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| 篇名： | 广西医疗机构集中带量采购药品遴选实施与管理专家共识 |
| TITLE： | Expert consensus on the implementation and management of drug selection for centralized volume-based procurement in medical institutions of Guangxi |
| 摘要： | 目的 制定《广西医疗机构集中带量采购药品遴选实施与管理专家共识》（下文简称《共识》），为广西各级医疗机构集中带量采购（下文简称“集采”）药品遴选与管理提供决策支持与实践指导。方法系统梳理广西既往执行药品集采的各批次材料，全面检索药品相关著作、书籍，系统梳理药品遴选相关指南、集采药品专家共识及政策文件等资料，通过召开3轮专题研讨会，结合现有循证依据及各级医疗机构实际遴选经验，经充分讨论、逐轮修订，最终形成《共识》。结果与结论《共识》系统梳理了医疗机构遴选集采药品过程的3个关键阶段——采购需求量填报、协议采购量确认、采购与使用落地；围绕规格、剂型、包装、装量及生产企业等多个维度提出集采药品遴选策略；针对集采药品遴选实践中的现实挑战，提出建立常态化信息储备机制、强化信息技术支持、实施分类遴选等应对策略；倡导医疗机构构建政策、数据与质量“三位一体”的决策体系，推进集采药品全周期管理。本《共识》将为广西各级医疗机构科学开展集采药品遴选工作提供实践指导，助力推动集采政策在医疗机构的平稳落地与持续健康发展。 |
| ABSTRACT： | OBJECTIVE To formulate the Expert Consensus on the Implementation and Management of Drug Selection for Centralized Volume-Based Procurement in Medical Institutions of Guangxi （hereinafter referred to as the “ Consensus ”）， and to provide decision-making support and practical guidance for the drug selection and management of centralized volume-based procurement （hereinafter referred to as “centralized procurement”） drugs in medical institutions at all levels in Guangxi. METHODS A systematic review was conducted on the materials from previous batches of centralized procurement implemented in Guangxi. A comprehensive search was carried out for drug-related works and books， along with a systematic collation of guidelines on drug selection， expert consensus on centralized procurement， and policy documents. Through three rounds of specialized seminars， combined with existing evidence-based data and the practical drug selection experiences of medical institutions at various levels， this Consensus was formulated after thorough discussion and successive rounds of revision. RESULTS & CONCLUSIONS The Consensus systematically outlines the three key stages in the implementation of centralized procurement in medical institutions： procurement volume reporting， confirmation of agreed procurement volume， and procurement and usage implementation. It proposes drug selection strategies for centralized procurement bas ed on multiple dimensions， including specifications， dosage forms， packaging materials， fill volume， and manufacturing enterprises. In response to practical challenges encountered in the selection process， corresponding countermeasures are proposed， such as establishing a regularized information reserve mechanism， strengthening information technology support， and implementing categorized selection approaches. The Consensus advocates for medical institutions to construct an integrated “policy， data， and quality” decision-making system to promote full-cycle management of centralized procurement. This Consensus will provide scientific and practical guidance for medical institutions at all levels in Guangxi in the drug selection of centralized procurement， facilitating the smooth implementation and sustainable development of centralized procurement policies at the institutional level. |
| 期刊： | 2026年第37卷第07期 |
| 作者： | 李婷婷；周甘平；陈燕青；吴冬妮；唐微艳；张宏亮 |
| AUTHORS： | LI Tingting，ZHOU Ganping，CHEN Yanqing，WU Dongni，TANG Weiyan，ZHANG Hongliang |
| 关键字： | 集中带量采购；药品遴选；药品管理；医疗机构；广西；专家共识 |
| KEYWORDS： | centralized volume-based procurement； drug |
| 阅读数： | 4 次 |
| 本月下载数： | 0 次 |
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