Medical network - on March 8, qilu hospital last year because of its own business company, cause medicine commercial company boycott, outages caused by medicine. Now, the situation further spread, including shandong provincial hospital, several large general hospital has already begun to follow, public hospitals use this form to upstream for 5% of the profits.
E medicine managers has exclusive in the industry get a called "about random cancel hospital of medicine commercial company monopoly drug supply advice" (hereinafter referred to as the "recommendations") file. Referred to in the proposal of the event is that since September 19, the release of qilu hospital of shandong university, shandong university qilu hospital drug delivery extension service project progress sex consultation deal announcement, it sets up a wholly-owned youthful love drow pharmaceutical co., LTD., jinan, the drug distribution after the sole supplier, many large hospitals in shandong province began to rise to follow - the self-built business company, hospital, vice President of the people as the enterprise as a legal person, and requirements as long as it is to enter the hospital drugs must be through the commercial companies, of which the commercial company a at least 5% of the fees.
Shandong to E medicine is a commercial company, head of the managers said: after some medicine commercial company established 3 armour hospital to participate in, such as shandong provincial hospital stay in pharmaceutical limited liability company established in shandong province, shandong province tumor hospital set up in shandong huatian pharmaceutical co., LTD., etc., but the hospital set up a business company, because of the weaker, only responsible for part of the supply of the drug. Since the qilu hospital will sets up enterprise love drow as the sole distributors all bidding medicine to the hospital, after the qilu hospital medical supplies many commercial companies to become love drow the next level of suppliers, be forced to provide 5% of the profit sharing to the latter. Should begin to be devoted to follow this way. The previous service businesses of average power and many large-scale hospital immediately became the new way to make money.
Where is the problem? First hospital forced all medicines are required by the custom to hospital medicine commercial company sales initiatives, directly caused the supply monopoly, violates the principle of fair competition of the market economy; Currently visible consequences is that the move of qilu hospital of collective opposition from the local businesses, so that drug foreclosures phenomenon, harm to the patients timely supply of the drug.
Second, these random public medical institution of medicine commercial company, who served as legal representative appointed by the hospital, direct management, by all commercial supply monopoly, lack of supervision mechanism, easy breeding ground for corruption.
Again, from the point of the trend of the development of the industry, in the two votes for the moment, if let the hospital sets up business companies, will further increase the circulation, is not conducive to fall to the ground.
The indemnification mess
In qilu hospital of shandong university as a third rate by directly under the ministry of health hospital, hospital link by myself wholly owned holding company to complete, the question of whether E medicine managers had compliance consulted a long-term study of drug bidding expert, said: "can't say full compliance, but this way of operation before." Around 2010, several big commercial companies in the exploration of logistics extension services, also used this model, but whether this way the compliance, usually have two basis: whether to form monopoly and whether public bidding.
To this, regardless of monopoly and public bidding, and see such a case. On January 9, 2017, jinan city channel has a reported that citizens Mr Cui said he was in shandong provincial hospital, the doctor appointed Mr Cui to the hospital within a company called "provincial pharmacy pharmacy medicine," Mr Cui to medical insurance reimbursement, but it was rejected.
In the video, Mr Cui said, when watching the disease, the doctor prescribe, explicitly told: a prescription of more than one hundred, to the hospital pharmacy to buy. More than seven hundred dollars of another prescription. Need to go to the hospital in glass nest "provincial pharmacy" medicine. But cannot submit an expense account is seven hundred yuan from "provincial pharmacy" invoice. Cannot submit an expense account of the reason is: "the invoice of the invoice is a private pharmacies cannot submit an expense account."
From the video screenshots of the special invoice seal is shown as "monkey pharmaceutical co., LTD of shandong province provincial large pharmacy".
Monkey pharmaceutical co., LTD of shandong province industrial and commercial data show that in December 18, 1995, main for traditional Chinese medicine yinpian, proprietary Chinese medicine, chemical material, chemical medicine preparations, antibiotics, biochemical drugs, biological products (except vaccines), and other wholesale. The registered capital is 800000 yuan, and the column of shareholders, shandong provincial hospital for enterprise as a legal person, investment 200000 yuan, the other shareholders is monkey culture dissemination center in shandong province, 600000 yuan.
Obviously, shandong provincial hospital called "private pharmacies" "provincial pharmacy", is actually involved in the establishment of the company, shandong provincial hospital party committee members, the chief accountant chun-ling wang and party committee member, discipline inspection commission secretary Jiang Minjie are shandong monkey medical director.
Doctors prescribe, inform patients to participate in medicine commercial company established by itself in the pharmacy drugs cannot submit an expense account, it is difficult to transport distance and interests. And according to some medicine commercial company in shandong, he says, is the enterprise in addition to set up at his own expense in hospital pharmacy, or the hospital pharmacy drugs suppliers, inside and outside the winner-take-all; And love, and since the qilu hospital drow events exposed, these hospitals seem to have found a new profit growth point ", originally the self-built commercial companies can play a bigger role? !
Foreclosures are not important?
Because love drow is designated as the sole distributors, tender and medicine to the hospital and upstream business requirements after 5% of the profit space, before commercial qilu hospital has a direct business with the company, thought it "bad", so no longer supply love drow, sometimes causing broken for drugs in the hospital. Have learned, at the time of foreclosures have roche Rhoda, bayer's worship, worship music, nim sugar as the clinical commonly used medicines.
With foreclosures, in November 2016, qilu hospital issued a "qilu hospital of shandong university about the reform of drug" zero price difference "false declaration of the speech. Supply shortages, which said: "for individual products, not in time... in hospital was established based on the shortage of normalized pharmaceutical reserve system, conform to the conditions of choose and buy, the price is reasonable, with independent intellectual property rights of drugs with similar drugs alternative...... the present hospital pharmacy work well, there is no large area" cut off "drug problem, can completely meet the demand of the patient's clinical medication of CRD."
Behind the reality is: a few drugs outages for a 3 armour hospital, is not more important, in medical institutions strong right now, there is no product can not be replaced, so in this game, the more business enterprises willing to hand over 5% of the profits.
But, this kind of its own medicine commercial companies, the phenomenon of upstream for profit, if not cancelled, is bound to affect the moment is pushing the two votes to the ground. , according to the requirements of two votes from industrial to business, one vote, one ticket from business to hospital again, now the business between the hospital and many a company, increased the intermediate links.
And if these hospitals to set up business company directly facing the upstream industry, but only a downstream end, cannot cover the whole city or province, and industrial enterprises to its docking, a province in May to hundreds of thousands of hospitals owns a small business company, there is no doubt that, plus the cost of the industrial enterprises.
No secondary bargaining?
After the implementation of zero price difference for many hospitals, broke its an important source of interest. And before the country's attitude toward the second negotiation is forbidden state, hospital, through the form of its own medicine commercial companies, increase the threshold, a strong upstream to profit, because it is a 100% holding company, can be directly back to the hospital.
February 9, general office of the state council issued "on further reform and improve the use policy for producing and distributing medicines of several opinions, clearly put forward:" we will improve the mechanism of drug purchase. Payment in comprehensive health-care reform or make medicare drug payment standard, allowing public hospital in the provincial drug centralized purchasing platform combined with quantity, purchasing budget."
In the industry analysts view, allowing the hospital combined with quantity, procurement budget, equivalent to a given around the hospital drug procurement negotiation can justly. Although there are a lot of symposium in medicine two meetings, representatives and CPPCC members are all opposed to bargain "secondary", but the reality is that the second negotiation has become a tacit admission, in various forms in all over the country, including shandong medical procurement.
Then the second negotiation after let go, the hospital sets up business company upstream business to profit disguised secondary bargaining behavior may I will stop here. The answer is no. In shandong hospitals very understand a shandong medicine commercial company, according to people familiar with the whole shandong province has a lot of big hospital in qilu hospital sets up the business model, some hospitals have a commercial company is heading for a monopoly, while no business company's hospital is on the way to establish business. |
