The third people's livelihood is asked: Medicines are provided and delivered in unison How to avoid monopolizing

The third people's livelihood is asked: Medicines are provided and delivered in unison How to avoid monopolizing
The third people's livelihood is asked: Medicines are provided and delivered in unison How to avoid monopolizing
The nearest Ministry of Health of Inner Mongolia Autonomous Region Erdos of the news pegging is larger in pressure. The basic medicine of this city before this is provided and delivered in unison by a delivery enterprise named reaching wisely. But reach and is accused of monopolizing, has already been let and stopped at present wisely subsequently. The situation of Erdos is not a individual case. According to media, there are medicines to provide and deliver enterprises and is queried to monopolize exclusively in Shandong and Shanxi and other places. As the basic medicine system is spread out in all parts gradually, the basic medicine is bade and purchased and implemented progressively. " Opinions on Implementing setting up national basic medicine system " stipulate: Basic medicine which the medical health organ that the government holds used, the medicines manufacturing enterprise called for bid and chosen, medicines with ability of logistics service manage the enterprise or other enterprises with condition to provide and deliver in unison. However, why specifically operate, it is the medicines manufacturing enterprise that sends, or enterprise provide and deliver the logistics in unison, how many enterprises are chosen to send? All parts have explored one after another, the way is different. Insider think basic medicine provide and deliver the intersection of battle and about medical the intersection of commerce and future trend of right. It is easy to understand, the contention that the basic medicine provides and delivers right is quite fierce too. Then, why sends the medicine on earth, can be safe and high-efficient and substantial? Ask: How to choose to provide and deliver enterprises? Editor: How to choose the basic medicine to provide and deliver enterprises? The relevant regulation has left certain independent space for all parts. In this course, because the intervention with inappropriate power, provide and deliver the monopoly to one market of enterprises after forming medicines. How to choose medicines to provide and deliver enterprises, form a fair competitive environment of market? Reporter: It is reported, at present, no of our country are really " all-round type " Medicines provide and deliver enterprise. Each one provides and delivers medicines that enterprises provide and deliver each with particular emphasis, can not cover all medicines in an all-round way. An enterprise provides and delivers very difficult demand of meeting the hospital to use medicine, the final result can only cause the patient's interests to damage. Medicines ought to produce to provide and deliver enterprises through the fair and public way, it is participated in that different areas, different ownership enterprises should be equal, fair play. But in reality, because power is meddled in and intervened, has influenced medicines to provide and deliver the production of enterprises, have formed the market of medicines " Monopolize and provide and deliver " ,Have upset the market order. The insider thinks, the appearance of this kind of situation, trace it to its cause and can not be stated clearly by the policies and regulations, do not connect each other. Point out in the new medical reform " opinion " clearly, " the basic medicine which the medical organization which the government holds used, bade and purchased publicly by the organization which the provincial people's government appoints, and is provided and delivered in unison by the delivery enterprises calling for bid and choosing " . Ministry of Public Health stipulates: "The basic medicine implements bidding and purchasing publicly on the net provincially and centralizedly, the medicines manufacturing enterprise called for bid and chosen, medicines with ability of logistics service manage the enterprise or other enterprises with condition to provide and deliver in unison " . Because of stipulate difference, standard differ, provide and deliver enterprise to be very much difficult to up to fair play. It is chosen the standard that provides and delivers enterprises that every province calls for bid even more " Let a hundred flowers blossom " ,Have nothing in common with each other. For example, in choosing the providing and delivering trader, the manufacturing enterprise choose the providing and delivering trader in some provinces, some provinces are called for bid by the government and chosen the providing and delivering trader, add a little more provinces in order to protect local interests, having set up a lot of barriers, the harmony hindering the basic medicine from providing and delivering on the earth very much. It is the market behavior between the manufacturing enterprise and enterprise in circulation that medicines are provided and delivered. The intersection of China and medical Deputy Chairman of quality control association abundant to think administrative interference and limit, it provides and delivers to be appropriate cloud Guo, provide and deliver the standards for selection of enterprises in conformity with regarding ability, marketing scale of logistics service,etc. as quantizing the standard, advocate the policy fairly, just, publicly, object to protecting local side's interests one-sidedly, guarantee the local policy does not leave partially. The hygiene of the Public Managerial College of Tsing-Hua University and Liu YuanLi, director of research and development centre, think, provide and deliver and should give full play to the role of market mechanism in unison, the government mustn't intervene. And the government makes out " It is chosen the method that medicines provide and deliver enterprises " ,Let all medicines provide and deliver enterprise's open competition, choose medicines moderate in quantity to happen to provide and deliver enterprises by market, form the situation of ordered competition. Two asks: Will you please radically treat the medicine price empty and high? Editor: At present, one of the medical procurement disadvantages of our country, it is the purchase and supply cost of medicines that remains high. Choose to concentrate on providing and delivering, one of the purposes is for raising the efficiency, lower costs, thus reduce the medicine price of medicines in name only. In practical operation, can this goal be realized? Reporter: The financial annual report of Ministry of Public Health will reveal, it is about 35,200 million yuan that book medicines of the national public medical organization supply the cost of chain in 2008, accounts for 12.34% and 14.09% of expenditure of medicines and medicines fee separately. The medicines addition income of the national public medical organization is 57,836 million yuan in the same period, 61% among them are consumed in medicines purchase and supply. The purchase and supply cost of medicines remains high, and the delivery expenses of most places add into the medicine price. This relates to the fact that the country does not provide and deliver the standard proportion of the expenses. The basic medicine provides and delivers the standard level of the expenses and differs, there are different proportionses 3%, 5%, 8%, 10%,etc. in the delivery expenses in every province. It is for someone's account to provide and deliver the expenses, it is varied too. Some are that " provincial people's governments confirm that purchases prices in unity of this area according to the situation of calling for bid, among them include providing and delivering the expenses " ,Some are " Medicines provide and deliver the expenses confirmed by the bid " . Stipulate the different delivery fee, push hands as empty and high stealth of the medicine price. In fact, setting up the modern system of circulating of medicines can excavate " the third profit source " out for the hospital . Minhang district of Shanghai advances the modern process of circulating of medicines, has already realized " a stock " of hospital medicines . In brief, settle account etc. with the third party through the centralized purchasing of medicines, have saved the circulation cost of medicine. Core its to set up medicines, circulate overall the intersection of information and the intersection of guide and system, implement supply chain that medicines circulate manage, set up intelligently and supply the terminal executive system of chain, has realized medical organization, supplier, logistics facilitator, " win together " of the patient and doctor With " multi-win " . Three asks: How to establish and provide and deliver the mode? Editor: The medicine concentrates on providing and delivering, let manufacturing enterprise select on earth or the government call for bid and select? Which kind of delivery mode is suitable for the China's actual conditions? Reporter: At present, there are more than 13000 medicines wholesale enterprises of our country, appear moring, small, break up, messy characteristic. Intensification and appropriate scale of operation that and medicines provide and deliver enterprises are the global development trend. The links of circulating of medicines need combining. But to how combine,is it in the industry also view is which have different. As to manufacturing enterprise, if trader that provides and delivers first grade of different areas choice in the same province, not only time-consuming, strenuous and difficult to manage, so will incline to be chosen large scale business even more Enterprises, this is obviously a challenge to the medium and small-scale merchandising concern. So, many enterprises in circulation emerge to " unite " in all parts Establish the commercial alliance. This is the counter-measure that a medium and small medical merchandising concern takes in order to meet provincial medicines and concentrate on bidding and purchasing. According to the bidding documents of all parts at present, the selection of the providing and delivering trader still regards ground, city, area as the unit, namely choose several providing and delivering traders in each of prefecture-level cities or areas. There are enterprises further the qualification which the upstream manufacturing enterprise chooses after winning a bid and becoming a certain delivery traders of area. After variety for producing enterprise provide and deliver the qualification, just have it to the terminal possibility to pay providing and delivering in the low reaches. Construct the basic medicine and provide and deliver service system, should separate as the foundation with trader's thing, realize the specialization, socialization and informationization of medicines purchase and supply. The medical logistics Lee, Deputy Director of research center of the People's University of China thinks constitution, trader the intersection of supply and system that thing separate flow trader that medicines circulate ' The agent sells) With the logistics ' The logistics is provided and delivered) Separate. The wholesale enterprise with ability of logistics service can accept the commission of the manufacturing enterprise, offer service of providing and delivering for the medical organization; The wholesale enterprise not having ability of logistics service can become the agent of the manufacturing enterprise, offer terminal sale agent service for manufacturing enterprise. He thinks, separates and constructs the basic medicine and provides and delivers service system for the foundation with trader's thing, can promote the logistics service engineering level of the medical trade of our country and concentration degree of market fast, form the reliable basic medicine and supply the system, prevent a large number of wholesale enterprises from withdrawing from the medical health organ and strong shock initiated at the same time, keep the harmony and stability of the trade.


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