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基于协同集中带量采购政策视角的基本药物制度研究
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| 篇名： | 基于协同集中带量采购政策视角的基本药物制度研究 |
| TITLE： | Study on essential medicine system from the perspective of coordinated with centralized volume-based procurement policy |
| 摘要： | 目的 为基本药物制度的进一步完善提供参考。方法采用统计分析法和比较分析法，分别从现阶段药品集中带量采购（简称“集采”）政策与基本药物制度的直接关联和对后者的间接影响两个方面分析两种制度协同的必要性，并从提高制度协同性的角度提出基本药物制度新时期发展的相关建议。结果与结论集采政策与基本药物制度在政策目标和目录遴选方面存在直接关联，尤其是中选基本药物品种在双重政策的实施下实现了价格下降和供应保障。但集采政策也在药品生产、基本药物目录与中选品种的重合度以及仿制药一致性评价等方面间接“挤兑”了医疗机构的基本药物配备使用空间。建议今后在基本药物目录遴选中可优先考虑集采中选品种，并提高双政策联动下的药品供应保障能力，同时还应进一步加强各主体配备使用基本药物的激励考核，以促进基本药物制度的进一步完善和发展。 |
| ABSTRACT： | OBJECTIVE To provide a reference for further improvement of the essential medicine system. METHODS Statistical analysis method and comparative analysis method were used to explain the necessity of coordination between the two systems from the direct correlation and indirect impact of centralized volume-based procurement on the essential medicine system at the present stage. The relevant suggestions were put forward for the development of the essential medicine system in the new era from the perspective of improving institutional synergy. RESULTS & CONCLUSIONS There was a direct correlation between the policy of centralized procurement and the essential medicine system in terms of policy objectives and medicines selection. However， it also indirectly affects the use of essential medicines in medical institutions through production and supply， coincidence degree between the essential medicine list and the selected variety， and the consistency evaluation of generic drugs. It is suggested that in the selection of essential medicine list in the future， priority should be given to the selection of varieties through centralized procurement， and improve the drug supply guarantee capacity under the dual policy linkage； at the same time， incentive assessments for the allocation and use of essential medicines by various entities should be further strengthened to promote the further improvement and development of the essential medicine system. |
| 期刊： | 2023年第34卷第18期 |
| 作者： | 王欢；霍亚彤；庄倩 |
| AUTHORS： | WANG Huan，HUO Yatong，ZHUANG Qian |
| 关键字： | 基本药物制度；集中带量采购；制度协同；一致性评价 |
| KEYWORDS： | essential medicine system； centralized volume-based procurement； policy linkage； consistency evaluation |
| 阅读数： | 60 次 |
| 本月下载数： | 7 次 |
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