美国集中采购组织实施效果研究及其对我国药品采购的启示

发布时间：2018-03-18 17:53

本文选题：集中采购组织　切入点：合同管理费　出处：《中国卫生经济》2015年10期 　论文类型：期刊论文

【摘要】：目的:研究美国集中采购组织实施的效果,为我国药品采购制度改革提出建议。方法:在分析国内研究的基础上,采用文献研究法,对美国集中采购组织的实施效果加以研究。结果:研究发现集中采购组织在美国很受质疑,主要集中在集中采购组织能否为医疗机构节约成本、可能导致垄断、药品短缺以及抑制创新四个方面,其"合同管理费"的收取是争论的焦点。结论:建议要让市场机制在药品资源的配置中发挥决定性作用,取消以省为单位的药品招标采购模式,发挥中介组织在药品采购的作用。要在全国范围内统一规则、统一操作标准,落实"带量采购",严格执行量价挂钩,让集团采购的效应真正的发挥。
[Abstract]:Objective: to study the effect of centralized purchasing organizations in the United States, and put forward some suggestions for the reform of drug procurement system in China. Methods: based on the analysis of domestic research, the method of literature research was adopted. Research on the effect of centralized purchasing organizations in the United States. Results: the study found that centralized procurement organizations are highly questioned in the United States, mainly focused on whether centralized procurement organizations can save costs for medical institutions, which may lead to monopolies. In the four aspects of drug shortage and inhibition of innovation, the collection of contract management fee is the focus of controversy. Conclusion: market mechanism should be allowed to play a decisive role in the allocation of drug resources. To abolish the mode of drug procurement by bidding in provincial units, and to give full play to the role of intermediary organizations in drug procurement. It is necessary to unify the rules, unify the operating standards, implement "volume procurement" and strictly implement the quantity price linkage within the whole country. Let group procurement effect play a real role.
【作者单位】：中国药科大学国际医药商学院;
【基金】：2014年度江苏省社会科学基金课题(14ZHB002)
【分类号】：R95

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