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我国地方区域性药品挂网采购的做法分析与思考
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| 篇名： | 我国地方区域性药品挂网采购的做法分析与思考 |
| TITLE： | Analysis and thinking on the practice of local regional drug online procurement in China |
| 摘要： | 目的 系统梳理地方药品挂网采购的主要做法，为国家和地方完善药品挂网采购政策、药品价格形成机制提供借鉴和参考。方法通过检索我国31个省份医疗保障局、药品集中采购平台的官方网站，归纳总结地方药品挂网采购的分类方式和主要目标，并以主要目标为出发点，分析地方药品挂网采购的主要做法，提出相应建议。结果与结论各省份药品挂网采购的分类方式有2种，一种是以挂网或采购方式作为分类依据，另一种是以药品维度作为分类依据。各省份药品挂网采购的主要目标有5个：确保药品价格合理、满足临床用药需求、保障药品供应稳定、配合药品政策落地、规范交易主体行为。为实现这五大目标，各省份均针对性地采取了一些做法，但政策的严格程度存在较大差异。为进一步完善药品挂网采购政策，健全以市场为主导的挂网药品价格形成机制，建议构建挂网采购的顶层设计、加强对同类药品比价关系的管理、充分发挥药品集中采购平台的监测功能和建立全国统一的药品集中采购平台。 |
| ABSTRACT： | OBJECTIVE To systemically sort out the main practices of local drug online procurement， so as to provide reference for national and local governments to improve drug online procurement policies and drug price formation mechanism. METHODS By searching the official websites of 31 provincial medical security bureaus and drug-centralized procurement platforms in China， the classification methods and main goals of local drug online procurement were summarized， then the main practices of local drug online procurement were analyzed based on the main goals， and corresponding suggestion was put forward. RESULTS & CONCLUSIONS There were two classification methods of online drug procurement in each province， one is based on online or purchase methods， and the other is based on drug dimensions. Five main objectives of online drug procurement in each province are to ensure reasonable drug prices， meet clinical drug demand， ensure stable drug supply， cooperate with the implementation of drug policies， and standardize the behavior of transaction subjects. In order to achieve the five goals， each province has taken some targeted measures， but the severity of the policy varies greatly. In order to further improve the online drug procurement policy and improve the market-oriented online drug price formation mechanism， it is suggested to build the top-level design of online drug procurement， strengthen the management of the price comparison relationship of similar drugs， give full play to the monitoring function of the drug-centralized procurement platform and establish a national unified drug-centralized procurement platform. |
| 期刊： | 2023年第34卷第03期 |
| 作者： | 郑朝臣；路云；常峰；崔翔宇 |
| AUTHORS： | ZHENG Chaochen，LU Yun，CHANG Feng，CUI Xiangyu |
| 关键字： | 药品挂网采购；药品价格形成机制；药品集中采购平台 |
| KEYWORDS： | online drug procurement； price formation mechanism； centralized drug procurement platform |
| 阅读数： | 580 次 |
| 本月下载数： | 36 次 |
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