The construction of county medical community is constantly strengthened, and the primary medical market will be detonated

[pharmaceutical network industry trends] recently, the general office of the people's Government of Guangdong Province issued the implementation plan for strengthening the construction of close county medical and health community in Guangdong Province According to the plan, Guangdong Province will organize 54 class III class a public hospitals to help 78 county-level public hospitals At the same time, it also puts forward the implementation plan of increasing and improving the quality of the grassroots health talents in Guangdong Province in the next three years, so as to establish a new integrated medical and health service system of county, town and village with health as the center and combined prevention and treatment, and effectively solve the problem of difficult and expensive medical treatment for the masses Question The construction of county medical community is blooming all over the country In this year's national medical reform work, there is no doubt that close county medical community is one of the key contents The policy of building County medical community has been issued continuously, and a large number of medical communities have been born and stabilized, which has great significance in the field of health and health in China According to the announcement of the health and Health Commission in April 2019, 2388 County medical communities have been established in China, among which Zhejiang and Shanxi provinces have been fully promoted in the whole province, and Jilin, Jiangsu, Anhui, Fujian, Henan, Guangdong, Ningxia, Guizhou and other places have actively promoted the pilot work Then it is proposed to build 500 medical communities based on the top 500 county hospitals By May 28, the national health and Health Commission issued the notice on promoting the construction of close county medical and health community (hereinafter referred to as the notice) It is required that by the end of 2020, a new County medical and health service system with clear objectives, clear rights and responsibilities, and division of labor and cooperation should be initially established in 500 counties, gradually forming a community of services, responsibilities, interests and management Recently, the general office of the State Council issued the key tasks of deepening the reform of the medical and health system in 2019, requiring the national health and Health Commission to complete the formulation of the management measures for medical consortia by November, and clearly stated in Article 29: "focus on discipline construction, improve the comprehensive capacity of 500 county hospitals and 500 county hospitals of traditional Chinese medicine Focus on building urban medical groups in 100 cities and county medical communities in 500 counties To guide the orderly development of medical consortia, especially the medical community, and to carry out the evaluation of the construction of medical consortia County medical community is not only a practical mode under the background of county medical reform and hierarchical diagnosis and treatment policy, but also changes the pattern of county medical and medical market Some time ago, a notice on joint procurement of public medical institutions issued by Shandong Medical Insurance Bureau was circulated in the industry The county drug procurement alliance is an important attempt to break the differences between different medical communities in the county and explore the unified management, procurement and distribution of drug consumables in the county Some insiders said that the mode of unified purchase and payment in the county is the same as that of Guangdong GPO Although it can't be simply understood as GPO, it still can't be separated from the essence of "drug group purchase" With the further development of hierarchical diagnosis and treatment, county-level hospitals will inevitably realize the sharing of medical resources by connecting the large hospitals and the grass-roots market At the same time, the outline of drug "group purchase" mode will be clearer Then, for the national essential drugs with the attribute of "prevention and control necessary, supply guarantee and priority use", its importance in this hundred billion market is self-evident, especially the proportion of national essential drugs used in different regions is different, so the bidding procurement will also be affected Under the support of large group purchase volume, the demand for basic drugs is expanding, and the blue ocean of county market in the future has become the indisputable place for major manufacturers At the same time, the unified distribution within the county medical community means that the original distributors will face a new round of screening and elimination, and the distribution relationship will usher in a new shuffle The entry threshold of multiple competitions is increasing Therefore, some analysts pointed out that the promotion of county medical community may lead to the collapse of the original marketing mode of basic drugs At present, the market share of primary public medical institutions in China is more than 130 billion yuan Under the policy dividend of county medical community, it is expected to improve the service capacity of the grass-roots level, change the siphon phenomenon of large hospitals, and keep patients at the grass-roots level In addition, with the help of social medical services and the rise of private clinics, the market share of primary medical services will continue to expand in the future.