Medical network on February 7th - recently, nanchang anyi two public hospitals in health development planning commission after the investigation, pharmacy trusteeship has been suspended.
▍ pharmacy custody been suspended?
According to the report, as the sole supplier of some drugs, jiangxi province, south China pharmaceutical co., LTD., found that simvastatin, potassium chloride sand pieces of eight kinds of medicines, nanchang anyi county people's hospital, hospital never to purchase drugs, but never broken the drug companies. It turns out that the hospital without open tender, the pharmacy trusteeship to third party drug firms to operate, the latter shall pay each year millions of dollars of profit to the hospital, its exclusive supply drugs with the help of this model into the hospital.
We often say this is obviously a mode of pharmacy custody, its in the way, not through public bidding.
Remember last year, six well-known pharmaceutical enterprises in the public bidding, the successful pharmacy custody rights for women and children in guangzhou medical center, in the mutual tore war, although the final result has the dust settles, but the process still encounter a lot of controversy and questioned.
Example against the pharmacy trusteeship is more than this one, do you remember at the beginning of 2015, a sign for hubei province medical advice about pharmacy trusteeship business association of files, and opinion signed by China enterprise confederation of 89 drug widely reported by the industry. In hubei province is currently the only a policy of pharmacy custody provinces, and 89 companies in the joint of hubei province is expressed in the book "pharmacy trusteeship" discontent, and strongly opposed the execution of the "pharmacy trusteeship" file.
Visible, the provincial pharmacy custody at present are mostly mess. To this, the health development planning commission of guangdong province of manifold new wave has said the media, as long as there is pharmacy trusteeship bidding, afterwards there must be drug firms unfair to blame. And the above two public hospital pharmacy trusteeship anyi doesn't even have a public tender, seen in this way, it is easy to understand why it will be suspended.
▍ why pharmacy custody?
According to the report, for parties to question the pharmacy suspected entrusted, the two hospitals are denied.
Anyi county people's hospital, said the hospital pharmacy is not managed, has been in the management of hospital management. And anyi county hospital pharmacy department director also said that the hospital did sign and another pharmaceutical enterprises related to the purchase agreement, agreement negotiated in the province medical service platform for medicines, priority for the enterprise won the bid for drug purchase, and this is for the convenience of hospital centralized purchasing drugs, is not the pharmacy trusteeship.
So-called pharmacy trusteeship, generally refers to the hospital in pharmacy ownership under the condition of not changing, through the contract form to the pharmacy to have strong management ability and can bear the corresponding risks pharmaceutical enterprise to paid for the operation and management of a business activity, ownership is still belong to the hospital pharmacy. In addition, through the public bidding to choose one or several suppliers to hospital delivery drug concentration, hospital for huge performance of suppliers, the quality deposit or price discount activities also known as the pharmacy trusteeship.
Visible, the practice of the two hospitals, has belongs to the category of pharmacy trusteeship, according to anyi county health development planning commission, deputy director of the introduction, anyi county people's hospital, for example, the purchase amount is about tens of millions of yuan a year, after implementation of pharmacy trusteeship, mandatory drug firms to increase the amount of the purchase of nearly 10% a year as a profit to the hospital. Anyi who planning commission also said that after investigation, insufficient financial input will be a local hospital pharmacy trusteeship, the main causes of expediency, all now have been suspended.
Industry is generally believed that the pharmacy trusteeship in cancel drug addition, or zero rate of sales. Before the zero rate of sales, based on actual 購(gòu)進(jìn)價(jià) highest hospital in drug price 15% sales to patients. Pharmacy matching bonus to sales function, therefore, has been the hospital profits. Lose sales bonus, hospital pharmacy into the cost of the hospital departments, even is considered to be an additional burden. Many hospitals have said, after the cancellation of drug addition, together with government subsidies, hospital a massive income decreases, or even a loss.
▍ pharmacy custody will continue to promote
It is understood that this is the Chinese pharmacy custody for the third round of local boom. For the moment, pharmacy trusteeship is only a small trial in many hospitals in the country, however, the future will continue to promote this model, the phenomenon is likely to become common.
Pharmacy trusteeship in the first round began in 2001, guangxi liuzhou seven of the hospital pharmacy has managed to keep group, back in a few years later in the hospital pharmacy.
The second round of the pharmacy custody in nanjing in 2003, led the city commission for discipline inspection, roll out in 2006 in the city. New reform started in 2009, grassroots medical institutions carry out unified basic drug bidding system, the boom in yingzhou retreated.
The third round of the pharmacy custody began in 2013. Now, especially after the implementation of "two votes", hospital pharmacy will be one of the regulatory focus, at the same time, the cancellation of drug addition, after the implementation of "zero rate", will further increase the burden of paying hospital to the pharmacy, in the case of government subsidies is difficult to fully in place, the hospital can only trying to protect themselves.
In the future, in order to save drug procurement costs, public hospitals may only have two choices, the two choices, are associated with pharmacy trusteeship:
Is a specified requirement for exclusive distributors, distributors to increase rebates, margin, etc.
2 it is directly to the hospital pharmacy medicines procurement work, and even the pharmacy staff management, managed to drug companies or manufacturers, and the corresponding custody fee charge.
So, as the "two votes" and "zero drug addition" policy, in the future, there will be more and more hospital pharmacy trusteeship will choose to go out. Hospital pharmacy especially 3 armour hospital pharmacy, will become the drug companies' mohican. Of hospital pharmacy drug firms "for war", will be unable to avoid. |
