Medical network on April 14 - medical couplet of accelerated fall to the ground, the full impact of transporting to drug companies. 

 

▍ medical couplet of accelerated fall to the ground 

 

12, the state council premier li keqiang chaired a state council executive meeting, the deployment of promoting the construction of medical association. 

 

Couplet of medical conference pointed out that the construction and development, is to carry out the people centered development thought, to carry out the "government work report" deployment of the key tasks, is deepening the reform of medical health care medicine linkage, the rational allocation of resources, make people enjoy convenient high quality medical services. 

 

This is the "two sessions" in March this year the government work report singled out the medical couplet, couplet of countries "high-profile" once again stressed the medical fall to the ground. 

 

Association of so-called "health", is a large public hospital technical force drives the basic ability of health promotion and common development, through the integration of medical resources in horizontal or vertical, optimizes the allocation of medical resources, promoting the doctor and the patient flow at the grass-roots level, convenient masses to go to a doctor. 

 

Pointed out in the government work report in March, the comprehensive start construction experimental unit of various kinds of medical association, all tertiary public hospital to participate in and play a leading role, set up to promote high-quality medical resources fluctuation of assessment and incentive mechanism, enhance the capacity of grassroots service, convenient to the masses to go to a doctor. Diagnosis and treatment of pilot and family contract service expanded to more than 85% of the cities. 

 

And the state council executive meeting on further refine put forward a number of "index" : 

 

One to break the administrative area, financial investment, health care payments, personnel management, as well as the barriers to full launch pilot couplet of various kinds of medical construction, adjust measures to local conditions to explore by tertiary public hospital or business ability strong, county hospital, hospital, set up different levels, different types of urban and rural medical institutions or specialized subject of complementary advantages, collaboration between medical couplet, vigorously develop for telemedicine network and outlying and poverty-stricken areas at the grass-roots level. 

 

Second, we must promote high quality medical resources sharing and sink at the grass-roots level, by sending experts, specialized subject to build, enhance the level of primary care business guidance, etc. Implementation within the couplet of medical health records, medical records, such as connectivity, implement results mutual recognition, prescription drugs, sharing. Based on medical image, inspection center, such as integration services in the couplet of medical. Also must strengthen the cooperation between different medical couplet body. 

 

Third, we need to speed up the implementation of hierarchical diagnosis mechanism. Demand oriented old-age signing the family doctor service, all the poor into the scope of services during the year. Encourage and guide the residents to the first option, the superior hospital signed a contract to provide priority accepts, examination, hospitalization and other services, and postoperative recovery time, such as severe plateau patient referral down channel. Encourage nursing center, professional to join the medical rehabilitation institutions. 

 

Fourth, we need to increase policy support. Explore the incentive mechanism is advantageous to the up and down through the allocation of health resource. Total of vertical cooperation medical couplet of medicare pay pay for a variety of ways. The grassroots ZhenLiaoLiang percentage than, two-way referral, residents health improvement indicators into the performance appraisal, etc. Medical staff in medical couplet body flow in practice generally do not need to deal with relevant formalities. To reform and innovation better satisfy the crowd disease prevention, convenient for medical treatment and nursing, rehabilitation, etc. 

 

▍ comprehensive influence drug firms 

 

Is different from the previous press disease to pay and the clinical pathway of hospital reform, within the scope of the national emphasis on medical couplet of be born, can be said to be bold, joint procurement to hospital and health control fee "pushing" the ground. 

 

Securities after the league of nations in the research to think, to promote medical couplet of related work, the policy goal is to promote high quality medical resources sinking, at the same time will increase on the implementation of screening and integration of pharmaceutical distribution enterprises, can focus on the national and regional pharmaceutical circulation enterprises. 

 

Is not only a medicine circulation, in production enterprises, the couplet of medical first drug firms challenge series operation problem such as marketing and product positioning. 

 

On this question, pharmaceutical marketing expert liu had to match the blue parker, points out that medical couplet body for drug firms include: 

 

More than one, drug companies can't only focus on secondary hospital. Couplet of medical diagnosis and treatment is the superior hospital and grassroots community bound together, the superior of hospital patients with subsequent drug use and rehabilitation will return to the grass-roots. The superior and will face the same patient at the grassroots level under the couplet of medical benefits integration. So, the enterprise work must be from the second class above hospital extension to the grassroots community. 

 

Second, the varieties into the first option catalog is king. If can enter the first option in medical conjoined directory, originally not selling drugs at the grassroots level, the primary market will be opened. 

 

Three, preempt the grassroots will occupy the dominant position of advantage. For above secondary hospitals, under 30% medicine accounted for, those who do not have specialized advantage concept or chronic disease treatment drugs, will find their own market in the community. And the advantages of specialized subject, the concept of targeted therapy drugs, the mainstream of the market competition will be more than secondary hospital. 

 

From health care and medical couplet body charged with the role of fees will no doubt to the drug companies, research and development direction of marketing and product positioning is a series of behavior have a profound impact. 

 

On national development planning commission has as one of the typical medical couplet body construction of qinghai xining as an example, its core advantage is cancelled hospital administrative levels and health care of unification of couplet of medical packaging, then independently by medical group in the internal distribution. 

 

Medicare pay package, will be the first to influence on the structure and the kinds, the artificially high prices will be the cost item, gradually replaced by a cost-effective cheap drugs, drug firms in the market competition rules, distorted by the "high price, dark kickbacks" illegal competition and rules into the pursuit of rational ", Ming high sexual price discount "fair competition, of course, production enterprise may encounter more and more severe price challenge. 

 

▍ drug firms the opportunity to where 

 

Drug firms is the change and opportunity, but compare countries recommended couplet of medical form, it is time to get on. 

 

According to the national health development planning commission in March public information, medical couplet body there is the following form: 

 

First, the city medical couplet body, have a plenty of close, some relatively loose. Mainly led by tertiary hospitals as a unit, absorbing and grassroots medical institutions to take part in the secondary hospital, forming a couplet of medical, high quality resources can supply in time, to the grassroots level. 

 

Second, the county within the scope of the "d" form of payment - the health care reform and the construction of medical total body tightly together, from the prevention, treatment, rehabilitation, integration service, the county, township and village together, such as anhui tianchang, a county organized two medical body altogether. 

 

Third, specialized subject of league, as some of the cross-regional ophthalmology, pediatrics, gynecology and obstetrics, specialized alliances. 

 

Fourth, to remote areas to carry out the remote medical treatment, telemedicine network is established. In 2016, the state development planning commission arranged the place and the army of 889 tertiary hospitals counterpart support poverty-stricken counties, 1149 county hospitals, realizing a complete coverage of the counterpart to assist national poverty county.