Medical network - March 31 March 28, the national health work picturephone meeting. The meeting from the specification and to the importance, are quite high. At the meeting, some place is for the exchange of experience, including fujian, zhejiang, sichuan province, shenzhen city, guangdong province, and anhui tianchang. 

 

Among them, it's health care system reform in fujian province, zhejiang province is the city public hospital comprehensive reform and the "double sinks, two promotion", shenzhen is a comprehensive health care regulation, tianchang is county medical diagnosis, classification, valuing, sichuan is focused on "five one" YaoXie procurement mode. 

 

Medical consumables and reagents, equipment procurement reform, sichuan became the model. The relevant person in charge of the following is the province of speech: 

 

In 2017, the national health work picturephone meeting presentation 

 

Vice governor of sichuan province people's government Charles Yang 

 

At present, a total of 6160 public medical institutions in sichuan YaoXie procurement regulation was incorporated into trading range, covering all the public medical institutions other than the village clinics, there are more than eight thousands YaoXie production and management enterprises online trading, online purchase amount of 42.1 billion yuan in 2016. 

 

In the practical work, we insist on information platform as the carrier, seized drugs, medical supplies, medical equipment, diagnostic reagents, 2 kinds of vaccines, such as key, push the YaoXie supply security standard, orderly and effective. 

 

One is to carry out the classification of public hospital drug centralized procurement. In accordance with the purchase way, set in the country at the end of complete classification of new drug centralized purchasing task. Drug prices falling by 10.6% from a year earlier and is expected to reduce drug spending nearly 4 billion yuan. Directly purchase products more than 37000, the net price average drop of 16.1% compared to the same drug. 

 

2 it is to promote the medical consumables net sunlight procurement at the provincial level. In 2014 in the first, the current provincial net purchase up to 10 categories, 41, 56000 products, the basic realization of medical consumables all caliber procurement, the entire province average price year-on-year growth of 9.4%. At the same time, we are actively negotiating medical consumables provincial cooperation procurement. 

 

3 it is to promote medical equipment sunshine for the record. In the previous 20 categories, more than 200 large and medium-sized medical equipment based on net work, last year we added 17 categories, more than 80 kinds of equipment for the record, and realized the full category of large and medium-sized medical equipment purchase and use regulation. 

 

Four is to carry out diagnostic reagents sunlight procurement of provincial screening. Start in August last year, has now completed six major categories, 458 species, more than 458 products hanging nets, the rest of the 796 kinds of net work will be completed in the first half of this year. 

 

Five is to carry out the second vaccine sunlight procurement of provincial screening. In march last year in the first implementation plan and implement in the provinces unit centralized network. Has now completed information system construction, the realization of all varieties, 122 products hanging network at the provincial level, provincial price negotiations on 120 products was carried out and published. At the county level CDC all online purchases. 

 

In general, to carry out the classification of drug concentration after purchase, the same of generic drug prices compared with a decade ago, the average decline of 42% (the largest decline of 94%); The implementation of medical consumables purchase three years sunshine, annual average decline of 7.4%, annual purchase money saving nearly 320 million yuan. 

 

In establishing YaoXie procurement mechanism at the same time, we adhere to the regulation of port forward unceasingly, by the original post-supervision, to advance and now in timely early warning, timely correcting, realized YaoXie procurement process using real-time control. 

 

One is setting up a comprehensive procurement supervision platform. At present, the system after the upgrade platform has covered the production and operation of enterprises, medical institutions, the family planning administrative department of public health, such as pharmaceutical sales participants, implements the process supervision, monitoring data, the results of evaluation, information query and so on comprehensive supervision, is the province's public medical institutions at all levels on the Internet procurement YaoXie integrated information management platform. 

 

The second is to establish the price mechanism of early warning management. For medical consumables purchase price 50% higher than the province minimum purchase price, or higher than the average purchase price of the purchasing behavior of provincial key monitoring, timely send the purchasing price abnormal risk told book (2016, 405 medical institutions issued a notice, 1391), the effective control of the nonstandard purchasing behavior. 

 

Three is to establish enterprise record management mechanism. Will not be required to supply YaoXie unqualified sampling observation of quality products, such as violation behavior into bad record, and at the provincial medicine platform of the public, to urge enterprises to ensure the safety of product quality, reasonable price, timely supply (2016 62 YaoXie companies were included in the general bad record, disqualified from 221 illegal Internet products). 

 

Four is to establish medical institutions supervision mechanism. To basic medicine, Chinese medicine, medical institutions in the low price of drugs, expensive drugs purchasing behavior into the regulatory scope of use, the corresponding evaluation index, the integral evaluation management, monthly bulletin, season questioning, rectification within a time limit, tracking implementation.