On April 26 this year, the State Council officially issued a document stating that the pilot provinces for medical reform should promote the "two-vote system". According to the provisions of the State Council No. 26 document, the "two-vote system" must be put into the pilot provinces of the national medical reform this year. The determination of the country means that the two-vote system will be implemented, but the time for implementation in each province is different. The people in the medical and medical device industry are in a state of utter disappointment and feel the pressure of survival.
![[Viewpoint] Under the "two-vote system", who is the medical device company and who is dead?](http://i.bosscdn.com/blog/20/16/06/29092851_1098.jpg)
What is the two-vote system: the production enterprise sends an invoice to the circulation enterprise, and the circulation enterprise opens an invoice to the medical institution. The national total generation and importers count the first vote, the custody business purchase does not count as one vote, and the parent company does not count one vote for the subsidiary.
Provinces and cities implemented by two-vote system: Anhui, Jiangsu, Fujian, Qinghai, Shanghai, Zhejiang, Hunan, Chongqing, Sichuan, Shaanxi, Ningxia, and 200 pilot medical reform cities.
The two-vote system was fully implemented in the pharmaceutical industry. The two-vote system for medical consumables first landed in Huizhou, Guangdong, followed by Ningxia and Shaanxi. As time goes by, more medical reform pilot provinces and cities will follow up the “two-vote system for medical consumablesâ€.
The influence of two-vote system on high-value consumables manufacturers and agents
Because China's high-value consumables bidding is based on provincial standards, in the two-vote market environment, only the first-level agents in the province can survive, the market structure of high-value consumables changes, and the high-value consumables market faces shuffling. Small and medium-sized agents have become a reality. As a high-value consumables manufacturer, it is necessary to re-adjust the factors such as market layout and price system.
The influence of two-vote system and distribution on general consumables and inspection reagent manufacturers and agents
The bidding for general consumables and inspection reagents is based on the municipal standard. This requires that the medical device manufacturers adopting the provincial model must sink the channel and form a market structure with the prefecture-level city agents as the core.
The most influential of ordinary consumables and testing reagent manufacturers and agents is not the two-vote system, but the identification of distributors' qualifications. This year, the bidding for ordinary consumables and testing reagents in Zhuhai only recognizes that the three companies have the qualification for distribution, and other Zhuhai City. 68 companies were eliminated due to non-delivery qualifications, and Shenzhen only identified three qualified medical supplies, including Sinopharm, Shenzhen Yi Yatong and another distributor.
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