'medical supplies, the implementation of the national centralized bidding'!
Medical Network March 8 hearing this year two sessions, the National Committee of the Chinese People's Political Consultative Conference, academician of the Chinese Academy of Sciences Ge Junbo brought five proposals. His proposal focuses on the high value consumables tender procurement, cardiovascular prevention and control system construction, innovative drug market access, Medical Association Body referral and management standards, medical and artificial intelligence.
In the medical supplies bidding, Ge Jun Bo proposed the implementation of the national high-value medical supplies centralized bidding.
While getting rid of the effect of 'medicine for doctor's treatment' and 'drug price's highness', the disease of 'supplementing doctors with medicine' is highlighted and even turned into something hospital The main means of revenue generation.This increases the burden on patients, increasing the pressure on health care.Medical supplies gradually become the medical industry prone to corruption, multiple high-risk areas.
On April 4, 2014, the Health and Family Planning Commission proposed the province as the unit, in accordance with the principles of quality priority and reasonable price, adopting a combination of recruiting and mining, price and price, double envelope system, etc. to carry out centralized bidding and procurement, and encourage the purchase of domestic high-value medical consumables. At the same time allow the place to explore in different ways according to the actual situation.
According to Ge Junbo, a member of the Chinese People's Political Consultative Conference and an academician of the Chinese Academy of Sciences, the above-mentioned tendering and purchasing has played an active role in combating monopoly as a whole, preventing the abuse of administrative power from ruling out competition, and maintaining market fairness.
However, the provincial bidding and purchasing inevitably appeared in different provinces and autonomous regions between the same medical supplies of different prices.He cited an example of a heart stent, a bidding in a province after the market price of 9,000 yuan / Pieces, while in another province the same product price can be as high as 13,000 yuan / piece.
Obviously, such high price of medical supplies such price differences is unreasonable.In July 2017, in order to regulate medical supplies management, to correct medicine Uncertainty in purchase and sale and medical services, the National Health and Family Planning Commission General Office, the National Development and Reform Commission Office and other nine departments jointly issued the Notice on Printing and Dispensing Special Programs for Medical Consumables. To carry out special rectification work for six months.
Ge Junbo analysis said that the main problems in the current high-value equipment tendering are: From the examination and approval to the pricing, the difference between the bidding policies of various provinces and cities breeds a variety of chaos.
First of all, medical instruments There are many examination and approval units for consumables tendering. There are provincial standard, municipal standard, county standard, hospital standard, from top to bottom, all are in tender.
Second, consumables pricing is the biggest problem. The same product has different bid prices in different regions.
Thirdly, there is no unified list of consumables in China before and after, large and small production. enterprise Each has its own standard, and the names of consumables are dazzling.
Fourthly, in the bidding process for medical consumables, the time for bidding in each province and each region is not the same, some are for one year, some are for two years, some are three, and five years are not. Bidding. In 2014, the National Health and Family Planning Commission requested the implementation of provincial high-value consumables tendering. Ten provinces in the country only conduct tenders.
Fifth, the contractors for the bidding for medical consumables in each region are different. In some places, the government bidding office is set up. There are also some special tendering companies responsible for the bid invitation.
Finally, there are different modes of bidding for medical device consumables. There are comprehensive evaluation methods, double envelopes, lowest bidding, bidding and mixed bidding.
He believes that the above six issues, focused on the medical consumables bidding chaos.
Ge Junbo said that improving the production, procurement and clinical use management of high-value medical consumables urgently needed the support of a centralized bidding mechanism across the country and also gradually shifted the management of medical consumables from the stage activities to the institutionalized and standardized management track.
His proposal focuses on the proposal of setting up a national bidding and purchasing platform.
Ge Junbo suggested that the Health and Development Planning Commission, the National Development and Reform Commission, and the Ministry of Human Resources and Social Security should take the lead to establish the National Medical Consumables Joint Procurement Working Group and be responsible for the formulation of the procurement work program, to establish a unified procurement platform for medical consumables, and to form a uniform pool of medical consumables review experts. The medical supplies procurement catalog, unified standardization of medical consumables qualification verification standards, uniform formation of medical consumables price system, regular organization of review work.
He suggested that different types of medical consumables could be incorporated into the national joint procurement platform in batches and in a planned manner. The specific product catalogs and batches were implemented after expert verification. The pilot phase responded to those with a wide range of uses, with a large number of purchases and accounting for the amount of money. High-quality products are negotiated with online purchasing methods, and the types of consumables that are directly linked to online purchasing methods are strictly reviewed.
Ge Junbo suggested that the national platform should be given full play of bulk procurement advantages to negotiate prices, achieve price-to-price ratios, further reduce purchase prices, ensure transparency of the sun, and eliminate opportunities for corruption. Negotiated reference prices can be subject to periodic dynamic adjustments to 6 to 12 months. For a period, refer to the effective price data and establish a reasonable negotiation reference price.
In addition, Ge Junbo and Huo Yong, Zhang Wei, and Yang Jiefu proposed to use the cardiovascular health index as the starting point, improve the cardiovascular disease prevention and control system and top-level design, and promote the prevention and treatment of cardiovascular diseases. It is suggested that several provinces and cities should be selected as pilot sites. Vascular health index to promote provincial-level cardiovascular prevention and control work. Ge Jun Bo also for innovation drug Proposal for innovative medical device access and proposal to establish standards for disease referral and management within the scope of the medical community. He also promoted proposals for in-depth cooperation between clinical medicine and artificial intelligence.
