After entering 2016，Many regulatory authorities have introduced a series of policies that affect the marketing foundation of the pharmaceutical industry differently。

 

  Some policies have carried out shallow levels in the past，But national implementation、Systematic implementation，The entire pharmaceutical industry has no old experience to be based。From the perspective of the industry，We are facing each independent new rule。But，The formulation agency behind related policies、The expert library is actually the brain of the same group of people，Its thinking is continuity and integrity。So，In the rules that need to be online，Push the position behind it，can make a more secure response plan。Under the premise that the chain reaction between various policies is not fully considered，The solution may get the opposite prediction。

 

  Current，The policy introduced by the series is classified as classified，It mainly stake online sports bettingstake online sports bettingincludes three major aspects: reform of public medical institutions、Sales channel reform、Product approval reform。

 

  Reform of public medical institutions

 

  The reform of public hospitals mainly revolves around & ldquo; it is not difficult to see a doctor，Not expensive to see a doctor & rdquo;，Its specific measures are as follows:

 

  Not expensive to see a doctor

 

  1. Formulate a series of hospital assessment indicators

 

  1) Drug ratio;

 

  2) The growth rate of medical expenses;

 

  3) Other consideration indicators (such as average hospitalization day、average cost);

 

  4) Medical insurance control/medical expenses control.

 

  2. Restricted the amount of drugs, and reasonable medication

 

  1) Prescription review/PBM;

 

  2) Clinical path.

 

  3. Reduce the price of drugs

 

  1) Reform of the bidding of drugs;

 

  2) GPO;

 

  3) The construction of comprehensive management information platform for national drug supply guarantee;

 

  4) Reform of medical insurance payment standards.

 

  It is not difficult to see a doctor

 

  1. Multiple practice;

 

  2. Tiered diagnosis and treatment;

 

  3. Family doctor system;

 

  4. Pilot online hospital.

 

  During the implementation of a series of policies，We can find that the role behavior of these units has changed。

 

  Provincial and Municipal Local Government Health and Family Planning Commission, Medical Reform Office

 

  Gradually recover the hospital's independent management right。Earth -level government、Health and Family Planning Commission、Medical Insurance Office through formulating the general pharmacist system (formulating centralized procurement directory)、The General Accountant System (Independent Accounting Organization is responsible for the financial management of regional hospitals)、PBM and clinical path implementation、Hospital Dean's appointment system and detailed assessment indicators gradually gather the management of a single hospital into regional management。

 

  Teng cage change bird。My stake betting appReduce Stake Sports Bettingmedicine through adopting measures、Consumption and other purchasing prices，Cancel the bonus，To increase medical expenses in exchange for space。

 

  Hospital

 

  Evaluation indicators、Drug restrictions (auxiliary medication catalog、Forbidden outpatient infusion) Impact，and the impact of fiscal payment after the bonus of the medicine 0。Hospital behavior is both manifested as a type of drug use、Quantity and amount，At the same time。

 

  Marketing channel reform

 

  From the perspective of the regulator，The main reason for drug deficiency is too much role participating in marketing channels，and each character is for survival、Maximum profit，Leading drug marketing competition behavior white heat。High market investment investment，As a result, the retail price of drugs is maintained at a high price.、Drugs are overwhelming and other chaos。

 

  So，The concentration point of the policy is to enhance the concentration of business、Reduce participants、Squeezing cost space, etc.，The rules of channel reform mainly include the following two aspects。

 

  1. Compliant operation, improve concentration

 

  1) Two -vote system, encourage one vote system;

 

  2) The intensive distribution of the area;

 

  3) GPO;

 

  4) GSP flight inspection.

 

  ​​2. Reduce cost space, reduce competition factors

 

  1) The increase in business reform;

 

  2) Business verification and squeeze ticket companies and agents.

 

  After the channel changes，Marketing Behavior Participants: Business Delivery、Agent、Production enterprises will face the following situation。

 

  Commercial Delivery

 

  1) Administrative requirements have led to a significant reduction in commercial companies;

 

  2) Big business terminal discourse rights/regional access capacity improvement;

 

  3) Industry-Delivery-Hospital Turn to the mainstream mode，Participants in the purchase and selling chain have shrunk sharply;

 

  4) The pressure of commercial stake betting appfunds stake betting appincreased dramatically.

 

  Agent

 

  1) The voting behavior disappears、Sales cost space decreases，The difficulty of withdrawal;

 

  2) Do not participate in the drug purchase and sales process，No GSP no longer needs，The right to control the variety weakened;

 

  3) Function changes, only the drug information transfer function is left.

 

  Production Enterprise

 

  1) & ldquo; Base price & rdquo; mode disappear，Enterprises gather all compliance、Tax risk;

 

  2) Sales cost space decreases (difficult to use bills to reduce taxes);

 

  3) The self -operated team also lacks reasonable bills、High -opening products are even more difficult;

 

  4) There are third -party promotion services for outsourcing.

 

  Drug approval reform

 

  Reduce the supply of approval，Especially the idle approval of small and medium -sized enterprises，It is considered to be an effective way to reduce excessive marketing behavior。

 

  Current，This part of the measure is mainly manifested as a strong evaluation of drug consistency、Pharmaceutical registration method reform、Self -examination of clinical data、GMP Flying Inspection and the new version of GMP's unfinished comprehensive cancellation。

 

  It is worth noting is，The listing licenseator system is conducive to production approval to powerful agent companies、Organization gathering。

 

  After the reform of the drug,，It has a great impact on manufacturers and agents。Approval supply has decreased significantly，It may cause agents to replace without medicine，to force more participants to go out。

 

  Conclusion:

 

  Industry frequently play words，This medical reform has become & ldquo; drug reform & rdquo;。The policy we encountered/not encountered，Basically, it is not expensive around the treatment (reduce the price of drugs，Standardize the number of drugs and reduce excessive marketing behavior due Stake Sports Bettingstake online sports bettingto excessive role participation)、It is not difficult to see a doctor (Adjusting and Optimizing Patient Stream) These two key points。Multiple regulators are working together to play a big chess，Where is the way out? Think about the logic behind these policies，can explore the direction of future progress。