Medical network, June 12, according to the established schedule, all public hospitals in our country during the year will be fully cancel the drug addition, and hospital outpatient pharmacy will profit from the department into running costs. The pharmacy's future will be a big problem for public health care providers. 

 

Some experts believe that along with the advancement of medicine separately and the further development of couplet of medicine, the advantages of community health service institutions pharmacy is more and more is not obvious, thus appeared gradually atrophic even stripping. But for the majority of the public medical institutions, the pharmacy became a real cost burden, to solve this difficulty, still require the government on health investment in the future. 

 

Progress was made in hospitals trying to get rid of water dispensaries 

 

The city of Beijing proposed in 2015 that community hospitals will gradually move to the community pharmacy. The procurement and supply of medicines is handled by commercial companies, while supporting the use of electronic commerce by third parties to meet the needs of the community. 

 

The economic information daily, reporter recently found in Beijing city community health service center of quang ninh, thanks to "pharmacy trusteeship" and "virtual pharmacy", where the drug varieties from four hundred increased to nearly one thousand. Learned, community health service center and the China resources quang ninh pharmaceutical custody agreement signed a pharmacy, cancelled with the pharmacy and pharmacy, drug distribution center established, by means of informationization, establish a "virtual pharmacy". Doctors use the Internet to view all of the drug reserves at the distribution center and prescribe electronic prescriptions based on the patient's needs. It is reported, this pattern the shijingshan district has carried out three pilot, star anise, quang ninh, five tuo community health service centers, their drug distributors, with the three big hall, China resources including jia, sinopharm custody agreement signed, the drug distribution running smoothly. 

 

"In fact, the drug delivery business has become a community drug reserve." The shijingshan district health development planning commission, deputy director of the Yang Jifeng said, "is limited by the space of community hospital and human, community hospital before only about four hundred kinds of drugs, community residents to open drugs now reached nearly one thousand species, but also don't have to worry about is understaffed, store there is insufficient space on the drug." 

 

Pharmacist xiang said, after the doctor prescribe, through the electronic information system, will receive electronic prescription drug distribution site, if is medicine on some common medicine, can promptly to the patient, if the site no, drug firms will arrive within 4 hours, emergency drug delivery within 2 hours. 

 

"At present, Beijing sunshine procurement platform, nearly 40000 kinds of drugs, to the community as the hospital patients is increasing, the patient after drugs has drawn more than the scope of the nearly 700 kinds of drugs at the grass-roots level and community pharmacy pharmacy area, allocate personnel quantity is limited, the traditional drug sales model has been difficult to meet demand for treating patients." "Said wu hao, director of Beijing fangzhuang community health service. 

 

In fact, in addition to Beijing, the hospital has also made an attempt to dissect an outpatient pharmacy. The medical center for women and children in guangzhou, for example, recently removed the drugs from gynecology and adult outpatient clinics to the social pharmacy. After the early stage of the information construction and logistics extension transform, guangzhou fu center closed hospital outpatient pharmacy, by the broad medicine company shop near the hospital set up the public medical fu center, undertake guangzhou children's center outpatient drug procurement work, at the same time receive most of the staff of hospital pharmacy. In addition, the city has begun a pilot project to remove the community hospital pharmacy. 

 

Breaking the cost of operating costs into a realistic choice 

 

Early according to the state council issued "on further reform and improve the use policy for producing and distributing medicines of several opinions", "outpatients to choose from in the medical institutions or retail pharmacy to buy medicine, medical institutions shall not be restricted with outpatient prescription to retail pharmacy to buy medicine. Have the conditions to explore the outpatient pharmacy from medical institutions." "We will encourage qualified regions to conduct online prescription review and guidance for rational use of medicines." Industry insiders say this is in effect a policy support for the dissection of prescription drug dispensations. 

 

After the elimination of the drug, the "cost center" for the "cost center" of the outpatient pharmacy became a major driving force in the hospital's drive to remove the drug. "We have done standardized measurement on the operation of the pharmacy, costs about 150000 yuan per person per year on average, our hospital pharmacy a total of 80 employees, the running cost is 12 million yuan a year." The head of a county-level public hospital said that the elimination of the drug from 2013 would result in a loss of about 50 million yuan a year. For example, a hospital pharmacy with annual sales of 100 million yuan will cost about 3 million yuan a year. "Whether it's 10,000 yuan or 100 million yuan, it's not going to bring any paper revenue to the public hospitals." Medical management international research center of Peking University, said Dr GuanXiaoDong "theoretically, pharmaceutical sales, the greater the storage, brought by the human, such as cost, the greater the loss, a hospital pharmacy from profits to the cost burden." 

 

On the basis of this reality, pharmacies have become a policy of reforming the distribution of pharmacies' operating costs in public hospitals around the world. The economic information daily, reporter preliminary statistics, the domestic pharmaceutical, sinopharm, CRC has included sig pharmaceutical, san-jiu group, more than 30 pharmaceutical listed companies to undertake hundreds of pharmacy trusteeship. According to statistics, more than half of the secondary and following hospitals in the country have been implemented or planned to carry out the pharmacies. 

 

Pharmacy trusteeship refers to medical institutions through the contract form, in the pharmacy does not change and national ownership of non-profit medical institutions under the condition of invariable in all kinds of preferential policies, the pharmacy drug sales activities to have a legitimate business qualifications, strong management ability, and be able to bear the corresponding risks paid the operation and management of pharmaceutical enterprises, clarify the rights and duties in the relationship between hospital pharmacy owner, operator of a drug business model. 

 

Some experts believe that in addition to maintain hospital normal operation, the hospital pharmacy custody can also satisfy the medical expense of hospital drug supply market, stable sales channels, expand the scope of business needs. Since the government supports, the hospital is happy, the enterprise is active, the pharmacy host can satisfy the tripartite demand at the same time, the parties are not surprised to be rubbing their hands. But there are people in the industry, the pharmacy trusteeship, hospital paper did no income from drug addition, but much more fixed asset leasing, profit sharing, such as income, not in the true sense of "medical" separately. 

 

The final direction of reform is still to be explored 

 

Also have experts say, the pharmacy profits disappear and not cancel the sufficient condition of pharmacy, hospital for labor reform brings to the public medical institutions, to establish reasonable compensation channels. "Is undoubtedly the medicine. But it is not simply 'medicine separate separate medical and medicine physically, in fact is to solve the compensation pattern of hospital unreasonable problems. At the end of the day, or suggest that countries will cancel the drug addition after this part of the compensation for the loss at a reasonable channel." Industry insiders say. 

 

In some economic relatively developed area, however, drug enforcement after zero price difference, hospital improved the medical service charges, which shall be conducted by the health care bill again, so patients didn't increase the burden, the loss of the hospital also basic can fill and level up, only local health care need to bear the greater pressure. This can be achieved in areas with high levels of financing in developed areas and in health care, but it is a big problem for regions with low funding levels. Promoting medical separation requires the synergy of the health administration, the financial sector, the legislative branch, the hospital, and the industry. 

 

For pharmaceutical companies in circulation and retailing, the pharmacy spin-off offers opportunities. Around if the default of the pharmacy trusteeship patterns attitude persists, so drug companies through a new mode to enter a hospital pharmacy trusteeship, channels will be relatively concentrated, earnings and hospital prescription outflow at the same time, the retail business is not affected, even may also promote the development of the chain. The demand for drug supply is also stable, and the company's profits are guaranteed, so that the patient will be able to ensure that the patient's medication is not out of stock. 

 

The personage inside course of study thinks, predictably, do promote open new mode if the pharmacy trusteeship, hospital pharmacy in the future will become each big drug firms, especially those with large chain pharmacies medicine commercial company LTD.