Actuality Analysis And Countermeasure Study Of Drug Bidding & Purchasing System Being Centralized

BACKGROUNDThe drug purchase system of medical organization in our country is formed under long time planned economy system. With the development of economy system innovation, more and more limitations emerge increasingly. It requires a new purchase system to replace the purchase system used now.To insure people use drug safely, decrease the unreasonable medical cost, innovate drug circulation realm and make the price of medical standard. At the beginning of 2000, the government indicated that Pooled-Procurement drug public biding should be tried out. During several years development, Bidding & Purchasing Being Centralized of Drug has become a main purchasing mode of medical organizations. But it affects the vested interest of people who located in the drug circulation chain. Therefore, it induces wide disputes in society. Bidding & Purchasing Being Centralized of Drug comes to "crossroad". It is necessary to evaluate the objective instances. OBJECTIVEWe analyzed the data and typical cases during four years of Bidding & Purchasing Being Centralized of Drug practices. In this way, we objectively evaluated the effect of Bidding & Purchasing Being Centralized of Drug, problems and reasons. Then we give a whole resolve and countermeasure. METHODSUsing the transverse and lognitudinal compare analysis method, we analyzed thebidding & purchasing data and correlative data of Jinhua city, Zhejiang province, the whole country and the other provinces or cities. Using typical investigate method, we reviewed the bidding & purchasing data, modes and results. RESULTSThe bidding &. purchasing of drug of the whole country, Zhejiang province and Jinhua city has notable effect in facet of benefiting to society. Meanwhile, some of the benefit were distributed to people. From 2003 to 2004, Zhejiang province and Jinhua city benefit 450 million and 60 million yuan which make patients feel the fall of drugs price actually. But it is not enough effective in facets of decreasing drug burden and rectifying ethos. Because bidding can standardize drug circulation and purchasing taches. In case of drug using tache, it is no restrict.In 2003 and 2004, Bidding & Purchasing Being Centralized of Drug of Jinhua city used new purchase mode in internet which improved the efficiency, order, discount rate and transparency of Bidding & Purchasing. The man-made factors and official interfere were decreased. This mode provide an open, fair competition flat roof. Practices show that it is an effective mode to realize Bidding & Purchasing Being Centralized of Drug.We take out the bidding drugs of Jinhua city and other cities to analyze it. The bidding drugs of government guidance price still have high price. Enterprises want to get high benefit by changing specification, formulation, casing and title to elude bidding. From the typical data of Jinhua city during 2001 to 2004, we can see that Bidding & Purchasing Being Centralized of Drug can decrease the price of drugs made in China notablely. But for the drugs made in other countries or joint venture companies, the effect is not notable.From 201 to 2004, the drug price of medical organizations in Jinhua city was lower than the price level of the whole country and Zhejiang province. It can reflect that the profit is high. Therefore, Bidding & Purchasing Being Centralized of Drug is favorable to medical organizations. At the same time, drug lack, some vain varieties can not realize bidding, which are facets the medical organization can not satisfied with.Data analyze show that mean discount ratio increase with the reduce of medical company. So Bidding & Purchasing Being Centralized of Drug can decrease the cost of company. But since the "according purchase price to add the profit" policy was carried out, the benefit of medical organizations was decreased. Therefore, medical organizations have less enthusiasm to join it. DISCUSSIONBidding & Purchasing Being Centralized of Drug system is a point of cut-in, whichtouch at the vested interest of drug purchase and sale chain, exposure many deep problems. We analyze the...