The purchasing volume of the collection of collection is not up to the standard.

The national pharmaceutical collection has entered the fourth year, and the problems at the implementation level gradually appear.

On August 8th, the Hubei Provincial Medical Insurance Bureau issued the "Regulations on the Reconstruction of the Purchase of Purchase of Pharmaceuticals of the State Organization" to report on the completion of the procurement volume in the second, fourth and fifth batch of the second, fourth and fifth batch of public hospitals in the province. Essence

The report shows that most areas have completed the procurement work, and some batches even exceed 30%of the procurement. However, some of them are not completed.

According to statistics from the Hubei Medical Insurance Bureau, 6 hospitals including Xiehe Hospital of Tongji Medical College of Huazhong University of Science and Technology failed to complete the agreed purchase volume, and even the hospital "reported inaccurate reporting and the amount of poor dosage."

Recently, some provinces such as Tibet have also stated that the amount and procurement of some hospitals "seriously decoupled", and even "zero purchases" after the amount of reporting. The medical insurance bureaus in various places have not propenched these issues.

"The amount of use is the test of the effectiveness of the reform." These problems exposed in the implementation of the past drug collection will also become the consideration of the future policy level when we improve the relevant decision -making.

The overall standard is up to the standard, but some hospitals "are not true"

This time, the Hubei Provincial Medical Insurance Bureau's inspection was mainly due to the agreed procurement volume in public hospitals in the province.

The report shows that the implementation of these three batches of collection began in the second half of 2021. On the whole, the second and fourth batch of national procurement work in Hubei all exceeded the completion, which was 16%and 34%higher than the agreed quantity. As of mid -July this year, the procurement of the 5th batch of 61 varieties also. 80%of the agreed amount has been completed.

Picture source: Hubei Provincial Medical Security Bureau

Wuhan University of Science and Technology Tianyou Hospital and Hubei Province Traditional Chinese and Western Medicine Hospital “accurate accuracy and completion rate ranks among the forefront of the province”; 6 hospitals including Tongji Hospital affiliated to Tongji Medical College of Huazhong University of Science and Technology have basically completed the agreed procurement.

However, the requirements of the Hubei Provincial Medical Insurance Bureau are obviously more than these percentage figures.

The Jianzhi Bureau noticed that the report listed a "negative typical": there were problems with "inaccurate reports and false dosage" in Hubei Province's hospitals.

The Hubei Provincial Organ Hospital was established in 1949 and is a designated medical insurance unit in Wuhan. In 2021, the hospital was listed in Hubei Rehabilitation Hospital, becoming the first public tertiary rehabilitation hospital in Hubei Province.

There are also six well -known hospitals who have not been able to complete the agreed purchase volume, including Xiehe Hospital of Tongji Medical College of Huazhong University of Science and Technology, and Hubei Cancer Hospital. Four of these 6 hospitals are junior. Among them, Tongji Xiehe Hospital is the first batch of three domestic hospitals in China, with an annual diagnosis of 6.7 million.

The Hubei Provincial Medical Insurance Bureau stated that it would conduct a letter and interview with these hospitals.

Theoretically, the big three in the Tongji Xiehe Hospital should not have the case where the purchase volume is not up to the standard. For enterprises, if the market in exchange for "benefits" does not reach the height of the commitment, the enthusiasm will be affected.

Is the amount of reporting a "technical work"?

The recent problems of Hubei Da Sanjia have continued.

In April of this year, Tongji Hospital, which belongs to the Tongji Medical College of Huazhong University of Science and Technology, was named by the State Medical Insurance Bureau for nearly 100 million yuan. Today, the Affiliated Union Hospital has not been reported that the amount of medicine is not enough.

"The implementation of the amount of use is the core indicator to measure the effectiveness of the reform of the reform", which is the biggest meaning of the national organization of collection. During the entire drug collection process, the report of the medical institution is the starting point, and its execution directly affects the final result of the collection.

But in reality, the implementation of Jixi is often not as smooth as expected. In October 2020, the Putian Medical Insurance Bureau of Fujian had notified 33 medical institutions with low enthusiasm for procurement of the second batch of national pricing varieties; in December 2021, the Tibet Medical Insurance Bureau once issued a sculpture that 15 medical institutions in the autonomous region were in the autonomous region. The number of reports and procurement "severe decoupling": The amount of report is 50,000, but in fact a box is not bought. In July this year, the Henan Provincial Medical Insurance Bureau also notified a similar situation.

The core logic of the collection is "replacing the price by quantity". After the drugs are reduced by the drug price, the patients ushered in the peak of the patient's medication, mostly exceeding expectations. Therefore, some hospitals are not implemented in place, and they seem to be particularly prominent.

The amount of reporting is not allowed, which may be a problem with the hospital's understanding of the policy. In the first half of this year, the Liaoning Provincial Pharmaceutical Society released the "Consensus on Experts of Provincial Medical Institutions Performing Drug Administration Purchase Policy" stating that the number of reporting methods is unscientific and the increase in the number of similar varieties in various batches of collective collection has become a affecting medical institution to participate The "common problem" needs to be resolved as soon as possible.

In addition to the problems of the hospital itself, there are also external factors that affect the use of drugs. In July 2020, the Hunan Provincial Medical Insurance Bureau had reported that 39 public medical institutions at or above the province had the problem of "declared plan procurement but no procurement records" in the first batch of national mining medical institutions. The Hunan Provincial Medical Insurance Bureau explained that the new crown epidemic has led to the decline in hospital hospitalization and outpatient clinics, which directly affects the use of selected drugs.

According to the national "Fourteenth Five -Year Plan" plan, by 2025, the national and provincial drug collection varieties will need 500 varieties, and the amount of varieties purchased by public hospitals through provincial -level collection platforms will reach 90%. This will put forward higher requirements for the collection and enforcement capabilities of public hospitals.

Writing ｜ Guyue

Edit ｜ Jiang Yun Jia Ting

Operation ｜ Valley

Photo Source ｜ Visual China

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