Famous enterprise's medical representatives discuss the medicines sudden huge profits: Who are there much tops taken away?

Famous enterprise's medical representatives discuss the medicines sudden huge profits: Who are there much tops taken away?
Famous enterprise's medical representatives discuss the medicines sudden huge profits: Who are there much tops taken away?
In China, price timid and high medicine secret, how it is but high, it is not everybody that knows. On November 13, the first stage of program that CCTV " Weekly Quality Report " broadcasts presents this question to the public undisguisedly: Parenteral solution at only 8 fen of price at factory of a expenditure, sells for 7.39 yuan unexpectedly to go to the large hospital, the price has increased by 9137%! The enormous price difference is shocked by it by consumers, urge to grow a lot of queries too: How was the medicine price fixed? What is really hidden behind medicine price is crazy? Medicines have several links to want in hospitally to understand where such a high profit has flowed into, must understand first what links medicines have all passed in patient's hands from dispatching from the factory. Mr. Yang of medical representatives told " life Times " reporter in 4 in a famous medicine enterprise, medicines can usually enter the hospital through the agent after dispatched from the factory. The first class agent can pick up goods from the producer directly, is worthy of to two, tertiary agentsing, supply by it for hospital and then, pass 3- 4 link possibly in the middle of the this, at all levels the intersection of acting and commercial city can be raised without restriction, but finally, the profit of first grade and the second agent does not exceed 20% on average. Medicines are after the pharmaceutical factory go out, the place to spend money most goes from agent to the hospital, go from hospital to these two links of patient. The expenses which may be produced in the middle have calling for bid, medicines commission, commission of medical representatives' deducting a percentage and hospital which need relation, doctor getting through in hospital. Medicine price " moisture " Lie in where the retail price of hospital medicines is decided by two factors, namely " supreme retail price " With " one grade of bids price of province " . After medicines are dispatched from the factory, the producer should check and calculate the cost of medicines, including production cost first, for instance manufacturing expense such as raw materials, staff's salary, charges for water and electricity, and middle expenses, such as administration expense, financial fee, selling charges, advertising expense,etc.. After the cost is calculated, the producer registers in the department of price of national development and reform committee or price department of all parts, by it according to declaring cost and market actual conditions, confirm a " supreme retail price " . Then, are in charge of calling for bid by the department of public health of every province, produce one " province grade wins a bid of the price " ," winning a bid of the price " Foundation at to last 15%,forming " the hospital retail price " . These 15% of the addition, it is the profit left to the hospital. No matter win a bid of the price, or hospital retail price, can't be higher than " supreme retail price " that the price department confirm ,This is too " The supreme retail price " Existing meaning. Usually in cost accounting, expenses " moisture " such as the raw materials,etc. Not big, but administration expense, selling charges and advertising expense have " tricks " in a moment . According to CCTV, the daily medicine producer price of a ath therapeutic gynaopathy which companies produces is 7 yuan, it is up to 56 yuan to win a bid of the price, though the middle profit of this kind of medicines has exceeded 800%, the pharmaceutical factory just earns about 1 yuan, basically shared from 7 yuan and 49 yuan of price differential between 56 yuan to medical representatives, the pharmaceuticals, hospital and doctor. Mr. Yang reveals, in this part of profits, 20%- 50% are doctor's commission, accounting for about 10% deducting a percentage of medical representatives, the intersection of pharmaceuticals and 10%- 30% profit, left for submit a tender and in hospital expenses that produce. "Take Suzhou as examples, a kind of oral antibiotic enters the township hospital and needs 1000- 3000 yuan, the hospital at city level may need 5000- 50000 yuan, these expenses will all devide on medicines, and the hospital is the taller in rank, the more expensive the price needing to get through each link is, this is too why medicine prices of hospital of big city such as Beijing, Shanghai,etc. are high. " "Different medicines profits differ significantly, for example invigorate the stomach and subdue non-prescribed medicine such as the food slice in the river, may have less than 1 yuan lack ofed from pharmaceutical factory to patient's price, but infusion and injecting type and oral antibiotic is apt to join patient's prescription, there is larger sales volume, profit of this kind of medicines is something larger in the hospital too. " The system is that the basic reason seems in the permanent roc of bright red of researcher of institute for economic research of Chinese Academy of Social Sciences, cause the medicine price sudden huge profits to mainly have two profound reasons, first, the public hospital monopolizes. Most hospitals in our country are public, 80% of the medicines are all prescribed medicine, need to could be bought by the hands of hospital and doctor, so medicine prices will be generally a bit high. Second, the doctor's labour value is too low, have to " support the family " by taking the commission of medicines . It is expressed while giving an interview that village of association's Deputy Secretary-general of Chinese hospital is strong, it is given in the governments at all levels that at present the money of the public hospital, only accounts for about 10% that the hospital ran the necessary expenses, 90% left will be tried every possible means by hospital, this certainly will cause " the president must take doctor to earn money ", otherwise die of hunger soon. " It has already become the most important thing of the medical reform that the medicine price is too high. Zhu HengPeng points out, the government should relax the investment environment, develop the private hospital, private hospital in a more cost-effective manner at first, competition of letting it be sufficient. Secondly, the government should increase the input into the public hospital. Third, doctors should have reasonable, proper high incomes. If in Hong Kong, a student and medical college student of business school graduated at the same time, the monthly income of the former is 10,000 Hong Kong dollar, the latter's income have 30,000 at more least Hong Kong dollar, some super doctors' salaries can be up to 200,000 or 300,000 Hong Kong dollar, in this case, who can utilize writing a prescription and making profit more? (Ju Sheng)


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