Hundreds of billions of "prescription outflow" big cake, who can really taste the sweetness?

Since this year, Chongqing, Tianjin and other places have issued a number of policy documents on prescription outflow. For example, the Chongqing Food and Drug Administration issued the Notice on the Trial Sale of Prescription Drugs by Electronic Prescriptions in Retail Pharmacies, which states that retail pharmacies can sell prescription drugs on paper prescriptions according to their own drug business needs, or they can sell prescription drugs on a trial basis on the basis of information-based conditions.
According to the 2017 Statistical Analysis Report on the Operation of the Drug Circulation Industry released by the Ministry of Commerce on June 22, during the 13th Five-Year Plan period, new medical reform policies such as medical insurance control fees, zero drug rates in public hospitals, drug ratio restrictions, and reform of medical insurance payment methods have been implemented, indirectly promoting the process of prescription distribution in medical institutions;
", prescription outflows are expected to reach 300-500 billion market sizes a year. Xia Jun, chairman of Chengdu New Medical Potential Technology Co., Ltd. and general counsel of Chengdu Quanyuantang Chain Co., Ltd., told the health community.In the U.S.,
hospitals don't need pharmacies like outpatients, the first patient can buy medicine directly at the pharmacy or deliver it home, and the second is commercial insurance to specify which pharmacies distribute the medicine. China is also this trend, such as outpatient prescription outflow, by the community to dock, patients can choose their own pharmacy or e-commerce to buy and distribute, prompting the proportion of hospital drugs to decline. Xia Jun believes that prescription outflow is an effective way for medicine to land separately.
And he holds the same view is ma Guanglei, deputy secretary-general of the China Pharmaceutical Business Association and general manager of easy-to-re-diagnose, "At present, the core of the new medical reform is 'Internet plus', including internet plus medical care, Internet plus medicine, in the latter's reform needs to complete the separation of medicine, and prescription outflow can meet the needs of the people to facilitate the purchase of drugs." "
so, what is the embodiment of prescription outflow in terms of people? Huang Yunqi, director of the Red Cross Hospital in Zhangzhou City, told the health community at the previous "Zhangzhou model" results exhibition, "First of all, to take patients with chronic diseases, their actions are not convenient, every time to the hospital to prescribe medicine, after prescribing medicine to take medicine, patients in order to take daily medicine to eat, two or three times a month to run the hospital, and after the prescription outflow, he can freely choose pharmacies, save time and effort." Secondly, large hospitals are overcrowded, we have previously counted that patients in the hospital waiting for medicine time of about 20-30 minutes, queue waste a lot of time, now patients can go to the platform pharmacy to get medicine, can also take medicine in the hospital, obviously alleviated the hospital waiting in line to take medicine, but also let the flow of outpatients significantly reduced. Huang Yunqi added that everyone had been queuing and waiting long hours, prone to friction, fewer medical disputes after prescription outflows, and more orderly hospital outpatients.
for hospitals, Huang Yunqi said: "China's current implementation of zero drug prices, hospitals for the management of drugs more and more strict, and then the proportion of drugs decreased." In this regard, Xia Jun also agreed, "drug zero plus, the health system on the proportion of hospital drugs, drug increment control is very strict, this is the examination of the dean, so the dean is also willing to the outpatient pharmacy to the community." China
drug market will grow to 1.76 trillion yuan in 2018, and the market size of prescription exoded will exceed 130 billion yuan due to policy factors, according to Minai.com. According to the research report of Huatron Securities, if out-of-hospital sales account for 45% of total prescription sales, out-of-hospital prescriptions will be added 300 billion yuan, this increase will be mainly by retail pharmacies, third-party terminals and so on to undertake.
" retail pharmacies, especially chains, are the biggest gainers of prescription outflows. Xia Jun explained that retail pharmacies have a very good business foundation, able to orderly undertake patient demand for drugs and pharmaceutical services, followed by the domestic retail pharmacies coverage is high, can become the first choice for residents to buy drugs, and third, with the help of information tools, prescription transfer platform, retail pharmacies are enhanced competitiveness, to provide residents with more diversified, accurate medical and health management services.
according to statistics, up to now, nearly 20 provinces and cities across the country have made clear their support for the divestiture of outpatient pharmacies in medical institutions, including: Hainan, Tianjin, Xinjiang, Shanxi, Ningxia, Liaoning, Jiangxi, Shaanxi, Heilongjiang, Fujian, Chongqing, Inner Mongolia, Yunnan, Tibet, Anhui, Jiangsu, Hubei and so on. Although there is no specific timetable for the task, the explicit support of more than half of the country's provinces suggests that outpatient pharmacy divestitures are already on the rise and are expected to replicate quickly across the country once the model reforms emerge.
on the other hand, from the beginning of the reform of the separation of medicines in public hospitals, pharmacy trusteeship began to be promoted in more than half of the hospitals in the country, between light and secret, and the Government's initial attitude was not to support or oppose it. However, pharmacy trusteeship has the original intention of separating medicine, it only makes the "grey area" between medicine physical transfer, and can not fundamentally solve the domestic "drug-based medicine" status quo.
pharmacy custody of this "medical separation" product has been controversial, in recent years, as the problem of exposure more and more prominent, all over the beginning to call off pharmacy trusteeship, this after the divestiture of prescription flow how to go, put forward a new test.to explore the compliance model
" trend, the people are the main advantages, but on the other hand, also need the guidance and norms of the system to ensure its effective operation. Xia Jun said.
Hundreds of billions of prescription hospital externalization market is growing rapidly, pharmaceutical companies, pharmacies, circulation enterprises, Internet companies have focused on this market, but limited by technology, operating thresholds, as well as interest-oriented disorderly competition, the future development of the prescription outflow market may present a range of shocks, but will eventually move towards legal compliance, reasonable.
Ma Guanglei believes that the market for prescription outflow will be left to enterprises that are in line with national policy orientation and promote the standardized development of prescription outflow. "In the past, there have been many irregularities in the separation of medicines, such as the over-transmission of paper prescriptions, patients taking doctors' prescriptions to find medicines, hospitals designate specific pharmacies to take medicines, and remote prescriptions. The core reason for the growth of the prescription outflow market is that policies promote reasonable medical separation and specify how prescriptions are exoded. The whole prescription outflow market is in the process of growing from barbarism to standardized growth.
in the process of meeting the prescription outflow, there have been many attempts, the common models include the "hospital-pharmacy" model, the hospital pharmacy custody model, the "hospital-social security" model, the "patient-social security-pharmacy" model and the "doctor-pharmacy" model, all of which have minor or serious drawbacks.
Among them, the "hospital-pharmacy" model deprives patients of the right to choose because of the designated place of purchase, and the prescription data cannot be recorded and managed; Information, is not conducive to patient selection and monitoring the implementation of reimbursement; "patient-social security-pharmacy" model with "three fixed" to verify the authenticity of prescriptions, efficiency is not high, the scope of application is small; "doctor-pharmacy" model is non-face-to-face non-re-diagnosis of remote prescriptions there is a great danger, drug rationality is difficult to regulate.
out-of-hospital prescription flow platform is a new model that has emerged in recent years, that is, third-party companies set up a platform for medical institutions and pharmacies to provide information, patient management, data management and other services, is expected to become a breakthrough in prescription outflow.
" prescription information is the cut-in for the three medical associations. "In Ma Guanglei's view, the national policy has repeatedly mentioned exploring prescription information, retail information, health insurance settlement information sharing, so to open up the three-way information sharing, is now the main direction of national policy.
Yunnan Hongxiang One Heart Hall Chairman Yu Hongxuan also believes that the establishment of a third-party prescription sharing platform should be highly in line with national policy requirements, hospital extension prescription flow should be "responsibility, power, profit" clear, the establishment of a multi-party review system and sales supervision system, the establishment of a traceable regulatory system and open management authority to regulatory authorities to ensure that patients reasonable and safe drug use.
" prescription information sharing platform meets the requirements of medical reform and can maximize the efficiency of hospitals and pharmacies. Xie Ying, secretary of the Health planning committee of Zhangzhou City, said that this requires hospitals, pharmacies, health insurance three parties to work together to create a complete service chain, "with the disagreement with prescription extension, under the leadership of medical reform, need a number of regulatory departments to jointly demonstrate that it is indispensable."
Taking Zhangzhou city as an example, it is understood that the whole prescription sharing platform operation process, the Health planning committee through the standardization of medical treatment behavior, to ensure price transparency, improve the quality of medical care; Multi-sectoral sharing of regulations to ensure that prescription and supply of medicines are legal and compliant, homogenization is ensured, and drug safety and effectiveity are ensured. Xie added.
" at present, only a few cities through the overall settlement of health insurance, the country's large-scale coverage has not yet. Xia Jun analysis, but the prescription outflow has become a trend, to open up health insurance is ready. (Health)