Public ** reform drug companies pressure doubled

On October 26th, at the Tsinghua-Chang-Gang-Mayo Medical Forum, Fu Wei, Deputy Director of the Department of Structural Reform of the National Health and Planning Commission and Feng Guosheng, Director of the Beijing Municipal Bureau of Medical Management attended the talks on the topic of public hospital reforms, from the National Guardianship. The Committee and Beijing Municipality conducted further interpretations.

Public hospital reform incorporated into local assessment

With regard to the current “difficulties” in medical reform in China, it is difficult to see a doctor and expensive to see a doctor. Fu Wei, deputy director of the State Health and Education Commission’s Department of Structural Reform, said that in terms of the reform path, we must first establish a scientific compensation mechanism for public hospitals and a compensation system that meets the characteristics of the industry. . Change its operation, better mobilize the enthusiasm of medical personnel, and simultaneously establish a modern hospital management system. By strengthening grassroots service capabilities, establishing a division of labor and coordination mechanism, and gradually building a collaborative development of the medical service system and hierarchical diagnosis and treatment system.

Focusing on such reform goals, following such a reform path, there are several core reform measures, including reducing the cost of medicines and medical consumables, reforming medical insurance payments, and reforming the personnel remuneration system.

In addition, Fu Wei also proposed to speed up the development of medical and health informationization. “This is an important means of promoting the classification of medical treatment and promoting the reform of public hospitals. On the one hand, it accelerates the construction of information platforms and establishes dynamically updated electronic health records and electronic medical record databases. , gradually realize the business collaboration and information sharing among various application systems.

At the same time, we must accelerate the construction and application of medical information systems, further improve the management and application of healthy big data, and strengthen comprehensive supervision, scientific decision-making and fine services. It is also necessary to optimize the service process and improve the medical experience. Through the establishment of a new medical information system, Internet technology will better support health management services and carry out some services including telemedicine services. ”

Fu Wei pointed out that the goal of public hospital reform is not only the public hospital itself, but also the linkage of the entire region. At present, the reform of public hospitals places greater emphasis on the integrity, comprehensiveness and synergy of the reform. “We often say 'one-point deployment and nine-point implementation', and we have established a reform promotion mechanism to better promote these policies. Now we have included local government assessments as an important embodiment of local government responsibilities. At the national level, we formulate reform effects. The evaluations, indicators, systems, and implementation plans have been organized for regular annual assessments, and accountability mechanisms have been established in various places."

The speed of public hospital reform will be greatly accelerated

From the point of view of Fu Wei’s speech, the so-called reform path, the establishment of a reasonable compensation mechanism for public hospitals and a salary system that meets the characteristics of the industry, as well as the reform of core measures to reduce the cost of medicines and consumables, reform of medical insurance payments, and reform of the salary system are all countries. In the medical reform, especially in the reform of public hospitals has always been adhering to the attitude.

For pharmaceutical companies, it is further clear that from the perspective of national health care reform, drug price reduction is still a definite trend, and changes in health insurance payment methods are all aimed at reducing drug prices.

The key point of Fu Wei’s speech that is new is that the reform trend of public hospitals is regional linkage. If regional linkage, a city, a province, or even the whole country adopt the same medical reform model, then what impact will it have on pharmaceutical companies?

Seibu Blue once shared an article with the micro-friends that Sanming Medical Reform was difficult to advance. Zhan Ji-fu, the trader of Sanming Medical Reform, was very active in recommending the Sanming model nationwide. The reason is that if prices are cut in Fujian, other provinces will inevitably push down. price. In order to maintain high prices in the country, medical representatives will not easily cut prices in Fujian Province. Only by giving a nationwide effort to negotiate prices for some medicines can we really lower the price of medicines.

It can be imagined that if medical reform is included in the local assessment, the rate of advancement of public hospital reform will be greatly accelerated. Under this circumstance, and in the spirit of regional linkage, the medical reform policy will change the current state of partial trials and become a game for the city and the province. For pharmaceutical companies, this is equivalent to a game in a big pharmaceutical market. In the future, the pressure on pharmaceutical companies will be even greater.

Beijing: Zero markup or soon citywide push

Fu Weigang just finished the regional linkage. The speech made by the Director of the Beijing Municipal Bureau of Medical Management is the first response to this.

In July 2012, Beijing began trials in five hospitals including Friendship, Chaoyang, Jishuitan, Tiantan and Tongren, canceling drug additions.

When talking about the separate reform of medicine, Feng Guosheng, director of the Beijing Municipal Medical Management Bureau, pointed out that the pilot has also faced some problems so far. First, the five pilot hospitals formed a drug "depression," which led to more prescriptions. “We are calling on the Beijing Municipal Government to prepare for the next time when the drug is being piloted separately. The inconsistent drug price system will make patients see a doctor from this hospital and pick drugs from another hospital.”

Feng Guosheng said that medicine separates the sale of drugs and the interest relationship between hospitals. Hospitals no longer make money selling drugs, and it is a cost, but it does not cut off the interest relationship between drug sales and medical services. The interest relationship may still exist in varying degrees. This interest chain is also an invisible, grey chain. In addition, the doctor's service fees and medical service prices still need to be further explored, how to be more reasonable, and further mobilize the enthusiasm of hospitals and medical personnel through price adjustment.

Feng Guosheng said that in addition to reforms in drug additions, it is necessary to further reform the reforms in the field of drug distribution, and further reduce the moisture in drug sales so that reforms can be more in place.