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Driven by the exploration of prescription outflow through circulation platforms in various places, prescription outflow is expected to accelerate further.
With the continuous deepening of medical reform policies such as centralized procurement and medical insurance payment reform, whether it is the national and local "two sessions" in the past or this year, accelerating the promotion of prescription outflow has become the consensus of the industry.
Among the many voices, the circulation platform using Internet + as a means has gradually become a very representative direction of prescription outflow.
This not only benefits from the continuous exploration and development of Internet + medical treatment, but also the policy dividend released by the medical insurance reform.
This not only benefits from the continuous exploration and development of Internet + medical treatment, but also the policy dividend released by the medical insurance reform.
Exploration based on medical insurance system
Exploration based on medical insurance systemRegarding the exploration of prescription outflow, both the competent department and the main body such as hospitals are looking for the best model.
However, due to various reasons, there is no universal success case.
In addition to the poor willingness of the hospital, there is also a very important reason for this is how to ensure the safety and effectiveness of the prescription outflow.
However, due to various reasons, there is no universal success case.
In addition to the poor willingness of the hospital, there is also a very important reason for this is how to ensure the safety and effectiveness of the prescription outflow.
The exploration and development of Internet + medical treatment has provided new methods for prescription supervision and traceability.
Ke Yunfeng , representative of the 12th and 13th National People’s Congress and chairman of Dashenlin Pharmaceutical Group Co.
, Ltd.
, proposed in 2018 to establish a “medical insurance platform as the center, a third-party platform as the center, or an Internet hospital as the center” "Medical, medical insurance and retail pharmacies" tripartite information sharing model.
Medicine Medicine MedicineKe Yunfeng , representative of the 12th and 13th National People’s Congress and chairman of Dashenlin Pharmaceutical Group Co.
, Ltd.
, proposed in 2018 to establish a “medical insurance platform as the center, a third-party platform as the center, or an Internet hospital as the center” "Medical, medical insurance and retail pharmacies" tripartite information sharing model.
At the "Two Sessions" in Henan this year, Chen Wei, member of the Henan Provincial Committee of the Chinese People's Political Consultative Conference and Chairman of China Resources Henan Pharmaceuticals, believes that the application of the "Internet + medical + medicine" model will turn pharmacies into the front and back ends of hospitals.
The front end means that patients can use certified pharmacies.
Internet hospitals realize online light consultation, and the back-end means that certified pharmacies can provide patients with rehabilitation services after discharge.
The front end means that patients can use certified pharmacies.
Internet hospitals realize online light consultation, and the back-end means that certified pharmacies can provide patients with rehabilitation services after discharge.
Similar proposals also aroused heated discussions at the "Two Sessions" in Guangdong.
The Guangdong Provincial Committee of the Peasants and Workers Party proposed to establish and improve a patient-centered medical data sharing method and system.
“Taking the'electronic prescription circulation platform' as an example, a supporting regulatory document should be issued, or inspection results, online prescription information, and other mutual exchanges should be issued.
The recognition system allows electronic prescriptions to circulate in the path of'hospital-patients-pharmaceutical companies/stores-patients-express', and can be connected to the medical insurance platform to be carried out online.
”
The Guangdong Provincial Committee of the Peasants and Workers Party proposed to establish and improve a patient-centered medical data sharing method and system.
“Taking the'electronic prescription circulation platform' as an example, a supporting regulatory document should be issued, or inspection results, online prescription information, and other mutual exchanges should be issued.
The recognition system allows electronic prescriptions to circulate in the path of'hospital-patients-pharmaceutical companies/stores-patients-express', and can be connected to the medical insurance platform to be carried out online.
”
In this way, patients can choose online pharmacies and choose qualified courier companies to deliver medicines, and it can also promote a high degree of integration between medical institutions and third-party platforms such as retail pharmacies/pharmaceutical companies.
From the exploration of electronic prescription circulation platforms in Fujian, Hubei, Jiangsu and other places, it can be seen that the prescription outflow platform based on the medical insurance system has become the main direction of exploration in various places.
The willingness of the hospital continues to strengthen
The willingness of the hospital continues to strengthen If the biggest obstacle to prescription outflow in the past was hospitals, now this biggest obstacle has been clearly loosened.
The biggest reason lies in the continuous expansion and expansion of centralized procurement, as well as the continuous advancement of medical insurance payment reform.
The sharp drop in prices is the most direct impact and the most important result of centralized procurement.
As far as hospitals are concerned, selling drugs is no longer profitable, and has even become a cost department, making the willingness of prescription outflows to continue to increase.
As far as hospitals are concerned, selling drugs is no longer profitable, and has even become a cost department, making the willingness of prescription outflows to continue to increase.
More importantly, the medical insurance payment reform measures have greatly restricted the space and behavior of hospital medication.
After the 19th National Congress of the Communist Party of China, the medical and health sector has formed an integrated medical service system construction idea with five basic public health systems as the content.
The payment method reform plan cannot be single, such as bill of lading disease only, bed day, etc.
Way, reform for reform.
The current reform direction is based on the overall situation of medical reform and overall design.
The closed-loop policy logic is based on total budget management as the general frame, combined with the combination of patient groups and points for inpatients, and comprehensive compound reforms combining family doctors' contract and head-to-head contracting in outpatient clinics.
After the 19th National Congress of the Communist Party of China, the medical and health sector has formed an integrated medical service system construction idea with five basic public health systems as the content.
The payment method reform plan cannot be single, such as bill of lading disease only, bed day, etc.
Way, reform for reform.
The current reform direction is based on the overall situation of medical reform and overall design.
The closed-loop policy logic is based on total budget management as the general frame, combined with the combination of patient groups and points for inpatients, and comprehensive compound reforms combining family doctors' contract and head-to-head contracting in outpatient clinics.
On the other hand, the online medical insurance payment process is also accelerating.
At the end of last year, the "Internet + Medical and Health" and "Five Ones" service actions were further promoted.
The document proposes to implement the "long-term prescription" medical insurance reimbursement policy, and implement online medical insurance settlement for online prescription drug fees for "Internet +" medical services that meet the requirements.
At the end of last year, the "Internet + Medical and Health" and "Five Ones" service actions were further promoted.
The document proposes to implement the "long-term prescription" medical insurance reimbursement policy, and implement online medical insurance settlement for online prescription drug fees for "Internet +" medical services that meet the requirements.
At present, many places are introducing a number of measures to accelerate the implementation of the "Internet + medical insurance" work.
On February 27, the trial version of the Internet Hospital of Jiaxing Second Hospital was launched, realizing online follow-up visits, pre-diagnosis pre-inquiry, online consultation, online de-card medical insurance settlement, online drug delivery, etc.
, breaking through the tradition The geographical location of medical consultation is restricted, which greatly facilitates the patient's medical treatment.
On February 27, the trial version of the Internet Hospital of Jiaxing Second Hospital was launched, realizing online follow-up visits, pre-diagnosis pre-inquiry, online consultation, online de-card medical insurance settlement, online drug delivery, etc.
, breaking through the tradition The geographical location of medical consultation is restricted, which greatly facilitates the patient's medical treatment.
Ding Lieming, deputy to the National People's Congress and chairman of Betta Pharmaceuticals, suggested speeding up the improvement of relevant laws and regulations, ensuring drug safety, and promoting the further development of online prescription drugs.
This provides a reference for the electronic prescription to further solve the "who pays" problem.
This provides a reference for the electronic prescription to further solve the "who pays" problem.
To a certain extent, the willingness of hospitals to outflow prescriptions has been continuously strengthened, but the current channels and models for undertaking still need to be further explored.
At present, many public hospitals are also exploring the development of Internet hospitals, and the electronic prescription circulation platform is an important part of them.
Driven by multiple factors, the prescription outflow will be further accelerated.
At present, many public hospitals are also exploring the development of Internet hospitals, and the electronic prescription circulation platform is an important part of them.
Driven by multiple factors, the prescription outflow will be further accelerated.
Choice of pharmacies
Choice of pharmacies For pharmacies, prescription outflow is a huge cake.
Under the general trend of accelerated prescription outflow, how much can pharmacies get? This must first solve the problem of whether pharmacies can accept prescriptions.
Under the general trend of accelerated prescription outflow, how much can pharmacies get? This must first solve the problem of whether pharmacies can accept prescriptions.
Chen Wei pointed out that hospital-certified pharmacies are one of the paths.
As a professional drug distribution company , pharmaceutical commercial enterprises have the ability to integrate resources from all sources to promote the Internet + medicine process.
By adopting hospital- certified pharmacies , they can achieve closed-loop management of drug quality.
, And pharmacies can be used as service places to provide patients with more specialized pharmaceutical services.
Enterprise enterprise enterprise hospital hospital hospital pharmacy pharmacy pharmacyAs a professional drug distribution company , pharmaceutical commercial enterprises have the ability to integrate resources from all sources to promote the Internet + medicine process.
By adopting hospital- certified pharmacies , they can achieve closed-loop management of drug quality.
, And pharmacies can be used as service places to provide patients with more specialized pharmaceutical services.
For most pharmacies, hospital certification may be the easiest model to implement.
At present, many electronic prescription circulation platforms are mainly built by public hospitals on the basis of medical insurance platforms.
Therefore, hospitals still retain the right to speak on whether prescriptions are flowing out and where they are flowing.
The model of hospital certification, how many to choose Powerful chain pharmacies are also the methods currently tried by many prescription circulation platforms.
At present, many electronic prescription circulation platforms are mainly built by public hospitals on the basis of medical insurance platforms.
Therefore, hospitals still retain the right to speak on whether prescriptions are flowing out and where they are flowing.
The model of hospital certification, how many to choose Powerful chain pharmacies are also the methods currently tried by many prescription circulation platforms.
On January 20, the "Internet chronic disease renewal and prescription circulation service" project was officially launched in the Union Shenzhen Hospital (Nanshan Hospital) of Huazhong University of Science and Technology.
This is Shenzhen's first Internet chronic disease renewal and prescription circulation platform pilot project.
Cooperating with this platform is the Shenzhen National University chain pharmacy.
200 stores can deliver medicines to the door in 28 minutes at the fastest.
This is Shenzhen's first Internet chronic disease renewal and prescription circulation platform pilot project.
Cooperating with this platform is the Shenzhen National University chain pharmacy.
200 stores can deliver medicines to the door in 28 minutes at the fastest.
Of course, the threshold for obtaining hospital certification will not be low.
The first is that the coverage of pharmacies' services should be wide, and secondly, the varieties should be complete, and services such as prescription review by licensed pharmacists and pharmaceutical guidance should be kept up.
It is understood that the drugs from the National University pharmacy cooperating on the prescription circulation platform and the drugs prescribed by the hospital are "same product, same specification, and same price".
The drug is "one item, one code", and the whole process can be traced.
Patients do not need to worry about drugs in out-of- hospital pharmacies.
The price difference and quality issues.
Medicine, medicine, medicineThe first is that the coverage of pharmacies' services should be wide, and secondly, the varieties should be complete, and services such as prescription review by licensed pharmacists and pharmaceutical guidance should be kept up.
It is understood that the drugs from the National University pharmacy cooperating on the prescription circulation platform and the drugs prescribed by the hospital are "same product, same specification, and same price".
The drug is "one item, one code", and the whole process can be traced.
Patients do not need to worry about drugs in out-of- hospital pharmacies.
The price difference and quality issues.
In addition, Internet hospitals are also an important attempt by many chains, especially leading chains, to accept prescriptions.
At present, the listed chains such as Dashenlin, Yixintang, Yifeng, and Lao People have long established their layout in the Internet medical field.
However, due to factors such as high cost and shortage of medical resources, this is not necessarily suitable for small and medium-sized chains.
At present, the listed chains such as Dashenlin, Yixintang, Yifeng, and Lao People have long established their layout in the Internet medical field.
However, due to factors such as high cost and shortage of medical resources, this is not necessarily suitable for small and medium-sized chains.
In general, the acceleration of prescription outflow is an inevitable trend in the industry.
Whether pharmacies can handle it depends on the size, category, and professional capabilities of pharmaceutical services.
Instead of passively changing pharmacies, it is better to follow the trend and actively transform to forge the ability to accept prescriptions.
Whether pharmacies can handle it depends on the size, category, and professional capabilities of pharmaceutical services.
Instead of passively changing pharmacies, it is better to follow the trend and actively transform to forge the ability to accept prescriptions.
