It has been three years since the opening of sitting doctors. The benefits of pharmacies are not obvious.

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Editor's note: The establishment of "sitting doctors" in pharmacies has been banned by the former Ministry of Health, the Food and Drug Administration and other four departments. In the past two years, the ban has been completely lifted in most parts of our country. This is regarded as "seeing a doctor in the front office and catching medicine in the back hall." The reappearance of the traditional way of seeing a doctor will give the pharmacy the opportunity to have a certain impact on the hospital and obtain greater benefits?
□ Writing | Huang Shaoran
Clinic model quadruples the unit price of drugstores
How are you doing when you set up clinics, famous doctors and pharmacies with convenient services?
39 Health Network noted that since the Ministry of Health and the State Administration of Traditional Chinese Medicine issued the "Administrative Measures for Traditional Chinese Medicine Sitting Clinics (Trial)" in October 2010, many pharmaceutical retail companies have begun to try the "pharmacy clinic" business model. In 2012, the State Administration of Traditional Chinese Medicine issued the "Twelfth Five-Year Plan for the Development of Traditional Chinese Medicine", which proposed to allow pharmaceutical retail companies to hold TCM clinics, which reaffirmed the policy of pharmacies to open clinics. However, in the past three years, affected by many policies such as medical insurance and doctors' multi-point practice, the clinic model has not brought vigorous marketing benefits to pharmacies.
"Clinic pharmacy" fame and fortune? Clinic let pharmacy unit price quadruple
Established in 2003, Jiuzhou Pharmacy currently has 62 branches and 5 clinics, with annual sales of more than 0.5 billion. In 2010, when the industry focused on the listing road of the common people's pharmacy and the "listing alliance" of Dazenlin, Jiuzhou pharmacy quietly listed on NASDAQ.
In this regard, Qi Li, president of Jiuzhou (China) Pharmaceutical Co., Ltd., said that what American investors value is not the scale and sales, but the sales model of Jiuzhou Pharmacy. Because the well-known U.S. drugstore chain CVS also has an in-store clinic model, the "drugstore clinic" model of Jiuzhou Pharmacy is just similar to it, so it is favored by American investors.
According to Qi Li, compared with other ordinary pharmacies, the "outpatient pharmacy" branch of Jiuzhou pharmacy accounts for a relatively large proportion of the sales of Chinese herbal pieces, and contributes more gross profit to the company.
As early as 2004, before and after the introduction of the antibiotic sales restriction order, many "pharmacy clinics" models emerged across the country. At that time, industry insiders said that this was born by pharmacies to facilitate consumers to purchase prescription drugs. However, in recent years, with the diversification of pharmacy models, the "pharmacy clinic" model has gradually developed into a big health model for consumers to solve sub-health and health preservation.
According to 39 Health Network, the unit price (excluding outpatient service) of the "pharmacy + clinic" model in all branches of Jiuzhou Pharmacy is 3-4 times that of ordinary pharmacies, and the membership ratio and medical insurance ratio are also higher than 30% of ordinary pharmacies.
Wang Haixiang, deputy general manager of Guangzhou Yanghe Pharmaceutical Chain, believes that the business model of "pharmacy clinic" can promote the sales of pharmacies. This is more obvious for Chinese medicine clinics, while Western medicine clinics play a relatively small role. According to reports, at present, the outpatient clinics of Yanghe chain are all TCM outpatient clinics. Relevant departments have a policy of opening up medical clinics. Yanghe medicine can immediately meet the needs of doctors and bring the patient resources of TCM clinics to pharmacies.
It is reported that at present, the drug sales brought by the clinics of Taiyuan Renhe Pharmacy have accounted for 30% of the total sales.
It's hard to make a lot of money without medical insurance and support from famous doctors.
"Clinic drugstore" wants to make a lot of money? No health insurance, no famous doctors difficult to achieve In July this year, Jiuzhou Pharmacy announced that it would "close 17 stores around Hangzhou and focus on wholesale customers with higher profit margins". This move added a lot of reverie to Jiuzhou Pharmacy, whose stock price has been depressed.
In response, Qi Li, president of Jiuzhou (China) Pharmaceutical Co., Ltd., said that he was eager to expand after listing and expanded his business scale by opening stores. However, in Zhejiang, whether pharmacies are designated for medical insurance is an important factor affecting the profit and loss of pharmacies. However, due to the different standards for the implementation of medical insurance policies in various regions, some branches have not been able to obtain the designated medical insurance qualifications for one year. In addition, due to the restrictions of the health department, the "pharmacy clinic" business model is difficult to develop outside Hangzhou. For various reasons, the expansion of Jiuzhou Pharmacy outside Hangzhou was not smooth. Therefore, Jiuzhou Pharmacy was downsizing in due course and closed 17 branches with poor profitability. At present, Hangzhou Pharmacy has 47 stores in Hangzhou, 100 of which are medical insurance stores.
In addition to the designated medical insurance, whether the doctors employed by the clinic are well-known local doctors also affects the development of the "pharmacy clinic" model. On the wall of Jiuzhou National Medical Center, there are 22 famous Chinese medicine doctors. Qi Li told 39 health network that high-quality doctor resources are an important condition to attract consumers, which is also an advantage that competitors can not copy.
"Yanghe Chain now has nearly 50 pharmacies, basically medical insurance pharmacies and 9 traditional Chinese medicine pharmacies." Wang Haixiang, deputy general manager of Guangzhou Yanghe Pharmaceutical Chain, said. It is understood that the main focus of the Yanghe Medicine Chain Traditional Chinese Medicine Museum is "famous traditional Chinese medicine and traditional Chinese medicine". It has hired many experts in graded traditional Chinese medicine. Its Zihe TangXinghe Traditional Chinese Medicine Museum is positioned as the research center for diabetes treatment of traditional Chinese medicine. Professor Peng Wannian, a national traditional Chinese medicine diabetes expert, is hired as the curator of the traditional Chinese medicine museum.
Tianjin Shengfan Pharmacy is a pilot pharmacy. In June 2011, the pharmacy invited a sitting doctor. At that time, it was "unprecedented". The old doctor with many years of experience in practicing medicine attracted many patients around him. At that time, even the medicine had to queue up. However, it didn't take long for the old doctor to leave the clinic for some personal reasons, and then the pharmacy did not recruit a suitable candidate. And with the departure of the doctor, the pharmacy's "clinic" is dead in name only.
At the beginning of its establishment, Beijing Golden Elephant Xidan Pharmacy hired Cao Zhian, a disciple of Shi Jinmo, one of the four famous doctors in the capital, and Zhang Lvu, the 11th generation descendant of "Child Zhang" from a family of traditional Chinese medicine. As a result, it became famous for a while. But as the two experts left one after another, sales driven by the clinic fell sharply, once only 1/3 of the previous sales.
If you can't cross the policy threshold, you may become chicken ribs.
"Pharmacy clinics" want to develop? Policy threshold is currently difficult to cross
In fact, the business model of "pharmacy clinic" has a long history in the history of the development of China's pharmaceutical industry. Tongrentang, a time-honored drugstore, has always adopted the business model of "famous doctors and medicines.
However, the development of the "pharmacy clinic" model is also bumpy.
In 2003, the Jiuzhou Pharmacy, which was based on the "pharmacy clinic" model, also took a lot of trouble at the beginning of its establishment. The Jiuzhou Pharmacy, which was originally scheduled to open on September 10, posted a notice of delay in opening on the same day. The reason is that the clinic's license has not yet been approved. Later, the health department agreed to give Jiuzhou Pharmacy a green light.
During this period, sitting in the hospital has always been a taboo topic in pharmacies, and there are only a few "pharmacy clinics" business models. This situation continued until the end of 2007.
In November 2007, Shenzhen took the lead in piloting traditional Chinese medicine; in July 2010, the regulations of Shenzhen Special Economic Zone on traditional Chinese Medicine was formally implemented; in October 2010, the State Administration of traditional Chinese Medicine launched the pilot work to the whole country, and issued the measures for the Management of traditional Chinese Medicine clinics (for trial implementation) and the basic standards of traditional Chinese Medicine clinics (for trial implementation).
These policies have promoted the development of the "pharmacy clinic" model in Shenzhen. As of the end of 2012, there were 32 Chinese medicine centers and 52 Chinese medicine centers in Shenzhen.
A few years ago, Sichuan Derentang made a comprehensive inspection of famous and old Chinese medicine centers and clinics in various formats in Beijing, Shanghai, Hangzhou and Shenyang, and formulated the "Development Plan of Chinese Medicine Museum" and launched the project in 2006. At present, there are more than 200 Chinese medicine practitioners registered in Sichuan Derentang, and more than 40 stores are equipped with Chinese medicine.
Where is the way to the "clinic pharmacy"? Don't let the clinic become the chicken ribs of the pharmacy.
Since July 2012, Taiyuan has tested the licensing system of water chain clinics, and Renhe Pharmacy has become the first chain clinic to "eat crabs". At present, 80 chain clinics live next to its chain pharmacies. But Renhe Big Pharmacy is just a case study.
It has been two years since the national pilot ban on sitting in hospitals was opened in 2010.39 Health Network statistics found that the "pharmacy clinic" model has not been carried out on a large scale in the country, and the top ten major chains in China, such as ordinary people's pharmacies and Dashan Lin, have not implemented the "pharmacy clinic" model on a large scale.
Nanning City, Guangxi Zhuang Autonomous Region, launched a pilot activity related to traditional Chinese medicine in early 2009, but according to local industry insiders in Guangxi, even though traditional Chinese medicine has been carried out for many years, the effect has not been obvious.
One of the reasons for the slow development of the "pharmacy clinic" model is that the policy has not yet been implemented on a large scale. In addition, it is difficult to meet the requirements of the hardware and software is also an important reason for many pharmacies to wait and see.
The "Basic Standards for Chinese Medicine Sitting Clinics (Trial)" stipulates: "Chinese medicine sitting clinics are set up by pharmacies with no less than 400 varieties of Chinese medicine decoction pieces, and only Chinese medicine decoction pieces prescription services are allowed. The personnel shall have at least one Chinese medicine practitioner who has been registered to have continuously engaged in clinical work in medical institutions for more than 5 years after obtaining the qualification of a doctor. The setting of the clinic must be separated independently, not more than 2. The construction area of each clinic shall not be less than 10 square meters." This hardware requirement has blocked many pharmacies that want to try out the "pharmacy clinic" model.
In addition, the difficulty of finding famous doctors is also one of many pharmacies to wait and see. "Whether in terms of benefits or traditional concepts, pharmacies do not have any advantage in recruiting TCM doctors, so it is unlikely that pharmacies will have to hire full-time TCM doctors to sit down. Instead, it should be advocated by the government to vigorously promote the multi-point practice of physicians, which is an effective way to solve the scarcity of TCM resources in pharmaceutical retailers." Fu Jian, general manager of Guangxi Youhe Gucheng Pharmacy Co., Ltd., said to the media.
In fact, some "drugstore clinics" models have indeed brought customers and customer lists to drugstores, such as Tongrentang and Shenzhen Heshun Hall, but there are also some drugstores that have become "chicken ribs" due to the loss of famous doctors. Although the relevant departments have given the green light to pharmacies to open clinics in terms of policy, the success of clinics is greatly affected by factors such as medical insurance qualifications and doctor resources, which also buries uncertain factors for this business model.