Medical network on April 7 - the implementation of the "two votes" overwhelming, but combined with the case the provinces, the full implementation of it will take time, away from the goal of expected a long way to go. 

 

Order to meet the demand of the masses doctor, drug prices "moisture", "two votes" new rules promulgated by the state council, request from the drug company sell to dealers open an invoice, dealers to sell to the hospital again open invoice, replace the now common with "two votes" seven of the eight votes, reduce circulation layers of exploitation, the policy of "two votes" have been from all walks of life look forward to. 

 

"Two votes" promise of low prices to achieve? 

 

"Two votes" later, the entire circulation become more transparent. Health under the state council office, national health development planning commission deputy director of the full-time TiGaiSi secretary liang wannian, "two votes" is an important reform measures medicine circulation field, further promoted the lower drug prices artificially high, ease the burden. 

 

"Two votes" is for the benefit of the crackdown on drug intermediate link space, thoroughly improve the patients medical treatment burden is heavy, the environment for the drug prices high. But since the "two votes", really reduce the price? 

 

Peking University management consulting company consultants hong-zhi wang said, "two votes" there will be some impact on the entire circulation market, the impact on drug firms will not be huge, for a foreign company with terminal team and mainstream, or had is that enterprises and large commercial companies to cooperate, "two votes" there is no effect in nature. Only change pattern of make out an invoice, is impossible to fundamentally change the way corporate benefit. 

 

The personage inside course of study points out, "two votes" from circulation field, some moisture extrusion of the intermediate links, certain cancer drugs price of Hong Kong and the mainland are half of the embarrassing situation, will improve. 

 

A secondary hospital pharmacy director said on condition of anonymity, he every day in the work focus on all kinds of clinical drug prices, on the basis of guarantee the interest of big drug firms, "two votes" can make some cheap old medicine into the hospital pharmacy, more patients will benefit from it. Before that, these cheap old medicine cannot bring seven or eight ticket dealer profits, companies will have to these drugs, or into injection, turned over several times on the price. 

 

"Two votes" trying to reforming medicine on behalf of the industry 

 

In prosperous under the stimulus of market economy, China's pharmaceutical market for many years to achieve output value and profit growth, the fertile soil of nourish a special career - a medical representative. Pharmaceutical sales and interpretation of the work function of give attention to two or morethings active every day in the national each big hospital medical representatives. 

 

Launched in 2016, CCTV "kickbacks", according to a report by doctor kickbacks to improve medical representatives around the drug sales. Reported a, then caused the national health development planning commission and other departments. 

 

For many dirt disadvantages of the pharmaceutical industry, "two votes" is also trying to rally industry, medical representatives through atmosphere of industry shift not compliance. 

 

On January 9, medicare office director of fujian province Zhang Xuanhua health development planning commission held a news conference in the country, the reform of the state council to handle the on drug centralized purchasing in the public medical institutions in the implementation of the implementation of the "two votes" opinion (try out) ". He said, before a medical representative take low reimbursement, national total generation, layers of subcontract, now there are some medical representative ticket money laundering. Under the "two votes" medical representative will not be able to vote money laundering, this kind of medicine representative will be eliminated. 

 

Since then, several news media once said: the "face", "public relations" means or will fail, the country's 3 million medical representative jobs or change careers. 

 

"Two votes" cannot completely eliminate the "kickbacks" 

 

Xiao wu from fujian is a medical representative from eight years of foreign companies, he working in several pharmaceutical companies, in an interview with health, he was ready to go out to attend a hospital department of talk. "In essence," two votes "no big impact for our work, I don't worry that they will be unemployed, each big hospital to have medicine to help drug companies and customer communication, service, or who to ensure sales? Of course, part (commissions) also not little money, and our clients are (doctor) the relationship between stability and involves the credibility problem." Small wu said. 

 

In fact, in fujian province from 2009 began to implement the "two votes", is the only one real full implementation of "two votes" province. However, eight years have passed, fujian medical representatives are still active in the corners of the hospital. 

 

Hong-zhi wang pointed out that only by the practice of "two votes", can't completely contain the existence of the rebate, still needed to be more perfect laws and regulations, the phenomenon of strict control. "" two votes" to change not compliance with gold sales, this is the pharmaceutical industry's ills, want to eradicate the "cancer", still need to suit the remedy to the case." 

 

"Two votes + distribution business integration" changed the medicine circulation market of fujian province ecological, really compressing the medicine circulation as the interests of cake, but many in the industry have indicated that the doctor is to make sure drug sales one of the most important, even if drug companies in circulation loss, not necessarily through damage the interests of the doctors to fill the void. 

 

On October 8, 2016, anhui province food and drug administration issued the public medical institutions in anhui province pharmaceuticals procurement to implement the "two votes" implementation opinion ", but from the point of actual feedback, policy implementation of the difficulties, the whole industry appear break goods phenomenon widespread concern about the hospital. 

 

An industry in anhui province for more than a decade of medical representative to the health sector, said "two votes" for most of the drug price regulation, in addition, the drug circulation in seven of the eight ticket is before industry management is not standard, not the real reason for drug prices artificially high. 

 

Obviously, the "two votes" as a remedy prescribed by the state council, has some effect to control drug prices, but the operation mode of specification for the pharmaceutical industry as a whole, industry reorganization of the ethos, remains to be seen.