South dispatch reporter Wu Bin is sent from Beijing a few days ago, there are a messages to be paid close attention to on the network. The favour of disease-resistant bane content of liver of second of a cure disperses for Ka Wei piece, 17 yuan sell in Shanghai, in Jiangsu east the stage should sell 310 yuan, the price difference of nearly 20 times. Later classics understanding, shanghai price is low basically be " 4+7 " the country centers invite public bidding to purchase those who bring depreciate.
On April 16, the hair drier that national medical service protects Chen Jinfu of bureau deputy director general to also do newly in the country responds to this one problem to say on the meeting, should say to mirrorred reform to obtain result already, also mirrorred reform to still be on the road, this is parcel area the inevitable phenomenon of pilot generation, "4+7 " win the bid the area uses win the bid medicines and chemical reagents is overall and average fall 52% , individual medicines and chemical reagents some fall achieve 96% , the price that is not pilot area apparently did not fall.
On January 17, 2019, " national organization medicines and chemical reagents is purchased centrally and use pilot program " release. Pilot program puts forward, to deepen medical sanitation system is reformed, perfect drug price forms a mechanism, the country is begun to organize medicines and chemical reagents to concentration is purchased and be used in 7 deputy provincial towns such as 4 municipalities directly under the Central Government and Guangzhou pilot.
Before this, the result of link of invite public bidding shows, 31 medicines and chemical reagents has pilot and current name 25 concentration are purchased plan to be chosen, lead successfully 81% . With pilot city lowest of akin 2017 medicines and chemical reagents purchases valence photograph to compare, plan to be chosen price falls on average 52% , highest fall 96% , depreciate the effect is apparent. Grind formerly medical auspicious blame replaces the Buddhist nun piece depreciate 76% , natrium of benefit of blessing laborious general piece depreciate 68% , compare with circumjacent country and area photograph low 25% above, "Patent cliff " show.
Chen Jinfu expresses, this national concentration action is collected is not governmental price actually, also not be national negotiation, it is an enterprise between according to market regulation, be aimed at different situation, the price of a kind of ego of generation competes.
"' 4+7 ' action collecting is hit the point the important grasper that invite public bidding of medicines and chemical reagents purchases system, perhaps say hit the point the core problem with tall theory of drug drug price, crucial question, explored new device to collect a mechanism, obtained reform result. Without doubt, common people of 11 pilot areas enjoyed the bonus of reform above all. " Chen Jinfu says.
Chen Jinfu expresses, the drug price of two places is compared, similar drug, ten fund sell in Shanghai, other place sells 300 fund, the price differs a few times, this explains " 4+7 " medicines and chemical reagents purchases innovation centrally is a success, the mechanism is effective, policy be born, can solve common people to see a doctor really expensive issue, the market that also straightened the price forms mechanism issue, satisfied clinical need.
On the network, is the drug that also the patient suspects petty gain false medicine? To this, chen Jinfu expresses, medical price is low because,not be quality problem, because new reform measure squeezes the moisture content with price high theory,be. These invite public bidding purchase depreciating drug is evaluated through quality consistency, mass can charge.
How can be the patient that is not pilot area also used depreciate medicines and chemical reagents? "Reform expands further even " , chen Jinfu says.
It is reported, the standing conference of near future of the State Council puts forward, say the result that comments on appraise according to trying, listen to the opinion of each respect adequately, perfect the policy that focuses invite public bidding to purchase and system, study deploy enlarges pilot job.
Chen Jinfu thinks, expand pilot, not be to accomplish in one move, the thing of eager for quick success and instant benefit. The price can produce an effect to supplying: If the price is too low, to the enterprise, without manufacturing enthusiasm, can cause medicines and chemical reagents to be in short supply; If the price cannot reflect competition reasonably, produce theory tall, to common people character, increase expense burden.
To the farther promotion of reform, concerned branch will do more thorough assessment. Chen Jinfu introduces, want measure of policy of pilot to various places experience and each pilot form a complete set to do summary: After for instance medical price theory falls high, can be price of medical treatment service being adjusted to the ground? After drug price returns to reasonable level, the quality development that can be helpful for promoting medical business, innovation develops, whether be helpful for the enterprise dimensions of implantation China, this involves major expansibility problem.
"We will undertake be summinged up seriously assessment, listen to each respect opinion, perfect policy, take out a driving plan. " Chen Jinfu says.
