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药品集中带量采购的应急管理机制研究
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| 篇名： | 药品集中带量采购的应急管理机制研究 |
| TITLE： | Study on emergency management mechanism of drug volume-based procurement |
| 摘要： | 目的 为药品集中带量采购（以下简称“集采”）的常态化开展和地方应急管理机制的建立提供参考。方法基于符合我国国情的应急管理全过程均衡理论，参考“6+1”阶段模型，构建药品集采应急管理机制，并据此对2019－2022年我国21个省级药品采购项目进行评价。结果成功构建包括准备、预防、减缓、响应、恢复、学习和监测7个阶段共14项措施在内的药品集采应急管理机制。21个省级药品采购项目的总得分为3～11分，各项目近4年的平均得分在6～7分内小幅波动；在获评的5个阶段中，预防和响应阶段的得分较高，减缓和准备阶段次之，恢复阶段最低；在11项获评的应急管理措施中，有超过半数的平均分大于0.5分，但“确定备选企业选择方式”的平均得分仅为0.19分。结论集采的部分应急管理措施欠缺，应急管理机制仍待完善，不利于应急管理工作开展。采购组织者应着力构建包括所有阶段的完整应急管理机制，明确各阶段的具体措施，从而保证采购的有效、良好运行。 |
| ABSTRACT： | OBJECTIVE To provide reference for the normalization of drug volume-based procurement （hereinafter referred to as “VBP”） and the establishment of local emergency management mechanism. METHODS Based on the equilibrium theory of the whole process of emergency management with Chinese conditions， referring to the “6+1” stage model， the emergency management mechanism of VBP was constructed； 21 provincial-level procurement projects in China from 2019 to 2022 were evaluated accordingly. RESULTS The emergency management mechanism of VBP including 14 measures in 7 stages of preparation， prevention， mitigation， response， recovery， learning and monitoring was successfully constructed. The total score of the 21 provincial-level procurement projects was 3 to 11 points， and the average score of each project in the past 4 years fluctuated slightly within 6 to 7 points. Among the 5 evaluated stages， the scores of the prevention and response stage were relatively high， followed by the mitigation and preparation stage， and the lowest in the recovery stage. Among the 11 rated emergency management measures， more than half had an average score greater than 0.5， but the average score of “determining alternative enterprise selection methods” was only 0.19. CONCLUSIONS Some emergency management measures of drug VBP are lacking， and the emergency management mechanism still needs to be perfected， which is not conducive to the development of emergency management work. The procurement organizer should focus on building a complete emergency management mechanism covering all stages， and clarify the specific measures at each stage， so as to ensure procurement effective and good in operation. |
| 期刊： | 2023年第34卷第08期 |
| 作者： | 邵靖；路云；常峰 |
| AUTHORS： | SHAO Jing，LU Yun，CHANG Feng |
| 关键字： | 药品；集中带量采购；应急管理机制“；6+1”阶段模型 |
| KEYWORDS： | drug； volume-based procurement； emergency management mechanism；“ 6+1” stage model |
| 阅读数： | 168 次 |
| 本月下载数： | 5 次 |
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