How does class II vaccine circulate to manage

How does class II vaccine circulate to manage
That will it be June 1 2005 implement" the the intersection of vaccine and circulation and immunization campaign management rule " ' Hereafter referred to as " regulations ") Have established the free competition of class II vaccine, circulation mode of the market supply. Pass by the past 6 years, reporter investigation find class II vaccine circulate course to be messy to grow thickly while being alike a few days ago, because market unstandard intermediate link that lead to the fact raise the price phenomenon to be serious purchasing supply channel to be confused supervising problemming such as being weak, generally existing.
How does class II vaccine circulate to manage
The links of circulating raise the price to illicitly increase rates high
"The same kinds of vaccine, why be different among the area price difference then loud? " Not long ago, live Mr. Zhu of Shandong give reporter call, say its family once inoculated the same kind of rabies vaccine in Zhejiang and Shandong respectively, having cost 210 yuan in Zhejiang, spent 260 yuan in Shandong, the two are lack of 50 yuan totally.
Reporter's investigation finds, this kind of " and different prices of seedling " Phenomenon example. With a imported rabies of vaccines ' Freeze and do dosage forms) It is the example, the same producer's production, specification are all 0.5 point *5 ml person one, inoculation price in city of silver of Gansu Province is 380 yuan, but 348 yuan in Ningbo of Zhejiang Province. A kind of 0.5 ml of rough cheeks wind vaccine of some domestic producer's production, the price in Ningbo is 75 yuan each, the price in Shenzhen but it is 61 yuan each. Another kind of domestic 0.5 piece have the intersection of cell and the intersection of whooping cough, diphtheritis and tetanus and vaccine, same products of producer 10 yuan in the intersection of silver and price of city, the sales price is 16.8 yuan each in Ningbo.
Domestic some vaccine manage Mr. Cheng, person in charge of enterprise, tell reporter whether class II vaccine to add to every circulate price markup rate of link confirm according to producer price in price. Class II vaccine because the bid is different, purchase channels are different and different from link of circulating, etc, lead to the fact the final price is different too.
"' it is the normal phenomenon with different prices of seedling '. The more important thing is that the price markup rate of links is very confused to circulate at present, even very at will. " Mr. Cheng says, some domestic rabies vaccine producer price is more than 50 yuan, reach the unit of inoculating for example, the price is more than 160 yuan, price markup rate of intermediate link exceeds 200%. A kind of domestic influenza vaccine, the producer price is less than 30 yuan, the last inoculation price is nearly 80 yuan, the intermediate link has been added by more than 50 yuan. "In the price markup of this more than 50 yuan, selling the general agent, every selling branch can probably get 10 yuan, 40 yuan left accuses of the organization and inoculates the unit for diseases at all levels. " Mr. Cheng says.
Mr. Cheng thinks, the government introduces class II vaccine to the market, hope to let people use vaccine of high quality and at a reasonable price through the free competition. And the high price markup rate of links of circulating of class II vaccine, is contrary to this original intention. Meanwhile, because every price differential of link assign the amount opaqueness not to disclose, lack legislative authority too, it is very apt to cause corruptions such as commission,etc..
The mode of circulating is multifarious
"The circulation mode of class II vaccine is multifarious at present. " At a seminar held not long ago, some province disease accused of the person in charge of vaccine purchase of the centre and talked in this way.
According to the stipulations of " regulations ", the vaccine manufacturing enterprise can accuse of the organization, inoculates the unit, vaccine wholesale enterprise and sells the class II vaccine that this enterprise produced to disease; The vaccine wholesale enterprise can accuse of the organization, inoculates the unit, other vaccine wholesale enterprises and sells class II vaccine to disease; At county level disease it accuses of organizations to be can to inoculate unit, supply class II vaccine. The ones that are regarded as vaccine " The source " ,The manufacturing enterprise can choose a plurality of " Export " ; As " terminal station " ,Inoculating the unit can choose a plurality of too " Import " . Then, between source and terminal station, form the circulation mode of all kinds.
Disease in Shijiazhuang of Hebei accuses of Zhao Chuan, director of centre, to tell reporters, before " regulations " are issued, class II vaccine is known as " There are price seedlings " ,The free one follow " The immune seedling of plan " The same, most areas circulate within disease accuse of the system, namely the producer sells province disease to accuse of the centre vaccine, then is accused of organization's supplying, managing step by step by disease, the corresponding price differential is accused of the organization and inoculate in the unit and assign by diseases at all levels. In one or two years after " regulations " are issued, this kind of " state monopoly for purchase and marketing " Mode disintegrate rapidly,accuse of not lasting unitting to last higher authorities disease some county disease for organization centre, villages and towns, purchase class II vaccine from market directly. " much vaccine dealers go to the health clinics in towns and townships directly " .
Zhao Chuan says, after the vaccine incident of Anhui Province Si county happens, a lot of diseases at the basic level accuse of the centre and inoculate the unit to realize, vaccine can't totally leave higher authorities' disease and accuse of the organization to supply with, " it is not all right to unusually react and deal with the guidance without organization of higher level at least " . So, many areas begin to accuse of organization's purchasing some vaccine from higher authorities' disease again. "Economic development level and people's health consciousness have decided the scale of market of a local class II vaccine. The scale varies, the profit of the back is different, the circulation mode of class II vaccine is just different. More of some markets, some administrative color is a little denser, it is very difficult to find two all the same places. "
In the view of many insiders, the multifarious circulation mode of class II vaccine, the hidden danger is very heavy because of lacking essential supervision and transparent. "Supervise uncompletely, vaccine dealer deliver vaccine to one's home directly, inoculate unit to be very much difficult to know his situation of warehousing and transportation generally, using laxly may bring the potential safety hazard according to the vaccine that the cold chain runs. " One country has vaccine manufacturing enterprises to sell to the person in charge to say, " on the other hand, it is the market behavior to produce and use links, and the links of circulating if accuse of the in-house closed operation at disease with administrative color, how to take precautions against the corruption of the back of purchase and supply? In addition, how to guarantee, could deal carefully with bad reaction,etc. the rights of being in know of persons who plant, also the question needing to consider. "
" supply " With " manage " It is not clear to be entangled with
"Market economy is the economy governed by law. The class II vaccine free competition that " regulations " established, circulation mode of the market supply have put forward higher requirement for government's management. " Ministry of Public Health immunity plan committee member of expert consultative committee house Zhuo with showing, in recent years, the vaccine incident that Anhui, Guangdong and other places appear shows, by confused vaccine security, corruption,etc. question that initiates of circulating of class II vaccine, have already begun to shake people to the confidence of vaccine inoculation, has planned to bring striking in policy to the national immunity too to a certain extent, "class II vaccine must be in charge of, and the sooner the better! "
It is reported, the behavior that links raise the price at will that circulate to class II vaccine, already many places have issued the regulation at home, on the premise of not breaking through the supreme retail price that enterprises make, control the price markup rate of links of circulating.
Some places stipulate, accuse of the class II vaccine that the organization of unity of the centre supplies through disease in the province, disease in province and city, county accuses of centre's regarding purchasing the bid the foundation actually as, supply subordinate disease and accuse of the department or inoculate the unit according to the price markup rate under 6%, 10% and 15% separately, the crowd inoculates in order to be suitable for inoculating to inoculate the unit according to the price markup rate under 20%. Also there are some local requirements, the class II vaccine that disease at the basic level accused of the organization from the vaccine manufacturing enterprise and the eligible vaccine wholesale enterprise bought directly, control the rate of synthesizing the price markup, buy links from factory's links happening to inoculating the unit, price markup rate can't exceed 25% at most.
But seen from actual conditions, very much difficult to fulfill regulation these. One country has vaccine manufacturing enterprises to sell to the person in charge to say, control and circulate the prerequisite of the raising the price rate of link is to grasp the bid of vaccine accurately. Until hospital purchase medicines to be similar, different place at present, purchase class II bid opaqueness of vaccine with unit, "the ones that finally entered at 10 yuan are entered at 50 yuan, much are black case work, especially under the background of fact that higher price differential is beneficial to to both sides of supply and demand, it is very apt to become an empty verbiage to control the raising the price rate. "
The government will solve two big problems while supervising
A reporter knows while interviewing, class II vaccine circulates messily like already causing the attention of the national related departments, organizing experts to draft and manage the opinion at present. According to expert, the government will solve two problems especially while supervising.
First, it is the localization that disease accuses of the centre. It is the market behavior that class II vaccine circulates through managing enterprises, but if accuse of circulating within the system through disease, deserve how to determine the nature and manage? It is very great to this dispute to be in the industry at present.
According to stipulating, it is " managed" that enterprises sell vaccine to let ,Disease accuses of centre's selling vaccine to let " Supply " ; Enterprises deal in vaccine to raise the price to need to pay taxes, but disease needn't pay taxes to raise the price to supply vaccine to accuse of the centre. Someone queries, this kind works too, treatment but different situations, do not accord with the economic law of the market. And the view of giving tit for tat with it is, it is not medicines retailers that disease accuses of organization and immunization campaign clinic, class II vaccine raises the price and used for accusing of the public service in disease, should not be according to enterprise's property management.
Many propose, disease should be undertaken by the whole finance while accusing of the funds budget of working in the organization, turn over the finance at all incomes, disease accuses of organization's insisting it is the right way public beneficially; However, local government's acquiescence disease accuses of organization's making money by selling vaccine at present, the situation in order to remedy government's undercompensation in a disguised form is very general All these need to clarify from legal principle.
Second class II vaccine manage, involve department to be numerous, for example vaccine price belong to National Development and Reform Commission (price) The department is responsible for, among them many products belong to enterprise's independent pricing; The links of circulating are supervised the department by medicine taking charge of; Inoculate the unit under the care of Ministry of Health. Only rely on the single department to supervise and have little scope for one's talents, must make overall plans and coordinate, form the resultant of forces.
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