Health: crack prices "hidden-interlocking", with emphasis on bidding supervision

YuMing fai (clerk)

Sources: health

        Since the second half of this year, the national part pilot counties cancel 15% of drug price addition. The personage inside course of study points out, the hospital public "Ming tariffs" easy to change, but there are some private drug tariffs, such as into the courtyard fee, hook scale fee, system party fee, etc "dark tariffs" is difficult to defend, also involves the vital interests of patients, waiting to through the reform further solve. (October 17, the People's Daily)

        It is obvious that drug "hidden-interlocking (dark tariffs)" will not only damage patients interests, corrosion medical staff, will also virtually eliminate "prices zero rate" good original intention, let break up with medicine medical policy to sell at a discount greatly, go against fundamentally ease "see a doctor difficult, the doctor expensive" problem. And are "hidden-interlocking (dark tariffs)" surge, in addition to financial subsidies does not reach the designated position, fundamentally reform or the result of policy is not complete, supporting measures does not reach the designated position. But as to the present policy for level, mainly lies in the supervision measures not right, departments cooperate to be not close by.

        As is known to all, the current main drug has two channels: one is the hospital, the second is pharmacy. Public hospital drug is mainly through the unified bidding procurement, and pharmacy it is entirely free market transaction. A let people heartache fact is, originally the hospital centralized bidding procurement sell medicines, ought to price more low, but in fact the hospital sell is much more expensive than a pharmacy. In the face of doubt, most also seem the most rational explanation is "bidding price so high". That is to say, the hospital medicine, from the tender into the courtyard is high, that someone shouted let "bidding medicine" into "high medicine" and "day price medicine".

        In fact, in layers of supervision and policy in front, most of the hospital really dare not secretly in the tender price increase sales outside. But nowadays a passage to dive the rule is, through the pharmaceutical salesman (medicine representative, etc.) checkers, put into the courtyard fee, hook scale fee, system party fee, etc in prices, and then secret operation tendering and bidding and bid, and finally through the invoice open bidding price and the actual receipt but deduction related "hidden-interlocking" money means return to the related personnel and institutions. This suggests that, on the one hand, the drug bidding policy has been some interest groups drill a hole, they in the price and wholesale price, retail price, and other links, formed in collusion with hidden interests chain, become push prices high behind the attacks; On the other hand, drug bidding procurement system in the execution process, indeed there are inadequate enforcement and supervision problems such as lax.

        There is only identify, track to show the truth. Drug bidding link supervision should be to solve the "hidden-interlocking" practice and key link. On the one hand, in order to ensure drug bidding procurement relevant policies to fully implement, the relevant supervision departments shall strengthen supervision service in advance and matter. Relevant departments shall continuously explore perfect medicine bidding way, and the whole or timely intervention in bidding work for bidding procurement sunshine, efficient, honest operation escort.

        On the other hand, strengthening supervision afterwards. The hospital drug prices high or is not high, as long as a comparison with the market will know. If the hospital price and the market price gap obvious, will be timely fall check the varieties (batch) drug is how to enter the local drug bidding procurement catalogue, how they finally successful bid, the end, these high medicine and pharmacy enterprises by which what medicine wholesale enterprises and personnel supply hospital. Then demand the relevant responsible persons and accountability unit that so-called centralized bidding price why than social retail price high reason, not reasonable for reason or even able to give a reason, but the price and social than obvious outlandish, commodity price departments, discipline inspection departments and medical health supervision department shall timely start drug price fall after mechanism, confronting, restore the hospital drug price context, the serious offenders, the method to do to deal with according to law, the party ZhengJi processing to DangZhengJi processing.

        Of course, want to make "pour chasing method" to drug bidding procurement have tangible "afterwards" supervision and effect, still it is urgent to some supporting measures. One is to increase the drug bidding procurement area and level investigation mechanism, in order to "fall after method" to be able smoothly to proceed. The second is to establish drug bidding price anomaly reports, chasing responsibility and incentive system. The third is from the national level as soon as possible to establish basic drug exchange system, let the drug price and other commodity prices across the country as transparent, let drug shady nowhere stage. At the same time, push forward the national drugs ex-factory price investigation evidence collection work, a national drug price information database, implement into library listing sale medicine, it is not subject to the information database listed medicines, shall not be sold.