Audit: the price of drugs in provincial drug bidding has cost 380 million yuan!

Source: sabilan, July 23, 2015, at the second meeting of the 15th session of the Standing Committee of the 12th Shandong Provincial People's Congress yesterday morning, Ma Qingshan, director of the Audit Department of Shandong Province, made the audit report on 2014 provincial budget implementation and other financial revenues and expenditures of Shandong Province (hereinafter referred to as the audit report) When talking about the audit of public hospital reform, the audit report points out that there are two irrationalities under the current bidding procurement The reform of public hospitals in 84 pilot counties has been audited and 194 pilot hospitals have been extended to inspect The basic drugs and commonly used drugs required by the pilot hospitals in each county are purchased through the unified bidding of the provincial drug centralized procurement platform The tenderee is the provincial drug centralized procurement service center, but the purchaser is the pilot hospitals This practice does not meet the reform requirements of "integration of bidding and procurement" In particular, in the latter two sentences, "the basic drugs and commonly used drugs required by the pilot hospitals in each county are purchased through unified bidding through the provincial drug centralized procurement platform The tenderee is the provincial drug centralized procurement service center, but the purchaser is the pilot hospitals, which is not in line with the reform requirements of" integration of bidding and procurement " This is a total denial of the centralized purchase of drugs in pilot cities and hospitals in the current reform of public hospitals Let's first take a look at the most issued general office of the State Council's guidance on improving the centralized procurement of drugs in public hospitals (GBF [2015] No 7, referred to as No 7 document for short), and the notice of the national health and Family Planning Commission on implementing the guidance on improving the centralized procurement of drugs in public hospitals (gwyzf [2015] No 70, referred to as No 70 document for short) About the rules No 7 document proposed that the pilot city of public hospital reform should allow the city as a unit to purchase drugs on the provincial drug centralized procurement platform The transaction price of the pilot cities shall not be higher than the provincial bid winning price The content of No 70 document is: to adhere to the three medical linkage, highlight the comprehensive reform, combine with the local actual research and formulate the specific measures for the pilot city of public hospital reform to self purchase by the city Hospitals in pilot cities should purchase drugs and conduct online transactions on provincial drug centralized purchase platforms Its core content is to adhere to the provincial bidding platform, and pilot cities and public hospitals can purchase drugs on the provincial drug bidding platform, which is not the negative content of Shandong audit office The high price audit report also points out that when there are still problems in drug bidding, "the price of centralized drug procurement in some provinces is higher than that of hospitals, and there are 30 in 2013-2014 The second price negotiation between the pilot hospitals and suppliers was less than 381 million yuan of centralized procurement " No.7 document and No.70 document are vague about the secondary bargaining of pilot cities and hospitals, but they all mention that the purchase price of the pilot places is obviously lower than that of the provincial bidding platform, and the provincial bidding platform needs to be adjusted, while the actual operation is generally the secondary bargaining of the public hospitals in the pilot cities, or the single large hospitals Either way is now highly encouraged and popular In the view of the audit department, "the provincial drug centralized purchase price is higher than the hospital purchase price", which is the second unreasonable existing in the current bidding system For example, the second bargaining of 30 pilot hospitals reduced the purchase amount by 381 million yuan, saving an average of 12.7 million yuan per hospital It shows that under the current situation of solving the problem of expensive medical treatment, the price of provincial bidding is falsely high As we all know, medical anti-corruption is the focus of investigation and punishment at present The audit office is good at medical anti-corruption Generally, after issuing relevant reports, there will be corresponding departments, such as the judicial department However, the audit department seldom takes a stand on the drug bidding and purchasing system Especially in the 15th meeting of the Standing Committee of the 12th National People's Congress of Shandong Province, how to write the speech needs to be revised many times At this time, the drug bidding is so severely questioned Does this mean that the provincial bidding in Shandong will change? As we all know, after the audit office issues the problems, especially those publicized, generally need to be rectified and promoted The first method does not meet the conclusion that the bidding and procurement are not in line with the requirements of the reform, and then there is an example of the high price of provincial bidding Will Shandong Province cancel the provincial bidding? Will it become the bidding of hospitals and hospital consortia? March 2013 During the two sessions of the National People's Congress in June, several representatives of the pharmaceutical industry said that bidding was originally a better way of procurement in the world, but China's current drug bidding and procurement control policy, which is led by the government, has been seriously alienated, becoming the only "secondary administrative control" for drugs entering the market in the world In essence, it turns the normal market behavior of drugs entering the medical institutions into the disguised administrative control approval, and even the annual approval in different regions (provinces, regions and cities) The competent department of drug bidding and purchasing has become the largest approval authority in the field of drugs Over the past ten years, the government has intervened in the problems that could be solved by the market itself, which has accumulated and fermented the bidding problems year by year, bringing serious negative effects The government is not satisfied, the people are not satisfied, the hospital is not satisfied, and the pharmaceutical enterprises are not satisfied The chaotic situation of the bidding for medicine also severely affects the government's credibility The government has done a lot of work of overstretched agency, which is hard to please, so we must Reform Relevant government departments also realize that the drug bidding system must be reformed, but as the competent (host) Department of drug bidding is still carrying out the bidding and purchasing work vigorously, and pharmaceutical enterprises are still forced to meet the corresponding work of bidding and purchasing At the end of the year, sepiland once shared the article "documents of the State Council, ringing the death knell of bidding control" with wechat friends He thought that 2015 was still the big year of medicine bidding, but it was probably the last year of medicine bidding under the existing bidding control policy For the existing medicine bidding control policy, the death knell has sounded and the alarm is on Now the Audit Office of Shandong Province has launched the provincial bidding, and the second bargaining in full swing is gradually clearing up the price system of provincial bidding Will Shandong be the first one as the largest platform for bidding control?