Scientific planning Carefully implement Actively promote the price negotiation of drugs directly linked to the Internet
Shanyang County Health and Family Planning Bureau
Direct online drug bargaining purchase is an important part of the national policy of drug classified purchase, as well as the development and improvement of the national policy of centralized drug purchase since the new medical reform. Its main purpose is to make up for the lack of a single channel of centralized procurement and alleviate the shortage of clinical supply of low-cost drugs. Now we will report some practices and experiences of Shanyang County in promoting this work.
1、 Unifying ideas
The main policy for direct online drug procurement is the issuance of two thousand and fifteen 〕 seven Document No. and Shaanxi Health Pharmaceutical Government [ two thousand and fifteen 〕 one hundred and eighty No. seven The No. document clearly states that "women's and children's specialty non patent drugs, emergency (rescue) drugs, basic infusion, drugs with small clinical dosage and commonly used low-cost drugs shall be centrally linked to the network and directly purchased by the hospital". Before implementation, we organized the heads of relevant units to study the spirit of documents and unify their ideas.
2、 Scientific planning
In order to ensure the smooth progress of the work, our county has mainly considered two points in the process of planning direct online drug procurement. First, we have fully played the main role of medical institutions in drug procurement, and established two procurement consortia, the county people's hospital and the county hospital of traditional Chinese medicine. The county people's hospital consortium is responsible for the drug procurement of the hospital, township hospitals and village clinics, and the county TCM hospital consortium is responsible for the drug procurement of the hospital and maternal and child health care hospitals. The county three unified offices only provide policy guidance and consultation, and do not directly participate in procurement activities. Second, the distribution enterprise is regarded as the main bargaining body of the drug supplier. The distribution enterprise participating in the bargaining must obtain the authorization of the drug manufacturer to ensure that it can get the drugs at the quoted price. However, the qualification of drug manufacturing enterprises to directly participate in price negotiation is not excluded.
3、 Carefully implement
After the establishment of the procurement consortium, the three unified offices of the county organized a meeting of the heads of the county medical institutions and the chief of the pharmacy section of the county public hospital, and made arrangements for this work. First, set up a leading group, implementation group and supervision group for price negotiation procurement, and set up an office. The second is to select and determine the list of drugs purchased through negotiation. When selecting drug manufacturers, in order to ensure drug quality and supply "Three priorities", that is, the original manufacturer is preferred, the distribution enterprise with high recognition is preferred, and the famous and famous factory is preferred. The third is to formulate bargaining rules. The quotation enterprises are required to give priority to delivery at low prices on the premise of honesty and trustworthiness, ensuring quality and delivery. In order to avoid repeated bargaining due to changes in market prices, the rules also clearly state that when the market price changes and delivery cannot be made at a low price, the alternative offer of the latter is directly used as the delivery price. The fourth is to verify the price. The procurement consortium wrote this procedure into the "bargaining rules" to prevent price fraud. Fifth, sign an agreement. The enterprise submits a letter of commitment to the hospital (quality, price and refusal of commercial bribery); The hospital signs a distribution agreement with the distribution enterprise (if it is a manufacturer's bargaining partner, a tripartite agreement between the hospital, the distribution enterprise and the manufacturer is required).
Up to now, the county hospital procurement consortium has completed price negotiation, and the county TCM hospital procurement consortium has entered the bidding stage. From the bargaining results of the county hospitals, the prices have changed more than they have not changed, the prices have increased more than the prices have decreased, and the increase is greater than the decrease. bargaining three hundred and eighty-eight species seven hundred and sixty-nine Individual product specification, successful negotiation seven hundred and twenty-one Individual product specifications. The price has dropped ninety-one Individual product specification, accounting for 12.6% , average decrease twenty-three point five %Most of them are hormone drugs with sufficient market competition. rise in price four hundred and three Individual product specification, accounting for 55.9% , average increase forty-seven point four %Most of them are general medicines with very low prices. The ones with the same price are one hundred and ninety-three Individual product specification, accounting for 26.8% , mainly some cardiovascular and cerebrovascular drugs and antibiotics. There is no reference price, but there are thirty-four Individual product specifications.
4、 Some experience
First, understand the policy, and grasp the policy trend is the prerequisite for the implementation of the direct online drug purchase policy. At present, there are many places where we dare not do it, but the key is here.
Second, selecting the existing distribution system and allowing medical institutions and distribution enterprises to negotiate directly is the key to the smooth and rapid implementation of policies.
Third, formulating a good bargaining rule is the basic guarantee for policy implementation.
