medical simulator
Chapter 359 Chapter of Benevolence and Righteousness!
The end of November is the end of the year, but it is also the time when each hospital in the pharmaceutical industry purchases the number of drugs and equipment in the hospital for the second year.
During the early shift in the third orthopedic ward, Lu Bin emphasized: "At present, the hospital is collecting the registration list and data of consumables and medicines in our department from December last year to October this year, and we need to centrally purchase them as needed. I hope For each group, you can sort out the corresponding materials a little bit, and after the orthopedics department summarizes them, they can report them.”
After Lu Bin finished speaking, Tong Xun opened his mouth and said, "Director Lu, will the reported data be useful? Don't report it at that time, but there is nothing available, that will be troublesome."
"In October, our department ran out of consumables. Three patients on my side ran out of consumables. Also, in our group, there is a patient with a special infection who needs to use imported antibiotics. This antibiotic nine I stopped the medicine last month, and I haven't found a replacement until now."
"Now this patient troubles me every day, how can this be good? I have used almost all the existing medicines, and the consultation calls of the pharmacy department are all over the place. "
Tong Xun began to complain.
Those who are in direct contact with patients are the front-line clinical staff. If you can't cure it, no matter what the reason is, it's all vacant. If you should trouble you, you still have to find it.
Lu Bin said: "Then we need to make statistics first, at least to figure out the demand. Whether we can think of a way is another matter. I believe that the Food and Drug Administration and the Medical Insurance Bureau will definitely think of a way. It is not only our department, our hospital that encounters such a situation.”
"Your patient, Dr. Zhou has also seen it, and he personally debrides and treats it once, but because he didn't find a sensitive drug, he still relapsed. I have already reported this matter to the safety office and medical department of the hospital. You also need to find a way to communicate more with patients and their families.”
"There are difficulties now, and we all have to overcome them. "
Lu Bin can only comfort Tong Xun from the director's point of view. In such a situation, not only Tong Xun finds it difficult, but he also finds it troublesome.
After Lu Bin finished speaking, Zuo Hu was also taken aback for a while, and then said: "Director Lu, actually, there are still channels for the medicine that Director Tong mentioned, but the price is a bit ridiculously expensive. I inquired about it in private. Pass."
"It's more than 8000 a piece, which is indeed a bit too high. So I didn't say anything, but if the patient's infection situation really can't find a better way, I can only talk to the patient and family members about the drug from this channel. .”
Zuo Hu opened his mouth and said this.
After coming to Chang City for more than two months, I have learned a lot from Zhou Cheng, the project is progressing smoothly, and the atmosphere in the department is also harmonious. This is due to the cooperation of Lu Bin and others. To be honest, they seem to be gold-plated now.
Under such circumstances, it is necessary to properly find a way to help the department tide over the difficulties.
Tong Xun said, "More than 8000 people, isn't this a direct robbery?"
"Domestic drugs haven't been approved yet, unless you can find that kind of smuggled A product, but this is illegal and not conducive to the normal development of the medical industry." Zuo Hu shook his head helplessly.
More than 8000, one must be no problem.
But antibiotics are basically calculated according to the course of treatment. If you use it like this, no one can afford it...
"Director Quan, has the problem of broken steel plates in your group been resolved?" After such a discussion, Lu Bin asked again.
"Ask what happened to the manufacturer? If they don't reply, I'm going to blacklist this manufacturer."
"I haven't replied yet, I just said that this is a small probability event. I didn't say it was my technical problem, but I guess I used a hacksaw to saw the steel plate." Quan Zhuolin said with a twitching corner of his mouth.
The policy of centralized procurement is good, but now it is difficult to find a manufacturer to take care of the problem. A steel plate costs more than 500 yuan, and it has to go through various procedures. It is no wonder that others will take care of so much.
"I also heard that the R&D department of this company has been banned, anyway, it's just a bad line now. "Quan Zhuolin said.
Hearing this, Lu Bin sighed: "No matter how the environment changes, the sick
People are innocent too, we can only do our best.In the next period of time, reduce the number of patients admitted for treatment. If it is not a special emergency, we will not accept it if we can. "
"Otherwise, the bed pressing rate in the ward will be higher and higher."
The variety of drugs is not complete, the number of equipment is limited, and the quality of centralized procurement may not be good. This is still orthopedics, isn't it just embarrassing others?
Everyone fell silent.
……
At the same time, a new round of centralized procurement by the National Medical Insurance Bureau is also going on vigorously.
Centralized procurement is under the coordination of the Medical Insurance Bureau, and the provinces organize procurement alliances to agree on the centralized procurement of drugs, and different companies bid in batches.
Among them, Tenghui Company is the company that bids for the most drugs and equipment. Of course, there are many bidding companies. Basically, for each type, there are no less than ten domestic and foreign companies bidding.
In Xiang Province, among the team responsible for the collection, Fang Linxiang was the only lifter.
However, when he saw the prices reported by each of the different companies, he couldn't help but twitched,— Correspondence, what a guy.
Compared with last year, some imported or overseas joint venture companies have more than quadrupled their product quotations. I don’t know if the price can be lowered in the end, and then let them continue to stay.
However, the quotations of some small domestic enterprises are pitifully low, even lower than last year. Fang Linxiang doesn't know where they compressed the cost budget!
In fact, different companies have different bidding methods for centralized procurement.
Like some small enterprises, it must be the more enlightened bidding standard, and the centralized procurement varieties determined through different forms such as bidding, bargaining, and negotiation.
But a big company like Tenghui, which has a high domestic market share, is one of the few varieties with high barriers and a good competition pattern!
They will not be like most generic drugs, which will face a centralized procurement process of sharply reducing prices, exchanging prices for volume, and finally converting to low-margin products...
Mitius appeared at the negotiating table confidently, and then quietly waited for the arrival of a batch of fat pigs representing the fat pigs that were about to be slaughtered. He was very confident. In a country like China, the things he brought out , It is intolerable to them!
Michels once again ordered his team: "Have all the information collected by you been sorted out?"
"Yes, Mr. Mitius." Beside Mitius, a Chinese man said impatiently.
"Xu, you shouldn't be so angry. You are a mature person. You should know that this is a business. You'd better put your emotions away, or you'll just pack up and leave me, Xu." Mitius kept talking , kept shaking his head, signaling Xu Liangan to calm down.
Xu Liangan took a deep breath, and then said in English: "Mr. Michels, I still firmly recommend my plan to you. Mr. Michels, you should know that it is not like it was many years ago."
"Monopoly is not a benign business model. Only serving and satisfying needs is the best choice. You should not allocate the damn risk to a certain country or a certain nation!"
"stop! shit!"
"You shouldn't be here, I'm ordering you now, you get out, you're not welcome here, you shouldn't be in the company, and you shouldn't be at the negotiating table." Mitius pointed out directly.
"Please go out yourself, be a gentleman, we are not fighting, we are just business partners. Please go out and be rational!"
Xu Liangan tidied up his materials, closed his eyes, took a deep breath, and there was no more noise, and he knew that even if he stayed, what he was waiting for would be forcibly taken away!
After a while, when another group of people walked in, Mitius directly asked his assistant to submit a series of data, and then said in fluent Chinese, heartbroken: "Director Qin, I am from Tenghui Huaguo Branch. General Manager, although I am not from Huaguo, I have seen this series of bloody numbers."
"I am very sorry for the company's previous recklessness.
I feel very regretful and saddened by the decision. Therefore, after the best mediation and running around with the head office, I finally convinced them that they must not give up such a piece of land as Huaguo, and the lovely people on this land. "
Michels went on to say: "Hua Guo has been a state of etiquette since ancient times. It is polite to communicate with each other, and it pays attention to returning to its roots. Therefore, even when the company is facing great pressure and challenges, it cannot take barbaric actions against the state of etiquette. .”
Hearing what Michels said, several people in the Huaguo delegation wanted to laugh, but they didn't. They guessed that this foreigner should have a little bit of Huaguo's cultural background. He wanted to be sensational, but he seemed nondescript. .
"It is true, dear Qin, our company is also under the impact and pressure from other places, and this pressure will make us have to reduce the market and manpower. We are definitely not targeting Huaguo. Innocent harm has been caused here and I sincerely apologize!"
After Mitius finished speaking, he asked his own people to distribute an offer to Director Qin and others.
This quotation does not mark the price of last year as a comparison, it is just a big discount of 20.00% from their company's last quotation!
At least the box on the label is so written with sales!
Director Qin shook his head after reading it, and took out a report in his hand. He knew it in his heart, but after reading it, he said, "Mr. People, sitting here, talking to you, this is a big market, even if it’s right, this market can be so big that your head office doesn’t have to expand other markets.”
"So, Mr. Michels, we are here today with the most sincere attitude and the most sincere affection."
"You must know that your company's philosophy is not to make the company into a product, but to serve life as its purpose. It is true that medicines are commodities when they are not used on patients."
"However, its use value can only be reflected in patients and those in need. Therefore, I hope that your company can seriously consider it and give a sincere price."
Mitius was about to speak when Director Qin took out another document and said, "Mr. Mitius, this is the average annual income of our country this year. Its level is only one-tenth of that of the United States. Less than, compared to your country, even less than one-twentieth."
"So, we can't afford such high drug costs. Our country's population is four times that of the United States, and fifty times that of your country. However, our gross product is only..."
"Nevertheless, Mr. Michels, I still sincerely tell you another piece of data. The current population base of our country is several times that of other countries, so our demand is also several times that of others. Perhaps , because our country’s medical level is limited, this number will be even more!”
"Therefore, in the case of increasing sales volume and reducing sales input, I hope you can give me a very sincere price, instead of double the price of last year, Mr. Qin, thank you!" Mr. Qin said. He is more mature, speaks more solemnly, and has a more serious tone.
He has seen the data given to him by Michels. To be honest, from his personal point of view, he even wants to break the barriers of international patents, learn from India, and exempt pharmaceutical patents, but in this way, the biggest The biggest impact is that the patents of one's own country will disappear, which is equivalent to directly smashing with everyone!
After hearing the words, Mitius pretended to be deep for a while, and said: "Mr. Qin, I believe that what you said is true, and I also believe that the Lilan space you mentioned is real. But, my dear Mr. Qin, you have to know that we are a company, and we want to pay attention to the return on investment."
"Currently, our market has been impacted in many ways. I have to withdraw most of the funds to face such impact. The market in Huaguo is actually not a high-quality market. On the contrary, there are markets in Asia, America, and Europe. market, that is the premium market.”
"To be honest, Mr. Qin, if you are the general manager there, you don't have to worry too much about the price of the product.
We only need to do a good job in quality, and then the insurance company will directly negotiate the price with the hospital. Citizens only need to pay for their own expenses, and they can sit back and relax completely. "
"We have to keep such a high-quality market, Mr. Qin, the price we give is already at a very bottom line price. Because we have to devote a lot of energy to keep the follow-up service."
"Mr. Qin, you should know that the follow-up services provided by our company are perfect and must be perfect, so I hope Mr. Qin can take this into consideration, and we can provide many opportunities to train doctors in Huaguo ..."
"We can send them to any top-notch hospital in any country in the world for advanced studies and exchanges. It's all free..." Mitius continued to talk, with a sincere expression, and it was not obvious that he was opening his mouth. Wanting to suck blood!
Use the most benevolent words, say the most cruel things, this is business.
During the early shift in the third orthopedic ward, Lu Bin emphasized: "At present, the hospital is collecting the registration list and data of consumables and medicines in our department from December last year to October this year, and we need to centrally purchase them as needed. I hope For each group, you can sort out the corresponding materials a little bit, and after the orthopedics department summarizes them, they can report them.”
After Lu Bin finished speaking, Tong Xun opened his mouth and said, "Director Lu, will the reported data be useful? Don't report it at that time, but there is nothing available, that will be troublesome."
"In October, our department ran out of consumables. Three patients on my side ran out of consumables. Also, in our group, there is a patient with a special infection who needs to use imported antibiotics. This antibiotic nine I stopped the medicine last month, and I haven't found a replacement until now."
"Now this patient troubles me every day, how can this be good? I have used almost all the existing medicines, and the consultation calls of the pharmacy department are all over the place. "
Tong Xun began to complain.
Those who are in direct contact with patients are the front-line clinical staff. If you can't cure it, no matter what the reason is, it's all vacant. If you should trouble you, you still have to find it.
Lu Bin said: "Then we need to make statistics first, at least to figure out the demand. Whether we can think of a way is another matter. I believe that the Food and Drug Administration and the Medical Insurance Bureau will definitely think of a way. It is not only our department, our hospital that encounters such a situation.”
"Your patient, Dr. Zhou has also seen it, and he personally debrides and treats it once, but because he didn't find a sensitive drug, he still relapsed. I have already reported this matter to the safety office and medical department of the hospital. You also need to find a way to communicate more with patients and their families.”
"There are difficulties now, and we all have to overcome them. "
Lu Bin can only comfort Tong Xun from the director's point of view. In such a situation, not only Tong Xun finds it difficult, but he also finds it troublesome.
After Lu Bin finished speaking, Zuo Hu was also taken aback for a while, and then said: "Director Lu, actually, there are still channels for the medicine that Director Tong mentioned, but the price is a bit ridiculously expensive. I inquired about it in private. Pass."
"It's more than 8000 a piece, which is indeed a bit too high. So I didn't say anything, but if the patient's infection situation really can't find a better way, I can only talk to the patient and family members about the drug from this channel. .”
Zuo Hu opened his mouth and said this.
After coming to Chang City for more than two months, I have learned a lot from Zhou Cheng, the project is progressing smoothly, and the atmosphere in the department is also harmonious. This is due to the cooperation of Lu Bin and others. To be honest, they seem to be gold-plated now.
Under such circumstances, it is necessary to properly find a way to help the department tide over the difficulties.
Tong Xun said, "More than 8000 people, isn't this a direct robbery?"
"Domestic drugs haven't been approved yet, unless you can find that kind of smuggled A product, but this is illegal and not conducive to the normal development of the medical industry." Zuo Hu shook his head helplessly.
More than 8000, one must be no problem.
But antibiotics are basically calculated according to the course of treatment. If you use it like this, no one can afford it...
"Director Quan, has the problem of broken steel plates in your group been resolved?" After such a discussion, Lu Bin asked again.
"Ask what happened to the manufacturer? If they don't reply, I'm going to blacklist this manufacturer."
"I haven't replied yet, I just said that this is a small probability event. I didn't say it was my technical problem, but I guess I used a hacksaw to saw the steel plate." Quan Zhuolin said with a twitching corner of his mouth.
The policy of centralized procurement is good, but now it is difficult to find a manufacturer to take care of the problem. A steel plate costs more than 500 yuan, and it has to go through various procedures. It is no wonder that others will take care of so much.
"I also heard that the R&D department of this company has been banned, anyway, it's just a bad line now. "Quan Zhuolin said.
Hearing this, Lu Bin sighed: "No matter how the environment changes, the sick
People are innocent too, we can only do our best.In the next period of time, reduce the number of patients admitted for treatment. If it is not a special emergency, we will not accept it if we can. "
"Otherwise, the bed pressing rate in the ward will be higher and higher."
The variety of drugs is not complete, the number of equipment is limited, and the quality of centralized procurement may not be good. This is still orthopedics, isn't it just embarrassing others?
Everyone fell silent.
……
At the same time, a new round of centralized procurement by the National Medical Insurance Bureau is also going on vigorously.
Centralized procurement is under the coordination of the Medical Insurance Bureau, and the provinces organize procurement alliances to agree on the centralized procurement of drugs, and different companies bid in batches.
Among them, Tenghui Company is the company that bids for the most drugs and equipment. Of course, there are many bidding companies. Basically, for each type, there are no less than ten domestic and foreign companies bidding.
In Xiang Province, among the team responsible for the collection, Fang Linxiang was the only lifter.
However, when he saw the prices reported by each of the different companies, he couldn't help but twitched,— Correspondence, what a guy.
Compared with last year, some imported or overseas joint venture companies have more than quadrupled their product quotations. I don’t know if the price can be lowered in the end, and then let them continue to stay.
However, the quotations of some small domestic enterprises are pitifully low, even lower than last year. Fang Linxiang doesn't know where they compressed the cost budget!
In fact, different companies have different bidding methods for centralized procurement.
Like some small enterprises, it must be the more enlightened bidding standard, and the centralized procurement varieties determined through different forms such as bidding, bargaining, and negotiation.
But a big company like Tenghui, which has a high domestic market share, is one of the few varieties with high barriers and a good competition pattern!
They will not be like most generic drugs, which will face a centralized procurement process of sharply reducing prices, exchanging prices for volume, and finally converting to low-margin products...
Mitius appeared at the negotiating table confidently, and then quietly waited for the arrival of a batch of fat pigs representing the fat pigs that were about to be slaughtered. He was very confident. In a country like China, the things he brought out , It is intolerable to them!
Michels once again ordered his team: "Have all the information collected by you been sorted out?"
"Yes, Mr. Mitius." Beside Mitius, a Chinese man said impatiently.
"Xu, you shouldn't be so angry. You are a mature person. You should know that this is a business. You'd better put your emotions away, or you'll just pack up and leave me, Xu." Mitius kept talking , kept shaking his head, signaling Xu Liangan to calm down.
Xu Liangan took a deep breath, and then said in English: "Mr. Michels, I still firmly recommend my plan to you. Mr. Michels, you should know that it is not like it was many years ago."
"Monopoly is not a benign business model. Only serving and satisfying needs is the best choice. You should not allocate the damn risk to a certain country or a certain nation!"
"stop! shit!"
"You shouldn't be here, I'm ordering you now, you get out, you're not welcome here, you shouldn't be in the company, and you shouldn't be at the negotiating table." Mitius pointed out directly.
"Please go out yourself, be a gentleman, we are not fighting, we are just business partners. Please go out and be rational!"
Xu Liangan tidied up his materials, closed his eyes, took a deep breath, and there was no more noise, and he knew that even if he stayed, what he was waiting for would be forcibly taken away!
After a while, when another group of people walked in, Mitius directly asked his assistant to submit a series of data, and then said in fluent Chinese, heartbroken: "Director Qin, I am from Tenghui Huaguo Branch. General Manager, although I am not from Huaguo, I have seen this series of bloody numbers."
"I am very sorry for the company's previous recklessness.
I feel very regretful and saddened by the decision. Therefore, after the best mediation and running around with the head office, I finally convinced them that they must not give up such a piece of land as Huaguo, and the lovely people on this land. "
Michels went on to say: "Hua Guo has been a state of etiquette since ancient times. It is polite to communicate with each other, and it pays attention to returning to its roots. Therefore, even when the company is facing great pressure and challenges, it cannot take barbaric actions against the state of etiquette. .”
Hearing what Michels said, several people in the Huaguo delegation wanted to laugh, but they didn't. They guessed that this foreigner should have a little bit of Huaguo's cultural background. He wanted to be sensational, but he seemed nondescript. .
"It is true, dear Qin, our company is also under the impact and pressure from other places, and this pressure will make us have to reduce the market and manpower. We are definitely not targeting Huaguo. Innocent harm has been caused here and I sincerely apologize!"
After Mitius finished speaking, he asked his own people to distribute an offer to Director Qin and others.
This quotation does not mark the price of last year as a comparison, it is just a big discount of 20.00% from their company's last quotation!
At least the box on the label is so written with sales!
Director Qin shook his head after reading it, and took out a report in his hand. He knew it in his heart, but after reading it, he said, "Mr. People, sitting here, talking to you, this is a big market, even if it’s right, this market can be so big that your head office doesn’t have to expand other markets.”
"So, Mr. Michels, we are here today with the most sincere attitude and the most sincere affection."
"You must know that your company's philosophy is not to make the company into a product, but to serve life as its purpose. It is true that medicines are commodities when they are not used on patients."
"However, its use value can only be reflected in patients and those in need. Therefore, I hope that your company can seriously consider it and give a sincere price."
Mitius was about to speak when Director Qin took out another document and said, "Mr. Mitius, this is the average annual income of our country this year. Its level is only one-tenth of that of the United States. Less than, compared to your country, even less than one-twentieth."
"So, we can't afford such high drug costs. Our country's population is four times that of the United States, and fifty times that of your country. However, our gross product is only..."
"Nevertheless, Mr. Michels, I still sincerely tell you another piece of data. The current population base of our country is several times that of other countries, so our demand is also several times that of others. Perhaps , because our country’s medical level is limited, this number will be even more!”
"Therefore, in the case of increasing sales volume and reducing sales input, I hope you can give me a very sincere price, instead of double the price of last year, Mr. Qin, thank you!" Mr. Qin said. He is more mature, speaks more solemnly, and has a more serious tone.
He has seen the data given to him by Michels. To be honest, from his personal point of view, he even wants to break the barriers of international patents, learn from India, and exempt pharmaceutical patents, but in this way, the biggest The biggest impact is that the patents of one's own country will disappear, which is equivalent to directly smashing with everyone!
After hearing the words, Mitius pretended to be deep for a while, and said: "Mr. Qin, I believe that what you said is true, and I also believe that the Lilan space you mentioned is real. But, my dear Mr. Qin, you have to know that we are a company, and we want to pay attention to the return on investment."
"Currently, our market has been impacted in many ways. I have to withdraw most of the funds to face such impact. The market in Huaguo is actually not a high-quality market. On the contrary, there are markets in Asia, America, and Europe. market, that is the premium market.”
"To be honest, Mr. Qin, if you are the general manager there, you don't have to worry too much about the price of the product.
We only need to do a good job in quality, and then the insurance company will directly negotiate the price with the hospital. Citizens only need to pay for their own expenses, and they can sit back and relax completely. "
"We have to keep such a high-quality market, Mr. Qin, the price we give is already at a very bottom line price. Because we have to devote a lot of energy to keep the follow-up service."
"Mr. Qin, you should know that the follow-up services provided by our company are perfect and must be perfect, so I hope Mr. Qin can take this into consideration, and we can provide many opportunities to train doctors in Huaguo ..."
"We can send them to any top-notch hospital in any country in the world for advanced studies and exchanges. It's all free..." Mitius continued to talk, with a sincere expression, and it was not obvious that he was opening his mouth. Wanting to suck blood!
Use the most benevolent words, say the most cruel things, this is business.
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