With volume procurement ecological system mechanism "subway-style" construction thinking!?

Text . . . After the third batch of drugs, the consumables alliance collection and fueling, "quantity price linkage, recruitment and one" principle so that drug consumption collection efficiency has mastered the core essence, in the ultra-low prices appear, industry panic intensified in the background, we pay attention to the industry, industry's ability to adapt to the response, survival and development space.
from the historical experience of reform, every time we mention "dot-to-point", one is from point to line, the first to complete systematic construction, and the other is from line-to-surface, and then expand the ecological impact.
the current system, ecological aspects of the procurement mechanism have a lot of short boards, still need to constantly broaden their horizons for reference.
this paper, we are inspired by the mature subway operation (such as the Tokyo subway), to explore the volume procurement mechanism needs to be perfected some perspectives.
" Tokyo was the first city in Asia to build a subway, and on December 30, 1927, Asia's first subway was opened in Tokyo, a 2.2-kilometer section from Shinqiao Station to Ueno Station.
, Tokyo's subway has 13 lines and 286 stations, forming the city's capital's all-round rail network.
these subway stations have two characteristics: first, the ground import and export more, like da lot station, a total of more than 50 imports and exports;
"What are the standard subway facilities in Tokyo?" By analogy, what are the inspirations for perfecting the procurement mechanism with volume? Revelation 1: To ensure the rights and interests of drug sales selected in volume procurement is the normal priority of the mechanism "to install a roller."
half-closed platform bezel to prevent personal accidents.
" analysis of the volume procurement of selected drugs is like the passengers into the subway system, with the purchase of drugs can be regarded as an extension of the drug production link, but also need to have rollers, rolling lines and flow data.
if we learn from many control factors and measures in the pharmaceutical production chain, we know how many gaps still need to be filled in the circulation, sales, prescription and use links.
, however, the fact is that it is possible to fall and annihilate in the mechanism by purchasing the drugs in volume, which is a terrible thing for the subway system.
if a passenger falls off the track from a semi-enclosed platform bezel, it will certainly cause mental tension and rapid response action throughout the station and the system as a whole.
Such an analogy, we believe that: the volume procurement mechanism needs to pay attention to the volume of the procurement of selected drug inflow mechanism and outflow mechanism comparison, if the two do not coincide, will certainly show some kind of problem.
and those other selected or non-selected drugs most relevant to this interest, as well as related sales parties, are involved in giving a reasonable explanation, all under surveillance.
Revelation II: to ensure that the volume procurement mechanism inside the wind and clean air, to provide a harmonious environment for the mechanism "installed elevator, connecting the ticket gate and the station."
" analysis of the so-called volume procurement of internal relations harmony, can not be Qingqing me and I, must be full of fierce competition, premeditated competition.
, the only way out of a harmonious environment is for the mechanism to be fair, authoritative and transparent.
On the one hand, for the apparent reasonable drug use behavior is still alleviated, can not solve the phenomenon of inflated drug prices, we must use the comprehensive medical reform linkage of specific measures, play the "lift elevator" effect.
On the other hand, for individual volume procurement of selected drugs still with gold dumping behavior, it is necessary to give timely warning reminders, to avoid being forced to pull on the "lift elevator", directly from the mechanism.
revelation three: to ensure that the future of the belt procurement mechanism is smooth sailing, it is necessary to open up the track in advance "there are seats on the platform, for passengers waiting for the bus."
" analysis continues to liken subway passengers to medicines, some passengers on board seem to be purchasing drugs in the execution cycle, and some passengers waiting outside and inside stations, especially those waiting at stations, are like drug companies that have applied for them.
ideal situation is: the formation of a large waiting space, in the waiting room to open up an orderly waiting area, or even a column.
Resuming to the volume procurement mechanism, it is necessary to bring all drugs into the field of study in a timely manner, not to be limited to what drugs are in the medical insurance catalogue, otherwise the efficiency of recruitment will have to be discounted on the basis of the limited efficiency of the medical insurance catalogue.
This can solve at least two direct problems: first, the latest approved drugs, can immediately put forward enterprises, products to participate in the application;
Four: to ensure that the volume procurement mechanism closely linked to the patient masses, so that social public opinion remains stable" on the platform there are kiosks (divided into manual kiosks and vending kiosks).
automatic ticketing machines have the ability to use mobile phones, traffic cards and paper tickets at the same time.
" analysis of the volume of procurement of selected drugs so many, the price reduction is so great, but put on the patients' general demand, there is still a long way to go.
, for example: immediately there are comments that pharmacies and even hospitals are having a hard time buying some of the cut-price drugs they buy.
from the collection of explanation reasons to see: hospitals due to technical, financial reasons, some negotiating drugs, with a quantity of procurement drugs are not needed, no ability to introduce.
pharmacies have not yet introduced these drugs on a large scale because of profit-technology needs, the right to free choice and prescription restrictions.
the subway system approach, the solution includes, but is not limited to: First, to expand the outflow of prescriptions for drug purchases with volume.
Hospital capacity and willingness is limited, it is necessary to transition the drug sales link to slow special disease fixed-point pharmacies, social retail pharmacies and pharmaceutical e-commerce, without increasing the security risks, to achieve a special prescription outflow, to find a way to use the purchase of drugs with volume.
is to pay attention to doctors, patients reflect the volume of procurement of drugs is not smooth.
Can be doctors, patients to strategic buyers in the local representatives to reflect the problem, and feedback issues vertical management, practice the first question responsible system and the first responsible person, the purpose is to take the implementation cycle of volume procurement as the main battleground of constant effort, innovation, for the expansion of the map to fight every battle.
Aposage V: to ensure that the band procurement mechanism is serving suppliers, so that the mechanism of many friends and trust" platform has a timetable, road map, station exit schematics, near the station map.
free drinking water on the platform.
" analysis of the volume of procurement activities from one to two, from three to ten thousand, no longer pay attention to the strange soldiers, secrets, but pay attention to warm-up, surrounded.
analogy to the subway system, with volume procurement gradually have a schedule (fourth wheel and later), road map (e.g. 500 varieties), station exit schematics (with volume effect, etc.), maps near the station (may interfere with the purchase of reasonable use of drugs, or not published), free drinking water installations (to facilitate the pharmaceutical companies, efficient rule consultation and interpretation).
will be an ecology here.
The sixth revelation: to ensure that the volume procurement mechanism to listen to the internal and external voice, with good ear power and good calculation" station has a public toilet, most have been replaced with warm water flushing function of the toilet, free toilet paper.
" analysis of any industry, anything, have to face the trash.
and garbage words are not all hollow wind, not all preconceived arbitrary opinions, not all is not available waste materials.
the procurement mechanism should be stable and far away, we must first grasp the rationality.
reasonableness requires a wide field of vision and a broad listening threshold.
to 500 varieties as an example, on the one hand, the strategic buyers have a certain vision, planning, on the other hand, it also indicates that in the specific implementation process, it is necessary to adjust according to the vision, listening threshold and then flexible adjustment.
rationality, involving the level of human harmony, strategic buyers should encourage positive energy for enterprises and industries, indicating the direction of cooperation.
above analysis, we can see that the systematic and ecological construction of volume procurement is not only an incremental reform, but also a stock reform.
on the road of stock reform, we can get some enlightenment of systematic and ecological construction by drawing on the mature subway operation.
at the end of this article, let's give the following examples.
Daxing Airport was put into operation, travel time and costs from the northern part of Beijing to the airport soared, starting from the North Sixth Ring Road, the taxi cost is generally 300 yuan.
shows that the new airport into operation, there is a clear advantage to the system, has a certain impact on the ecological type.
Band-volume procurement mechanism should think: how to reduce the adverse aspects of this effect, such as avoiding the purchase of drugs with a quantity to compete for the original low-cost drugs, good use of drugs in the hospital market;
at the airport, the departure and arrival levels are often different, with passengers either departing or arriving, in the middle of the sky or in large or small circles.
on the subway, the arrival layer and then go up or down the floor, that is, the departure layer, passengers are almost always in the departure state, the departure is very convenient.
we saw the big station express in the subway run, and saw the time and space closely intersecting together.
The inspiration of this volume procurement mechanism is: mature belt procurement mechanism so that products, enterprises are always in a state of departure, related interests, supply and demand parties to work hard not only in the first few batches of activities before and after those days, it can be said that mature belt procurement does not close.
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