Traditional Chinese Medicine Preparation Center of Medical Institutions-the next golden track in the Chinese medicine industry

With the gradual deepening of the reform of the medical and health system, the addition of Chinese medicine decoction pieces in the Hospital of Traditional Chinese Medicine may be completely cancelled
.
The income of decoction pieces of traditional Chinese medicine is an important part of the daily revenue of TCM hospitals.
The cancellation of the bonus of decoction pieces of traditional Chinese medicine will undoubtedly increase the financial burden of the hospital and increase the cost of business operations
.
In the face of the coming "cold winter", in addition to increasing medical technology service fees, what measures can the hospital take to ease operational pressure, achieve sustainable development, and protect the lives and health of the people? In recent years, many domestic pharmaceutical companies have participated in the cooperative construction of regional preparation centers.
Guangzhou Xiangxue Pharmaceutical Co.
, Ltd.
participated in the construction of the cooperative Shandong Provincial Hospital of Traditional Chinese Medicine Preparation Center which was put into operation in 2018.
China Resources Sanjiu Pharmaceutical Co.
, Ltd.
and Hubei Province China The Wudong District Preparation Center project, which was jointly invested and operated by the hospital, laid the foundation stone at the end of 2019
.
On the track of the Chinese medicine industry, why do Chinese medicine companies focus on setting up Chinese medicine preparation centers in medical institutions? As one of the earliest research institutions in China to study the TCM preparation center industry in medical institutions, the Tanggu Information Pharmaceutical Research Team analyzed the following: Cancellation of the addition of TCM decoction pieces is the general trend.
Complete elimination of the addition of medicines and high-value medical consumables is to eliminate the "medicine to support doctors.
" , An important measure to "replenish medical care with consumption", reconstruct a reasonable compensation mechanism, and deepen the reform of the medical and health system
.
As early as 2017, China's public hospitals completely abolished the western medicine markup, and the reforms have achieved initial results in recent years; in 2019, China's public hospitals also achieved "zero markup" sales of high-value medical consumables, which eased the people's medical burden; In the same year, the "Opinions on Promoting the Inheritance, Innovation and Development of Traditional Chinese Medicine" issued by the State Council put the "zero mark-up of decoction pieces" on the agenda, and clearly pointed out the need to study and cancel the work related to the decoction of TCM decoction pieces.
, The inevitable medical reform
.
In accordance with the regulation principle of “total volume control, structural adjustment, ups and downs, and gradual implementation”, the cost space vacated by the cancellation of the drug equipment bonus will be used to increase the price of medical technology services, and more reflect the labor value of medical staff
.
Medical institutions have independent pricing of traditional Chinese medicine preparations, ushering in the golden period of rapid development.
Most of the traditional Chinese medicine preparations in medical institutions come from the agreement of the famous old Chinese doctors in this hospital.
They are the wisdom crystallization of the famous old Chinese medicine thinking and diagnosis and treatment experience, and the transmission carrier of clinical thinking and medication rules.
, Safe, effective, and convenient to use, it generally has distinct characteristics and advantages.
It is a powerful means of competition for hospitals based on "differentiated services
.
" However, due to the high threshold for examination and approval of traditional Chinese medicine preparations in medical institutions, stricter management mechanisms and meagre profits, the enthusiasm for research and development of hospitals is insufficient, which greatly hinders the inheritance, innovation and development of traditional Chinese medicine
.
Based on this, the State Council in the "Notice on Several Policies and Measures to Accelerate the Development of the Characteristic of Traditional Chinese Medicine" issued in early 2021 specifically proposed that the Chinese medicine decoction pieces and preparations processed and used by medical institutions shall be self-priced, and those that meet the conditions can be included in the scope of medical insurance payment according to regulations.

.
This move will undoubtedly stimulate the endogenous motivation of the research and development of Chinese medicine preparations in medical institutions, and it is bound to usher in the golden period of rapid development of Chinese medicine preparations in hospitals
.
It is an in-hospital Chinese medicine preparation, and it will also be an "out-of-hospital" Chinese medicine preparation.
As early as 2017, the "Guiding Opinions on Promoting the Construction and Development of Medical Consortia" issued by the General Office of the State Council clearly pointed out that it is necessary to realize the sharing of regional resources and form a medical consortium.
Mechanisms for prescription flow, drug sharing and distribution
.
Subsequently, based on relevant national policies, some provinces have successively introduced regulations for the use of traditional Chinese medicine preparations in medical institutions in the medical union, and the curtain on the industrialization of hospital preparations seems to have been slowly opened
.
Allowing the promotion and application of preparations in hospitals will greatly arouse the enthusiasm of the medical consortium to develop traditional Chinese medicine preparations, so that the results of preparations will benefit more patients and achieve a win-win situation for all parties
.
With the support of policy dividends including medical insurance payment and medical consortium drug sharing, with the gradual deepening of reforms, in-hospital Chinese medicine preparations will surely come out of hospitals, in scientific research collaboration units, counterpart support units, specialist collaboration networks, and regional TCM specialist diagnosis and treatment centers , Medical Consortium, and Medical Community have been widely used, serving more primary-level patients, and ushering in a broader space for development
.
Regional Traditional Chinese Medicine Preparation Center to open up new forms of industrial economy.
Medical institutions have more varieties and specifications of traditional Chinese medicine preparations and more complex dosage forms.

.
Under the traditional operation model, due to the limited amount of single hospital and the short validity period, the in-hospital preparations cannot be mass-produced, the production efficiency is low, and the cost is high
.
At the same time, due to the lack of a scientific and efficient digital operation and supervision system, the closed-loop traceability of the entire preparation production process has become a blind spot, and the effectiveness, safety and stability of the preparations in the hospital cannot be guaranteed.
Informatization cost accounting and digital management of standard archives are also out of the question
.
Based on this, in 2019, the "Notice on Effectively Strengthening the Work of Traditional Chinese Medicine in the Construction of Medical Consortium" issued by the State Administration of Traditional Chinese Medicine and the National Health Commission emphasized encouraging qualified Chinese medicine hospitals to establish regional Chinese medicine preparation centers to promote regional The research and development application, commissioned preparation and promotion of Chinese medicine preparations in medical institutions have pointed out the direction for the development of new economic business forms of the preparation industry and laid an important policy foundation
.
Relying on a strong leading hospital to establish a regional traditional Chinese medicine preparation center is conducive to strengthening the quality management of the entire preparation production process with procurement as the source and distribution as the end, improving production efficiency, reducing operating costs, and ensuring the effectiveness, safety and stability of the preparations At the same time, it can also create guarantee conditions for the research and development of preparations and realize the leap-forward development of the preparation industry
.
The preparation center adopts a standardized management model.
Both the control of the process and the control of the production materials will adhere to the principle of high standards and strict requirements.
The quality of TCM decoction pieces is bound to have higher requirements.
It can be predicted that in the next few years, with With the expansion of new Chinese medicine preparation centers and the large-scale blowout development of the preparation center business, it is bound to drive a large amount of demand for authentic medicinal materials and refined Chinese medicinal pieces, which will usher in historical business opportunities for Chinese medicine companies
.