The State Council encourages the procurement of medical equipment to implement the "one-vote system"

The State Council encourages the procurement of medical equipment to implement the "one-vote system"

On March 16, Sanming City Health Planning Commission, Finance Bureau, and Medical Reform Office jointly issued a notice on further regulating the procurement of medical equipment . After lifting the big knife to medicines, medical consumables, and testing reagents, Sanming, the star of the medical reform, finally broke down on medical equipment!


Six items are specified:

1. The procurement of medical equipment at all levels of medical and health institutions shall be purchased according to the actual medical needs of the unit. After the collective research of the unit (signature of the members of the unit), the relevant information of the decision-making process shall be attached and reported to the same level of health. And the financial department approves.

2. The procurement of medical equipment by medical and health institutions at all levels shall adhere to the principle of domestically produced and imported, and preferentially purchase domestically produced similar products. Medical institutions can only directly purchase and purchase medical equipment manufacturing enterprises (or national distributors of imported equipment).

3. Implement the “one-vote system” procurement. Medical equipment manufacturers (or national distributors of imported equipment) directly issue VAT invoices to medical and health institutions, and are not allowed to “pass the money” or “money laundering” to third parties.

4. The medical equipment purchased by each medical and health institution must be a common name, a general model, and a general specification. It must not be deliberately "tailor-made" (special specifications, special models) and avoid competition; the reagent port and use specification of the equipment must not be closed. Reagent brand; used after the approval of fully enclosed instruments.

5. The purchase price of medical equipment won by the medical and health institutions at all levels must be disclosed on the website of Health Sanming.com, the Municipal Health Planning Commission and the website of the unit, and accept social supervision.

6. Units and responsible persons who violate the regulations in the procurement process of equipment or seriously exceed the ex-factory price and accept bribes shall be dealt with seriously according to relevant laws and regulations.

Sanming clearly proposed to implement “one-vote” procurement of medical equipment. This is completely different from the previous regulations on drugs and consumables, and it is also a subversion of the two-vote system pioneered by Fujian Province. Although this is for medical devices, with the advancement and implementation of policies, is it far from the "one-vote system" of drugs?

Fujian has taken the lead in implementing the two-vote system in the country for many years.

For a long time, the mainstream of China's pharmaceutical market is the N-vote system, and there are even seven votes, eight votes, and the circulation links increase at different levels.

Guangdong Province has taken the lead in declaring a two-vote system in the country, but it has not been implemented due to widespread opposition.

In 2009, Fujian Province tried the two-vote system in the bidding for basic drugs in the same year. In 2010, the two-vote system was extended in the non-based drug bidding. After that, three management documents for standard distribution were issued. As a result, Fucheng was the first province to implement a two-vote system in China.

In 2014, a new round of bidding in Fujian was launched. In the year of "Fujian Province 2014 medical institutions centralized bidding procurement implementation advice" clearly stated that it is still necessary to implement a two-vote system.

Sanming is a model for strictly implementing the two-vote system in Fujian Province. Its two-vote system and the three-medical linkage have been affirmed by the National Health and Family Planning Commission.

Today, Sanming wants to have a one-vote system. Is Fujian Province still far away?

not too far!

Because a notice from the Fujian Provincial Medical Reform Office was put forward in June last year, it encourages qualified pharmaceuticals, medical device-winning enterprises and medical institutions to implement direct settlement on the basis of unified bidding.

On May 18th, Zhejiang issued the “Opinions on Innovating the Centralized Purchasing Mechanism of Drugs in the Province” (draft for comments), and proposed the construction of a “new platform for centralized procurement of provincial medical equipment” for the first time. It also set up an account with settlement function.

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