in this range, sign the deal contract with supplier. The wide medicine group will tell reporters tomorrow, it is to report prices that the manufacturing enterprise will participate in competitive bidding if the wide medicine group sells the side of person in charge, must leave the expense block of promotion two times in advance. This is because even medicines of manufacturing enterprise win a bid, it represents to be can once and for all either, it is still uncertain how much can be sold finally in each hospital. And during this, various expenses that enterprises demand are enormous. It is reported, " improves " of the mode of Minhang The first is implemented " Jointly select " . The concrete method is that the public medical organization of the whole district jointed together, what announced won a bid of the catalogue range of the variety and concentrated on selecting and winning a bid of medicines in Shanghai, purchase a kind of medicines and only confirm a variety, a specification, a manufacturer and a supplier according to qualifications, then concentrate on contracting and stop promotion two times. The data that the health bureau of Minhang district offers show, " jointly select " The medicines which the public hospital of going over area use, will reduce from 3451 varieties to 2148 at present. In " jointly select " On the foundation, Minhang district insists two lines of revenue and expenditure is managed, fully uses " wrap up outside " of management of logistics service Technology, further reduce the logistics purchase cost of medicines. If the logistics is chartered outside, provide and deliver in unison. Health bureau and district government shopping center of the district have company of qualification to trust together, the delivery enterprises choosing to be capable of implementing the modern medical logistics and supplying the chain to manage in open way. The public hospital strips the daily business of the internal medical logistics to hand in and is finished by medicines supply enterprise under keeping the prerequisite that the intersection of medicine and thing serves responsibility. Settle account to wrap up outside. According to the returned money time that Minhang district stipulates, the public hospital submits the invoice after checking account, the health bureau of Minhang district, authorized organization of Bureau of Finance pay the payment for goods to the medicines supply enterprise in unison. In the future, further make to the commercial bank outside the account settlement business public hospital, district of Minhang, shorten the time of returned money. The time director of market of medicine company Yang ChangShun tells reporters too, there are two respects that the mode of Minhang is worth popularizing today of rainbow of sea of Shanghai: Settle account in time in payment, it is rational to supply the system. Generally speaking, the commercial company can be withdrawn from circulation within one or two months by the fund after the medical products produce the goods, the returned money is in time. Human factor increase free competition it reduces Yang to be prosperous to obey, show Minhang mode have his drawback even, on one hand, on the basis of calling for bid in unison in the whole city, the regional one will be " selected twice " ,Continue cutting apart the market, make the intact market of Shanghai dismembered, has improved the market access threshold, have increased the factor of the market of manual control, is unfavorable to Chinese medicine (600056, burst) Development of industry. Second, " negociation price two times " Aggravate the burden of manufacturing enterprise, make small low price medicine of space of profit difficult to enter Minhang too. In addition, the mode of Minhang has not shaken the operating mechanism of public hospital, the contribution to the public hospital reform is extremely limited, have not changed the public hospital medical procurement procedure either. After medicines are selected and enter it to purchase the platform by Minhang, can not enter the hospital to let the doctor prescribe directly, medicine enterprise want, overcome all the difficulties in the way too, layers of layers of public relations, give special approval to to stock medicine and enter the hospital or the medicine thing committee of the hospital, then through influencing the doctor, let the doctor prescribe. It shows one of the difficult points that the public hospital reform has difficulty in taking a step is how to compensate the lost medicines addition income that the medical business administration association of China will be longer than MingDe. By the look of present situation, the acceleration rate of the fund that the country put one's back into the health care has already exceeded the speed that the fiscal revenues have increased, how much but public hospital reform can't lack mending more or less, the real reform should reform the mechanism of the public hospital. In the view of industry personage, course of the negociation price two times is exactly what core of the mode of Minhang is all about. The public hospital of the whole district jointed together, what announced won a bid of the catalogue range of conclusion variety and concentrated on selecting in Shanghai, implement " delivery of one brand for one medicine and a rule one " ,The public medical organization reaches the deal contract with the supplier directly, and provide the single source for supplier to promise, but supplier want, implement, fix a price for in batches to hospital, offer sure discount on the basis of winning a bid of the price in unison in the whole city. Through further compressing the spaces of price of the manufacturing enterprise, negociation price two times makes the price of government procurement reduce to some extent. As to two negociation price that enterprise have many complaints, constitution Li think enterprises obscure a basic conception now. He points out, a lot of places think that winning a bid of the price means closing prices, announces while saving one wins a bid of the price, the implementation that must be unconditional in all parts, if present purchase is not to win a bid of the price, that is illegal. In fact, this is reading by mistake to centralized purchasing. According to domestic and foreign Current method, it is two pieces of course that prices form to win a bid of price and settlement price. We can regard province as the unit now, do the retail price according to the medical insurance and new agricultural solvency shut, the government confirms this pays prices, but the final settlement price must be formed in purchasing the course according to the actual conditions of the medical organization. [Author: Mei Qin ]

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