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Basic drug system running half a year of operation is very good for implementation, it is difficult
Release time: 2010-04-22 & nbsp & nbsp & nbsp Source:
    April 19,The General Office of the State Council issued the "Main Work Arrangement of the Five Key Reforms of the Medical and Health System" (hereinafter referred to as the work arrangement)。According to the requirements of the work arrangement,To standardize the bidding and distribution of basic drugs,And to implement the national drug system for the My stake betting appimplementation of the government's basic drug system。 
The basic drug system is gradually being improved,But from the market level and the people's benefits,,But worrying。People who can benefit from basic drugs,Also purchased employees、The residents' medical insurance or the people of the new farmer,It is far from the original intention of the policy ---- benefit the whole people。
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The basic drug system has been running for more than half a year,The system has gradually ended,But can it be truly implemented,How to implement,worrying。
Some businessmen said,The current basic drug system,It can be understood as the cost of subsidizing the basic drugs with medical insurance,There is no practical My stake betting stake sports betting appappfinancial investment。And from the perspective of the execution channels of basic drugs,Divided by circulation channels,That is, you can enjoy the discount of basic drugs at the hospital,But in a pharmacy, I can't enjoy it,A comprehensive execution of basic drugs was discounted again。
Wang Ming (pseudonym) of Guangyao Group said in an interview with reporters,About basic drug policies,It can be described as gradually improved in the system,But from the execution level of the lower level,But unsatisfactory。Government bidding a lively,But the affected incidents of basic drugs in the hospital are common,​​Even the price of basic drugs is reduced to death、Modified dosage changing packaging and then listing is also the same。
Liao Xinbo, deputy director of the Guangdong Provincial Department of Health, believes,Whether it is the reform of the public hospital,Promoting the basic drug system,Fiscal subsidies are in place.。
Liu Jie (a pseudonym) of the regional sales staff of a Chinese medicine company in Guangzhou told reporters,Basic drugs before the two sessions covered the pilot of 30%of the national medical institutions,This year will cover 60%of the grass -roots health medical institutions,It can be said that it has been in place in policy,but at the terminal,From the perspective of a pharmaceutical manufacturer,But I can't feel too many market changes。First of all, the basic drug sales of the hospital market are very small,and market in the chain pharmacy,Even encountered "get off the shelves"。
Wang Ming proposed,Not only the manufacturer can not feel the change,As a consumer,I can't feel the substantial benefits brought by the policy,On the one hand, how to use basic drugs,Even if there is a guidance for the use of "China National Prescription" for doctors,but there is no substantial operating significance; on the other hand,Basic drugs are all medical insurance directory,Consumers need to pay much.。
"At present, the My stake betting appimplementation of the basic drug policy,People with medical insurance benefit again,People without medical protection,Still excluded。"Wang Ming sighing。
The relevant person in charge of the Medical Insurance Office of the Guangzhou Labor Insurance Bureau said in an interview with the media,More than 3 million people in Guangzhou participated in the basic medical insurance for urban and towns。As of November last year,Statistics indicate,The number of participants in residents' medical insurance is about 2 million people。
Wang Ming told reporters,Take Guangzhou as an example,More than 16 million people,The number of insureds is about 5 million people,less than one -third of the ratio。In other words,"The basic drug policy currently implemented,Even if it can be effectively executed,It can only benefit a small number of consumers。”
 Division according to channels to be improved
According to the work arrangement of the General Office of the State Council,my country's continued expansion of the My stake betting appimplementation of the basic drug system this year,In the government -run urban community health service institutions and counties (grass -roots medical and health institutions) in no less than 60%of the government's basic drug system。
But during the two sessions, some netizens spoke to say,For various reasons,At present, the construction of urban community medical service institutions in my country is very unbalanced。better,such as Shanghai,The government has invested nearly 2 billion yuan for more than 10 years,Create nearly 3,000 community health service agencies。Such cities may implement the basic drug system in accordance with the "new medical reform" regulations。But most cities in the country do not have so many financial resources to invest in the construction of community medical and health service agencies,Basic shape cannot be network。If these cities only implement the basic stake online sports bettingdrug stake sports betting appsystem in the government -run grass -roots medical institutions,It can only be a "bonsai"。
Liu Jie told reporters,The second terminal that has developed rapidly in recent years-large chain pharmacy is excluded from the basic drug system,Not only the development of the pharmaceutical store seriously blocked the pharmacy,More importantly,The pharmaceutical industry that originally needs to be leveraged by the market,But because of a strong competitor,The role of market regulation is weakened,thus damage the interests of consumers。
Researchers in the pharmaceutical industry Li Congxuan said,The third terminal market under the new medical reform,It will no longer be a free competition market,County and township health institutions organized by the government,"Two Lines of Received and Expenses",Government pricing for basic drugs、Concentrated purchasing、Unified distribution、Forced use,This will lead to different previous operation modes for pharmaceutical companies in the third -terminal market,Specific operation will be more complicated,Can't change the marketing method to adapt to the new "game rules" enterprise,It will face the danger of being eliminated。
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Basic drug retail price or re -adjustment
"The Main Work Arrangement of the Five Key Reforms of the Medical and Health System in 2010" is clear that this year will be closely tracking and monitoring the price of basic drug market prices and supply changes.,Adjust the retail guidance price in time。
Analysts said,The retail price of the basic drug retail that just determined last year may change again,It is possible to adjust the adjustment of "rise and fall"。
At present, many places reflect that some drugs are too low because the winning price is too low,The enthusiasm of the company's loss of production,Learn "waste bid" phenomenon in tenders,The corresponding drug also appears in supply gap。This explanation,Excessive stake sports betting appprice stake sports betting appof some drugs。Some medicines have a large gap between the bid price of the bidding and the retail price of the Development and Reform Commission in various places,This reflects the virtual high of some drug prices。My stake betting appimplementation of the basic drug system,The government applies the "tight hoop curse"。"Arrangement" clarify the implementation goals this year,Implement the national basic drug system at no less than 60%of the government -run urban community health service agencies and counties (grass -roots medical and health institutions);,Gradually realize basic drugs throughout the province (district、City) Unified price,Guarantee the quality and supply of basic drugs。
From the perspective of the relevant person in the Ministry of Health,Realizing the unified price of basic drugs in the province is still difficult,Because the bidding and procurement method of various places、Differential delivery methods and distances lead to a large difference in drug price differences。