" the dispensary is deposited " in Fuzhou Have difficult labour a bit
" the dispensary is deposited " in Fuzhou Have difficult labour a bit
Staff reporter Li YaZhang pays close attention to reason March of this year a little, a hospital in Fuzhou begins to ferment " the dispensary is deposited " ,And succeed in calling for bid in May. However, more than 5 months passed by, the dispensary still can't run normally while depositing the work. Even a plurality of pharmaceuticalses not winning a bid jointly report, do not think the operation of this kind of mode conform to the procedure. The new medical reform scheme draft of our country announced recently is mentioned, the pilot project of advancing the reform of public hospital, reform and mend and cure the mechanism with medicine, take the effective way to realize medicine and break up the family. The relevant person thinks, " the dispensary is deposited " in the pilot project of a hospital in Fuzhou ,A kind of mode of exploring medicine and breaking up the family. " the dispensary is deposited " Why can't run smoothly, what question does it meet? Can it reduce the price of medicines, relieve and see the doctor the expensive difficult problem? [Incident ] deposits and has not operated a hospital of relevant persons in charge in Fuzhou to introduce yesterday yet after calling for bid for 5 months, in March of this year, a hospital of market begins to explore medicine and break up the family, ferments and strips the hospital dispensary by the hospital, the hospital deposits personnel, apparatus in the dispensary,etc. to the pharmaceuticals. The pharmaceuticals gives the hospital corresponding expenses every year, the dispensary assumes sole responsibility for its profits or losses, break off relations with the hospital completely. At the end of March, the hospital gets out " the dispensary is deposited " Bid scheme. According to the scheme, the hosting company must row 15% addition of medicines to the hospital, and the profit not more than 5% of extraneous expense is used in the dispensary to transform for the hospital. In addition, also it is not lower than 5% to give to the patient to make concessions. "The interest concessions cost of the theory should go beyond 20%, this kind of condition is too harsh. " A relevant person in charge of pharmaceuticals insisting on anonymity says. But 20 odd pharmaceuticalses in our province have sent the bid scheme to the hospital. According to company's qualification, the hospital confirms finally 6 companies enter. In May, the hospital announces egret's medical Co., Ltd. (egret while call in the following texting) in Fujian Win a bid. However, the egret of China has not contracted with a hospital of market formally yet so far. As to this, but participate in this bid but the boss of a pharmaceuticals not winning a bid says, China it is too low for egret to offer, profit one cannot say for sure, it will be probably a business losing money, can't " go on " . But hit the egret respecting denies this kind of statement. It is responsible for being called that relevant, should run affairs to ask the step at present to be slightly slow, because some concrete things were not made in order. Many pharmaceuticalses jointly reported the hospital and let a hospital of market not think of, soon after not calling for bid, expire, several company that have not win a bid unite other pharmaceuticals, report to a plurality of departments such as the Ministry of Health, checking unhealthy tendencies and malpractices to do, call for bid and run. They think, existing hospital medicines are all called for bid by the province and done bidding and purchasing in unison, the qualification that the single hospital has not called for bid, and the original contract has not expired yet. A not boss of the company winning a bid says, this kind of operation does not accord with the procedure, so just reflect to the relevant department. However, a medical trade reputable personage thinks, these companies jointly report situations, the reason why the back should be deeper, reflect the worry that they may be destroyed to the pattern of market of existing medicines at least. Take a hospital of market as examples, their medicines are provided and delivered by many companies, each company assigns to certain market share. " deposit " Tying up the share of other pharmaceuticalses virtually. "If deposit in the dispensary and try to succeed, will form ' dominoes effect '. Some pharmaceuticalses not assigned to the custard are that have seen this kind of crisis, just jointly report. " [Observe ] Does the dispensary deposit and lower the medicine price Try " the dispensary is deposited " ,A hospital of market thinks, a very large purpose is for " reduces the medicine price " . The relevant persons in charge of this institute say, " the dispensary is deposited " Even if push the moisture of prices of medicine, return a portion of the medicines profit to a patient, reduce the medicine price, but not merely consider the interests of the hospital, pharmacist definitely. So in that conceptual design of bid, require the pharmaceuticals to make concessions 5% are given to the patient. From this, ordinary people can experience the medicine price drops. But the administrative staff of a large hospital in Fuzhou thinks, 5% make concessions from unit price of medicines to make concessions, if the doctor makes the large prescription, the whole medical fee will not be lowered yet. So, really reduce the medicine price and involve a plurality of respects such as the financial input power of pricing, circulation, public hospital of medicines. Medicines let who come, bear in the view of other pharmaceuticalses interest, except 15% medicines addition, still cut 10% of the profits to the hospital, the egret of China Company is crazy. According to a hospital of medicines sales amount of more than 70 million yuan last year of market, could the pharmaceuticals really cut out the profit of several million yuan for one year to give to the hospital again? The boss of egret of China says, really has difficulty in, but can be through centralized purchasing, demand a lower price to upstream enterprises, reduce and purchase, circulate the cost, and then spare the hospital the space demanding a lower price. Why like to demand a lower price in upstream enterprises? One even wants to try " The dispensary is deposited " Hospital relevant for personage reveal whether is it upstream is it can since various " the public relation spending " for enterprise China crowds. He introduced, medicine during these years called for bid to force down medicine price a lot of, but there are some pharmaceutical factories, when being dispatched from the factory from medicines and sold to the pharmaceuticals, have finished already reserving for a doctor, " public relation spending " of the hospital . After the dispensary is deposited, whether to lose or does the dispensary earns having nothing to do with doctor and hospital. The pharmaceutical factory can expell these some expenses, make concessions to hospital and patient directly. A hospital of relevant persons in charge have not denied this kind of statement in the city. It is reported, six selected companies in bid course, have all made one's own " make concessions in the space " too . "It means everybody to be full of ideas to study meticulously, produce some money come from it, but no one do before! " This person in charge says. [Department ] postpones in order to seek the relevant leaders of Municipal Health Bureau in Fuzhou of medical reform joint and say, the Ministry of Health supports to do in a hospital in Fuzhou very much " The dispensary is deposited " Pilot project. Recently, " the dispensary is deposited " in Municipal Health Bureau one Pilot matter checks unhealthy tendencies and malpractices and does reporting to department of public health and province of the province. These two departments say that survey and study, determine how to do, so the pilot project is postponed. Medical reform scheme collect the intersection of opinion and draft, make already, " whether medicine break up the family " Principle clear very,but is it concrete to have by specification. It is estimated that after the specification is issued, " the dispensary is deposited " Paces should be able to fast a little. Fuzhou checks unhealthy tendencies and malpractices and does to the relevant persons in charge and says, before the new medical reform scheme is issued, have already done a lot of work in Fuzhou. Go ahead of the rest in Nanjing " The dispensary is deposited " Enlightenment under,want Fuzhou too and make this attempt, be gone to investigate Nanjing, and set about not making by local " deposit dispensary "s suitable Scheme. Postpone in Fuzhou " The dispensary is deposited " Step,mainly it is depend on agree with scheme of us and medical reform schemes new. It is reported at present, Fuzhou city check unhealthy tendencies and malpractices, run, get involved the intersection of city and one hospital " the dispensary is deposited " already Exploration,it is and here it seek and not new on medical reform scheme joint.
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