Medical network - on March 27, medicine circulation reform as a key task in 2017 is written into the government work report. And, as one of the circulation reform exploration, in early February issued by the state council concerning the further reform and improve the use policy for producing and distributing medicines of several opinions "(hereinafter referred to as" opinions "), promote the "Internet + medicine circulation". Earlier, at the end of January, the state council issued the central designated place on the third batch of lifted the decision of the administrative licensing items ", cancel "Internet pharmaceutical trading service enterprise (except for the third party platform) approval". 

 

"The Internet drug trade in our country, explores the nearly 20 years, compared with other network shopping, slowly, these incentives has a positive meaning." Honorary President of the association of business management of Chinese medicine, director of the committee of experts ming-de yu pointed out. 

 

As medicine circulation is directly related to public life is the most in the ring, how network sell drugs safely into the fast lane? 

 

The Internet to sell medicine to reduce the circulation cost 

 

The combination of the Internet and drug is not only convenient to buy medicine. "The Internet can bring to the drug circulation higher efficiency and lower cost." Ming-de yu said about the New Deal. 

 

The deformation of drug prices, largely due to the confusion circulation. Long-term focus on drug regulatory system reform of China national school of administration, an associate professor at Hu Yinglian analysis thinks, our country medicine circulation enterprises, scattered, small, enterprise and enterprise, information asymmetry between enterprises and medical organizations. Circulation layers of premium and circulation order, to some extent, lead to drug prices artificially high, and eat the phenomenon such as drug kickbacks. 

 

Fudan university school of public health professor Hu Shan introduction, China's drug circulation rate is in commonly 7%, and the United States is in commonly 1% to 1.5%. 

 

"Opinions" put forward by the "Internet + medicine circulation", from the perspective of the whole reform of medicine circulation industry to make decision. "The goal is to put the national pharmaceutical market via the Internet through, docking and sharing of drug information, promote the medicine circulation industry structure optimization." Hu Yinglian thought. 

 

Health under the state council, the relevant person in charge of office in explaining the purpose of the "opinions" issued, and standardize medical representative policy, promote "Internet + medicine circulation" is to reduce drug prices artificially high, control unreasonable medical expenses growth. 

 

The third party platform shall bear greater responsibility 

 

Promote circulation at the same time, the difficulty of regulation will increase, especially is directly related to public safety network medicine. 

 

Network sell drugs in our country started too late. In 1998, Shanghai first medical stores opened the first domestic online pharmacies. As of February 28, 2017, our country "the Internet drug trading services qualification certificate" out 916 copies, with 649 online pharmacies. In today's rapid development of the network shopping, the speed is not fast. 

 

How can online trading to ensure consumer safety, are the biggest concern to network medicine. In recent years, regulators seized fake case, many are important sales channels, the Internet as a number of consumer complaints reported for sales drugs also rise significantly. 

 

"At present, the enterprise to the circulation of the enterprise, more reassuring. People are more concerned about consumer transactions." Wu, deputy chief of the national food administration of drug safety, and to carry out the network sell drugs must have entity shop, and do their duties, the public rights and interests can be guaranteed. 

 

In consumer Internet drug transactions, the risk of a third party platform harder to control. "Like some big drug-handling enterprise self-built shop, directly to consumers, and its logistics, cash flow, information flow is point to point, two-way, relatively controllable. If there is a third party to participate in, this a few 'flow' is fragmented, become more complicated. Moreover, the third party platform flow is very big, once the drug safety incidents, harm is likely to be across regions, global." Hu Yinglian said. 

 

The government to promote the development of network medicine still has a cautious confidence. "Internet drug trading services qualification certificate" is divided into A certificate (the third party trading platform), B card (enterprises and trade), C (enterprise oriented individual transactions). Under the state council recently cancelled "Internet pharmaceutical trading service enterprises (except for the third party platform) approval", namely only involves the third party platform after A certificate is required for examination and approval. This does not mean that the regulation in the relaxation, the cancel B certificate and C certificate approval at the same time, the state council for the certification, enterprises establish medicine online monitoring system. 

 

"But drug trading platform for the third party network exactly what role? What responsibility? How to prevent risk? These also need to be more clearly defined. The third party platform for network sale of drug safety guarantee is not reflected, so the general idea is platform must bear greater responsibility." Hu Yinglian said. 

 

Ming-de yu believes that there is no absolute safety and zero risk. Third-party platform really need to strengthen regulation, but how to control the risk to a minimum, in specific practice and improvement of society should be encouraged to go for it. 

 

Licensed pharmacists to keep up 

 

Network sell another drug resistance is the shortage of pharmacy practice, prescription online submission, guide of licensed pharmacists problem has not been solved effectively. 

 

"A lot of countries to network sale medicine taking a cautious attitude, is not completely let go." Wu stressed that the particularity of drugs is that consumers buy need professional guidelines when using, otherwise there will be some bad consequences even the adr. 

 

At present, consumers can buy on the net of drugs is limited to non-prescription drugs. Whether prescription drugs can be traded online, has been controversial. In October 2016, the national development and reform commission issued the Internet market access negative list (the first, the trial version) "in the draft, rules" shall not adopt any mail, Internet transactions, including sales of prescription drugs to the public ". 

 

"A small number of countries abroad are dare to let go of the network sell drugs, it is because of their pharmaceutical service is very rich. But in our country, some all could not see the real entities pharmacy pharmacy practice." Hu Yinglian said. 

 

By 2016, our country has licensed pharmacist with 340000 people, more than 450000 retail pharmacies. That is to say, almost a quarter of the pharmacy has not been equipped with a licensed pharmacists. "Opinion" is put forward to encourage conditional region based on the existing information system to carry out the pharmacist prescription audit, guide for the rational use of drugs and other online pharmacy practice. But no professional pharmacists, what about professional pharmacy practice. 

 

"Licensed pharmacists is equivalent to 'infrastructure' drug safety management, infrastructure built, network to sell medicine to do well." Hu Yinglian thinks, no solution to the issue of licensed pharmacists, net selling prescription drugs should not be let go. 

 

Do Liang Wannian deputy director of the full-time introduction according to the reform of the state council, China will in the form of legislation to speed the development of licensed pharmacists team. "The National People's Congress has put the medicine on the legislative plan, health and family planning commission formally launched the pharmacist law legislation, together with the relevant departments to carry out the related research, the prophase investigation." 

 

Ming-de yu argues that in accelerating the development of licensed pharmacists at the same time, the pilot on net selling prescription drugs for exploration. "Can only be found that the problem really do up, sum up experience, not a ban it."