Not long ago, more than 300 people participated in the “prescription outflow†training of Beijing Medical Science and Technology E-commerce, among which 70% and 20% were enterprises and pharmacies respectively. This shows that the next step, especially in 2018, has an unstoppable trend in “prescription flowâ€. Drug dealers with sagacious vision have begun to research and develop "prescription outflows" as an important target and channel for adjusting their own market development.
A “prescription outflow†training and the proportion of its participants can really explain that “prescription outflow†is the development value of the pharmaceutical market in the future? Are there new ways and directions for pharmaceutical companies and pharmacies, especially grassroots pharmacies?
The author believes that the joint venture and cooperation between pharmaceutical companies and grass-roots pharmacies is worth considering because it has certain reasons, reasons and backgrounds, mainly in the following three aspects.
First, the medical reform of a number of policies in the pressure and forced "prescription outflow", pharmacies will become an important medical destination. First, the "drug ratio" continues to be depressed, like some of the top three hospitals have even "30%" most 2018 "drug ratio" assessment indicators; second, the strict "control fee" policy will become a public hospital to reduce drugs a lot The daily necessary content and means of supply, of which the outflow of prescriptions is of course an important carrier and source of drug sales in pharmacies; the third is that from the top down, many public hospitals have begun to cancel the general outpatient service, and the grassroots can increase the amount of first consultation, and “not allowed Restricting the outflow of prescriptions, it is a tough policy to protect many consumers from purchasing drugs outside the hospital. Fourth, a large number of supplementary drugs are being “kicked out†by public hospitals. However, some drugs approved by consumers still have their sales outlets. Pharmacies are of course the first choice. Fifth, some local financial zero-price subsidies are slow or dodgeless, and some public hospital directors have to find ways to reduce the amount of medical sales; some predict that the hospital prescription outflow rate will exceed 60% by 2020. It can be said that this drug store brings or sends potential development opportunities.
Second, the primary medical institutions, especially non-"collection" objects increased rapidly. The “Management Rules for Medical Management Organizations†has clearly abolished the previous approval of clinics and social medical treatments. In terms of site selection, project establishment and registrants, they have given many preferential policies to encourage and encourage more quality medical resources. The grassroots provide medical services to the masses, especially the multi-point practice policy is further relaxed, the filing system is implemented, and regional decentralized multi-point practice is implemented. According to statistics, at the end of April 2017, there was a significant increase in the number of clinics and social services, and the number of villages began to decrease (possibly related to the withdrawal of towns and towns and new rural areas), and 205,000 clinics (laboratory). There are 444,000 social medical institutions, accounting for 45% of the total number of medical institutions. Since 2011, the number has increased by 100% (2 times), and their total medical treatment has exceeded 20% of the total medical treatment in the country. It is believed that from the beginning of 2018, these medical institutions that are not subject to "collection" will undoubtedly have a greater rise at the grassroots level. Some experts predict that there will be 1 million experts and professors practicing in 2018, and 70% of them go to private hospitals, then individual clinics, and few public hospitals. Most of these new medical institutions and their multi-point medical institutions are not subject to “collectionâ€, which brings huge drug supply space to local small-scale pharmaceutical wholesale companies and grass-roots pharmacies!
Third, the relevant policies restrict drug consumption in public hospitals, but support the development of grassroots pharmacies. "Two-vote system", "control fee", "drug share", "consumer ratio", "anti-take ratio", "no medical representatives, private medical institutions to promote drugs", etc., pressure on public hospitals to purchase, use and reduce drugs Price, but in fact this drug company and the pharmacy outside the hospital a new market development opportunity. Pharmaceutical companies must take the initiative to find out the channels of the out-of-hospital market, and also have great marketing convenience in the drugstores. In particular, the “bargaining negotiations†of the two companies, pharmacies can openly and boldly use the price-cutting method, especially the single drug store, because it is completely different from public hospitals. The nature of the company, joint venture shares and individual pharmacies have strict and transparent financial revenue and expenditure open system operation. It can be said that there is no or no concern about the obstacles caused by the "red envelope" to lower the price of medicine. The "rebate" and discount of the clear code can be completely Provide customers with low-cost drug supply. This naturally should also attract the attention of pharmaceutical companies and their pharmacy owners. The two should "kick up" and "marriage" as soon as possible to jointly develop the grassroots pharmaceutical market. Pharmaceutical companies regard grassroots small pharmaceutical companies and pharmacies as new and important public relations targets, and pharmacies use the "one-vote system" to provide low-cost drugs at the grassroots level.
In fact, there have been examples in support. Since August last year, Liuzhou City has five major hospitals (including People's Hospital, Workers' Hospital, Liutie Central Hospital, Chinese Medicine Hospital, Maternal and Child Health Hospital) to carry out trial extensions. The doctors in the hospital open oral prescription drugs in the outpatient clinic. Through the graded diagnosis and treatment platform, patients can choose to take medicine in the hospital pharmacy, or they can choose to take medicine in the social pharmacy outside the hospital.
10 community service centers in the Shijingshan area of ​​Beijing promoted the reform of drug supply methods—the elimination of physical pharmacies and the establishment of a “virtual drug storehouseâ€. The “virtual drug storehouse†(drug distribution center) was operated and managed by drug distribution companies, and the warehouses were docked with community hospitals. When the doctor prescribes an electronic prescription, the patient can choose to take the medicine or deliver the medicine to the door. Operators of the “Virtual Pharmacy†may charge administrative fees or earn an insured spread in accordance with the agreement between the parties.
In the past, pharmaceutical companies sought to cooperate with hospital doctors through varieties. Because of the pressure from many policies, especially the “medical representative†filing system and the restrictions on “medical representatives are not allowed to sell drugsâ€, pharmaceutical companies and drug dealers have to change. In the past, the market operation concept of hospitals as the main public relations object.
Therefore, the author believes that pharmaceutical companies will of course carefully observe and analyze the potential and implied market direction under the new policy, and use grassroots pharmacies as a key public relations target to develop new medical markets. The grassroots pharmacies should also seize the policy to drive the development of the pharmaceutical market for pharmaceutical companies, establish a cooperative relationship with drug companies and establish direct sales and purchase relationships, or directly and indirectly cooperate with pharmaceutical companies, especially with “zeroâ€. In combination with the large-scale medical market, it provides a full range of medical operation models that are reasonably priced and easy to contact or directly distribute, thus expanding the occupied area and the largest pharmaceutical market.
Various reasons "prescription drainage" has become an inevitable trend, bringing passengers and revenues to stores, and also sending new development targets to drug companies! Instead of pursuing innovation in the content of individual services and seeking short-term benefits, it is better to seize the favorable policies and opportunities, and focus on long-term development goals. Pharmaceutical companies and grass-roots pharmacies adopt a new mode of operation, and the two are combined to provide wholesale for the grassroots. Retail integrated drug supply service.
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