陕西省儿童基本药物价格成分研究

发布时间：2018-11-06 18:26

【摘要】：目的:为降低我国儿童基本药物价格提供循证支持。方法:采用世界卫生组织(WHO)和国际健康行动组织(HAI)共同制定的WHO/HAI标准化法,对陕西省西安市和安康市的公立医院、药品批发企业、配送企业等机构进行实地调研。结果:西安市"三统一"药品和非"三统一"药品的平均总加成率分别为11.60%和20.38%,安康市为41.25%和22.11%;西安市原研药和仿制药的平均总加成率分别为17.36%和17.47%,安康市为17.77%和33.85%;西安市和安康市的注射剂平均加成率分别为26.11%和32.50%,药品从批发商到医院中间环节的费用加成率分别为20.26%和2.14%。结论:"三统一"药品总加成率较非"三统一"药品低;原研药的平均总加成率与仿制药的平均总加成率相近,但加价金额仍过高;注射剂型的平均总加成率最高;从批发商到医院中间环节的费用加成占比较大。建议提高药品集中采购机制的有效性,完善我国药品定价机制,规范我省从批发商到医院中间环节的价格加成。
[Abstract]:Objective: to provide evidence-based support for reducing the price of essential drugs for children in China. Methods: the field investigation of public hospitals, drug wholesale enterprises and distribution enterprises in Xi'an and Ankang, Shaanxi Province was carried out by using the WHO/HAI standardization method developed jointly by (WHO) and (HAI), the World Health Organization (WHO) and the International Health Action Organization (HAI). Results: the average total additive rates of "three unified" drugs and non-" three unified "drugs in Xi'an were 11.60% and 20.38 respectively, and those in Ankang were 41.25% and 22.11 respectively. The average total addition rates of original and generic drugs were 17.36% and 17.47% in Xi'an, 17.77% and 33.85% in Ankang City, respectively. The average additive rates of injection in Xi'an and Ankang were 26.11% and 32.50% respectively. The cost addition rates of medicine from wholesaler to hospital were 20.26% and 2.14% respectively. Conclusion: the total additive rate of "three unified" drugs is lower than that of non-" three unified "drugs, the average total addition rate of the original drug is similar to the average total addition rate of the generic drug, but the sum of increase is still too high, the average total addition rate of the injection type is the highest. From the wholesaler to the hospital intermediate link of the cost of a relatively large proportion. It is suggested to improve the effectiveness of the centralized drug purchasing mechanism, perfect the pricing mechanism of drugs in China, and standardize the price addition between wholesalers and hospitals in our province.
【作者单位】：西安交通大学医学部药学院药事管理与临床药学系;西安交通大学药品安全与政策研究中心;
【基金】：国家自然科学基金资助青年项目(No.71103141/G0308) 中央高校基本科研业务费专项资金资助项目(No.2011jdhz62) 陕西省社会科学基金资助项目(No.10E066) 陕西省级大学生创新训练资助项目(No.01310008)
【分类号】：R95

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