Shandong: combat exclusive distribution, monopoly, supplies control, control the use of
Pharmaceutical Network December 13, after Fujian Province, "Shandong Province," Thirteen Five deepening medical and health system reform plan "has also been issued in public.This is Shandong Province in the next 5 years to promote medical reform programmatic document.
From the Shandong version of the contents of medical reform shows that the next 5 years, Shandong Province in supplies, reagent procurement and use of new actions will be.
The general direction of centralized purchasing the same, but will be more connotation, and as the amount of bargain purchase is encouraged, supplies companies have to face hospital Let none other, asking price negotiations, supplies prices further pulled down.
Public hospital charges in the general direction of the same, and will not relax, the use of high-value supplies and billing control system is the focus of charge, the hospital may use direct shots for supplies.
In addition, the Shandong version of the medical reform plan emphasizes to improve the concentration of circulation enterprises, good big business, but also proposed to prevent exclusive distribution, monopoly.This means that the custody and other acts or will suffer a direct blow, which is also considered the Shandong version of planning A big feature.
The following is the Shandong version of the three key tasks in the medical reform planning:
First, improve the centralized procurement system of medicines and high-value medical supplies', Shandong Province proposed:
1. Encourage the public hospital procurement consortium to be set up as a city, and negotiate procurement on the provincial-level collective-acquisition platform to encourage cross-regional joint procurement and joint hospital specialist procurement.
2. To further enhance the hospital's participation in drug procurement, implement the main body of medicine and consumables procurement in medical institutions, and promote the medical institutions to take the initiative to control the prices of medicines and consumables.
3, to strengthen the standardization of centralized procurement platform for provincial pharmaceuticals, improve service platform for centralized procurement of drugs and regulatory capacity, and improve procurement information collection and sharing mechanism.
4, to carry out high-value medical supplies, testing and testing reagents, centralized procurement of large medical equipment.
5, standardize and promote the centralized procurement of high-value supplies, unified high-value supplies coding standards, different circumstances, the implementation of high value supplies Bidding Procurement, negotiation and procurement, direct online procurement, etc., to ensure that all aspects of high-value supplies procurement operations in the sun.
Second, in 'controlling the unreasonable increase of medical expenses in public hospitals', Shandong Province proposed:
1. According to the level and growth rate of medical expenses in different regions and the functional orientation of different types of hospitals, the control fee requirements should be classified and dynamically adjusted.
2, to strengthen the management of clinical pathways, and gradually increase the number of clinical path management cases accounted for the proportion of public hospital discharge cases, to eliminate over-inspection, over-treatment, standardized medical services, strict control of high-value medical supplies unreasonable use and medical costs Unreasonable growth, breaking the profit-making mechanism.
3, To set the city as a unit to the public in the area of public hospitals in the medical service prices, medical service efficiency, average medical costs and other information, the cost of medical institutions to sort indicators, regular publicity sorting results.
4, Health and family planning and other relevant departments of public hospitals on the drugs, high-value medical supplies, large medical equipment inspection and other tracking implementation monitoring. By 2020, the growth rate stable at a reasonable level.
Third, in deepening the reform of pharmaceutical distribution system, Shandong Province proposed:
1, to promote drug Merger and reorganization of circulation enterprises to improve enterprise concentration and reduce circulation links Support pharmaceutical and consumable retail enterprises to diversify and differentiate operation and strive to cultivate 1-2 annual sales of over 20 billion with 2-3 annual sales over 100 Billion large-scale cross-regional operation medicine Business Group, the top 10 pharmaceutical wholesale enterprise Annual sales accounted for more than 80% of total drug wholesale.
2. Reasonably guide the establishment of the relationship between the distribution of medicines and chemicals and give priority to those enterprises with large scale, extensive network, excellent service, good reputation and modern logistics capabilities. According to the principle of combining distance with urban and rural areas, we should encourage the integrated distribution of counties and villages to be explored and improved Distribution concentration.
3, improve the drug distribution business management practices, strengthen the supervision of drug distribution behavior, to prevent exclusive distribution, monopoly, non-net purchase and distribution of drugs.
