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<p><img class="__bg_gif" data-ratio="0.10555555555555556" src="http://mmbiz.qpic.cn/mmbiz/M2H0aGBjWUTRia7nqkArYeKZUqEfdmpNibMPiaZk4gvlWk5v5lUKyXhjJP4CENKQeQt5HI8zwcTCWJOkicfWJiatdJQ/0?wx_fmt=gif" data-type="gif" data-w="720" width="auto" style="font-size: 16px;white-space: normal;line-height: 25.6px;font-family: Arial, Verdana, Helvetica, sans-serif, 宋体;color: rgb(63, 63, 63);text-align: justify;box-sizing: border-box !important;word-wrap: break-word !important;visibility: visible !important;width: auto !important;" /></p><p><br /></p><p>医药网日讯 2018年，医药市场或将出现这十九个变化！</p><p> </p><p><strong> 1</strong><strong>、器械和耗材两票制时代来临——</strong></p><p> </p><p> 继陕西、安徽后，耗材两票制会在更多<strong><span style="color: rgb(0, 153, 102);">药品</span></strong>两票制实施较成熟地区跟进施行，器械和耗材两票制时代来临，全国已有的药械四大采购联盟将首先对耗材实施系列降价，联盟地区内的医院二次议价将兴起，而各城市大医院的耗材占比将会成为下步严控趋势。</p><p> </p><p><strong> 2</strong><strong>、“普通”器械遭淘汰——</strong></p><p> </p><p> 器械鼓励国产替代进口首先会在基层得到政策扶持，但上市和准入趋严，大量竟争性耗材、器械和未有明确治疗效果的药械类产品会迎来大量淘汰，但也将会有更多产品进入统一医保。</p><p> </p><p><strong> 3</strong><strong>、基药和低价药翻身——</strong></p><p> </p><p> 随着城市三级医院限抗令取消门诊的推进，城市以社区卫生服务中心、农材以县级医院为代表的基层门诊量会显著提高，基药和低价药利好。</p><p> </p><p><strong> 4</strong><strong>、靠谱专科中成药口服制剂普涨——</strong></p><p> </p><p> 2018下半年起，随着化药一致性评价和中药注射剂的进一步整治的推进，限抗令的严格实施，中成药口服制剂在门诊将进入替代化药口服制剂时期，确有疗效的专科用中成药口服制剂将获得普涨。</p><p> </p><p><strong> 5</strong><strong>、不同医保支付价控费——</strong></p><p> </p><p> 随着2018年一致性评价最后关口的到来，已放弃评价的大量仿制化药会主动退出市场，但经一致性评价后，同质同价会成为国策，各省落地实施后虽有变化但执行国家政策的主基调不会动，最大变局是利用不同的医保支付价作为手段来继续控费，整体上国产价格会触底反弹，上调幅度仅在5%-15%之间，但外企原研产品会有持续大的降幅。</p><p> </p><p><strong> 6</strong><strong>、三级医院开抢基层医院——</strong></p><p> </p><p> 2018年起，居于城市人口稠密地区的社区卫生服务中将随着以三甲医院为首的城市医联体兴起而走向变相托管模式，三级医院间以乡镇卫生院和社区卫生服务中心为目标的争夺战将愈演愈烈。</p><p> </p><p><strong> 7</strong><strong>、进入争夺县级三甲时期——</strong></p><p> </p><p> 2018年至2020年，县级医院在分级诊疗的驱动下将全面进入争夺县级三甲时期，这也将迎来对医生资源的争夺，而其中最吸引医生选择基层的三件砝码将是没有附加条款的编制、比邻一线城市的地理位置，以及当地的城市化水平。</p><p> </p><p><strong> 8</strong><strong>、低价药政策放宽——</strong></p><p> </p><p> 2018年起随着降价的持续，大量大普类化药产品会因此进入低价药行业，厂家在持续降价前放弃此类产品生产转向赢利性产品，迫使各地进一步放宽低价药政策，以避免用药荒的出现。</p><p> </p><p><strong> 9</strong><strong>、中药注射剂整治进入收割期——</strong></p><p> </p><p> 中药注射剂上市后安全性再评价实施政策将在三年内正式出台，但在2018年后，中药注射剂市场因大部份已上市产品进入淘汰和新产品上市受限，给留下来的中药注射剂腾出巨大空间，走势看好。</p><p> </p><p><strong> 10</strong><strong>、目录调整至白名单模式——</strong></p><p> </p><p> 自2018年《重点监控产品目录》和《辅助用药目录》经历黑名单时代后，国家至各省将会调至白名单模式，最大可能是在经历一年一调的短暂时期后，进入两年一调模式，有进有出。</p><p> </p><p><strong> 11</strong><strong>、医生执业联合体出现——</strong></p><p> </p><p> 自2018年下半年起，医生从体制内的多点执业试点，将走向自由执业时代，医生经纪人这一新职业将顺势而生，脱离体制干涉后的医生执业联合体模式出现。</p><p> </p><p><strong> 12</strong><strong>、医药商业龙头与地方龙头合作分市场——</strong></p><p> </p><p> 随着两票制的全面推进，2018-2020年国营背景的商业流通企业将全面进入跑马圈地时期，在与当地经两票制后留存下来的地方商业头激烈竟争，进入全面战略合作，并由双方占取85%以上的市场配送份额，本轮商业整治由此宣告结束。</p><p> </p><p><strong> 13</strong><strong>、直营+</strong><strong>推广外包——</strong></p><p> </p><p> 随着<strong><span style="color: rgb(0, 153, 102);">医药</span></strong>代表备案制的实施，85%以上的企业将会走向直营与推广外包两种形态共存模式，以此解决市场控制和财务风险问题，更多的合作创新模式将会涌现，但厂家与部分原转型后的<strong><span style="color: rgb(0, 153, 102);">代理</span></strong>将进入同持批文、合伙共建时代。</p><p> </p><p><strong> 14</strong><strong>、这些药代大涨薪——</strong></p><p> </p><p> 代表备案制的实施将大量淘汰原不具备专业化合规化推广的普通医药代表，代表队伍不再人满为患，但具备专业化合规推广能力的代表将成为稀缺人才，薪资看涨的同时，为减轻人资成本和多渠道影响医生处方，数字化营销从外企走入民企，但如何不止停留在医学信息交换，而能帮助到医生更好与患者交流，以此累积患者源成为吸引医生关注的重器，<strong><span style="color: rgb(0, 153, 102);">企业</span></strong>出于此将长远考虑筹建自有平台或出资控股，以此更好的迎合目标医生个性化和需求。</p><p> </p><p><strong> 15</strong><strong>、学术策划一将难求——</strong></p><p> </p><p> 在产品仿制数量走低，临床准入门槛越来越精准严厉的大环境影响下，老产品的二次定位、开发和拟上市产品的学术性策划需求愈趋迫切，产品学术性定位、策划外包模式走入市场，研发和精于学术策划的人才需求走高，一将难求。</p><p> </p><p><strong> 16</strong><strong>、县级以上<span style="color: rgb(0, 153, 102);">医院</span></strong><strong>收购潮——</strong></p><p> </p><p> 部份县级以上医院的收购会掀起大企业新一轮的投资潮，利用大医院来开辟更多的分院和超大城市社区卫生服务中心是企业实现以小搏大的初衷和谋局。</p><p> </p><p><strong> </strong></p><p><img data-s="300,640" data-type="png" src="http://mmbiz.qpic.cn/mmbiz_png/dx3KibwtDhve6H7fq4kcX0HVs692ukRv1iamrvZCcFP8VxSLr4lPcJZz8Zf1r1hwRK3xwTGtyMweGHRiby2uUNgPQ/0?wx_fmt=png" data-copyright="0" style="" class="" data-ratio="0.7104377104377104" data-w="594" /></p><p><br /></p><p><br /></p><p><br /></p><p style="font-size: 16px;white-space: normal;line-height: 25.6px;max-width: 100%;min-height: 1em;color: rgb(62, 62, 62);text-align: center;font-family: 微软雅黑;box-sizing: border-box !important;word-wrap: break-word !important;background-color: rgb(255, 255, 255);"><strong style="max-width: 100%;letter-spacing: 0.5px;line-height: 28px;box-sizing: border-box !important;word-wrap: break-word !important;"><span style="max-width: 100%;font-size: 15px;box-sizing: border-box !important;word-wrap: break-word !important;"><strong style="max-width: 100%;font-size: 16px;letter-spacing: 1px;line-height: 25.6px;white-space: pre;color: rgb(68, 68, 68);font-family: 宋体;box-sizing: border-box !important;word-wrap: break-word 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rgb(95, 73, 122);font-size: 14px;line-height: 24.381px;text-align: justify;box-sizing: border-box !important;word-wrap: break-word !important;"><span style="font-size: 18px;max-width: 100%;color: rgb(62, 62, 62);line-height: 25px;text-align: center;box-sizing: border-box !important;word-wrap: break-word !important;"><br style="max-width: 100%;box-sizing: border-box !important;word-wrap: break-word !important;" /></span></strong></strong></strong></span></strong></p><p style="font-size: 16px;white-space: normal;line-height: 25.6px;max-width: 100%;min-height: 1em;color: rgb(62, 62, 62);text-align: center;font-family: 微软雅黑;box-sizing: border-box !important;word-wrap: break-word !important;background-color: rgb(255, 255, 255);"><strong style="max-width: 100%;letter-spacing: 0.5px;line-height: 28px;box-sizing: border-box !important;word-wrap: break-word !important;"><span style="max-width: 100%;font-size: 15px;box-sizing: border-box !important;word-wrap: break-word !important;"><strong 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!important;word-wrap: break-word !important;background-color: rgb(255, 255, 255);"><strong style="max-width: 100%;letter-spacing: 0.5px;line-height: 28px;box-sizing: border-box !important;word-wrap: break-word !important;"><span style="max-width: 100%;font-size: 15px;box-sizing: border-box !important;word-wrap: break-word !important;"><strong style="max-width: 100%;font-size: 16px;letter-spacing: 1px;line-height: 25.6px;white-space: pre;color: rgb(68, 68, 68);font-family: 宋体;box-sizing: border-box !important;word-wrap: break-word !important;"><strong style="max-width: 100%;box-sizing: border-box !important;word-wrap: break-word !important;"><strong style="max-width: 100%;color: rgb(95, 73, 122);font-size: 14px;line-height: 24.381px;text-align: justify;box-sizing: border-box !important;word-wrap: break-word !important;"><span style="max-width: 100%;font-size: 18px;color: rgb(62, 62, 62);line-height: 25px;text-align: center;box-sizing: border-box !important;word-wrap: break-word 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!important;word-wrap: break-word !important;">地址：广州市天河区银利街银利茶叶博览中心E栋4楼E4030室 </span></p><p style="text-indent: 0em;white-space: normal;max-width: 100%;min-height: 1em;color: rgb(62, 62, 62);font-size: 12px;font-family: Arial, Verdana, sans-serif;line-height: 1.75em;box-sizing: border-box !important;word-wrap: break-word !important;background-color: rgb(255, 255, 255);"><span style="max-width: 100%;font-size: 14px;line-height: 1.75em;box-sizing: border-box !important;word-wrap: break-word !important;">邮编：510507</span></p><p style="text-indent: 0em;white-space: normal;max-width: 100%;min-height: 1em;color: rgb(62, 62, 62);font-size: 12px;font-family: Arial, Verdana, sans-serif;line-height: 1.75em;box-sizing: border-box !important;word-wrap: break-word !important;background-color: rgb(255, 255, 255);"><span style="max-width: 100%;font-size: 14px;box-sizing: border-box !important;word-wrap: break-word !important;">电话：(+86)020-8722 8723 8764 5360 </span></p><p style="text-indent: 0em;white-space: normal;max-width: 100%;min-height: 1em;color: rgb(62, 62, 62);font-size: 12px;font-family: Arial, Verdana, sans-serif;line-height: 1.75em;box-sizing: border-box !important;word-wrap: break-word !important;background-color: rgb(255, 255, 255);"><span style="max-width: 100%;font-size: 14px;box-sizing: border-box !important;word-wrap: break-word !important;">传真：020-8722 8623</span></p><p style="text-indent: 0em;white-space: normal;max-width: 100%;min-height: 1em;color: rgb(62, 62, 62);font-size: 12px;font-family: Arial, Verdana, sans-serif;line-height: 1.75em;box-sizing: border-box !important;word-wrap: break-word !important;background-color: rgb(255, 255, 255);"><span style="max-width: 100%;font-size: 14px;box-sizing: border-box !important;word-wrap: break-word !important;">全国统一免费服务热线：400-020-6788</span></p><p style="text-indent: 0em;white-space: normal;max-width: 100%;min-height: 1em;color: rgb(62, 62, 62);font-size: 12px;font-family: Arial, Verdana, sans-serif;line-height: 1.75em;box-sizing: border-box !important;word-wrap: break-word !important;background-color: rgb(255, 255, 255);"><span style="max-width: 100%;font-size: 16px;line-height: 24.381px;box-sizing: border-box !important;word-wrap: break-word !important;">公司官网：http://gb.parts-ultrasound.com/</span><span style="max-width: 100%;font-size: 14px;box-sizing: border-box !important;word-wrap: break-word !important;"></span></p><p style="font-size: 16px;white-space: normal;max-width: 100%;min-height: 1em;color: rgb(62, 62, 62);font-family: 微软雅黑;line-height: 24.381px;box-sizing: border-box !important;word-wrap: break-word !important;background-color: rgb(255, 255, 255);"><span style="max-width: 100%;line-height: 1.75em;text-indent: 0em;font-size: 14px;font-family: Arial, Verdana, sans-serif;box-sizing: border-box !important;word-wrap: break-word !important;">微信公众帐号：</span></p><p style="font-size: 16px;white-space: normal;line-height: 25.6px;max-width: 100%;min-height: 1em;color: rgb(62, 62, 62);text-align: center;font-family: 微软雅黑;box-sizing: border-box !important;word-wrap: break-word !important;background-color: rgb(255, 255, 255);"><img class="" data-ratio="1" data-s="300,640" src="http://mmbiz.qpic.cn/mmbiz_jpg/dx3KibwtDhvfh2wVX4NftfnfjcZWIKK6EQDWtTTsYwjfQBnsqkThAZP5OlDmg5S3g22gSqMWhAxr2O4MydSJHnQ/640?wx_fmt=jpeg" data-type="jpeg" data-w="258" width="auto" style="float: left;box-sizing: border-box !important;word-wrap: break-word !important;visibility: visible !important;width: auto !important;" /></p><p style="text-indent: 0em;white-space: normal;max-width: 100%;min-height: 1em;color: rgb(62, 62, 62);font-size: 12px;font-family: Arial, Verdana, sans-serif;line-height: 1.75em;box-sizing: border-box !important;word-wrap: break-word !important;background-color: rgb(255, 255, 255);"><span style="max-width: 100%;font-size: 14px;box-sizing: border-box !important;word-wrap: break-word !important;">维修咨询：QQ: 712638 404</span><br style="max-width: 100%;box-sizing: border-box !important;word-wrap: break-word !important;" /></p><p style="text-indent: 0em;white-space: normal;max-width: 100%;min-height: 1em;color: rgb(62, 62, 62);font-size: 12px;font-family: Arial, Verdana, sans-serif;line-height: 1.75em;box-sizing: border-box !important;word-wrap: break-word !important;background-color: rgb(255, 255, 255);"><span style="max-width: 100%;font-size: 14px;box-sizing: border-box !important;word-wrap: break-word !important;">设备咨询: QQ: 712638 405</span></p><p style="font-size: 16px;white-space: normal;max-width: 100%;min-height: 1em;color: rgb(62, 62, 62);font-family: 微软雅黑;line-height: 24.381px;box-sizing: border-box !important;word-wrap: break-word !important;background-color: rgb(255, 255, 255);"><span style="max-width: 100%;font-size: 14px;font-family: Arial, Verdana, sans-serif;line-height: 1.75em;text-indent: 0em;box-sizing: border-box !important;word-wrap: break-word !important;">软件咨询：QQ: 712638 406</span><br style="max-width: 100%;box-sizing: border-box !important;word-wrap: break-word !important;" /></p><p style="text-indent: 0em;white-space: normal;max-width: 100%;min-height: 1em;color: rgb(62, 62, 62);font-size: 12px;font-family: Arial, Verdana, sans-serif;line-height: 1.75em;box-sizing: border-box !important;word-wrap: break-word !important;background-color: rgb(255, 255, 255);"><span style="max-width: 100%;font-size: 14px;box-sizing: border-box !important;word-wrap: break-word !important;">配件咨询：QQ: 712638 407</span></p><p style="text-indent: 0em;white-space: normal;max-width: 100%;min-height: 1em;color: rgb(62, 62, 62);font-size: 12px;font-family: Arial, Verdana, sans-serif;line-height: 1.75em;box-sizing: border-box !important;word-wrap: break-word !important;background-color: rgb(255, 255, 255);"><span style="max-width: 100%;font-size: 14px;box-sizing: border-box !important;word-wrap: break-word !important;">交流Q群：1106 11074</span></p><p style="text-indent: 0em;white-space: normal;max-width: 100%;min-height: 1em;color: rgb(62, 62, 62);font-size: 12px;font-family: Arial, Verdana, sans-serif;line-height: 1.75em;box-sizing: border-box !important;word-wrap: break-word !important;background-color: rgb(255, 255, 255);"><span style="max-width: 100%;font-size: 14px;box-sizing: border-box !important;word-wrap: break-word !important;"><span style="max-width: 100%;">阿里店铺网址：</span><span style="max-width: 100%;">https://renchengyiliao.1688.com</span></span></p><p style="text-indent: 0em;white-space: normal;max-width: 100%;min-height: 1em;color: rgb(62, 62, 62);font-size: 12px;font-family: Arial, Verdana, sans-serif;line-height: 1.75em;box-sizing: border-box !important;word-wrap: break-word !important;background-color: rgb(255, 255, 255);"><span style="max-width: 100%;font-size: 14px;box-sizing: border-box !important;word-wrap: break-word !important;">电子邮箱：service@yiliaoshebeiweixiu.com</span></p><p><br /></p>
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发表于 2020-10-19 23:01:54