我国基本药物集中采购量价挂钩实施影响因素分析

发布时间：2018-04-21 14:10

本文选题：基本药物 + 集中采购　；参考：《中国卫生政策研究》2015年12期

【摘要】：目的:为完善我国基本药物集中采购工作和量价挂钩政策提供建议。方法:搜集基本药物集中招标采购文件和文献,结合文献研究和半结构化访谈法设计调研问卷。通过问卷调研和电话访谈,分析我国基本药物集中采购中量价挂钩政策实施相关影响因素。结果:量价挂钩定义需明确药品的剂型和规格,其主要影响因素有:采购区域范围、采购的药品类别、疾病与药品替代性、采购方式、采购周期、回款时间和结算方式、采购过程中的违规行为。建议:实施量价挂钩,需明确预测采购数量的主体和方式、营造量价挂钩价格合理形成的政策环境,取消药品中标价联动机制,严格执行回款期限、统一结算方式,加强省级药品采购平台的信息化建设,并做好部分药品量价挂钩试点工作,为量价挂钩的推广奠定基础。
[Abstract]:Objective: to provide suggestions for the improvement of the centralized procurement of essential drugs and the policy of volume-price linkage in China. Methods: to collect the documents and documents of centralized bidding and purchase of essential drugs, and design the questionnaire with literature research and semi-structured interview. By means of questionnaire investigation and telephone interview, this paper analyzes the influencing factors of the implementation of the policy of quantitative and price linkage in the centralized procurement of essential drugs in China. Results: it is necessary to define the dosage form and specification of the drug, and the main influencing factors are as follows: the area of purchase, the type of drugs purchased, the disease and drug substitution, the purchasing method, the purchasing cycle, the time of payback and the settlement method. Irregularities in the procurement process. Suggestions: it is necessary to clearly predict the main body and mode of purchasing quantity, to create a policy environment in which the quantity and price can be reasonably formed, to cancel the linkage mechanism of pricing in drugs, to strictly enforce the payback period, and to unify the settlement method. We should strengthen the informatization construction of the provincial drug purchase platform, and do a good part of the pilot work of drug quantity and price linkage, which will lay the foundation for the promotion of the quantity and price linkage.
【作者单位】：北京大学药学院;北京大学医药管理国际研究中心;
【基金】：国家自然科学基金青年科学基金(71303011)
【分类号】：R95

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