Medical network - on March 2, in recent years, always the industry and high drug prices, medical representatives drugs "with gold sales," the doctor prescribe medicine, kickbacks and other sensitive word sticked together, provoked howls. So why is a medical representative is "everyone shouted" occupation? "On further reform and improve the use policy for producing and distributing medicines of several opinions" (hereinafter referred to as "opinions"), how to regulate its' role return "?
A medical representative what role
In the industry has been senior medical representative zhang told reporters that a medical representative the professional role behavior chaos, really need to be standardized. "Opinions", he thought, for a medical representative work very clear definition, "can only be engaged in the promotion, technical advice and other activities, shall not be responsible for drug sales, promise to be recorded in the personal credit record".
In fact, this definition was originally should assume the role of medical representatives. "But now, many medical representative is almost a pharmaceutical salesman, only know and kickbacks to curry favor with the doctor." Zhang felt a little injustice, the so-called pharmaceutical representatives make regular medical representative cannot work normally. In his fight to the east China area for many years, some cities even "see" to a medical representative.
In the late 1980 s and early '90 s, the multinational drug companies are the first to introduce the basic new drugs are abroad, domestic doctors need to understand the clinical effect of these products very much. "At that time, the general medical representatives have a pharmaceutical or medical background, can be on the latest research results or medication concept, conduct academic promotion and welcome by the doctor, higher social status, income is good too." Engaged in the pharmaceutical industry for many years, general manager of a pharmaceutical company in anhui Wang Kuo (a pseudonym) is introduced, at that time, even a lot of the doctor of the hospital medical business, to enter the industry.
However, the career development to the mid - 1990 - s "soured". At that time, the domestic emerged a large number of generic drugs, a common name here have a lot of medicine production enterprises, the curative effect, the doctor have more options, how to let his doctor prescribed medicine became a medical representatives. "In medicine for the medical context, the role of medical representatives can start" dislocation "- and to curry favor with the doctor become employed by drug companies, whether the main criteria that drugs' with gold sales mode gradually into the hospital." Wang Kuo is introduced.
Reporter survey found that the development degree of homogeneity is startling. Recent excessive repeated drug announcement shows that there are 129 kinds of pharmaceutical production of more than 100 enterprises at the same time. According to the data provided by the reform of the state council office, by the end of 2015, our country has 5065 pharmaceutical producing enterprises, 97% of products for generic drugs, drug homogeneity, low level repeated problems.
A medical representative what to do
In Wang Kuo point of view, "opinion" is an important watershed in the pharmaceutical industry, food and drug regulators will this as a representative of the pharmaceutical industry departments to strengthen management. "The regulation is actually a medical representative to return to its original position in the industry. A medical representative will be 'shuffle' face, a batch of do not conform to the career orientation of medical representative will be left behind."
We have learned, our country's medicine circulation was divided into two modes, one is enterprise self-built marketing team, the other is a agent model. Agent model, the agent returns's commission. Actual operation of the market, the vast China, agents can be divided into national, regional agency, the provincial agents, regional agents, even to the agency at the county level, the hospital clinical agent. Layers of premium due to layers of agents, drug prices artificially high, and can be a normal scalping, tickets and money laundering.
Health under the state council, the relevant person in charge of office pointed out that there are 13508 pharmaceutical wholesale enterprises, more than 453000 retail enterprises, the top three pharmaceutical wholesale enterprises market share is only 33%, while developed countries generally above 80%. Industry concentration degree is low, for modern medicine circulation enterprises accounted for only 1.75%. "It is because of drug circulation, circulation disorder, the affiliated business, ticket money laundering, the prohibition of commercial bribery, pushing up medicine prices, corrosion of doctors, induced by the excessive, expensive medicine behavior."
Wang Kuo thinks, "opinions" clearly put forward to carry out drug distribution "two votes", is to put the medicine circulation redundant link cut off, the benefit of sale terminal patients. Reconstruction, this policy led the market in general requirements from the pharmaceutical production enterprise to reach the hospital sales end only two tickets, as a result, pharmaceutical wholesale enterprises are facing a refactoring, quite a number of medical representative also want to consider is stuck or career change.
Strict specification is necessary
Zhang bin struggle in this industry for nearly 20 years, there has been no consider leaving. "Medicine and the industry development space. A medical representative, he thought, was a continuation of the pharmaceutical enterprise services, in addition to the promotion, its important responsibilities include clinical doctors to collect drug efficacy and adverse reactions, such as information, timely feedback to drug companies and regulators, it is very important to ensure patient safety.
"In fact, a medical representative industries took to the road of the formal and is not easy, there are more than 30 years in our country after after all efforts to become a legal profession, although companies employ a medical representative to promote rational drug use doctors is a kind of international practice." Chinese medicine enterprise management association, vice President of cows are dry, points out that in our country, the current medical representative in accordance with the standard in the industry is not much, in particular, is both a professional background can comply with the research and development of pharmaceutical enterprises association (RDPAC) set by the "drug promotion code of conduct".
He said, according to the "opinions" requirements, national food drug safety administration is working on some specification work, in the future society for medical representatives have a more clear understanding, trained and abide by the norms of medical representative will play an important role to the whole society.
As you can see, to standardize the management of medical representatives, they are trying to government or industry. But because in China's medical system, hospital holds about eighty percent of the national drug sales market, so the related departments in major hospital in steady clinical dose is a matter of corporate survival.
It seems to director of fujian province accumulated rich zhan, behind the high prices is the essential problem of the present drug supplies chain is too long, corruption corruption too deep haven't been solved fundamentally, the problem is the core of reform 8 years is always difficult to promote. "If there is no return to the hospital to heal the wounded and rescue the dying, the duty of the function of the drug did not return to cure, the doctor did not return to see the doctor, the role of the health reform can not be successful." He spoke, "two votes" and "standardize medical representative" although can inhibit drug prices artificially high "fever", but take temporary solution not effect a permanent cure. Only the national agency tube to medical representatives and drug prices artificially high kickbacks, supplies suggested that the drug prices artificially high, kickbacks and other regulatory responsibilities direct to the department. This is the key to solve the problem of circulation chain of corruption.
Wang Kuo also points out that under the background of medicine for the medical, doctor labor value has not been fully respected and income is too low, and pharmaceutical companies are often can quickly meet the requirements of the doctor compensation income, so breeds out many benefit community, need to come up from the medicine for the medical system to solve the problem. "Of course, only solve the problem of a certain aspects of the effect is not ideal, should also strengthen the corporate research and development and the cultivation of innovation ability and reduce drug low-end homogeneity phenomenon and so on, this is also the end medicine represents the image of low-end, profiteering and bribery of one of the best."
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