Changes in the pattern of centralized drug purchase 1000 medical institutions in 59 cities and regions began to take action

A significant trend is that with the gradual improvement of the policy of "medical community" at the national level, especially the implementation of the policy of "unified management of drug consumables, unified drug catalog, unified purchase and distribution, and unified payment for goods", the purchase pattern of drugs and devices in the primary medical market will also usher in important changes On June 25, 2019, Zhejiang medical equipment procurement center issued a notice on unified procurement and payment of medical consumables in Zhejiang county medical service community The document was sent to 135 leading and member units of medical community and relevant distribution enterprises in Zhejiang Province The information was also clear: first, since July 1, 2019, the above 135 medical community units in Zhejiang Province began to implement unified procurement and payment of medical consumables It is worth noting that the 135 medical community units can be described as a huge volume, which includes 135 level hospitals as the leading units of each medical community, more than 1000 township hospitals, community health service centers and other basic medical institutions as member units Second, from July 1, 2019, the purchase authority of the purchase account number of member units of the medical community will be stopped, including the record purchase At the same time, Zhejiang Pharmaceutical purchasing center will adjust the data content of the supervision system, and the information of member units will not be separately counted and displayed Of course, in order to make the transition work more smoothly, Zhejiang Province has also set a certain transition period, from July 1, 2019 to November 30, 2019 During this period, orders sent by member units before June 30, 2019 (included) can still be received, paid and other operations However, from December 1, 2019, the receiving and payment authority of each member unit will be suspended 1 A new round of centralized purchase will begin, and the county market will change greatly In terms of time, Zhejiang Province is pushing forward the unified purchase and payment of drug consumables in the county medical service community, which is very rapid Just a month ago, on May 28, the national health and Health Commission just released the notice on promoting the construction of close county medical and health community and the guidance plan on carrying out the pilot construction of close county medical and health community One of the key issues is to implement the "unified management of drug consumables and unified drug catalog" in the field of drug consumables , unified purchase and distribution, unified payment for goods " This time, Zhejiang took the lead in pushing forward nationwide and has carried out practical actions From a more direct point of view, the change of drug consumables procurement in County medical community is essentially the transfer of procurement rights Before that, all basic medical institutions had certain purchasing power After the implementation of the new policy, all members of the medical community had the same purchasing power A unified drug catalog should be formed in the medical community, and the county medical community would negotiate with drug companies and purchase in a larger volume than before in the decentralized state To a large extent, due to the adjustment of the drug catalog, it is bound to bring about changes in the use of some drugs in some hospitals For pharmaceutical enterprises, the change of purchasing mode of drug consumables brought about by the medical community also directly means the change of work focus in the future People who have the authority of drug administration in the medical community naturally become the objects that need to be maintained For the distributors, because the county medical community will implement the unified distribution policy, so the original distributors will face a new round of reshuffle will become a big probability event However, considering that the previous distribution is basically divided by region, the impact of this shuffle on circulation enterprises may not be too obvious for the time being 2 Pharmaceutical enterprises: the transformation is in the process of "China's county health" and Liu Jun, an expert specially invited by the county health development research center, once analyzed that there are six major pain points in the county medical market: market dispersion, personnel dispersion, energy dispersion, cost dispersion and ability dispersion, while the top five dispersion directly lead to the final result, namely, high management dispersion Therefore, the county medical community is undoubtedly a huge challenge to the original sales model Obviously, the "unified management of drug consumables, unified drug catalog, unified procurement and distribution, and unified payment" in the county medical community is only the first step According to the previous documents issued by the health and Health Commission, the next step is to break the differences between different medical communities in the county, explore the unified management of drug consumables in the county, purchase and distribution, etc This is undoubtedly an important step to further expand the medical community to give full play to the advantages of volume procurement on the current basis For many pharmaceutical enterprises with layout in the county market, how to adapt their sales system to the next marketing environment is also an important challenge Judging from the speed of promotion in Zhejiang Province, this day may come soon Zhejiang Province's action is largely based on the pilot project of unified purchase and payment of drug consumables in County medical communities that started in July 2018 However, at that time, only 28 county medical communities were involved, and no more than 30 county hospitals and 190 township hospitals were members Now, it is officially implemented, and its scale has been significantly improved Data shows that as of March 2019, 2388 County medical communities have been established in China, including Zhejiang and Shanxi provinces, and Jilin, Jiangsu, Anhui, Fujian, Henan, Guangdong, Ningxia, Guizhou and other places are also actively promoting the pilot work This year's notice issued by the national health and Health Commission also clearly pointed out that relying on the top 500 county-level hospitals, we should focus on building 500 medical communities So the direction of the future is very obvious As the first province in China to officially implement the unified purchase and payment of medical consumables in the medical community, the practice of Zhejiang Province is undoubtedly worthy of consideration by all enterprises.