The Operational Feasibility Study On Zero-profit Drug Policy In Community Healthy Service

ObjectiveThrough the prior implementive in 4 pilots, the paper analyses the feasibility of zero-profit drug policy in community health service institutions, and the key issues that should be grasped during the performance as well as offer a reference mode to the areas which would like to take action.MethodCollecting and reading the interrelated literatures; making the survey and interview with manufacturers, distributors, community health service institutions, residents and government in order to comprehend their attitude and will on the zero-profit drug policy; analysing the data and record which got from the above-mentioned actions.OutcomeThe zero-profit drug policy in community health service institutions is feasible1. The policy is feasible in the field of manufacturing if could gain the reasonable profit so that the manufacturers would like to and ensure the production on the zero-profit drugs. At the same time the divided distribution channels could avoid the the impact on the regional price system which made by the zero-profit drugs.2. The policy is feasible in the field of distributing because of the integrated distribution which could creat scale-benefit3. The policy is feasible in the field of community health service institutions because the government will compensate the institutions in the form of"separation of revenue and expenditure"and"special funds".4. The policy is accepted by the residents and their attitude are positive especially to the drugs which are fit for using habit.5. The compensation from the government is sustainable which has sufficient finance to afford the loss because of the implmentation of zero-profit drug policy, and also realized well the significance to the current community health service institutions.ConclusionPlease note the following points if the policy wants to be implemented successfully:1. The selection of the drugs must accord with their usual habit and the price should be taken into account under the premise of quality. The larger-scale enterprises should be manufacturers especially in the place where the economic is well-developed and the basic healthcare security level is higher. This is the essential whether the zero-profit durgs could be used fully by the residents.2. The well-developed regions, such as Beijing and Shanghai, in where the manufacturers could be tendered; by contraries, if the capacity of the market is not large engough so the procurement tendering could be carried out among the large-scale drug distributors which not only helps to ease the health department, but also ensures the supply of drugs.3. The"separation of revenue and expenditure"would like to be the precondition when the policy is implemented. To those who are difficult to implement the"separation of revenue and expenditure"but need to carry out the policy, the compensation proportion should be increased and the compensation funds must be arrived in time otherwise it would influence the community health service institutions's positivity and performace directly.