It is scientific to improve the fixed price Comprehensive coordinated reform contains the medicines sudden huge profits

It is scientific to improve the fixed price Comprehensive coordinated reform contains the medicines sudden huge profits
It is scientific to improve the fixed price Comprehensive coordinated reform contains the medicines sudden huge profits
According to CCTV the high cause of Liao Hai's price of gold, a few days ago, a terminal price from producer price to hospital of medicine which was called the parenteral solution of mould plain phosphoric acid ester of Klim, the intermediate link profit is up to more than 2000%. The expert points out, it is for containing the medicine price timid and high that the government implements the original intention of the policy of bid of medicines, but the result has been sought loopholes by the interests group. High cause of the price Continued last year " The asparagus incident of the sky-high price " Later, " sudden huge profits medicine " this time Expose again,again medicine it is timid for problems high in price last the teeth of the storm of public opinion. According to report, this kind of phenomenon is not a individual case, a plurality of medicines which many medicines enterprises produced, 10~20 times of sudden huge profits exist in the intermediate link from producer price to terminal price of the hospital. In view of this, it has already no longer been a question of medicine that the medicine price is empty and high, but a question of the system. True, if is only the sudden huge profits of a certain medicines, Shang Ke is come down to a certain link and presented the loophole, but as many medicines all present the sudden huge profits, and the sudden huge profits are surprising, have to say the medical mechanism of management problematically. No wonder the insider words, drawback and medicine price management system that the medicine hygiene system exists that the medicine price comes from practising medicine timidly and tallly now are unreasonable without mincing words. The statistics show, the all-inclusive cost of the hygiene will be 1,960 billion yuan in 2010 in our country, per person is up to more than 1500 yuan, increase by 13.6% on average among 5 years. The medical expense traditional Chinese medicine product of our country is extremely tall in proportion, study to reveal, in the course of treating, the medicine variety that the doctor uses is counted in different periods difference and big. So, cause medicines one of the main reasons why the expenses are upward is the rising of the medicine price. And the medicine price far means the medicines supreme retail forced quotation or medicines retail forced quotation which enterprises make independently or medicines retail price which enterprises make independently that the government stipulates empty and high Higher than its social average level, make medicines sold at the price well-above the social average unit cost level finally. The medicine price no doubt has a management reason of medicine prices empty and high, but this is only image. As everyone knows, medicines are the special goods, concern people's life security directly, so, the governments of various countries carry on essential control to the medicine price. And our country implements the government issused price, government guided price or price decided by market demand to the medicine price. Because of the information asymmetry in the government issused price of medicines, and factors such as the double monopoly of medical organization,etc. cause the price control to be difficult and reach the re-set target, so that does not work. According to course of pricing of medicines for many years, medicines price, after often solve a problem on the issue that new one appears, " solve one problem only to find another cropping up " . In order to manage the empty and high phenomenon of the medicine price, in recent years, the national development and reform committee successively took a series of measure on a price reduction, but almost each reduction fails to touch the core of the medical reform, certainly it is unable to achieve the goal of reducing the hospitalization cost. In current medicine system and medicine of circulating supply the chain, medical manufacturer, hospital, doctor, patient, medical insurance organization, these should equal the intersection of market and the intersection of interests and subject of game right asymmetric seriously because of the intersection of words and right and information acquisition, form the difficult and broken interests pattern, in this pattern, " the medicine price is empty and high " in various elimination of government Move in " Sneak the rule " Front seems pale and unable. Hardly realize, because the principle of pricing of medicines of our country is that the social average unit cost adds the principle of the profit, and the production cost among them generally all appears in the newspaper by manufacturer. Obviously, in the course of making the medicine price, the government is in the inferior position position of information, check and ratify according to the cost that enterprises declare, also offer the opportunity for falsifying the cost in some enterprises, cause the price that the government makes to be far higher than the level of the reasonable price. For this reason, the state policies change the way of doing things and start afresh, adopt the pricing principle of the supreme retail price of medicines, combine and bid and purchase to control prices at the same time. But, after concentrating on bidding and purchasing, who fixes the pricing right of medicines and remain a mystery, the supreme retail price that the government department made has taken the manufacturers of those operation regulations, modern techniques into consideration, but some producers can hitchhike, the pricing tactics of the supreme retail price have already played a role in selecting the superior and eliminating the inferior, will also cause different producer's medicine prices " It is not low to be high " ,The result is buried from the beginning " The medicine price is empty and high " Seed of trouble. The same crux is bidding and purchasing links too. Because of the information asymmetry, lack and consult the standard, it is difficult for the bid purchasing price that the government department makes to take off " paradox of the supreme retail price " . What's more, because every hospital participated in purchases the kind, quantity and variety opaqueness of medicines, very apt to cause hospital and call for bid the producer 2 negotiations, in view of the surging status of the hospital, producer of negotiation also will go on, make concessions again, final result hospital with below to call for bid purchasing price take medicines to, the addition accounting for 15% of purchasing price is sold to a patient in order to call for bid finally. And operation rule too can last hospital even if at medicines zero difference restraint of rate medicines in this with " It is empty and high " Bid purchasing price last patient,to thus not guarantee hospital medicines income from sales. Meanwhile, because price control, make the medicine price policy and fixed gross profit rate (15%) which the hospital makes The policy is playing the function that the price is being monopolized objectively to raise the price, destroy the price mechanism of the market. Driven by this kind of interests, the hospital is willing to enter high price medicine, the doctor likes writing a prescription, the phenomenon of high price medicine is not just strange that the patient is forced to cost. It is easy to find out, my traditional Chinese medicines price controls the reason why the policy does not work and not merely lies in government issused price that science controls the above, the ones that lie in even more the medical and health system causes compete non- harmoniously, it has hindered medicine price from controlling the conducting of the policy. So, need to carry on the reforms in many aspects and implement the scientific price control, improve the conduction mechanism of controlling the policy. On one hand, improve the science of the government issused price. The responsible institution of the price can't only regard cost materials that the manufacturing enterprise appear in the newspaper as the basis of the fixed price, should set up strict cost monitoring system even more. The system of can assess through the expert, evaluate in the trade ing etc. confirms the medicines cost price, strengthen coming into the open, democratization of the course of the fixed price at the same time, take precautions against pharmacy enterprises falsify the cost. On the other hand, improve the medicine price and control the policy, reduce the medical organization's possibility to evade the price control to the maximum extent. In addition, the competition intensity on the further balanced enterprise chain. Break the monopoly position of medical organization, implement the medicine assigning to industry, solve the hospital and " raise medicine with medicine " Question; Strengthen the production entry management of medicines, guide the forming of the benign competitive environment of manufacturing enterprise of medicines; Addition to cancel medicines control, make supreme retail price only, let behavior circulated to produce return to market-based freedom. The market has enormous modulability itself, amortizing makes law on the market give play to function on the market, can make harmoniously, rationally and shutting the rule, legal medicines pricing system.


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