October 12，The Shaanxi Provincial Health and Family Planning Commission issued the "Notice on Deepening the Reform of the Reform of the Supply of Pharmaceutical Supplies" (Shaanxi Medical Reconstruction, 2016 ﹞ 8)，But the official website is not available。"Medical Economic Daily" reporter called the Shaanxi Health and Family Planning Commission Pharmaceutical Certificate Office to verify that this notice was issued，The net will be restarted these days，The content has not changed。

 

  Reprinted the above "Notice" display according to other websites，Shaanxi decided to start from January 1, 2017，Pharmaceutical procurement of urban public medical institutions in the province implementation & ldquo; two -vote & rdquo;，County、Town、Village Medical and Health Institutions in a timely manner & ldquo; two -vote & rdquo;。更It is worth noting is，Shaanxi has compressed to the number of distributors，And the distributor preferred to the medical institution，This also aroused heated discussion in the industry。

 

  Delivers prefer to choose right controversy

 

  Shaanxi explicitly the number of compressed distribution companies，Among them, the third -level medical institution medicine、Consumption distribution companies stake sports betting appdo not exceed 15 respectively; drugs for secondary medical institutions、Consumption distribution companies do not exceed 5 respectively、15。

 

  Requirements for the number of distributors，The industry thinks the number is quite reasonable。From the opinion of Yan Zheng, vice chairman of Wuzhong Industrial Co., Ltd., Jiangsu Wuzhong Industrial Co., Ltd.，& ldquo; Suzhou has also implemented a reduction in distributor，Large Hospital will be distributed by several large commercials，Shaanxi requirements are quite loose。& rdquo; Like the large -scale distributors in general areas, there are only 3 to 5，Big cities delivery providers will be more。Shaanxi may have no restrictions at first，The number of control now，So the larger distributor will get more opportunities due to the variety of varieties。but，If the number of distributors is too small，It is not conducive to competition and service optimization。

 

  Look further，The number of distributors becomes less，Under the condition of & ldquo; two votes & rdquo;，Drug distribution and promotion or facing separation。Many distributors are not responsible for promotion，If you want to find an agent in the area，Need to be responsible for marketing。Production enterprises without self -built teams must choose a commercial company that distributes and promote them。

 

  It is worth noting is，Shaanxi also pointed out，To cooperate with & ldquo; two votes & rdquo; implementation，Further regulates the management of pharmaceutical consumables for urban public medical institutions，Purifying and circulating environment，Improve distribution concentration，Public medical institutions in various cities must combine the actual distribution work，According to open fairness、Principles of two -way selection，Through the bidding procedure，Autonomous selection and delivery enterprise，Prefer to choose a modern logistics distribution company。

 

  This requirement is also consistent with the "2016 Public Hospital Drug Concentrated Purchase Implementation Plan" recently released by Shaanxi，"Plan" is clear，Drug production enterprises can choose distribution companies in the distribution enterprise determined by the medical institution，Stake Sports BettingResponsible for the pharmaceutical distribution work of the medical institution。

 

  This requirement has aroused heated discussion in the industry。Just as Anhui has recently been the first province in the country as the first two -vote system，After the plan is released，There are industry insiders who emphasize，& ldquo; Although the medical institution has the right to choose the recognition distribution dealer service，But in order to ensure the security of the account receivable of the manufacturer，Production enterprises have priority to choose a distribution business that conforms to its own interests，Manufacturers designated the right to distribute business reasonable.。& rdquo;

 

  There are companies bluntly，& ldquo; The practice of Shaanxi only considers the hospital's idea，No need to consider the needs of the manufacturer，This is not reasonable。& rdquo;

 

  For this，Yan Zheng thinks，& ldquo; If the medical institution prefer to choose the distributor，So for manufacturers，Just follow the hospital to choose，channels may also change。& rdquo; He told reporters，& ldquo; In the past, the bidding was the manufacturer's own selection of the distributor，When the manufacturer win the bid in a certain place，Business will actively find manufacturers to choose themselves as distributors。and if it becomes a medical institution, select，The right to speak will increase，Business will also go to medical institutions first。Production enterprises will become passive，No choice、scale、Back ticket、Opportunities for distributors with better services。& rdquo;

 

   & ldquo; Two -vote & rdquo;

 

  From November 1st this year，Anhui will formally execute & ldquo; two votes & rdquo;。According to the requirements of the "Implementation Opinions"，Pharmaceutical procurement of public medical institutions in the province & ldquo; two -vote & rdquo;。Drug operating enterprises sell drugs to the grass -roots public medical institutions of remote mountainous areas，Allows on & ldquo; two votes & rdquo;。other，Drug production enterprises established only the company (group) drug business enterprise、Imported drugs domestic general agents、Pharmaceutical stake sports betting applisting license holder entrusted drug manufacturers or operating enterprises to sell medicines，Visual production enterprise。

 

  From the perspective of the industry，Anhui Province & ldquo; Two -vote & rdquo; very clear，roughly consistent with the national thinking。Next，Some regions may follow Anhui。

 

  Current，Except for comprehensive medical reform pilot provinces, the province must implement & ldquo; two votes & rdquo;，Hebei and Guangdong have also clearly promoted & ldquo; two -vote & rdquo;。September 18，The National Health and Family Planning Commission issued the "Notice on Doing a Good Way for the Comprehensive Reform of the County -level Public Hospital in 2016"，In the pilot county of comprehensive medical reform, it is necessary to implement & ldquo; two votes & rdquo;。Recent，Sanming Alliance also clearly implemented & ldquo; two -vote & rdquo;。

 

   & ldquo; Two votes & rdquo; The impact on the industry has been determined。The person in charge of a small and medium -sized enterprise told reporters，& ldquo; The two -vote system has no adverse effects for the company，Instead, it is conducive to enhancing cooperation with large pharmaceutical commerce，Further reduce the risk of receivables for receivables。& rdquo;

 

  Previous，A large state -owned enterprise marketing Deputy President said，& ldquo; For state -owned enterprises that adhere to quality priority and internal standards higher than external standards，& lsquo; Two votes & rsquo; Execution will increase corporate advantages。By borrowing the opportunity to pass the ticket to pass the ticket，Enterprises can strengthen cooperation with business，Flat the channel，Quickly make the product reach the terminal。At the same time，& lsquo; Two votes & rsquo; can improve the quality and channel distribution quality of enterprises，This is also the best chance to choose a business company with real terminals。Business also provides more market management added value to industrial enterprises，Including data、terminal、Passenger flow management, etc.，This competitiveness will be stronger。& rdquo;

 

  other，During the interview, there are opinions to point out，& ldquo; & lsquo; Two votes & rsquo;，Be stake betting appfull preparation，Under what circumstances can be regarded as & lsquo; two votes & rsquo;，Otherwise, it will affect the distribution of the drug at the grassroots level。No mention of the documents of the two places at present，Whether the first distributor can choose whether to choose secondary distributors。& rdquo;

 

  Anhui is about to be tried，Enterprises are also watching and watching，How to communicate with the local business and the agent responsible for promoting、How to settle the cost，The process that needs to be explored。There are corporate feedback，Current，Some agents in Anhui do not know what extent will be executed，How to operate it in detail。

 

  Yan Zheng thinks，& ldquo; & lsquo; two -vote & rsquo; The main goal is price transparency，and change the cost settlement mode，The original intention is to squeeze the middle moisture，So as long as you achieve this purpose，Specific rules can be flexibly grasped。& rdquo;