& ldquo;，It may solve the biggest difficulty facing the advancement of medical reform。& rdquo; July 27，Careful study "After the Guiding Opinions of Promoting the Healthy Development of the Pharmaceutical Industry，The person in charge of the pharmaceutical company of a listed company said to reporters，The current effect of China's medical reform is not obvious enough，The core and key issues in which most policies launched by the state need to be manpower to promote，Once the policy advances, the resistance is too large，The landing of reform is very difficult。And now，After the Development and Reform Commission leads the market mechanism of drug trading，Adjust and standardize through the mechanism，The situation of Chinese medical reform is expected to change gradually。
 
  Previous，Many policies on medical reform issued by the country，It has also mentioned that such a market mechanism。Researchers in another pharmaceutical industry also said，Now this task is clear to the timetable，After being established by the Development and Reform Commission，Follow -up related drug centralized procurement or other administrative pricing policies that restrict market mechanisms may be gradually weakened or canceled。
 
  Another highlight worthy of attention in the "Plan" is to encourage the hospital's prescription outflow，& ldquo; After this regulation is implemented，Prescription medicine except for sale in the hospital，You can also buy it at the retail system，The proportion of the hospital system will decrease again。& rdquo;，In addition，Another advantage of the prescription outflow，It may break the obstacles of the current Internet sales prescription medicine or the source of the online hospital's prescription，Therefore, my country's prescription medicine can be truly opened in e -commerce channels。
 
  Drug bidding purchase or cancellation
 
  March this year，The General Office of the State Council My stake betting appissued My stake betting appthe "Guiding Opinions on Promoting the Healthy Development of the Medical Industry"。Since then，The implementation of this guidance is gradually advanced。July 25 this year，The above plan is officially released，Issuing the specific implementation rules for the guidance of this guidance。
 
  Display according to the content of the scheme，The scheme clarifies the specific division of labor of various national functional departments，and decompose various tasks，and put forward a clear time progress requirements。The scheme also includes research and development of all aspects of the Chinese pharmaceutical industry chain、Production，To the spot、circulation、retail and other links，All established clear goals and requirements，In addition，Live in the Three Medicals、Medical Insurance、Reform of the drug price policy、Modernization of Chinese medicine is clearly stipulated。
 
  & ldquo; The biggest highlight in this plan is the market mechanism for establishing a drug transaction price。& rdquo; The above person in charge believes，According to the "Plan" regulations，In the future, my country will implement medical treatment、Medical Insurance、Medical linkage reform，Give full play to the role of the market mechanism，The actual transaction price of the drug is mainly formed by market competition。& ldquo; This means，Drugs may achieve real market price。& rdquo;
 
  The current pricing mechanism of Chinese drug prices is still an administrative pricing mechanism，That is, provinces are purchased by provinces through the method of bidding for centralized bidding for drugs，& ldquo; The disadvantage of this method is，Many government departments that are not on the front line of the market are priced according to the offer of various enterprises，Not necessarily really in line with market laws & rdquo;，The above person in charge said，In this case，It is also easy to breed some power to find rental space，Limited space for Chinese drug prices。and the unified regulations for administrativeization of drug sales that enter the medical institution，Make the drug lost the market regulation mechanism。
 
  Previous，Some local governments have purchased in concentrated procurement with circulating enterprises，Try to reduce the price of drugs，& ldquo; For example, some cities in Anhui and Fujian Province，By concentrated procurement through the city level，The purchase price of local drugs has been reduced by about 30%。& rdquo; The above person in charge said，This shows that in the provincial centralized bidding procurement process，There is still a certain decline space。
 
  But this is not a way without solution，& ldquo; If subsequent countries' supervision focuses on the supervision of drug reimbursement prices，But in other links, the price of pharmaceutical factories Stake Sports Bettingand stake online sports bettinghospitals are priced at the normal market mechanism，Under its own cost and profit consideration，Negotiation with the hospital determines the supply price，Perhaps the supply prices of different hospitals may be different，But this can reflect the market mechanism，You can also truly mobilize the enthusiasm of drug procurement in pharmaceutical plants and hospitals。& rdquo; The above person in charge said，If you are worried about this mechanism，Enterprise or hospital's profits are too high，Still unable to control the cost，But with the above market price as the reference standard，The country can also continue to reduce the reimbursement price for adjustment，and this regulation can really meet the characteristics of the market。
 
  Another meaning revealed in the scheme is also worth market attention。Researchers on the above industry said，In fact, the country has previously proposed a market mechanism plan for establishing a drug transaction price，but not landed to the specific department to advance。Now the plan is clear in the plan to establish a market mechanism，will be based on the Development Reform Commission、Human Resources and Social Security Department、Health and Family Planning Commission、Lead of the Insurance Regulatory Commission，& ldquo; follow -up，The Development and Reform Commission may consider canceling many policies that strictly control the price of drug transactions at present。& rdquo;
 
  Prescription outflow is worth looking forward to
 
  Another highlight of this plan is the new regulation of prescription outflow。Plan is clear in the provisions of the sound medical service system，& ldquo; Medical institutions shall open a prescription in accordance with the common name of the drug，and actively provide a prescription to the patient，Guarantee patient's choice of drug purchase & rdquo;。
 
  & ldquo; Previous，The proportion of medicines in Chinese hospitals is high，One of the important reasons is that the hospital strictly controls the prescription outflow。& rdquo; The person in charge above also said，The two main points of the hospital's control prescription outflow include only when the doctor opens the prescription and only the product name and the electronic prescription。and the manufacturer distinguishes the medicines of hospitals and retail channels，It is mainly because the pharmaceutical factory is sold in the pharmacy system，It will face different pharmacies' price reduction promotion，It will lower the profit of the pharmaceutical factory，Pharmaceutical factory cooperation with hospitals，The price and sales of drugs are relatively stable，Therefore, the medicines for the hospital are basically not sold in pharmacy channels。
 
  But in fact，During the patient's treatment,，Except drugs、Anesthesiomy and psychiatric drugs outside，The clinical medicine used in the hospital is stake betting appnot special。Stake Sports BettingThe ingredients and efficacy of the same drug are basically similar。Today the state requires the hospital doctors to prescribe a prescription.，and actively provide a prescription to the patient，After the patient gets the prescription，You can choose to buy prescription drugs for retail terminals including pharmacies，，The proportion of medicine in Chinese hospitals can only decrease significantly。
 
  A few days ago，The "Statistics of the Development of China in 2015 in my country" released by the Health and Family Planning Commission revealed，2015 national total health expenses are expected to reach 4058.77 billion yuan，Among them, government health expenditure 1253.30 billion yuan (30.88%)，Social hygiene expenditure 1589.07 billion yuan (39.15%)，Personal hygiene expenditure 1216.40 billion yuan (29.97%)。Per capita health costs 2952 yuan，Total hygiene expenses account for 6.0%。 In terms of medical expenses of patients，The overall amount is still rising，But the proportion of drugs has decreased，and decreased in the hospital more than last year。
 
  2015，The proportion of medicine in the hospital has decreased steadily。Hospital's outpatient drug fee accounts for 48.3%，decreased by 1.0 percentage point than last year，The decline is the same as that in 2014; the hospital's hospitalization drug costs account for 36.9%，decreased by 1.5 percentage point than last year，higher than the decline in 2014。
 
  Haitong Securities also expressed in a public research report，If the prescription is out of the prescription，Some medicines will be squeezed out of the hospital，and the most demand for drugs may be flowing to the retail market。
 
  but，It is worth noting is，In the previous medical reform process，Although the country strictly controls the proportion of drugs，At the same time, it also strictly controls the cost of the hospital system，But in the actual execution process，Because the actual income of the doctor is not high，It is difficult to resist the temptation of the pharmaceutical factory to give a variety of drugs for various drugs，So，Hospital and doctors will control the prescription outflow through various methods。
 
  & ldquo;，The prescription prescribed by the doctor is generally divided into medicines that are really cured and & lsquo;，& rdquo; The above researcher also explained，The former is a medicine with efficacy，Most of the latter is some auxiliary medicines for relieving muscles and blood circulation，Dan's rebate ratio of the pharmaceutical factory，General former only has 20%-30%，The latter is as high as 50%or more。So，Doctors and pharmaceutical factories may be united when prescription drugs are prescribed，Will through some rare specifications、Dose format and other methods to avoid the restrictions of the common name of the drug。In addition，Some medicines originally oral stake sports betting appmedicines，Doctors may change to stake betting appopen injection drugs，Patients cannot inject at home for their own，Therefore, continue to choose to consume in the hospital。& ldquo; So say，Before the pharmaceutical trading market mechanism is completely established and benign operation，The effectiveness of the prescription outflow policy may be relatively limited。& rdquo;
 
  In the process of the innovative medicine that the public attention，Another point that attracts the attention of pharmaceutical companies is the institutional regulations on the license of drug listing。Explanation of the person in charge of the pharmaceutical company above，The biggest difficulty in the current process of Chinese drug innovation is that the scientific research power is not strong enough，A new drug development abroad，Generally, its R & D investment will be very large，But many Chinese pharmaceutical companies' own scale and strength are limited，Insufficient investment in R & D，If Chinese medicines should really innovate，The scientific research power of the research institute is very critical，But by institutional restrictions，If the researchers within the Scientific Institute cannot clearly participate in the operation and management of the enterprise，Unable to commercialize，And now，The scheme clearly & ldquo; Scientific Research Institute and other units，Fund injection、Technical investment and other cooperation forms，Establish an industrial alliance or consortium & rdquo;，This regulation broke the obstacles of the reasonable transformation of my country's scientific research results。