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我国公立医院药品带量采购制度实施状况研究
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| 篇名： | 我国公立医院药品带量采购制度实施状况研究 |
| TITLE： | |
| 摘要： | 目的：为完善我国公立医院药品采购制度提供参考。方法：检索2015年国务院7号和国家卫生和计划生育委员会70号文发布后各省药品集中采购文件，搜集药品中标数据，分析药品带量采购的形式及实施情况。结果：带量采购包括分散带量采购、国家集中带量采购和省级集中带量采购3种形式。分散带量采购存在实际采购价格不透明、个别省份采购类似“二次议价”等情况；国家集中带量采购执行情况良好；省级集中带量采购尚未大规模执行，仅上海进行集中带量采购试点，且试点效果较好。结论：为推进带量采购，建议在政府公开文件中明确“带量采购”的定义；公开分散带量采购的实际采购价格；各省试行不区分质量层次的集中带量采购；改良区分质量层次的集中带量采购；完善配套措施，如医院采购系统和省际采购平台、医保资金预付机制等。 |
| ABSTRACT： | OBJECTIVE： To provide reference for improving the drug procurement system of public hospitals in China. METHODS： The drug collective procurement documents in each province were retrieved after publishing the document [2015] No.7 of the State Council and the document [2015] No.70 of the National Health and Family Planning Commission， the drug bidding data was collected， and form and implementation of drug procurement with target quantity were analyzed. RESULTS： Procurement with target quantity included scattered procurement with target quantity， national centralized procurement with target quantity and provincial centralized procurement with target quantity. In scattered procurement with target quantity， actual purchase price was opaque， and the procurement was similar to “second negotiation” in individual province. National centralized procurement with target quantity was implemented well. Provincial centralized procurement with target quantity was not fully implemented， only Shanghai carried out centralized procurement with target quantity， and the pilot had good effects. CONCLUSIONS： In order to promote procurement with target quantity， it’s suggested that we should definite “procurement with target quantity” in the governmental document， publish actual procurement price of scattered procurement with target quantity， try to implement centralized procurement with target quantity without quality levels distinguished， improve the centralized procurement with target quantity with quality levels distinguished and improve supporting measures， such as hospital procurement system， provincial procurement platform， pre-payment mechanism by health-care funds， and so on. |
| 期刊： | 2017年第28卷第31期 |
| 作者： | 尤晓敏，吕旭峰，杨悦 |
| AUTHORS： | YOU Xiaomin，LYU Xufeng，YANG Yue |
| 关键字： | 公立医院；药品采购；带量采购；落实情况 |
| KEYWORDS： | Public hospital； Drug purchasing； Procurement with target quantity； Implementing status |
| 阅读数： | 2183 次 |
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