The secondary bargaining of drugs must be rectified

Medical Network March 19th News “Through the secondary bargaining”, this is a routine operation method used by many hospitals. The tendering agency often has one eye and closes one eye. The enterprise is disgusted with it, but there is no way.

However, on March 14th, Foshan, Guangdong Province was introduced. drug In the consumptive materials bidding and procurement method, it is clearly stated that medical institutions must not 'acquire the unfair interest' through 'secondary bargaining' or other methods'. Violators will criticize, criticize, and warn according to the severity of the situation, and will be linked to the management agreement of the designated medical institutions. The circumstances are particularly serious and are listed on the blacklist of illegal purchases. Persons involved in the crime are transferred to the judicial authorities for disposal.

This is the time when the 'secondary bargaining' is flooding. It is simply a clear flow that makes drug companies happy. Why?

There was medicine The industry association mentioned in the proposal materials submitted by industry associations during the “two sessions” this year that a enterprise Statistics, 340 times of 'secondary bargaining' participated in the whole year of 2016: hospital 48 times, municipal/medical association, 290 times; GPO2 times.

From January to November 2017, it participated in the 'secondary bargaining' 223 times: 64 cases in a single hospital; 49 cases in a municipal/medical association; GPO, 1 time; 109 times after the provincial standard. This is just this Participation of the companies involved does not include cities where the company does not have coverage. The 'secondary bargaining' that occurs in hospitals obviously imposes a heavy burden on the pharmaceutical industry.

In the face of local cities, medical associations, single hospitals, GPOs, and post-provincial “secondary bargaining,” companies are spending manpower and material resources to deal with. It seems that they have returned to various places, counties, and hospitals. Bidding That year.

The above association believes that 'secondary bargaining' has been suspected of commercial bribery. For products that have been successfully negotiated, some of the hospitals in the post-participation department are required to convert into gifts, cash returns are required, and those that are directly deducted during business rebates are Companies are required to pay for a certain fixed expense (such as rent).

Explicit deduction is reflected in the invoice. For enterprises, because the transaction amount is reflected on the Internet, enterprises are reluctant to expose the emergence of new low prices; in hospitals, because of the zero margin, it is not profitable, this form is not universal, unless There is a document policy that can be returned normally.

Without a reasonable return policy, 'secondary bargaining' is highly likely to cause commercial bribery during the implementation phase.

At the same time, the essence of 'secondary bargaining' is to use drugs to provide medical care: The hospital's profit loss due to the zero margin is recovered from the 'secondary bargaining' and the embankment is damaged outside the dam. The wool is the hospital's second bargaining power on the sheep. The most original idea.

In order to get rid of the premise of using public health hospitals to implement zero-difference public hospital reform, the 'secondary bargaining' is obviously not in line with the direction of policy guidance. Usually the purpose of 'secondary bargaining' is only for the hospital itself and not for patients. The patient does not benefit from it.

The above associations call for the investigation of any form of 'secondary bargaining' now to eliminate commercial bribery. The 'secondary bargaining' for violations of laws and disciplines may even require a halt.

The association recommends that prefecture-level cities should be used as the minimum unit to carry out 'secondary bargaining,' and prohibit single-unit hospitals from 'secondary bargaining'; in prefecture-level cities that do not have explicit policy support, 'secondary bargaining' is not allowed; The 'secondary bargaining' scheme needs to be fairly reviewed and approved by the provincial administrative department.

There are also corporate feedbacks. In the past two years, the use of prefecture-level cities and medical intermediaries as negotiators has led to more and more widespread 'secondary bargaining' of procurement. There are more and more public hospitals in the above Sub-negotiation 'based on the requirements of drug companies to negotiate again' alone, become the actual 'three bargaining' or even more 'bargaining', or require companies to give them 'other non-profit'.

It is recommended that relevant departments jointly issue documents to regulate the 'secondary bargaining' behavior of public hospitals in bidding procurement, and prohibit public hospitals from conducting three or more bargaining exercises based on 'secondary bargaining' in prefecture-level cities or medical units. Moreover, companies are not allowed to provide their own 'other nonprofits.' At the same time, they strengthen the supervision and inspection of the 'secondary bargaining' act, and severely investigate and punish illegal acts and provide improper interests.

Many hospitals' 'secondary bargaining' is actually signing unequal treaties with drug companies, blatantly asking for 'rebate points'. Usually, the proportion of 'return points' is set by the level of sales, and there are few points. Many even reached twenty or thirty points.

There are also some hidden ones. By sponsoring the hospital, the 'return point' is implicitly achieved.

This time, Foshan has clearly seen the danger of 'secondary bargaining' taking advantage of improper interests, decisively taking rectification, and speaking in advance in the form of documents.

In the next step, we must look at its own words and look at its actions. We look forward to maintaining a normal regulatory attitude and restraining the medical institutions from carrying out 'secondary bargaining'. For those who use 'secondary bargaining' to profit, they must be punished strictly according to the document. Even transferred to public security agencies.