药品地市带量采购模式研究进展与福建省各市药品采购模式分析
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篇名: 药品地市带量采购模式研究进展与福建省各市药品采购模式分析
TITLE:
摘要: 目的:为我国药品集中采购模式进一步完善提供依据。方法:检索2015年国务院《关于完善公立医院药品集中采购工作的指导意见》颁布后各省(区、市)发布的和药品集中采购政策文件,了解各省(区、市)在药品地市带量采购的具体模式进展;分析典型省份福建省各市的药品采购模式。结果与结论:截至2017年8月31日,全国有12个省(区、市)正式实施了地市带量采购模式,具体模式包括以医联体组成形式为主体[包括以地市为单位、以地市为单位+医院联合、全省(区、市)仅一个医联体]和以议价药品种类为主体[包括对省(区、市)级直接挂网药品议价、对全品种议价]2种。福建省7个市已经公布了采购方案,制订了报价规则与议价规则,即将步入采购阶段。建议相关部门在积极推进以地市为单位的药品带量采购模式的同时,也要平衡药品价格与药品质量、药品采购量、货款支付的关系,关注药品采购中“二次议价”“三次议价”等问题。
ABSTRACT: OBJECTIVE: To provide reference for the further improvement of centralized drug procurement in China. METHODS: By retrieving Suggestions on Improving the Drug Centralized Purchase of Public Hospitals issued by State Council in 2015 and drug centralized purchase policy document issued by provinces (regions, cities), the development of drug quantity purchasing mode was investigated. The mode of drug purchase in cities of representative Fujian province was analyzed. RESULTS & CONCLUSIONS: As of Aug. 31st, 2017, city-level quantity purchasing mode was implemented in 12 provinces (regions, cities). Specific mode included taking the form of medical partnerships as the main body [taking cities as unit, taking cities as unit+hospital, only one medical partnership in the region or city] and taking the form of the types of negotiated drugs as main body [negotiated price for network drugs in provinces (regions, cities), negotiated price for the whole variety]. 7 cities of Fujian province announced procurement programs, quotation and bargaining rules were formulated and entered the procurement stage. Relative departments should actively promote drug quantity purchasing mode in regions or cities and also pay attention to the relationship of drug price with the quality of drugs, the purchase amount of drugs and the payment of purchase loans, the “second bargaining” “third bargaining” and so on.
期刊: 2018年第29卷第11期
作者: 马婧,徐爱军
AUTHORS: MA Jing,XU Aijun
关键字: 药品;集中招标;带量采购;进展;福建省
KEYWORDS: Drugs; Centralized drug purchase; Drug quantity purchasing; Development; Fujian province
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