Medical network - March 16 for hospital preparations, in my impression deepest is the capital institute of pediatric skin moisturizer.
Have been to the capital ErYanSuo friend except for the spectacular scene of people mountain people sea line deep memory, also is to take the medicine and the reception: each prescription can only open five "skin cream" remember, only 1 year, due to the effect usually buy hand 4 ~ 5 months have passed, so every 2 ~ 3 months to catch up with to travel to Beijing the capital institute of pediatrics on 5 pieces. Although have bought on the net, but thing, many replicas.
Original health reform in anhui, fujian, with Wang Hesheng transfer, deputy director of the central health do tianjin gradually became the bellwether of the nation's health care reform movement.
In the 2017 edition of national health insurance directory just less than a month after the landing, tianjin's 647 kinds of hospital medical organizations pay for health care standards, released an important signal.
Familiar with friends all know that in the medical market in tianjin: health care different libraries, puzzled how many pharmaceutical enterprises. Familiar with this system the medicine fellows have feeling: this system, a few years ago has had a prototype of the medicare payment price.
Crazy price to pay for health care before in fujian, the tianjin health on January 4, 2017, introduced quietly urgent rescue medicine bargaining as a result, in this result, the shortage of clinical really need drugs, health care to pay prices are improved greatly, especially for the tightness of emergency drugs, such as happened out of stock at the start of the year: protamine injection, payment of the price from 9.16, increased to 50 yuan.
The result fully broke a circle: therapeutic drugs the bidding the price, the price is no profit, enterprise is not willing to production cycle.
With normal profits, there is only one industry can be developed to become a industry. So in addition to pressure drop through the bidding way of reasonable water, for the pharmaceutical industry need support from economic leverage.
Product quality, the industry of the national "supply side" reform needs adjustment.
Tianjin, fujian than crazy, more in line with the development of the market rules.
Treat high drug prices, in addition to optimize the bidding link, also need to bring the market really need treatment meaningful drug guarantee supply, enterprises have reasonable profit, the optional auxiliary drug will truly be marginalized. After all for the doctor, curative effect is the most important factor.
And the day before yesterday's hospital preparations of medical insurance payment standard, as a loud thunder, for all the medical people opened the other door.
The original problems in hospital preparations:
1, can only be used in the medical institutions in prescription, patients with difficult to purchase.
2, yield is low, the production cost is high, due to a lack of mechanism for a long time, leading to a lower retail prices, many hospitals are basically at a loss in production. Many patients cannot reimbursement. All of these restrictions on the use of original hospital preparations.
3, the domestic many drugs especially proprietary Chinese medicine, into a formal drug approval document from hospital preparations. Used in treatment of coronary heart disease angina, for example, "wide chest aerosol" is derived from Beijing xiyuan hospital, hospital preparations "wide chest pills". National examination and approval after 2006 new drug strictly, difficulty of examination and approval, the existing hospital preparations and hard to form scale effect, it is difficult to reflect the value of knowledge. Seriously affect the enthusiasm of the doctor's research and development of new drugs.
▍ this reform changed as follows:
1, the implementation of the hierarchical diagnosis and treatment, the hospital began to collectivization, the superior hospital rehabilitation hospital, in the lower, so hospital preparations are not limited to a hospital to prescription, used throughout the hospital group. Probably in community hospital within the network can be used in the original big hospital to the quality of hospital preparation medicine prescription.
2, the original at a hospital preparations, now a medical insurance payment standard, on the one hand, the reasonable price, make the hospital motivated production of hospital preparations, on the other hand, hospital preparation can be generalized to submit an expense account (community hospitals can submit an expense account) benefit the people. If two years later realize health roaming, nonlocal whether patients with local prescription in tianjin hospital preparations, can submit an expense account?
The market is bigger, the bigger the scale of production, the lower the cost. Hospital preparations to enter the benign development path
3, support the application of the hospital preparations, provides power for the doctor's scientific research and development of new drugs. If not approval, so do a style of hospital preparations is also a good choice. Screening of new products and businesses is also can be turned to successful hospital preparations, reduce the risk of the research and development. The doctor's knowledge value has been further release.
Imagine a hospital preparations can annual sales must, if really market, then will almost be a one-way ticket business.
4, from the hospital management. Fees after the zero rate to increase the lawful income of hospital, become the most concern, in each of the local fine hospital hospital preparations will be another source of income.
After 5, MAH, drug processing industry development, benefit from large pharmaceutical companies; The demand of hospital preparations expand, to focus on the transformation of the lean production of regional small and medium-sized pharmaceutical enterprises provide opportunities.
▍, of course, also have a bad news:
1, not enter the 2017 edition of national health insurance directory of manufacturers, hoping to layout directory supplemented at the provincial level. But the way cheng yaojin. Existing situation, in addition to the supplementary health insurance directory, the provinces is bound to follow up in the preparation of health insurance directory supplemented and fall to the ground. Each big hospital leaders and experts is bound to support the local hospital preparations into the scope of coverage, and medical insurance funds can't unlimited expansion. Provincial b directory 15% share of the supplement this competition is intense, after entering. Pay reduced (especially the proprietary Chinese medicine) corporate earnings are grim.
2, the formula particles enterprise. This is the party does not transfer rate of traditional Chinese medicine tradition. Original formula of Chinese intellectual property protection is weak, no economic interests to protect the power, and now the situation, have personal unique formula of hospitals and doctors will be more willing to through the development of hospital preparations, them go down to hard to collect himself. Rather than matching table, the prescription made of hard particles without reservation is used by each enterprise with particles. |
