Community hospitals all focused on procurement Yesterday, the Beijing Municipal Bureau of Health released the news that in 2012 Beijing's basic drug procurement has officially started. This year, more than 3,000 grassroots medical and health institutions within all districts and counties in the city plan to participate in centralized procurement.
The person in charge of the Municipal Health Bureau introduced that the procurement scope includes 519 kinds of drugs. Including 307 drugs in the National Essential Drug Directory. Drugs for narcotic drugs, psychotropic substances, infectious diseases and parasitic diseases for free treatment, vaccines for national immunization programs, family planning drugs, and Chinese herbal medicines are excluded.
In addition, the 212 kinds of drugs currently used in the community in Beijing are also covered, including some low-priced medicines with a price of less than RMB 3, shortages of supply of medicines, and basic infusion products such as glucose injections.
The bid price refers to the national "lowest price"
It is reported that this centralized procurement will be based on the lowest bid price in the country and will be dynamically adjusted. At the same time, after the centralized procurement of community hospitals, the second- and third-tier hospitals will also refer to drug prices and establish a price linkage mechanism.
The variety of drugs and the price cycle for this centralized procurement will be at least 12 months. The Municipal Health Bureau estimated that this year's centralized procurement is expected to purchase 4 billion yuan annually. Through centralized procurement, the average decline in medicines can reach around 30%.
In recent years, there has been a shortage of low-cost medicines in many provinces and cities. The commonly-named drugs “win the bidâ€â€”pharmaceutical companies are reluctant to produce and hospitals cannot purchase.
In response, the Municipal Health Bureau stated that during this exploration, companies must submit a “supply commitment letterâ€. According to the commitment, the enterprise supply price should not be higher than the current price of provincial-level pharmaceutical centralized procurement, and “sufficiently Quantity supply." Otherwise, the bid or deal qualification will be deprived.
â– After visiting a major hospital, you can't get cheap drugs?
The community-acquired drugs are directly incorporated into the large hospital directory. In recent years, Beijing has successively introduced new policies such as medical insurance and drug "zero-difference rate" to guide citizens to visit a community hospital. However, there have been constant reports from the public that there is a problem of “slices†in medicines in the community and in large hospitals. That is, some medicines are in large hospitals, but there are no community hospitals; some medicines are the opposite.
The reporter learned that the centralized procurement of drugs at the grassroots level will directly expand the winning bids to the "list of bids" awarded by major hospitals and be included in the directory of centralized procurement of drugs for medical institutions at grade two and above.
Relevant person in charge stated that centralized procurement is equivalent to “selecting†a group of high-quality, low-cost and cost-effective drugs, and on the basis of basic drug use, it will also focus on connecting with 23 major hospitals. This will lay the foundation for the two-way referral of patients in the community and large hospitals.
2 How to stop doctors from selling expensive drugs?
The use of “cheap medicines†in hospital assessments to “take medicine to raise medical care†has caused many patients to worry. How can hospitals and doctors be prevented from defrauding their patients?
In this regard, the Municipal Health Bureau stated that the number and proportion of “cheap medicines†used by medical institutions will be requested and incorporated into the hospital review.
The health department said that it will publish the amount of essential drugs ordered by the primary medical institutions last year, and use this to determine the requirements for the use of basic medicines and the "lowest price" winning bids this year.
For second- and third-tier hospitals, preferential use of essential medicines is also encouraged. Failure to use essential medicines in accordance with the prescribed ratio will affect the hospital's rating.
In the current trial of public hospitals reforming "drugs apart," because of the elimination of drug additions, hospitals no longer earn "sell money" and there will be incentives to control drug costs. For example, Chaoyang Hospital has recently stipulated a strict prescription review system. Doctors are allowed to open their own medicines if they can open basic medicines.
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