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| The pharmacy accepts the prescription market to say too much, this time come to be sincere! |
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| Author：中国铭铉 企划部 Release Time：2017-9-21 11:33:34 Number Browse：1273 |
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In 2016, China's drug retail market was 36.79 billion yuan, up 9.5 percent year on year, according to data from China's ministry of commerce on September 21. Retail chains have reached 50%. The retail pharmacy industry development strategy guide, released recently, predicts that the scale will reach 620 billion yuan by 2020, with annual growth of 10-15 percent.
'the pharmacy chain and industry concentration will be further improved,' Mr. Rolenberg said. Pharmacy should be "to the gross profit as the center" to "take the customer as the center", in products, services, channels, three dimensions of management innovation, to undertake for the future "hospital prescription drug sales stock transfer" be prepared.
What are the development opportunities for pharmacies?
Based on the analysis of the comprehensive industry and the analysis of Roland berger, the author summarized the following three development opportunities for retail pharmacies:
1. Changes in revenue structure of public hospitals
Due to "abolish all drug addition" and "limit medicine proportion", national subsidies must be in hospital and by such means as raising fee to adapt to structural adjustment, the hospital pharmacy department set up from profit is a cost center, drug sales further weakened economic incentive for a hospital.
The change in hospital income structure, accelerating the transition of hospital pharmacy (mainly outpatient pharmacy) into managed and even eventually dissection, directly drives prescription drug sales away from the hospital side to the pharmacy.
2. National policy encouragement
In recent years, the state has performed a series of actions to open the way for prescription drug outflows from hospitals. In 2014, we explored the new model of "patients' self-purchasing medicine by prescription to medical institutions or retail pharmacies"; "No hospital restrictions on prescription outflow" in 2016; In 2017, "explore the prescription information of medical institutions, the information of medical insurance settlement information and drug retail consumption information connectivity and real-time sharing". Encouragement at the national policy level provides opportunities for the transfer of prescription drug sales from the hospital market to the pharmacy market.
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In 2015, the state eliminated the administrative review of the application for medical insurance designated drugstores and was managed by social security agencies and pharmacies in an agreement service mode. The reduction of barriers to entry has prompted a rapid increase in the number of designated pharmacies.
But at the same time, under the pressure of health care, the social security agencies are increasingly strict with the supervision of designated drugstores. But in the long run, health care will inevitably be included in the scope of coverage; The drug price of the drugstore fell, gradually close to the hospital price. This will accelerate the outflow of prescription drugs to the retail pharmacy market.
What are the positive preparations for the drug store?
To take on "the transfer of prescription drug sales at the hospital," Roland berger says retail pharmacies should have at least three preparations:
The author adds some industry examples and data, and expatiates the following:
The DTP pharmacy
It is the core preparation that pharmacies can effectively undertake prescription drug outflow in the future. The development of DTP dispensary, there are 45 pharmacies in the state pharmacy, and dozens of guangzhou medicine, and Shanghai medicine also has a formal layout.
But more than these giants, which have more than 300 DTP pharmacies and more than 100 in guangdong, are more of a platform from guangzhou. The platform integrates the DTP business through the layout of the DTP business, which features a variety of slow-disease prescription drugs. Currently, its product capacity has been expanded to 12, 000 product rules, which are closely related with pharmaceutical enterprises. The platform will integrate 1,000 DTP pharmacies nationwide.
The pharmacy trusteeship
Although the pharmacy trusteeship mode can't echo medical education policy, but after zero bonus, because the state subsidies are insufficient to fully compensate for hospital drug addition income loss, regulators of pharmacy trusteeship will still take acquiescence of attitude, therefore pattern will exist in a long period of time.
Take guangdong for example, the pharmacy of guangdong people's hospital is hosted by China resources. China resources has launched 6-8 consis smart hair dispensing machines (about 10 million each) at the outpatient pharmacy of guangdong province, the pharmacy of xinyan and the pharmacy of the east ward, which is another preparation for the drug outflow.
The pharmacy stripping
According to the author's observation, guangyao and guangzhou women and children medical center cooperative layout hospital last year.
The practice is: the hospital will hand over the commonly used drugs in the outpatient pharmacy to the general pharmacy, which will retain the configuration of emergency pharmacy, special dispensary and intravenous medicine and injection medication. After the separation of the drug, the pharmacy outside the hospital will carry out the maximum price of the drug under the guidance of the hospital, and the drug price of the pharmacy will not exceed the hospital price. The store has been able to make more than 100 million yuan a year, and has recently opened a second home. The channel innovation of guangyao is at the forefront of the country.
Conduct online business
In recent years, the online drugstore market has grown by 134% and has grown rapidly, but it is only 16 billion in 2016. The reason is that online prescription drugs are tightly regulated and have not been released. However, physical retail pharmacies can actively plan ahead, and carry out online services such as OTC, health care products and sanitary products, and prepare the basis for the preparation of prescription drug outflow.
In the medium to long term, state regulation will gradually increase the release and release of prescription drug online sales. The relatively mature online pharmacies of seven rakoff and kang love will eat the soup. The late show, such as wide medicine jianmin e-commerce platform, is developing rapidly, has now done nearly $500 million a year (according to the ministry of commerce, the guangzhou Beijing LuJianMin offline flagship store sales are more than 300 million, 2016).
In what aspects do drugstores need to cheer up?
Roland berger argues that retail pharmacies need to be laid out in the following three areas:
1. Improve the category and supply chain management capabilities, including increased prescription product gauge (general gauge number is 3000, the public hospital pharmacies is 2000), grasp the core variety resources, profit distribution in consultation with drug companies.
2. Improve the service ability of professional medicine: the average daily of the third-level hospital is 6000 square, which is released to the drugstore. According to the current drug service level of the pharmacy, the hospital is unable to meet and the challenge is huge.
3. Establishment of external prescription docking information system. At present, the pharmacy should actively participate in the information system docking and deploy the supporting IT system.
For the third point, I don't think there is a company in the country to actually make the external prescription circulation service platform.
However, a number of companies have started to dabble in e-prescription trials. The author has mainly focused on three: chengdu's micro-interrogation system, the yi rediagnosis system of Qingdao baiyang, and the medicine diagnosis and store system of hangzhou micromedicine.
Chengdu micro interrogation system at present and the real hospital cooperation, to provide prescription drug sales monitoring service agency opened the background, the practice of chengdu has been shaanxi, gansu, guangxi, hainan, drug administration issued a recommendation and introduction of the promotion, in some cities in guangdong food and drug administration recently toured; The rediagnosis system also tried to cooperate with the physical hospital in nanning. The micro medical consultation system is still in its own Internet hospital.
It remains to be seen whether the three companies will continue to iterate into the true out-of-hospital prescription drug delivery service platform.
Innovative idea of retail pharmacy model
The author summarizes the possible business model innovation of retail pharmacies and puts forward the following ideas:
The prescription drug delivery service platform is an open ecosystem, integrating hospitals, pharmaceutical companies and pharmacy resources, and sharing prescription drug delivery of this huge market. The prescription originated from physical hospitals, primary medical institutions, Internet hospitals, and medical joint hospitals.
Prescription produce, in the form of electronic data transmission to prescription drugs circulation service platform, platform by drug companies distribution and clinic drugstore distributed and two pathways, and ultimately allow drug fast and convenient to reach patients/public hands.
Among them, the drug companies distribution channel mainly includes the traditional circulation distribution center of drug companies (such as the control, the broad medicine, medicine and other wholesale giant), the urban central pharmacy wisdom (sig) pharmacy, medicine, electricity, such as the seven nu-lax, fast dingdang love, medicine, etc.) to send medicine home; Clinic drugstore distribution channel include: the DTP pharmacies must (such as pharmacy, medicine at nus DTP) pharmacy and hospital pharmacy must (such as the broad medicine, especially outside center hospital pharmacy), managed pharmacy distribution (such as China resources hosted in guangdong province people's hospital pharmacy), Chinese medicine pavilion ll offline or online distribution (such as solid raw hall, and hall, etc.).
Drugstore clinics, which include all kinds of business pharmacies, form a huge system. In this system, there will be a number of pharmacies that focus on prescription drugs for slow diseases. Such objectively requires a drugstore drugstore slow disease management services platform (Roland berger argues that clinic drugstore in the future will become one of diagnosis and treatment of primary load-bearing form classification, the drug distribution, common disease diagnosis, and play an important role in health management), value-added services to its customers to provide long-term (can also include health education module, or patient education alone do a platform).
In the base of this slow disease management platform, we can consider the introduction of some high-quality new special drugs, pharmaceutical enterprise's own brand products, high-quality traditional Chinese medicine products, high-end healthy food products and other varieties. These varieties are constantly enriched and eventually form a product supply system. To sum up, pharmacy clinics are also an open and Shared ecosystem.
Prescription drug circulation will be a long process, and in the process, the pharmacy and mode innovation will be put to the best, not confined to the ones mentioned by Roland berger. Hospital end prescription drug sales amount to transfer outside the courtyard is the biggest opportunity of the development of retail pharmacies, and undertake the platform of prescription drugs outflow hasn't really appear, which company the first hit the bull 's-eye? We'll see. (zhen Ming meeting)
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