Ten trends of centralized purchase of medical consumables

（1） Price reduction is still the main keynote of centralized sales promotion at national, provincial and pilot regions

National policy documents have repeatedly stressed the need to reduce the prices of drugs, medical consumables and large-scale medical equipment, and reflect on the treatment and inspection prices, with a clear tone. And in the theories of various provinces, there are also messages of price reduction everywhere: stricter price limit, linkage of prices, decrease of rules, and shortlisted candidates with great price / reduction rate In addition, at this stage, the spread of Sanming form, the emergence of new price reduction methods, such as volume marketing, cross regional marketing, GPO form, Municipal Medical Association and so on, is bound to have a great impact on the future commodity prices.

（2） The transformation of government functions, decentralization of rights and interests, and the return of the main body position of hospital institutions

After the No.7 and No.70 documents, the description of "government led" in the centralized sales promotion of some provinces was changed to "government guidance" and "government guidance". When stopping the function orientation, the provinces also positioned the centralized marketing management from "bidding service" to "service bidding". At present, the expansion of indirect online directory and the practice of "winning the bid" to "shortlisted" in bidding and marketing show that the government's functions are changing, highlighting the decisive role of the market in resource allocation, and strengthening the participation of hospitals in centralized marketing.

（3） From the policy to the theory, the position of medical insurance in the centralized purchase gradually highlights

At present, the position of medical insurance in the centralized marketing is prominent: Fujian bidding agency is indirectly affiliated to the provincial medical insurance office; Guangdong wants to set up the provincial medical insurance fund management center to undertake the centralized drug purchase and other functions; Hebei requires qualified regions to actively try out the centralized marketing of drug consumption by the medical insurance management department; Liaoning proposes that the medical insurance agency indirectly participate in the marketing talks In April 017, the national health and Family Planning Commission and the Ministry of Finance jointly issued the "notice on doing a good job in the new rural cooperative medical care task in 2017", proposing to set up a medical insurance fund management center and pilot "medical custody bidding sales", which confirmed this trend from the national level.

（4） New forms of exploration, drug exchanges and various ways of GPO marketing will emerge

In the new era, sales promotion with volume is one of the typical trends of centralized marketing, and it is also the performance of returning to the essence of centralized marketing. Under this situation, the drug exchange and various ways of GPO marketing will emerge. In the past years, Shenzhen and Foshan have proposed to carry out GPO water test in the field of consumables (equipment). With this form of "rectification and improvement" and the gradual recognition of the state and industry professionals, it is estimated that the "top play" will be performed.

（5） With the volume of sales into the normal, municipal, Medical Union "bargaining" and other ways appear

With the widespread use of the form of "provincial-level Network + prefecture city price negotiation", the number of bargaining bodies with cities, medical institutions and medical institutions as the unit will increase. On April 26, 2017, the State Council issued the Guidance Opinions on promoting the establishment and development of medical integration, which required that "by 2017, the institutional framework of medical alliance should be fundamentally established, pilot projects should be unilaterally initiated, and tertiary hospitals should be fully involved; by 2020, all secondary public hospitals and grass-roots medical and health organizations run by the government should all participate in the medical Consortium", and the time table and road map have finally shown that Clearly, the layout and rapid growth policy foundation of the Medical Union has been solid, and the wave of one-sided establishment of the Medical Union is coming.

（6） Try to combine marketing across regions, which will present different types of marketing alliances

Cross regional integrated marketing is carried out from time to time. In just over a year, Sanming alliance, Beijing Tianjin Hebei alliance, Western seven provinces alliance and four provinces and one city alliance have been established successively. In addition, Shanghai will launch Shanghai Hong Kong collaborative marketing. These alliances include not only regions with a large gap between the East and the west, but also the political center of Beijing, Tianjin and Hebei, as well as economically prosperous areas such as the Yangtze River Delta and the Pearl River Delta. It is estimated that there will be a new cross provincial marketing system in the future.

（7） Policies against fair competition in the market, such as the maintenance of the central government, need to be further corrected

The state has repeatedly issued documents to stop all kinds of central maintenance, but it has not been banned. This phenomenon is particularly prominent in the centralized marketing of drugs, and rarely seen in the centralized marketing of consumables. In the draft of Liaoning's implementation plan last year, there was the expression of "giving priority to the use of real estate under the same conditions", which made people smell the taste of central protectionism, but after improvement, it was abandoned in the subsequent official draft.