October 17，The Shaanxi Provincial Health and Family Planning Commission officially announced the "Notice on Deepening the Reform of the Reform of the Supply of Pharmaceutical Supplies"，This is also after Anhui，Another province has officially introduced two -vote policies and clarified the time of the two -vote system implementation。

 

  From next year, implement two -vote

 

  Shaanxi as a new medical reform pilot province this year，As early as the first half of this year, its medical reform trend，Especially the two -vote policy，It attracts the attention of the industry。

 

  Previous，The official post of the State Council，Clarifying the pilot of the medical reform province & ldquo; two -vote system & rdquo;，The industry is uproar at the same time，Everyone is most concerned about when the policy starts to implement。

 

  As early as April this year，There is a notice of the Shaanxi Health and Family Planning Commission for & ldquo; two votes & rdquo;。Shaanxi as a new medical reform pilot province，It is reported，The Symposium Shaanxi Provincial Health and Family Planning Commission invited 4 manufacturers to discuss with 4 distribution companies，Focus on the impact on the industry in the industry & rdquo;、Specific implementation measures and other content。

 

  Today, Shaanxi's two -vote policies have also officially implemented.

 

  Two voting policies for Shaanxi，The following points are worth noting:

 

  1. Urban public hospitals currently perform two -vote system

 

  According to the notification requirements，From January 1, 2017，The procurement of pharmaceutical consumables in urban public medical institutions in Shaanxi Province & ldquo; two votes & rdquo;，On the basis of ensuring the protection of grass -roots drugs，County、Town、Village Medical and Health Institutions in a timely manner & ldquo; two -vote & rdquo;。

 

  Different from all public hospitals in Anhui Province at the same time，Shaanxi is a two -vote system by the urban public hospital。Some people in the industry think，This approach is also conducive to the promotion of the two -vote system，After the urban public hospital is successfully implemented，Renewal method of promoting promotion to the grassroots，This greatly improves the guarantee ability of grassroots drugs。For example, a grass -roots remote medical institution，You can open a drug to purchase and sell invoices on the basis of the two -vote system，Allowable to be appropriately converted，All are exploring methods。

 

  2. Number of compressed delivery enterprises

 

  Notification requirements，To cooperate with & ldquo; two votes & rdquo; implementation，Public medical institutions Stake Sports Bettingin 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，Number of compressed delivery enterprises，Where:

 

  Drugs of third -level medical institutions、Consumption distribution companies do not exceed 15 respectively;

 

  Drugs of secondary medical institutions、Consumption distribution companies do not exceed 5 respectively、15。

 

  Before the end of 2016，Pharmaceutical supplies distribution enterprises in public medical institutions in each city must adjust in place，From January 2017，Delivery from the newly determined distribution company。

 

  Promotion of two votes is one of the important tasks of the national medical reform this year，In a real environment，It can effectively compress the circulation of drugs through the two -vote system，is a blow & ldquo;、Important means of inverting money & rdquo; important means，Can play a standardized order of drug circulation，eliminating part of the backward enterprise is also conducive to the transformation and upgrading of the industry，Through policy intervention，It can promote the formation of future pharmaceutical circulation models。

 

  Vice President of China Medical Enterprise Management Association Niu Zhenggan，Since this year, he has participated in a small seminar on the two -vote system of the State Council's Medical Reform Office。He said，​​If strictly implementing the current two -vote policy，As a result。

 

  It is understood，Shaanxi is implementing & ldquo; three unity & rdquo;，Many commercial distribution companies have closed down，from the original 500，It should be less than 100 now。We can predict，After implementing the two -vote system，Shaanxi's distribution company will be further compressed。

 

  In addition，The practice of direct compression distribution enterprises is not a province in Shaanxi，It can even be said that all provinces are exploring the direction。Previous，Fujian is through two votes，improved business concentration，From the original business integration to 11 commercial companies with legal distribution drugs to the hospital。

 

  Previous，Li Guoqing, director of the Security Supervision Department of the State Food and Drug Administration, pointed out in an interview with the media，As far as the current situation，13,000 wholesale companies in my country withdrew from 10,000，The remaining 3,000 may be the ideal situation。

 

  According to this trend，After the two -vote policy is fully landed，The first to the greatest influence is a commercial company，Whether it is medicine or consumables、Reagent，All the same。If you see small -scale、Delivers with weaker distribution strength，Please don't worry，That must be normal。

 

  Attachment: "Notice of Shaanxi Provincial Health and Family Planning Commission on Deepening the Reform of the Supply System of Drug Supplies"

 

  Each district and city、Yang Ling Demonstration Area、Han City Medical Reform Office、Health and Family Planning Commission (Bureau)，Shenmu County、Fuku County Medical Reform Office、Health Bureau，All member units of the leadership group of the provincial medical reform，Committee directly committees to control all medical institutions，Drug Procurement Center of Provincial Medical Institutions:

 

  In order to implement the "Pilot Plan for the Comprehensive Reform of Shaanxi Province Deepening the Medical and Health stake betting appSystem" (Shaanxi Zhengfa [2016] No. 26)，Agree with the provincial government，The relevant work notice of the reform of the supply and guarantee system of drug consumables is further deepened.。

 

  a、Procurement of drug consumables in urban public medical institutions & ldquo; two -vote & rdquo;

 

   & ldquo; Two votes & rdquo; refers to a pharmaceutical consumable manufacturer to issue a purchase and selling invoice from the circulation enterprise，Circulating enterprises to issue a purchase and selling invoice at a medical institution。According to the requirements of the State Council's Medical Reform Office，Combined with the actual situation of our province，Decisions from January 1, 2017，Pharmaceutical procurement of urban public medical institutions in the province implementation & ldquo; two -vote system & rdquo;，On the basis of ensuring the protection of grass -roots drugs，County、Town、Village Medical and Health Institutions in a timely manner & ldquo; two -vote & rdquo;。Public medical institutions in various cities require manufacturers in pharmaceutical consumable procurement、Delivery companies promise to execute & ldquo; two votes & rdquo;，and do a good job of checking and selling bills。When selling products for drug consumables production enterprises，It must issue a value -added tax invoice (referred to as tax ticket)，List of the name of the drug consumables、Specification、Quantity、Single price、​​amount, etc.; When circulating enterprises purchase pharmaceutical consumables，It should actively ask the manufacturer to ask for a tax ticket，Tax tickets must be with the variety of drug consumables、Specification、The number of quantities; when public medical institutions are accepted in the warehouse inspection and acceptance of drug consumables，Should be required to issue a copy of the purchase invoice provided by the production enterprise stamped by the company's seal。After the medical institution is verified，Voucher for the payment of drug consumables，Incident in financial file management。Encourage regions to verify the bills through informatization means。

 

  2、Improve the concentration of pharmaceutical consumable distribution in urban public medical institutions

 

  To cooperate with & ldquo; two votes & rdquo; implementation，Further regulate the management of drug consumables for urban public medical institutions，Purifying and circulating environment，Improve distribution concentration，Public medical institutions Stake Sports Bettingin 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，Number of compressed delivery enterprises，Among them, the third -level medical institution drugs、Consumption distribution companies do not exceed 15 respectively; drugs for secondary medical institutions、Consumption distribution companies do not exceed 5 respectively、15。To ensure special drug supply，Its distribution enterprises are not included in the number; encouraging manufacturers to directly distribute drugs for urban public medical institutions，Number of enterprises in distribution companies。By the end of 2016，Pharmaceutical supplies distribution enterprises in public medical institutions in each city must adjust in place，From January 2017，Delivery from the newly determined distribution company。

 

  3、Establish a purchase consortium to carry out drug consumables with volume bargaining work

 

  Each district, city, and committees directly committee management hospitals must be before the end of 2016，Formed 11 purchasing consortiums，Leveraged stake sports betting appby the General Hospital，Participate in relevant hospitals，Large purchase amount、Multiple usage、Pharmaceutical consumables with high weight coexistence carried out a joint band price purchase，Effective returning to hospitals and pharmaceutical manufacturers to procure the main status，To achieve a combination of recruitment、Loss and price linked、Change the price with quantity，Further reduce the price of drug consumables virtual high price。Provincial procurement platform should further improve service functions，Do a good job of technical support，Protect the price of bargaining procurement in various consortia。

 

  4. Regulate drug consumables online

 

  Pharmaceutical consumables equipped with public medical and health institutions in the province must be purchased through the provincial pharmaceutical equipment centralized procurement platform，Do not avoid or avoid drug consumables online，Must be open and transparent for purchasing behavior，Event gray transaction。By the end of 2016，The HIS system of public medical and health institutions in the province shall be with the provincial health family planning information platform、Provincial Drug Procurement Platform completes interconnection，Implementing drug consumables、Delivery、Use full -process closed -loop supervision。From January 2017，The online procurement rate of drugs and consumables in public medical and health institutions in the province must reach more than 95%。The province will take special inspections、Report、Interview、Methods for rectification within a time limit，Understand online procurement of all medical and health institutions。Each district and cities should compare and analyze the network mining and actual sales of pharmaceutical consumables in the area under its jurisdiction，Corresponding collection or not、offline purchasing、Occascular procurement and other illegal acts to supervise，Corruption such as commercial bribery，Considuous investigation and punishment in accordance with the law。

 

  5. Improve the proportion of basic drugs

 

  The implementation of the basic drug system is to protect the basic medication rights and interests of the masses，Promote everyone to enjoy basic medical and health services，Show social fairness，Important measures to reduce the burden on the masses。Each district and cities must refine measures，Standardized Drug Use，Promote reasonable medication，Grade II and above hospitals with basic drugs of more than 40%or more。It is necessary to effectively strengthen the supervision and assessment of basic drugs，Increase the division weight，and linked to financial compensation。Demonstration of medication for the effect of effectively guaranteeing graded diagnosis and two -way referrals，Town、Village medical and health institutions must implement 30%、20%policy of non -basic drugs，and according to the actual diagnosis and treatment of patients with local chronic diseases and the prescription of medical institutions above the second level，Patients with stable diseases in patients with stable diseases include medication in them。To promote the fairness of basic drugs and，Combined with the actual situation of our province，It will carry out the full guarantee pilot work of individual basic drugs。

 

  6. Use of monitoring key medicines

 

  Sorting according to the procurement amount of the drug procurement platform for the provincial procurement platform、Relevant reports of adverse reactions of national drugs and stake online sports bettingactual work in the province，High price、Easy to abuse drugs to formulate key monitoring drug directory，and dynamically adjust。The health and family planning administrative department at all levels should improve the drug supervision team，Strengthen key monitoring drugs、Monitoring of Using Drugs。All medical institutions should surround the key monitoring directory，Give play to the role of the total pharmacist，Through the implementation of the prescription review system、Carry out reasonable medication training、Strict supervision and assessment measures，Do a good job in clinical and reasonable drug surveillance，Strictly control the unreasonable growth of medical expenses in public hospitals。

 

  7. Strengthening the reform of drug consumables reform policy

 

  Deepen the reform of the drug supply guarantee system involves adjustment of multi -party interests，is the key part of the three doctors & rdquo;，It is also an important breakthrough to promote comprehensive medical reform，The task is arduous，A major responsibility。The overall deployment of the province's health and family planning center and deepening medical reform must be closely deployed in various places，Carry out various forms of drug reform policy promotion，Adhere to the correct public opinion orientation，Unblocking Social Supervision Channel，Actively respond to social concerns，Fighting understanding support from all walks of life，Create a good social atmosphere to further deepen the reform of the drug supply guarantee system。

 

Shaanxi Provincial Medical Reform Leading Group Office of Shaanxi Province Health and Family Planning Commission

 

October 9, 2016