What the patient ate are not but medicine but black interests Doctor's commission accounts for the medicine price 30
Big to release from Beijing, " watch a lot of medicines biding price of province, nearly each medicines have spaces of a proportion of marketing. " Wang Liang, expert of hospital trade, tells " daily economic news ", this is that acquiescence sneaks the rule in the trade. The medicines that Wang Liang carried are clinical medicines, these medicines are generally sold only in the hospital, the patient is generally unable to buy in the pharmacy. On the surface, it is nearly very nearly the same to flow into medicines of the hospital and medicines link of flow direction pharmacy, all enter the hospital through second or trader that provides and delivers third grade from medicines manufacturing enterprise to the trader that provides and delivers first grade, run to patient's hands and hit doctor's hands finally. However, these clinical medicines are except circulation link of the surface, there is a interests roller chain in the dark. Influenced by this, the costly enterprise of medicines is that results are the reason too: The high price can guarantee medicines have enough profit spaces to meet every link need; And conversely, the expenses of each link are the cost of medicines, are " paid " while buying medicines as the patient Expenses. "The more link medicines circulated and passed, it is the more manily to raise the price, certainly the higher the price of medicines is. " Wang Liang says. " daily economic news " knows while obtaining employment, medicines are different, commission spaces of this interests roller chain are different too at expert's place. The commission space of general medicine substantially as using clinically for many years is not big, but those new special medicines (new medicine, specific drug) that differentiates general medicine There are spaces of larger marketing, especially some medicines curing blood vessel of heart brain and tumour, the space of commission is often even partly up to 40% among 20%~30%. Medicines want in hospitally " Over six is closed " The expert tells reporters, the roller chain of these interests is mainly composed of several parts: Medicines call for bid in office, hospital leader, medicine head of the department, chief physician, interconnected system side person and doctor. Become clinical medicines, call for bid and do the first link that is the public relations. Because medicines will enter the large in the hospital, especially volume of consumption hospital of the first, second and third, all must want, call for bid, take, break out in numerous the intersection of medicine and enterprise, the public relations are essential. After calling for bid, the hospital will generally be convened every storeys of leadership to hold a medicine thing to know by the president of the hospital, especially Vice President in charge of medical procurement before purchasing, which varieties to confirm what pharmaceutical factories should be purchased, this part leads but also get the public relations. The head of the department of medicine has the right to make the plan and propose in purchasing any medicines, and whether it can also help on medicine enterprise,it can have to deserve to be called but under links key, the medicine enterprise makes a lot of variety to this public relation tactics especially. Wang ShuPing is a head of the department of medicine of central hospital of Huanggang of Hubei, though the dispensary of the central hospital of Huanggang is deposited to the outside, but Wang ShuPing is still a public relation target who becomes enterprise's medical representatives of medicines. Recently, a medical representative holds a " credit card of continuing medical education " Say to tree Wang you smoke, drink either, this piece need always while being flat. In some areas, to with what medicines can some chief physicians have suitable right to speak too, so they are a link of the public relations. In the dark chain of the whole interests, the doctor is the most key link, because medicines interests are mainly realized through this link. In order to guarantee the supply of medicines, general the same medicines have two enterprises to enter with medicines of a specification, which medicine enterprise 's products must depend on marketing while clicking by the doctor too, otherwise even purchased into the hospital, then the danger all returned that also stay for one year. A trader that provides and delivers medicine tells " daily economic news ", as far as he know, some medicines are in some areas, the commission only given to the doctor accounts for 30% of the price of medicines. As for the intersection of interconnected system and side person, because selling share of hospital disclose to the outside, count doctor how many medicines does it turn on this month, calculate, should give what returning it will be doctor, this job stranger can not make either, must lean against the staff members inside the hospital. The above-mentioned trader that provides and delivers medicines shows, this expenses are generally 5 mao for each one, the high one be able to reach 1 yuan for each one. High to price, guarantee sufficient the intersection of marketing and space at this interests roller chain, each link has already formed the relatively stable operation mode, the medicine enterprise will determine the biding price according to the profit distribution of each link, if the biding price is lower than them to calculate the good price, enterprise will generally abandon and mark medicine, no longer produce this medicines. The insider tells reporters, in the biding price of medicines, medicine enterprise and profit space that the providing and delivering trader only fixes, the share that the marketing expenses occupy is quite great. Medicine enterprise with the intersection of medicines and 20% or 30% of biding price generally ' It is called it that in the industry " Two zero is deducted " Or " three zero is deducted " )Supply for the medicines whole seller or agent, the price inside includes two parts, medicines open production cost and recessive marketing expenses done to calling for bid. Delivery expenses of per grade of medicines generally add some selling charges of each link again about 10%, there are marketing expenses that are all medicines left. "The price that the development and reform committee fixes is so high, even win a bid at slightly low price, still there are spaces of larger marketing. " General manager Han YongHong of mighty medical Co., Ltd. of the Inner Mongol expresses " daily economic news ". Insider tell reporter whether medicines price level for medicine enterprise meaning strong, because profit of them space certain, they care, give what is price of agent only. And the reason why medicine enterprise raises the pricing of medicines desperately, say it is forced in a certain meaning, so many links need getting ready, the higher pricing is, the greater the agent's marketing space is, good the sales volume of medicines be. The expert still tells reporters, it is very simple to give medicines to fix a high price too, it is all right to diplomatize in the responsible institution of the price. Certainly, this will become recessive cost of the price of medicines too. Wang ShuPing says to reporters, the confusion of the medicines pricing system are timid high important reasons that can realize of prices of medicine. He introduces, at present, clinical nearly ten thousand kinds medicines that used of our country, but only seldom the price of some medicines belongs to the price department to price, the majority prices by enterprises, then submit to price department for record. Some pharmaceutical factories are convenient to use this policy loophole, the improvement greatly of producer price of medicines. The tactics that they adopt usually count more expenses, list the cost timidly, change package of medicines and chemical reagents, dosage form, specification,etc., so as to expand the space of profit, and guarantee the great amount of public relation expenses of the marketing course. And hospital because suitable to raise the price 15% interests promote, it was high price medicine that was had a partiality for, therefore high price medicine just has a broad space of market. The medicine inside story of the sky-high price: Space of profit bigger medicines are doting on the variety of agents, especially Antibiotic medicines, the space of profit is relatively large. Regard filling by example in Wu sodium as,with before one factory the specifications of production price of each piece of a gram is for 2~3 yuans, change structure of products later, specification turn into in the 2, price turn 70 many yuans of one into quickly. The person in charge of a pharmaceutical factory in Guangzhou reveals, in fact this kind of operation mode is not a individual case in medical enterprises, can even say more generally. Except that the national medical insurance catalogue will rise in price to enter, the medical insurance catalogue which enters some provinces has a similar method too. It is reported, after people assuare the department makes the catalogue of using medicine of the national basic medical insurance, every province make this province the intersection of medical insurance and catalogue also, have 243 adjustment right (can be augmented, deleted) of medicines . "Who can enter, depend on it is uncomplete that the work makes it in the location. Especially medicines are sold to the best province, the pharmaceutical factory tries every possible means to raise prices especially. " "The hospital is circulating the two-way monopoly of retail links is bringing up the medicine price and going up. The medicines of a box of profits of 100 yuan, hospital and doctor guard and estimate that can take away between 50 yuan and 60 yuan. " One figure and settlement of Ministry of Public Health of development and reform committee show 2007, whom medical organization obtain in medicines it adds the value to be probably about 47 billion yuan every year in the past two years, accounts for 42% that medicines bought volume, the raising the price rate is actually 42%, already been well-above raising the price rate 15% that the country allowed. That is to say, there are 42% that are earned in the retail price of a box of medicines by the hospital. This is only a profit on bright surface. He still reveals, the medicine doctor of the next box of the general situation can get about 30% of commission while prescribing, that is to say, in such sale of a box of medicines, hospital and doctor can earn 72% of the retail price altogether. But 28% only left, contain the pharmaceutical factory to research and develop, buy production of material, apparatus depreciation, selling, providing and delivering, staff's salary,etc. a great deal of cost. The reporter telegraphs the managing high of hospital of some the first, second and third of Beijing, the other side flatly denies 42% real price markup rate. The development and reform committee lifts the violence-averse storm: The new policies of containment medicine price sudden huge profits which the development and reform committee is fermenting push it to the teeth of the storm again, this came from recently " Sudden huge profits medicine " Asparagus one and Ningbo " The commission list " The exposing of the incident. On June 24, the staff reporter learns, the national development and reform committee of supervision department of the medicine price was just over <
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