Medical net on May 9, 1004 medicine break confession, 711 is urgent rescue, clinical need medicine and the medicine, low price medicine! On May 2, the guangdong pharmaceutical trading center issued "the fifth batch of uncontracted supply and untimely supply enterprises" in pharmaceutical trading. On May 12, fair show period to 17:00, fair show period after the deadline, the still not delivery time according to the rules for medical institutions do not supply the product rule, will be according to the pharmaceutical supervisory and administrative measures, by the provincial family planning authorities under the state council in conjunction with the relevant departments of health of cancel the goods entry qualification in guangdong province for two years. 

 

The public outcry when the news came out, the public was concerned that so many emergency medical supplies were to be broken up, and whether there would be a need to go to the hospital without any drugs? What is behind the drug companies' supply? Is there any emergency medicine in every size hospital? In recent days, the new express reporter has visited to understand this. 

 

[official] 

 

There are 61 emergency medicines for the discontinued drug 

 

"In fact, this is not the first time a provincial drug trading center has issued such a public statement." Yesterday, a guangzhou 3 armour hospital pharmacist told reporters, said the new letters for drugs, released in the previous was irregular, and many have been out of stock. But released on May 2, the drug trade in the fifth batch of supply is not in accordance with the contract and not timely supply enterprises "list, may be involved the largest number of pharmaceuticals, the rules of a total of 1004 guangdong goods drug supply or supply in a timely manner. 

 

The guangdong drug trade center said that in the 10 days after the public announcement, the relevant enterprises should deliver the medicine in time. If there is any objection to the public declaration, it may appeal. However, 10 days later, as of 17:00 on May 12, if you can't supply it in time, you will be able to kick the drug out of the guangdong market for two years according to relevant regulations. Delivery of an untimely drug dealer and cancellation of two years of distribution. 

 

The public concern, as the reporter learned, is that there are 135 companies involved in the drug industry, and there is no shortage of such companies as baiyun mountain, haizheng Pfizer and shenwei. There are 68 drug companies involved, including China resources and China resources. However, from the classification of the discontinued medicine, it is more important to worry: 711 are urgent rescue, clinical use of medicine, low price medicine and basic medicine. 

 

According to the statistics, 61 of the 1,004 medicines are urgently needed, including the use of tetanus. There are 32 types of clinical and procurement difficulties, and the famous injection of protamine sulfate is also in it. 335 new low-cost medicines; There were 283 other basic medicines. 

 

[drug companies] 

 

There is a lot of cheap medicine for the break, and the company has no profits to suspend production 

 

What is the drug procurement method in guangdong? New express the reporter understands, guangdong since the second half of last year, has passed the selection process by a third party investment planning province third party drug trading platform (hereinafter referred to as "provincial trading platform"), in addition to the Chinese medicine yinpian, active pharmaceutical ingredients of all drugs have been listed in the provincial trading platform, trade amounted to more than 40000, drug procurement system has been gradually from the "government-led" centralized purchasing mode to the "government-led, market operation" paradigm shift. 

 

Even low medicine, also want to hang the unified platform, the independent negotiation between the seller and the buyer, online trading, but the new drug trade low-priced medicine catalogue varieties should be in accordance with the "low-cost drugs in western medicine 3 yuan or less, proprietary Chinese medicine" within 5 yuan or less the average daily cost of standard. 

 

, said an official with the guangzhou a 3 armour hospital medicine department nowadays to "cheap" winning bidding rules, have been forced back a lot of drug companies, leading to common people love with commonly used medicines, low price, urgent rescue medicine, slowly withdraw from the public eye, directly on the trading platform can't see, procurement. 

 

That view, too, has been endorsed by drug companies. Guangzhou some big head said: "the enterprise is very difficult to do, some are already low prices, almost no profits to be made, natural without profit into r&d." Another drug firms official also told reporters that at present there are 11 drug firms have "digoxin tablets" production approval documents, but only two or three companies are willing to production, because it's too cheap. Such as hyperthyroidism medicine again "he ba azole" cheap, not many companies willing to production, "low profits, government subsidies, that don't earn money must stop production supply", led to the imported drugs "cure" in short supply. 

 

The personage inside course of study is generally believed that some cheap drugs in short supply, the reason is that more drug dosage is not big, low profits, enterprises are reluctant to production or production is less; The production or distribution enterprises do not sign contracts or do not supply or supply them; Some shortages, such as boric acid, are not registered or quoted at all. "Pharmaceutical companies now like to produce anti-tumor, cancer drugs, high profits, and one day, more than 10,000 yuan a day," said the head of the drug company. 

 

[hospital] 

 

The price of low-price drugs is not low 

 

For hospitals, what is the impact of drug companies on drugs? A responsible for drug purchase of hospital staff XiaoHui (not her real name), to meet the new express reporter revealed that her hospital drug supply tension also occurs, but is not very clear, "we found a lot of lower drug prices continue to rise, lower drug prices are not low. According to our present situation, or larger is cheap medicine." 

 

They have repeatedly reported the situation to drug regulators because of the widespread price increases. Xiao said that the issue of broken goods will certainly exist and that procurement will be difficult. "Sometimes we go after the distributors and ask them to help us find the source." According to xiao, a lot of hospital buyers have an opinion: unlike in the past, the manufacturer is "the emperor's daughter is not sad to marry". "Past medical institutions to buy medicine, maybe there will be a lot of drug companies of chick, now basically is to want to use but we can't find, manufacturers say I will give you according to the price, love you want." 

 

According to the relevant regulations, the retail price of a low-price drug should not exceed the listed price on the platform. Although guangdong province on drug supply platform limits the supply of drugs price, but there are still some manufacturer not in accordance with the price of the goods to supply platform, net purchase of medical institutions, drug prices will be higher price a lot. "We difficult difficult in medical institutions, manufacturers cannot supply, price of the goods in accordance with the platform requirements only in higher medical institutions for offline purchase price of the delivery price." 

 

"Trading platforms without these drugs, we can only according to the record purchase way, according to the drug catalogue record after bargaining distributors for help to the manufacturers to buy, some will be effected according to the market price to buy, or not, and even some drugs are hard to find." The head of the community health service at the yuyuan street community center in guangzhou, guangzhou, told the new express. 

 

Xie Yang (not his real name), an emergency medical doctor at the sanjia hospital in guangzhou, also has a large increase in the price of some drugs. According to him, is completely the same, the same kind of drugs, also found no apparent curative effect is different, but in the past two years the new USES of vasopressors dopamine powder price expensive water at least dozens of times; The same is used to prevent tetanus, the original tetanus antitoxin TAT is cheaper, and the price of the new tetanus immunoglobulin is 100 times higher. In addition, the drug that is suitable for central respiratory and circulatory failure is frequently broken. 

 

[effect] 

 

There are medicines for hospitals 

 

"At present the hospital can, perhaps have stock." The director of the pearl river hospital's emergency clinic, CAI CAI, responded to the new express reporter. And the director of the department of the southern hospital, the chief of the department, said there was also a temporary clinical emergency treatment. 

 

However, for drug buyers and the head of the community health service, the drug's broken supply can be extremely difficult to purchase. "It has been affected all the time, but we have been able to do it offline through the filing method, and we are able to get these emergency medicines together," he said. Guangzhou every source, said an official with the street community health service centers as sildenafil, isopropyl adrenaline, alamine, and treatment of cardiac arrhythmias such as Nobel vasopressors, respiratory stimulants, such as CPR class various urgent rescue medicine, is very cheap, but you can't buy trading platform, but according to the requirements, must according to the directory for a certain amount for a long time, can't completely no medicine again to find the medicine, so it is not affected. 

 

Guangzhou a 3 armour hospital emergency department doctor Xie Yang (a pseudonym) also told reporters that the whole hospital, emergency department based medicine reserve is relatively sufficient, does not affect the normal medical aid. "Once drug shortages, pharmacy from the hospital pharmacy and center immediately transferred. If there is not even the hospital pharmacy, the hospital will be in a very short period of time to find suppliers," Xie Yang said that the shortage of common medicine generally will not result in a long time, other department is hard to say, generally allowed to have a break after a shortage of goods and adjust the buffer. 

 

【 suggestion 】 

 

The government of low price and emergency medicine should be distributed uniformly 

 

For urgent rescue medicine, cheap drugs, such as intermittent, abnormal phenomenon of supply, emergency department chief physician Xie Yang thinks, performances and basic drugs of the people's livelihood need more government support, if not support, fully open market economy, the manufacturer must be at a loss. 

 

"It should be treated as a basic drug, like salt." On the source of community health service center director also suggested that now off the contradiction of medicine should be the contradiction between platform and pharmaceutical factory, medicine cost is very low, and must do, if countries do not support these rescue medication, should be the problem of national policy, because these medicine is of no profit, and at the same time, she said, these drugs should be unified by the government procurement and distribution, rather than by the medical institutions to find drug.