County market a new round of reshuffle! Health Care Commission issued a document and the purchasing mode of medical community changed dramatically

On May 28, the official website of the national health and Health Commission issued the notice on promoting the construction of close county medical and health community (hereinafter referred to as the notice) It is required that by the end of 2020, a new County medical and health service system with clear objectives, clear rights and responsibilities, and division of labor and cooperation should be initially established in 500 counties, gradually forming a community of services, responsibilities, interests and management In order to promote the healthy development of county medical community by subverting the County procurement mode, on the basis of summarizing the typical local practices, the national health and Health Commission, together with the Chinese medicine bureau, has studied and formulated this notice and the guidance plan on the pilot construction of close county medical and health community (hereinafter referred to as the guidance plan) issued as an annex With the gradual implementation of the hierarchical diagnosis and treatment system, the county medical community is blooming at many points across the country According to the official interpretation of the notice, after nearly two years of reform practice, more than 3000 County medical communities have been established in China Among them, Shanxi, Zhejiang, Anhui and other provinces have been promoted at a high level, and the whole province has been promoted in a unified way, with positive results Other provinces have also carried out active exploration At the same time, the interpretation also believes that the construction of county medical community is still in its infancy, involving in-depth interest adjustment, and relevant policies and measures need to be explored and improved in practice There are some emerging problems in the construction of medical community in some places, such as the emphasis on form over content, the emphasis on quantity over quality, the emphasis on medical care over public health, and the imperfection of external support policies In this regard, guided by the problems and needs, the guidance plan defines many work contents of the construction of the medical community from four aspects: improving the county medical and health service system, deepening the reform of the system and mechanism, improving the service capacity and quality, improving the service capacity and quality, and establishing and improving the security mechanism And the most concerned by the industry is the procurement mode of medical equipment of the member units in the county medical community According to the guidance plan, the medical community implements the unified management of drug consumables, unified drug use catalogue, unified procurement and distribution, and unified payment for goods If conditions permit, it is necessary to break the differences between different medical communities in the county, and explore the unified management, procurement and distribution of drug consumables in the county Some insiders said that the mode of unified purchase and payment in the county is the same as that of Guangdong GPO Although it can't be simply understood as GPO, it still can't be separated from the essence of "drug group purchase" Under the support of such a large amount of group buying, the negotiation and negotiation ability of the purchaser has been significantly improved In the future, the County Blue Ocean will be the only place for major manufacturers The entry threshold of multi-party competition is increasing, and only by lowering the drug price again can tickets be obtained At the same time, the unified distribution within the county medical community means that the original distributors will face a new round of screening and elimination, and the distribution relationship will usher in a new shuffle On the other hand, the county area is vast and the primary medical institutions are scattered How the basic model of academic promotion of prescription drugs to play its due role in the wide area of township hospitals market deserves consideration of many manufacturers A person in charge of a drug commercial enterprise in Guangdong told reporters that relying on the commodity capacity of a single drug is unable to meet the diverse needs of the grass-roots level and provide patients with overall disease solutions or future directions It is also pointed out that the promotion of county medical community will lead to the collapse of the original marketing mode of basic drugs, and the original negotiation mode of president will be transformed into the academic authority driven sales mode In addition, it is necessary for enterprises to think about how to solve such problems as the implementation of directory access system and the possibility of secondary price negotiation in purchasing, and how to carry out academic promotion after drugs entering the hospital According to the notice, the two departments plan to select a group of counties with good working foundation and strong sense of reform and innovation to carry out close county medical and health community pilot Through the pilot, further improve the service capacity of the grass-roots level, improve the overall performance of county medical and health services, and better promote the construction of hierarchical diagnosis and treatment system and healthy China By the end of 2020, the county level medical treatment rate will reach 90%, and the county level medical treatment rate will reach about 65% The number of technologies and projects that the grass-roots medical and health institutions have the ability to carry out will continue to increase The notice made it clear that, in principle, each prefecture and city should select a county to carry out the pilot project of close medical community, and encourage the comprehensive promotion with Prefecture and city as the unit The pilot counties shall be subject to the application of the people's government at the county level, the examination and approval of the municipal and provincial health administrative departments (including the competent departments of traditional Chinese Medicine), and the list of the pilot counties shall be submitted to the grass-roots Department of the national health and Health Commission before June 30, 2019 In addition, in principle, the pilot counties must have the following conditions: first, the county Party committee and government attach importance to the development of health care and the construction of medical community, with the spirit of reform and innovation Second, the relevant departments have strong coordination, which can create a good policy environment for the construction of close medical community Third, the rural three-level medical and health service network of the pilot county is sound, and at least one medical institution above the second level a can serve as the leading institution of the medical community Attachment: original author: 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