[年报]一致B(200028):2021年年度报告(英文版)

时间:2022年03月30日 01:25:27 中财网

原标题:一致B:2021年年度报告(英文版)

China
NationalAccordMedicinesCorporation
Ltd.
Annual
Report
2021


March
2022



Section
I.
Important
Notice,
Contents
and
Interpretation


Board
of
Directors,
Supervisory
Committee,
all
directors,
supervisors
and
senior
executives
of
China
National
Accord
Medicines
Corporation
Ltd.
(hereinafter
referred
to
as
the
Company)
hereby
confirm
that
there
are
no
any
fictitious
statements,
misleading
statements,
or
important
omissions
carried
in
this
report,
and
shall
take
all
responsibilities,
individual
and/or
joint,
for
the
reality,
accuracyandcompletionofthewholecontents.
Lin
Zhaoxiong,
Principal
of
the
Company,
Gu
Guolin,
person
in
charger
of
accounting
works
and
Wang
Ying,
person
in
charge
of
accounting
organ
(accounting
principal)
hereby
confirm
that
the
Financial
Report
of
2021
Annual
Reportisauthentic,accurateandcomplete.
AlldirectorsareattendedtheBoardMeetingforreportdeliberation.


The
profit
distribution
plan
that
deliberated
and
approved
by
the
Board
is:
based
on
total
stock
issued
428,126,983
shares,
distributed
6.00Yuan
(tax
included)
bonus
in
cash
for
every
10-share
hold
by
all
shareholders,
0
shares
bonusissued(taxincluded)andnocapitalizingofcommonreservescarriedout.



Contents


Sction
I
Important
Notice,
Contents
andInterpretation................................................................1
Section
II
Company
Profile
andMain
Financial
Indexes...............................................................5
Section
III
Management
DiscussionandAnalysis.........................................................................10
Section
IV
Corporate
Governance..................................................................错误!未定义书签。

SectionVEnviornmental
andSocial
Responsibility.....................................错误!未定义书签。

Section
VI
Important
Events
..........................................................................................................83
Section
VII
Changes
in
shares
andparticular
about
shareholders...........错误!未定义书签。

9
Section
VIII
Preferred
Stock.........................................................................错误!未定义书签。

9
Section
IX
Bonds............................................................................................错误!未定义书签。

0
Section
X
Financial
Report............................................................................错误!未定义书签。

1



DocumentsAvailable
forReference


I.The
financialstatements
carried
withthe
signature
andseals
of
the
personin
charge
of
the
Company,
personinchargerofaccountingworksandpersoninchargeofaccounting
organ(accounting
supervisor);


II.The
originalauditreport
bearingthe
seal
of
accounting
firm
and
the
originalaudit
report
signed
andseal
bythe
CPA;


III.Originaltext
of
alldocuments
of
the
Company
aswellas
the
manuscript
of
the
announcement
disclosedon
the
website
designated
byCSRC.



Interpretation


Items
Refers
to
Contents
Listed
Company,
Company,
the
Company,
Sinopharm
Accord,
the
Group
Refers
to
China
National
Accord
Medicines
Corporation
Ltd.
SINOPHARM
Refers
to
China
National
Pharmaceutical
Group
Corporation
Sinopharm
Holding
Refers
to
Sinopharm
Group
Co.,
Ltd,
Controlling
shareholder
of
the
Company
Company
Law
Refers
to
Company
Law
of
the
People’s
Republic
of
China
Securities
Law
Refers
to
Securities
Law
of
the
People’s
Republic
of
China
Yuan,
10
thousand
Yuan,
100
million
Yuan
Refers
to
RMB,
RMB
10
thousand,
RMB
100
million
Terminology:
Refers
to
4D
business
Refers
to
SPD
hospital
logistics
supply
chain
extension
business,
IVD
diagnostic
reagent
business,
CSSD
disinfection
service,
and
MWD
equipment
life
cycle
management
business
GPO
Refers
to
Group
purchasing
organizations
Abbreviation:
Refers
to
Sinopharm
Holding
Guangzhou
Refers
to
Sinopharm
Holding
Guangzhou
Co.,
Ltd.
Guoda
Drugstore
Refers
to
Sinopharm
Holding
Guoda
Drugstore
Co.,
Ltd.
Sinopharm
Holding
Guangxi
Refers
to
Sinopharm
Holding
Guangxi
Co.,
Ltd.
China
National
Zhijun
Refers
to
China
National
Zhijun
(Shenzhen)
Pharmaceutical
Co.,
Ltd.
Zhijun
Pharmacy
Trade
Refers
to
Shenzhen
Zhijun
Pharmacy
Trade
Co.,
Ltd.
Zhijun
Pingshan
Refers
to
China
National
Zhijun
(Shenzhen)
Pingshan
Pharmaceutical
Co.,
Ltd.
Main
Luck
Pharmaceuticals
Refers
to
Shenzhen
Main
Luck
Pharmaceuticals
Inc.



Section
II
Company
Profile
and
Main
Financial
Indexes


I.
Company
information
Short
form
of
the
stock
Sinopharm
Accord,
Accord
B
Stock
code
000028,
200028
Stock
exchange
for
listing
Shenzhen
Stock
Exchange
Name
of
the
Company
(in
Chinese)
国药集团一致药业股份有限公司
Short
form
of
the
Company
(in
Chinese)
国药一致
Foreign
name
of
the
Company
(if
applicable)
China
NationalAccord
Medicines
Corporation
Ltd.
Short
form
of
foreign
name
of
the
Company
(if
applicable)
SinopharmAccord
Legal
representative
Lin
Zhaoxiong
Registrations
add.
Accord
Pharm.
Bldg
,
No.
15,
Ba
Gua
Si
Road,
Futian
District,
Shenzhen,
Guangdong
Province
Code
for
registrations
add
518029
Historical
changes
in
the
registration
address
No
changes
Offices
add.
Accord
Pharm.
Bldg,
No.
15,
Ba
Gua
Si
Road,
Futian
District,
Shenzhen,
Guangdong
Province
Codes
for
office
add.
518029
Company’s
Internet
Web
Site
http://www.szaccord.com.cn
E-mail
[email protected]


II.
Person/Way
to
contact
Secretary
of
the
Board
Securities
affairs
representative
Name
Chen
Changbing
Wang
Zhaoyu
Contact
add.
Accord
Pharm.
Bldg.,
No.
15,
Ba
Gua
Si
Road,
Futian
District,
Shenzhen,
Guangdong
Province
Accord
Pharm.
Bldg.,
No.
15,
Ba
Gua
Si
Road,
Futian
District,
Shenzhen,
Guangdong
Province
Tel.
+(86)755
25875222
+(86)755
25875222
Fax.
+(86)755
25195435
+(86)755
25195435
E-mail
[email protected]
[email protected]


III.
Information
disclosure
andpreparation
place
Website
of
the
Stock
Exchange
where
the
annual
report
of
the
Company
disclosed
Securities
Times,
China
Securities
Journal,
Hong
Kong
Commercial
Daily
Media
and
Website
where
the
annual
report
of
thehttp://www.szse.cn
;
http://www.cninfo.com.cn



CompanydisclosedPreparationplaceforannualreportSecretariatoftheBoardofDirectorsPreparationplaceforannualreportSecretariatoftheBardofDirectors
IV.
Registration
changes
of
the
Company
Organization
code
91440300192186267U
Changes
of
main
business
since
listing
(if
applicable)
No
change.
Previous
changes
for
controlling
shareholders
(if
applicable)
No
change.


V.
Other
relevant
information
CPA
engaged
by
the
Company


Name
of
CPA
Ernst
&
Young
CPA(Special
General
partnership)
Offices
add.
for
CPA
21/F,
China
Resources
Building,
No.
5001,
Shennan
East
Road,
Luohu
District,
Shenzhen
Signing
accountant
Deng
Dongmei,
Li
Yuanfeng


Sponsor
engaged
by
the
Company
for
performing
continuous
supervision
duties
in
reportingperiod


□Applicable
√Notapplicable
Financial
consultantengaged
by
the
Company
for
performingcontinuous
supervision
duties
in
reporting
period
□Applicable
√Notapplicable
VI.
Main
accounting
data
andfinancialindexes
Whether
it
hasretroactive
adjustmentor
re-statement
on
previousaccounting
data


□Yes
√No
2021
2020
Changes
in
the
current
year
over
the
previous
year
(+,-)
2019
Operating
revenue
(RMB)
68,357,809,571.99
59,649,455,012.03
14.60%
52,786,807,476.28
Net
profit
attributable
to
shareholders
of
the
listed
Company
(RMB)(Note
1)
1,336,427,752.22
1,401,892,593.23
-4.67%
1,267,931,291.32
Net
profit
attributable
to
shareholders
of
the
listed
Company
after
deducting
non-recurring
gains
and
losses
(RMB)
1,286,305,975.28
1,369,652,035.50
-6.09%
1,226,765,271.97
Net
cash
flow
arising
from
operating
activities
(RMB)
1,655,180,976.87
1,502,746,598.47
10.14%
2,012,653,189.74



Basic
earnings
per
share
(RMB/Share)
(Note
1)
3.12
3.27
-4.59%
2.96
Diluted
earnings
per
share
(RMB/Share)
3.12
3.27
-4.59%
2.96
Weighted
average
ROE
(Note
1)
9.29%
10.49%
1.20
percentage
points
down
10.31%
Year-end
of
2021
Year-end
of
2020
Changes
at
end
of
the
current
year
compared
with
the
end
of
previous
year
(+,-)
Year-end
of
2019
Total
assets
(RMB)
42,783,682,431.81
39,594,533,471.65
8.05%
34,028,843,214.20
Net
assets
attributable
to
shareholder
of
listed
company
(RMB)
14,924,938,052.50
13,948,322,652.33
7.00%
12,911,140,435.88


Note
1:
Net
profit
attributable
to
shareholders
of
the
listed
Company
has
4.67%
declined
from
a
year
earlier,
basic
EPS
drop
4.59%
correspondingly,
weighted
average
ROE
decreased
by
1.20
percentage
points,
mainly
because
according
to
the
results
of
impairment
tests
on
goodwill
and
intangible
assets
for
the
year,
follow
the
principle
of
prudence,
the
goodwill
and
intangible
assets
(brand
rights
and
sales
network)
from
subordinate
subsidiary-Shanghai
Dingqun
Enterprise
Management
Consulting
Co.,
Ltd
(and
the
Sinopharm
Holding
Tianhe
Pharmaceutical
Co.,
Ltd)
are
being
accrued
by
the
Company,
found
more
in
Notice
on
Assets
Impairment
Provision
by
China
National
Accord
Medicines
Corporation
Ltd.
(Notice
No.:
2022-03).
Meanwhile,
there
are
1155
new
director-operated
stores
opened
in
2021
in
the
retail
sector,
with
the
large
initial
investment
and
non
benefits
generated
temporary
and
multiple
influences
as
industry
policies
and
epidemic,
theprofit
space
shrinks.


The
lower
one
ofnet
profit
before
and
after
deducting
the
extraordinary
gains/losses
in
the
last
three
fiscal
years
is
negative,
and
the
auditreportoflast
year
shows
thatthe
ability
to
continue
operating
is
uncertain


□Yes
√No
The
lower
one
ofnet
profit
before
and
after
deducting
the
extraordinary
gains/losses
is
negative
□Yes
√No
VII.
Difference
of
the
accounting
data
under
accounting
rules
inand
out
of
China
1.
Difference
of
the
net
profit
and
net
assets
disclosed
in
financial
report,
under
both
IAS
(International
Accounting
Standards)
and
Chinese
GAAP
(Generally
Accepted
Accounting
Principles)

Applicable

Notapplicable

The
Company
had
no
difference
of
the
net
profit
or
net
assets
disclosed
in
financial
report,
under
either
IAS
(International
Accounting
Standards)or
Chinese
GAAP
(Generally
Accepted
Accounting
Principles)
in
theperiod.


2.
Difference
of
the
net
profit
and
net
assets
disclosed
in
financial
report,
under
both
foreign
accounting
rules
and
Chinese
GAAP
(Generally
Accepted
Accounting
Principles)

Applicable

Notapplicable
The
Company
had
no
difference
of
the
net
profit
or
net
assets
disclosed
in
financial
report,
under
either
foreign
accounting
rules
or
Chinese
GAAP
(Generally
Accepted
AccountingPrinciples)
in
the
period.
VIII.
Quarterly
mainfinancial
index
In
RMB


First
quarter
Second
quarter
Third
quarter
Fourth
quarter
Operating
revenue
16,049,966,325.75
17,113,125,561.64
17,046,925,131.18
18,147,792,553.42
Net
profit
attributable
to
shareholders
of
the
listed
company
328,800,560.24
412,644,453.01
332,710,261.54
262,272,477.43
Net
profit
attributable
to
shareholders
of
the
listed
company
after
deducting
non-recurring
gains
and
losses
321,593,612.98
399,360,795.24
323,929,049.31
241,422,517.75
Net
cash
flow
arising
from
operating
activities
-306,748,999.24
1,536,122,282.81
190,693,254.22
235,114,439.08


Whether
there
are
significant
differences
between
the
above-mentioned
financial
index
or
its
total
number
and
the
relevant
financial
index
disclosed
in
the
company’s
quarterly
reportand
semi-annualreport



Yes

No
IX.
Items
andamounts
of
extraordinary
profit
(gains)/loss
√Applicable
□Notapplicable
In
RMB


Item
2021
2020
2019
Note
Gains/losses
from
the
disposal
of
non-current
asset
(including
the
write-off
that
accrued
for
impairment
of
assets)
2,819,900.34
5,969,522.10
2,340,925.97
The
gains
on
disposal
of
right-to-use
asses
arising
from
off-lease
in
the
period
Governmental
subsidy
reckoned
into
current
gains/losses
(while
closely
related
with
the
75,900,940.54
65,568,137.35
49,299,242.48
Mainly
for
receiving
of
all
kinds
of
special
subsidies



normal
business
of
the
Company,
the
government
subsidy
that
accord
with
the
provision
of
national
policies
and
are
continuously
enjoyed
in
line
with
a
certain
standard
quota
or
quantity
are
excluded)
etc.
in
the
period
Investment
costs
while
acquiring
subsidiaries,
joint
ventures
and
associated
enterprise,
less
than
fair
value
of
the
identifiable
net
assets
from
invested
enterprise
which
should
be
enjoined
219,279.00
70.96
14.65
Negative
goodwill
from
subsidiary
acquisition.
Current
net
gain/losses
of
the
subsidiary
merger
under
the
same
control
from
beginning
of
the
period
to
combination
date
-4,059,241.89
Switch
back
of
provision
for
depreciation
of
account
receivable
that
individually
tested
for
impairment
1,491,750.76
578,362.65
1,310,345.38
Gains
and
losses
from
external
entrusted
loans
3,460,037.16
Consigning
fee
received
for
consigned
operation
961,488.75
Other
non-operating
income
and
expenditure
except
for
the
aforementioned
items
20,642,938.09
-11,819,894.60
17,179,002.78
The
non-operating
income
arising
from
the
written
off
amount
that
does
not
need
to
be
paid
during
the
period
Other
gains/losses
satisfy
a
definition
of
extraordinary
gains/losses
3,891,236.81
3,835,445.51
508,168.93
Less:
Impact
on
income
tax
24,001,469.59
16,223,813.42
17,317,723.70
Impact
on
minority
shareholders’
equity
(post-tax)
30,842,799.01
16,628,761.57
11,554,752.41
Total
50,121,776.94
32,240,557.73
41,166,019.35
--

Details
of
othergains/losses
satisfy
a
definition
ofextraordinarygains/losses
:


□Applicable
√Notapplicable
There
are
no
other
gains/losses
items
thatsatisfy
thedefinitionof
extraordinary
gains/losses
in
theCompany.
Explain
the
items
defined
as
extraordinary
profit
(gain)/loss
according
to
the
lists
of
extraordinary
profit
(gain)/loss
in
Q&A
Announcement
No.1
on
Information
Disclosure
for
Companies
Offering
Their
Securities
to
the
Public
---Extraordinary
Profit/loss
□Applicable
√Notapplicable
There
are
no
items
defined
as
extraordinary
profit
(gain)/loss
according
to
the
lists
of
extraordinary
profit
(gain)/loss
in
Q&A
Announcement
No.1
on
Information
Disclosure
for
Companies
Offering
Their
Securities
to
the
Public
---Extraordinary
Profit/loss

Section
III
Management
Discussion
andAnalysis


I.
Industry
the
Company
operates
during
the
reportingperiod
The
Company
shallcomply
with
the
relevant
disclosure
requirement
for
retailing
industries
of
Shenzhen
Stock
Exchange
Self-
Regulatory
Guidelines
for
Listed
Companies
No.3
-Disclosure
of
Industry
Information


(1)
Macro
environment
of
the
industry
2021
is
the
first
year
of
China’s
14th
Five-Year
Plan,
macro
environment
continues
to
changes.Under
the
epidemic
background,
China’s
economy
continues
to
recover
with
steady
growth
in
GDP
and
high-quality
in
development;
with
frequently
introduction
of
the
medical
reform
policy,
the
country’s
implementation
of
Healthy
China
Strategy
has
promoted
the
balanced
distribution
of
high-quality
medical
resources;
The
aggravating
trend
of
aging
population
and
universal
three-child
policy
made
the
market
demand
of
health
industry,
sanatoria
service
industry
combining
medical
care
&
health
care
and
pediatric
drugs
getting
higher.
With
the
release
of
Outline
Development
Plan
for
the
Guangdong-Hong
Kong-Macao
Greater
Bay
Area
and
introduction
of
several
polices,
the
construction
of
Greater
Bay
Area
in
terms
of
health
care
earns
a
new
profit.
(2)
Basic
information,
development
stages
andperiodicfeatures
ofthe
industry
In
2021,
the
pharmaceutical
industry
embrace
greater
challenges
and
opportunities
due
to
the
continues
soaring
of
pharmaceutical
market,
sustainable
deepening
of
medical
insurance,
hospital
and
drug
industry
co-reformation
andintensive
introduction
ofmedical
industry.


1.
Development
of
pharmaceutical
terminal
market
In
2021,
terminal
market
of
the
pharmaceutical
starting
warming
up.
However,
affected
by
the
numerous
spread
of
epidemic
and
acceleration
of
the
centralized
procurement,
development
of
pharmaceutical
terminal
market
continuesto
be
under
pressure.
According
to
the
statistics
of
the
PDB
(data
released
by
PHIIC)
domestic
sample
hospitals
market,
the
market
size
of
sample
hospitals
in
the
first
three
quarters
of
2021
rebounded
by
10.24%
compared
to
the
same
period
of
2020.
However,
due
to
the
lower
base
number
in
2020
and
affected
by
factors
as
epidemic
and
centralized
procurement,
the
growth
of
hospital
market
month-on-month
continues
to
slow
down.
The
third
quarter
of
2021
only
has
1.86%
up
from
the
second
quarter,
the
sales
from
hospital
market
in
the
whole
year
of
2021have
a
certain
gap
with
that
of
2019.



According
to
the
drug
retails
from
China
Monitor
Health(CMH),
sales
volume
of
the
retail
pharmacies
increased
by
3.0%
nationwide
in
the
first
three
quarters
of
2021.
In
the
second
half
of
the
year,
under
the
influence
of
recurrence
of
epidemic
in
local
areas
of
the
country,
the
epidemic
prevention
&
control
measures
of
retail
pharmacies
in
some
areas
are
becoming
stricter.
Ban
on
the
sale
of
epidemic
drugs
and
affected
by
the
centralized
procurement
of
medical
institutions,
some
patients
returned
to
the
hospitals
and
primary
medical
institutions,
the
customer
flow
from
retail
pharmacies
has
been
challenged
with
just
0.3%
up
month-to-month
in
the
third
quarter.


2.
Pharmaceutical
industry
policesand
influences
The
medical
industry
polices
intensively
introduced,
and
co-reformation
of
medical
insurance,
hospital
and
drug
industry
are
continued
deepening
in
2021.
In
terms
of
medicine,
mainly
involves
the
policies
as
drug
registration
&
approval,
bulk
drugs,
drug
patent,
drug
vigilance,
TCM
and
formula
granule
development;
In
terms
of
medical
insurance,
policies
as
volume-based
procurement,
adjustment
&
negotiation
of
medical
insurance
catalogue,
medical
insurance
“dual
channel”,
DRG/DIP
payment
and
medical
insurance
for
urban
&
rural
residents
are
included;
and
in
terms
of
medical
treatment,
mainly
includes
long-term
prescriptions,
reforms
at
public
hospitals,
hierarchical
medical,
reformation
of
medical
health
care
services
and
experience
of
Sanming’s
medical
reformation
in
promoting.
(1)
Normalization
&
institutionalization
of
volume-based
procurement
and
gradual
expansion
of
coverage
have
a
great
impact
onpharmaceutical
industry
Six
batches
of
centralized
procurement
for
drugs
are
organized
by
the
state,
234
kinds
of
drugs
procured
in
total,
and
the
market
amount
accounts
for
around
30%
of
the
chemical
and
biological
drugs
procured
by
public
medical
institutions.
Special
procurement
of
insulin
was
carried
out
in
2021,
expanding
the
centralized
procurement
from
chemical
drugs
to
biological
drugs
for
the
first
time.
Centralized
procurement
of
high-value
medical
consumables
are
focus
on
cardiology
and
orthopedics,
the
two
most
concerned
areas
to
the
general
public.
The
concentrated
purchase
of
heart
stent
has
been
running
for
a
year
smoothly,
and
1.69
million
selected
stents
being
used,
nearly


1.6
times
of
the
annual
agreed
procurement
quantity.
In
2021,
the
concentrated
purchase
of
joint
prosthesis
are
organized
by
the
state
against
orthopedic
consumables
which
is
more
complicate
to
further
expand
the
coverage
of
reforms.
Impact
of
volume-based
procurement
on
pharmaceutical
business:
squeezed
sales
revenue
and
gross
margin
have
a
great
impact
on
the
revenue
growth
and
profit
space
of
the
commercial
enterprises;
soaring
distribution
costs,
higher
demanding
of
delivery
frequency
for
centralized
procurement
varieties,
especially
the
primary
care
institutions
newly
operates,
the
single
purchasing
quantity
is
small
and
frequency
of
delivery
is
high,
which
increases
the
distribution
costs
significantly;
the
distance
had
been
enlarged
between
medical
commercial
enterprises,
and
the
increment
of
centralized
procurement
varieties
brings
challenges
and
opportunities
to
the
commercial
enterprises:
due
to
the
factors
as
scaling,
collectivization,
informatizaion
and
capital
chain,
the
puny
commercial
enterprises
have
beenunable
to
sustain
and
undertake



the
burden
of
volume-based
procurement;
Instead,
the
large
pharmaceutical
commercial
enterprises
owns
numerous
variety
of
reserves,
abundance
in
capital,
fast
delivery
capability
and
wide
range
of
hospital
accounts,
which
provides
convenient
conditions
for
enterprises.
Although
the
overall
gross
profit
from
distribution
decreased,
the
industry
status
will
be
further
consolidated
as
part
of
the
costs
digested
by
size
effect
of
volume-based
procurement.


Impact
of
volume-based
procurement
on
pharmacy
retail:Wining
varieties
are
selected
by
cutting
prices,
and
the
prices
hang
upside
down
among
varieties
operated
in
drug
store,
facing
pressure
to
reduce
the
prices.
even
though
participate
in
centralized
procurement
and
solve
the
channel
problems,
we
still
facing
price
pressure;
monomer
pharmacies
have
lost
the
competitive
advantages
under
the
trend
of
centralized
procurement
when
the
speed
of
mergers
&
acquisition
accelerated,
the
rate
of
chain
for
drug
stores
improve
one
more
step
as
the
acceleration
of
pharmacy
mergers
&
acquisition;
speeding
up
the
online
layout
and
reducingthe
drugprices,
the
drugstore
gradually
develops
online
businessas
the
operation
costs
goes
up.


(2)
Promoting
establishment
of
hierarchic
care
and
medical
partnerships,
the
grassroots
market
is
gradually
being
opened
up
On
November
4,
2021,
the
National
Health
Commission
printed
and
issued
the
1,000
Counties
Projects
-
Work
Plan
of
the
Comprehensive
Capacity
Improvement
for
County-level
Hospitals
(2021-2025)
,
to
meet
the
needs
of
peoples
in
county
ares
for
medical
services
as
the
starting
point,
consolidated
and
expended
the
effective
connection
between
the
achievements
in
poverty
alleviation
and
rural
revitalization,
speeding
up
and
improve
the
hierarchic
care
system,
promoting
the
county-level
hospitals
to
a
high-quality
development
stage.
And
strive
for
5
years
of
hard
working,
1000
county-level
hospitals
at
least
across
the
country
have
reached
the
medical
service
standard
of
third-class
hospitals,
laying
a
solid
foundation
for
achieving
the
solution
of
general
diseases
in
cities
andcounties.


On
22
November
2021,
the
general
office
of
National
Health
Commission
printed
and
issued
the
Notice
on
Promotion
of
Sanming’s
Experience
in
Hierarchic
Medical
and
Establishment
of
Medical
Partnership,
it
is


proposed
to
build
a
hierarchic
medical
pattern
with
primary
diagnosis
construction,
two-way
referral
and
upper
&
lower
linkage,
focus
on
promoting
high-quality
development
of
public
hospitals,
and
advancing
8
key
tasks
of
hierarchic
medical
and
constructionof
medical
partnership.


The
hierarchic
medical
and
construction
of
medical
partnership
will
force
the
hospital
joint
procurement
and
medical
insurance
-priced
to
the
ground.
Firstly,
unify
the
catalog.
The
minimum
threshold
for
drugs
in
catalog
will
be
price;
expending
the
promotion
areas,
once
in
the
procurement
catalog,
it
means
the
products
have
access
to
multiple
hospitals
within
the
medical
partnership,
the
huge-crowd
strategy
in
the
past
that
running
to
the
hospital
for
drugs
is
expected
to
reduce
costs.
Secondly,
unify
the
distribution.
The
initiative
of
medical



institutions
to
upstream
distribution
business
and
pharmaceutical
enterprises
has
been
improved
greatly,
whether
second
bargaining
or
distribution,
payment
collection,
the
trend
of
medical
institution
suppress
upper-andmidstream
industry
&
commerce
is
harder
to
reverse.
Finally,
volume-based
procurement.
Quantity
and
pricing
connected
and
reducing
price
by
quantity,
on
the
basis
of
centralized
procurement,
every
single
medical
partnership
further
bargaining
onvolume-based
pricingwith
a
second
bargaining
resulted.


(3)
The
“dual
channel”
help
the
implementation
of
medicines
with
negotiated
prices
and
beneficial
to
the
retail
business
development
The
dual
channel
policy
accelerated
the
prescription
circulation
and
separation
of
dispensing
from
prescription
(SDP),
some
of
the
function
of
original
in-hospital
management
of
drugs
are
transferring
to
the
outside
of
the
hospital,
to
ensure
equal
rules
of
payment
by
medical
insurance
for
compliant
institutions
both
in
and
out
of
the
hospital;
relevant
national
meeting
also
indicated
that
the
supervision
for
medical
insurance
fund
will
be
strengthened
by
enhancing
the
prescription
circulation
center
as
the
core.
In
the
future,
under
the
background (未完)
各版头条