The strength of Hunan is cut " The medicine price is empty and high " Expert and medicine enterprise fight a battle of wits and courage at the negociation price

The strength of Hunan is cut " The medicine price is empty and high " Expert and medicine enterprise fight a battle of wits and courage at the negociation price
The strength of Hunan is cut " The medicine price is empty and high " Expert and medicine enterprise fight a battle of wits and courage at the negociation price
Author: Cao the intersection of wave and inferior Nation Zheng come from the intersection of Hunan Province and materials of department of public health reveal Hunan Province win a bid of medicines price one the intersection of price and hospital current to purchase prices to drop by 30% than the whole province 2011 year dawn, it is about 2,500 million yuans to it is estimated for one year and can lighten burdens of the expenses for medicine for the civilian. It has the public expectation to buy medicine of reasonable price all the time, however, there was 15.5 yuan in the producer price last May, the price which the hospital sells to the patient but it is 213 yuan, a one that is exposed to the sun of asparagus that the profit is up to 1300% is after the public visual field, people find, should realize public this expects to be far much more difficult than ones that imagine. How was Hunan realized on earth? Since December 31, 2010, Hunan Province all counties and public medical organizations at the county level and above will purchase and win a bid of medicines through the medicines centralized purchasing sales platform of the province, regard market state as unit medicines centralized purchasing to all stop originally, the whole province county and public medical organization at the county level and above can't purchase medicines by oneself by any reason and way again. This newspaper, on will it be May 28 2010 the intersection of report and " who come, chop the intersection of medicine and the intersection of price and timid high interests chain off ", the expert points out: " The more important thing is the question on the system mechanism, especially medicines concentrate on bidding and purchasing the system. The timid and high accomplice of the patent medicine price in fact of the bid system, such extraordinary result of making a false countercharge, really worth thinking deeply about. " And Hunan is just creative earthquake in medicines concentrate on bidding and purchasing the system " The operation " ,Praised as and solve the medicine price empty and high " The mode of Hunan " . The mode of Hunan catches up from behind in the not west forest of A of production of pharmacy Co., Ltd. of two leaves of Suzhou (injection frozen powder, specification 2g) ,Original bid is 17.65 yuan, original sale price is 20.3 yuan, win a bid of the price of 8 yuan now, retail price is 10.6 yuan now. Furan of a spore that the beautiful pearl group produces is hard (injection frozen powder, specification 750mg) ,Original bid is 15 yuan, original sale price is 17.25 yuan, win a bid of the price of 3.5 yuan now, retail price is 4.3 yuan now. A spore and a roll of amine (powder injection, specification 1g) of production of the Pacific Ocean of Beijing ,Original bid is 75 yuan, original sale price is 86.25 yuan, win a bid of the price of 16.5 yuan now, retail price is 20.5 yuan now. Chongqing fields lying fallow in rotation beautiful sand of handkerchief pearl star that produce ' Specification 100mg: 2ml) ,Original bid is 28 yuan, original sale price is 32.2 yuan, win a bid of the price of 12.1 yuan now, retail price is 15.5 yuan now ...... The statistical data from province Price Bureau prove, after December 31, 2010, no matter ordinary people will come into medicines that Hunan Province all counties and public medical organizations above county level can buy uniform price and material benefit. The department that grows self-defence, the State Council check unhealthy tendencies and malpractices the ministries and commissions of running etc. pursue government's leading factor, regard province as the centralized purchasing of unit online medicines in the whole country, by the end of 2008, 24 provinces in the whole country set up and regarded province as the unit medicines centralized purchasing system in succession, Hunan Province is one of the 6 provinces where the work starts later. So, use " Catch up from behind " , " Achieve overnight success " It is not a mistake that to describe the mode of Hunan. It is the important participation people of centralized purchasing of medicines that medicines of department of public health of Hunan Province concentrate on bidding and purchasing director Tang Ling. Ling Tang the refined hospital work in Hunan before the this, one's own speciality is managed in pharmacy, in January of 2009, the leader will talk to him, will hope to give play to his advantage to be devoted to the reform of price centralized purchasing of medicine. Tang Ling considered, if Hunan wanted to transfer from lagging behind to an advanced person, must innovate on the mode then at that time. According to the introduction of Tang Ling, when designing concrete scheme, province medicines centralized purchasing joint conference discuss the result think, the reform must achieve three purposes, normal and present purchase formal opaqueness, question not disclosed, not concentrated; Lower the price of medicines, relieve and see the doctor the expensive problem; The third is that the expenses respect of calling for bid must be embodied public beneficially. The fact proves, " The mode of Hunan " Deducting these three purposes tightly. The basic medicine concentrates on calling for bid, win a bid of the variety and count one of the most provinces as the variety of calling for bid of national basic medicine; The biding price retails and instructs the price to drop by 53.21% on average more than the basic medicine which the national development and reform committee announces, in national lower level; The price carries on the sample investigation to correct and call for bid at every province basic medicine according to medicine of the State Council, the result reveals only three Hunan, Guizhou, Shaanxi save all biding price which spot check the medicines and is lower than the price of location of China in the whole country. Medicines of Hunan Province centralized purchasing work, check unhealthy tendencies and malpractices, run the State Council too and Ministry of Public Health is definite, and made the model and made a speech at the national medicines centralized purchasing working conference in 2010. Six major characteristic adjust medical the intersection of market and the intersection of interests and the intersection of pattern and the intersection of medicine and price timid high interests of back roller chain intricate, " The mode of Hunan " That benefited from and insisted on at first is that the government is the master's reform. " Because the reduction while calling for bid, the manufacturer, enterprise in circulation, hospital are all unwilling, ordinary people willing that who come on, help ordinary people speak only? There are only governments. And reform whether pattern of interests revitalize, have government to be leading factor very much difficult to accomplish. " A Deputy Director is yellow to set up the peak introduction that the provincial discipline inspection commission checks unhealthy tendencies and malpractices in the room. In addition five major characteristics are here " Government's leading factor " This central point forms the tendency with joint efforts outside, link, in charge of adopting separation, free trade, open and clear, favourable the people's Huimin for the department respectively " . " The reform involves a lot of departments, the system of joint conference is the platform that the department linked, can make effective decision in time. " Tang Ling thinks. Power concentrates on causing the corruption, how to realize that manages, purchases, supervises the restriction and balanced of three kinds of power? Have set up the method that three right sets up separately by mode of Hunan. In organization structuring, check unhealthy tendencies and malpractices and do the medicines centralized purchasing Supervision Committee of province taking the lead in establishing 11 relevant departments of supervising by hygiene, National Development and Reform Commission, price, medicine etc. to be member units in Hunan Province, responsible for supervising work of medicines centralized purchasing of the whole province. The office of Supervision Committee is set up and checked unhealthy tendencies and malpractices to run in the Provincial Party committee, the joint conference office is set up in the province department of public health, have realized real supervision is separated, but the power to purchase trade is put and throws the bid center in the province development and reform committee. In order to guarantee centralized purchasing work of medicines is fair and just, the province checks unhealthy tendencies and malpractices and runs participating in supervising in the whole journey together with the member units of Supervision Committee of centralized purchasing of province medicines, explore the supervision mechanism that sets up centralized purchasing of medicines. Huang LiFeng says, " Confirm that the comrade of the relevant department discipline inspection serves as the supervisor. The person in charge of business office of member unit of joint conference of centralized purchasing of medicines served as the liaison man and held supervisors concurrently in the past, work as athlete and a referee both, can't really put to supervise in place. The relevant department monitors the comrade in charge in the room to serve as the supervisor to change now, have really given play to the role of supervision of the organization of discipline inspection. " It is reported, medicines are centralized After verifying and fruiting announcement in bidder's qualification of purchase, the province checks unhealthy tendencies and malpractices and does and receives reporting of the offence in succession, reflect such false materials as some enterprises offer America and Europe to authorize, it's time to do and supervise medicines to supervise the department to organize experts to regard original verification as 741 product rules authorized in America and Europe to pay and check especially and examine strictly, authorize the qualification in America and Europe that keeps 187 so-called product rules finally, authorize the qualification in America and Europe to cancel 554 product rules, and released the requirement on the net " The bidder recalls the urgent notice of the false material within a definite time period " ,Have guaranteed centralized purchasing work of medicines is fair and just. Another light spot is a policy of the free trade. The general practice is, need to collect certain administrative expenses to enterprise's bid, but totally free in Hunan. " Someone says that can charge in bid, does not accept too white to accept, can relieve and increase the financial pressure, I say that can't charge the money certainly, in this way I am clean. This is a public beneficial undertaking, benefit the ordinary people of the whole province. We must guarantee fairly and just. " Tang Ling says to " legal system weekly " reporter. Fight on brave 20 - 30 of September of 2010 in battle of wits in the course of the negociation price, the county and public medicines centralized purchasing tender evaluation of medical organization at the county level and above were closing going on in Changsha in 2010 in the whole province. " This is a course of lasting fighting of wits and courage. " Huang LiFeng describes, " The medicines manufacturing enterprise tries every means to demand a lower price, may bore the gap of some systems. " At the one evening's brief meeting, the supervisor reflected the specific expert of negociation price group misunderstood the rule of the negociation price, lead to the fact its medicines price of negociation price is generally a bit high, supervise the group transferring and reading the initial data of this group of negociation prices in time, after organizing relevant personnel to verify conscientiously, hold the emergency meeting to discuss to some many clocks before dawn, determine to set up the negociation price group and rotate to check the system with the data every day. " Rotate the negociation price group every day, in order to prevent the negociation price expert from exchanging with the medicines manufacturing enterprise privately, the behavior of stopping to take bribes, guarantee the fairness of tender evaluation. " Huang LiFeng says. This tender evaluation seems meaningful because of two arrival of leadership. In the morning of September 24, member of the standing committee of Provincial Party committee, Xu Yunzhao, secretary of provincial discipline inspection commission, go to evaluate the tender to check guidance live. September 26, the intersection of Vice Governor and Guo optimistic to reach, guide, work live. How to confirm the reasonable medicines biding price is the key links of the centralized purchasing work of medicines. In order to avoid the medicine price is empty and high, has set up several thresholds to the determination of the price by mode of Hunan, the first step limits price first, make the centralized purchasing of medicines and submit a tender and offer and guide prices, second step of price competition and negociation price again. " We learn, require every enterprise which meets forced quotation in Sichuan Province, we use this forced quotation method. But Henan is different, it does not practise forced quotation, but evaluate the tender, we also further introduce. They engaged in the price competition in Guangdong Province, enterprises offer in one by one, after taking back the schemes of these provinces, combining the own situation in Hunan, we have mode of price competition and negociation price after limiting price first. " Huang LiFeng says. Surveyed and studied in earlier stage through a large number of, the expert panel confirmed more than 30,000 medicines one by one " Guide prices " ,Namely offer the threshold price. Within medicines participating in submitting a tender must exercise restraint in instructing prices. Instruct the determination of the price to follow at first " Five are not higher than " Principle: First, not higher than the supreme retail price that national development and reform committee and province Price Bureau released; Second, not higher than the whole province by 38 a kind of price the average purchasing price of the hospital; Third, patent, grinding originally, pricing alone, medicines of high quality and favourable price are not higher than the annual average biding price of a purchase on this province and six peripheral provinces; Fourth, it is ordinary for GMP quality the medicines tender prices of level it offer not lasting provincing and one year such as purchase at a peripheral six province and in medicine biding prices lowest of factories different the most High price; Fifth, not higher than the large-scale average retail price which retails pharmacy medicines of the whole province. The foundation on this basis again " It is not high to be low " Principle last medicines to submit a tender to last guidance price. Through opening bid live and opening bid long-rangely, 24331 medicines in all are offered effectively. Through two ways of price competition and negociation price, the evaluation expert selects more than about 15015 medicines of high quality and at a reasonable price from these medicines in order to win a bid of medicines, the winning a bid rate, as about 62%. Read from winning a bid of situations such as the quality level of medicines, variety specification,etc., can meet clinic use of the whole province county and non-profit-making medical organization at the county level and above. Chop off timid high will it be January 25 2011 year such as chain such as interests such as price such as medicine, reporter come into the intersection of Hunan Province and the intersection of bid and trade center, department's section chief Nie MiaoJing sighs for medical procurement while recalling to the setting-up of medicines centralized purchasing sales platform endlessly, 8 staff members of this platform have finished 20 people's work load. " Enterprises submit a tender every link such as registering, pre-qualification, offering, opening of bid, price competition, negociation price, medical procurement trade are all finished through the platform; Information such as medicines catalogue, guide price, checking the result, enterprise to offer, win a bid of the results all reveal through the platform; Every functional department of the government can gather and analyze controlling to medical procurement and operating position of medical organization of the whole province online, data through the platform at any time. " The bid centre director Wang GuangMing of development and reform committee in the province introduces to " legal system weekly " reporter. The medical price division chief of management office Xiao GuCheng of province Price Bureau explains to reporter, the intersection of medicine and price sales platform reveal medical organization price formed to trade the biding price directly actually, the medical organization regards biding price as the real purchasing price, win a bid of the expenses that medicines delivered to the medical organization participating in centralized purchasing of the whole province, included in biding price. The centralized purchasing medicines retail price computing technology of medical organization is: Retail price of medical organization =Purchase the bid actually ' Namely the medicine enterprise wins a bid of the price) *(the circulating rate of 1+ differences) + adjust difference. The real purchasing price means a certain medicines are minimum to valuate to pack the unit price completely, among them injectable preparation regards propping up the bottle as the minimum measurement unit, other forms regard current the most inner wrapping as the measurement unit, such as box, bottle,etc.. " This is critical first step taken in chopping the medicine price off empty and high in Hunan. On the whole very effective. But will see our medicines centralized purchasing system because the pricing system of medicines is not complete, the supply and demand system of medicines is supply exceeds demand seriously, the price of medicines is far greater than its own value to set up far. This economic law not in accordance with market, so not an eternal undertaking, in some day, its price accorded with its own value, supply and demand is about equal, then medicines concentrated on not bidding and purchasing on at that time. Only an information platform exists, the trade is the purchase people and thing between the suppliers, and the platform is It is open to use for announcement. " Tang Ling states one's own thinking to the reporter. " In fact it is the adjustment of a interests pattern now, the government department comes out to speak for ordinary people. " Xiao GuCheng thinks, after need to be careful the manufacturing enterprise is rebuffed in bid, will replace with another kind of new medicine, " Actually superficial reform. New medicine just about ten pieces in year of one U.S.A., China has thousands of in one year. " He then says, the doctor gets commissions, " Negociation price two times " ,It is the existing problem that the financial subsidy of the medical organization is limited, so it is still very long to chop the empty and high journey of the medicine price off. " The bid forming Hunan finally as if nips the bone in the throat, it is unwilling to vomit, it is difficult to swallow to eat again. " Tang Ling describes the mood for producing enterprise of medicines like this. " This comes from just, fair, strict supervision with airtight mode of Hunan. " In the county and public medicines centralized purchasing tender evaluation of medical organization above county level last year, most experts are threatened by personnel of some enterprises, one expert is even followed by two burly chaps, after the work, should hold the relaxed psychology but he cries bitterly. " Prove there is no way in enterprises can go, the market to be entered Hunan, will follow the principle of we ' five are not higher than ' soon, actually we have cut the timid and high field of circulation of the medicine price, because in quite a few of medicines medicine price compositions of our country, 80% are the expenses of the field of circulation. " Tang Ling has received the antithetical couplet that the manufacturing enterprise of a pack of medicines gave in surprise after the tender evaluation of centralized purchasing is finished. " First line of a couplet: Draw one's sword, blood flowed and has become a river. The second line of a couplet: Fair and just, have no way out. Horizontal wall inscription: Hunan medicines' centralized purchase bidding. " (express gratitude to Tan Lei, Cao Jun to the help herein)


|