The high medicine price is investigated: The excessive competition causes the medicine enterprise to abuse the cost and get through the joint
The high medicine price is investigated: The excessive competition causes the medicine enterprise to abuse the cost and get through the joint
"If a cinema there are 10 seats, set free into 100 people, someone inevitable was stood taking. " A famous medicine product insider who is sold trade reveals recently, the medical field that the overall arrangement is unreasonable for the moment, in order to fight for limitedly on the market " The seat " ,Some enterprises abuse the cost and get through various " The joint " ,And this course is undoubtedly realized through raising the medicine price, final " it is single to bury " Still patient. It produces to be can surplus to cause malignant the intersection of competition and domestic one manage close to cut personage of business, say the twenties in medical trade, because it is very complicated to classify medicines, cover it to a very difficult speech of medicines price question. Differing by bigger problem as to medicines producer price and retail price, he thinks one of the important reasons is that the overall arrangement of the trade is unreasonable, products raw materials are produced repeatedly, it can be surplus to produce, " the production authentication code sells several production units wholesale, must produce the fierce market competition " . Regard common spore's piperazine ketone sodium easy Batan sodium of parenteral very beginning on the market of medicines as the example, this is a kind of antibiotic injection. The very beginning spore is a chemical name of medicines in the piperazine ketone sodium easy Batan sodium, that went on the market and sold is medicines of packaging becoming different goods are famous, different dosage of manufacturer. The reporter inquires an insider where to have pharmaceutical factories to produce this kind of medicine, he answers: "Too much, there is the whole country everywhere, the market competition is very fierce. " As expected, the reporter searches for " spore's piperazine ketone sodium easy Batan sodium of very beginning " on the net Find, a lot of places such as domestic Henan, Hubei, Sichuan, Hainan, Chongqing, Jiangsu have producer that supply this kind of medicines, its dosage is divided into 0.75 grams, 1, 1.5 grams of, 2, 2.5 grams of, 3, 4 grams of,etc. several kinds of specifications too. The reporter has visited this on the spot. The reporter lies in a medical chain store of Zhongshan Road, Harbin at first, have bought a piece of a head of spore's piperazine ketone sodium easy Batan sodium whose dosage is 1 gram at 12 yuan for one, this was produced by a company of medicine company in Shandong. Subsequently, the reporter holds this medicine to come to neighbouring Heilongjiang provincial hospital, inquire the third floor medicine round staff member this kind of medicine, a male staff member looks at medicines gift box and says: "Our medicine does not call this name, the specification is different too, it is 4 grams, 40.4 yuan for one. " As to this kind of phenomenon, this insider unwilling to be revealed the name says, abroad generally will restrain similar the intersection of medicines and quantity enterprise maker from in order to control the trade scale, rational overall arrangement, and the medicines production field in our country at present, the production authentication code will sell several production units wholesale, make enterprises can produce the surplus situation to invest to fall into repeatedly, the result of malignant competition must cause some corruption related to the entry of medicines, link of circulating. " non- transparent " Links cause the medicine price and go up an insider says, in the malignant competition of the medical trade, in order to let one's own medicines reach the clinical terminal user - -Patient, the doctor with evolution right is a key link, will inevitablely cause medical trade to retail, wholesale enterprise and doctor produce the interests relation. He reveals, in the field of business, deducts a percentage and usually known as " bill of lading " in doctor's prescription ,Only prescription expenses. On the producer price and medicines variety that the retail price differs greatly, deduct a percentage generally at 30%-40% of the retail price in doctor's prescription, a high one be able to up to 50%, medical representative to deduct a percentage in 3%-5% sales force. In fact, except that the intersection of medicines and commission known very well by people, some the intersection of medicines and price check from the actual price in disparity, also inseparable from links such as the examination and approval of medicines, bid, pricing,etc., but these are often " enclose strangers " including ordinary patient Difficult precise understanding " Non- transparent " Links, the medicine price has important function to drawing high. And the cost which enterprises invested in order to get through these links, must add in the medicine price, it was still the patient that bore finally. The expert proposes that adjusting the economy teaching and research chief of the office Professor Liu GuoXiang of hygiene of management college of hygiene of Harbin medical university of the overall arrangement of the trade rationally says, the medicine price question that all parts exposed was not the individual case in the medical trade recently. For example, one cost have only yuan of medicineses, final pricing 40, enter hospital, raise the price 15% according to national regulation, it is 46 yuan to reach the price in patient's hands finally. Go through a plurality of intermediate links such as production, pricing, bid, sale from 5 yuan to 46 yuan, among them which link will lead to the fact to raise the price the price of medicines is raised, cause " the medicine price is empty and high " finally This phenomenon is produced. In addition, canvass " the medicine price is empty and high " It is due to the links of the hospital, its profound level develops important function performed on the hospital because of medicines. At present, main source of revenue of hospital divide into government throw into and oneself include two part. It is not enough to cause the survival and development of the hospital to mainly rely on one's own income that the government invests, and the medicines income is important components of the hospital income, the hospital has serious dependence to it. The expert proposes, effect a radical cure " the medicine price is timid and high " This medicine of our country improves Cheng Zhong's persistent ailment, must reform " raise medicine with medicine " The system, improve " compensation mechanism " of the hospital With " incentive mechanism " ,Further devote more efforts to investing in the government, reduce the intermediate link of interests. At present, our country a public hospital of pilot projects reform area in launch positive beneficial exploration to difficult problem this. The expert proposes, our country should carry on rational adjustment to the medical trade overall arrangement, further standardize the medicines manufacturing enterprise, improve the market access threshold, avoiding the medicines trade can have surplus and low-level repeated construction. Meanwhile, the relevant department of the government should price to medicines rationally, make the price of medicines accord with the medicines production cost and economic law of the market, ensure the people to basically use medicine. (End) Cao JiYang, Xiong Lin, reporter of Xinhua News Agency
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