国家组织药品集中采购在某三甲医院实行的效果分析Analysis on the Effect of Drug Centralized Procurement Organized by the State in A Tertiary-grade Class A Hospital
黄小珊;李春秋;潘珍;
HUANG Xiaoshan;LI Chunqiu;PAN Zhen;Department of Pharmacy, Guangzhou Red Cross Hospital, Jinan University School;
摘要(Abstract):
目的探讨国家组织药品集中采购在医院实行的效果。方法在医院药事管理与药物治疗学委员会下成立"集中采购药品专项工作组",制定"我院落实采购和使用国家集中采购药品工作方案",实行学科主任负责制,将任务量分配到科室,并与绩效挂钩。每月对使用比例进行监测分析,结合医院实际情况,按照实际情况进行动态调整,以使购用情况符合规定。对一个在采购周期内的国家组织药品集中采购的药品,根据中选药品采购进度,中选药品与原研药品处方量、用量之比以及中选药品、原研药品、通用名下其他药品以及其同类替代药品本周期药品用量、费用、处方量,与历史同期药品用量和费用对比,分析中选药品采购、使用完成情况。结果医院达到全部有使用的中选药品所需的采购量,中选药品使用量较历史同期有明显上升,药品费用有了较大降低。结论国家组织药品集中采购在医院实施取得了积极的进展与成效,在一定程度上减轻患者药费负担。
OBJECTIVE To explore the effect of the policy of drug centralized procurement organized by the state to hospitals. METHODS Set up the special working group under the hospital pharmacy administration and pharmacology committee on centralized drug procurement to formulate "The Work Plan for the Implementation and Use of National Centralized Drug Purchasing in Hospital", and to implement the disciplined director responsibility system. Assigned the quantified tasks to departments, and associated it with performance.Monitored and analyzed the proportion of use every month, and made dynamic adjustment according to the actual situation of the hospital, so as to make the procurement and use in line with the regulations. During a procurement cycle of drug centralized procurement organized by the state, compared the procurement progress of selected drugs, the ratio of the prescription quantity and dosage of the selected drugs to the original research drugs, as well as the current cycle drug consumption, costs and prescription quantities of the selected drugs, original research drugs, other drugs under the general name and similar alternative drugs, with the drug consumption and expense of the same period in the history of these drugs, and analyzed the purchase and use of selected drugs. RESULTS The hospital completed the procurement of all the used selected drugs. The use of the selected drugs increased significantly comparing with the same period in history and the drug cost decreased greatly. CONCLUSION The centralized procurement of drugs organized by the state in hospitals can effectively reduce the burden of drug expense for patients to a certain extent, and have made positive progress and results.
关键词(KeyWords):
药品集中采购;带量采购;药费负担;中选药品
drug centralized procurement;quantified procurement;drug cost burden;selected drugs
基金项目(Foundation):
作者(Author):
黄小珊;李春秋;潘珍;
HUANG Xiaoshan;LI Chunqiu;PAN Zhen;Department of Pharmacy, Guangzhou Red Cross Hospital, Jinan University School;
Email:
DOI:
参考文献(References):
- [1] 本刊讯.国务院办公厅印发《国家组织药品集中采购和使用试点方案》[J].招标采购管理,2019(2):6.
- [2] 李琛,刘艺敏,王文杰,等.我国药品集中采购工作回顾与展望[J].中国医院管理,2018,38(9):17-19,23.
- [3] 王妍,武志昂.《国家组织药品集中采购和使用试点工作监测方案》要点分析[J].中国药房,2019,30(17):2317-2322.
- [4] 李琛,彭宏宇,罗密,等.基于4+7城市药品集中采购工作的思考[J].中国医院管理,2019,39(12):20-21.
- [5] 金柏舟.11个城市药品集中采购和使用试点效果显著[J].中国招标,2019(48):29-30.
- [6] 佚名.“4+7”试点将在全国推开[J].中国社区医师,2019,35(29):192.
- [7] 深圳市医疗保障局.深圳落实国家组织药品集中采购和使用试点分析[J].中国医疗保险,2019(8):32-37.
- [8] 李闻涓,李慧,陈颖,等“4+7”药品招标的反思[J].中国合理用药探索,2020,17(1):40-47.
- [9] 吕美娟.上海阳光医药采购网:4+7带量采购扩展正式开始[EB/OL].(2019-09-02).http://www.h-ceo.com/zixun/chanye/2019-09-02/3152.html.
- [10] 蔡雪妮.中国药品集中采购的演变以及与医保支付的逻辑关系[J].中国卫生政策研究,2017,10(6):6-12.
- [11] 马婧,徐爱军.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[J].中国药房,2018,29(11):1458-1462.
- [12] 尤晓敏,吕旭峰,杨悦.我国公立医院药品带量采购制度实施状况研究[J].中国药房,2017,28(31):4345-4349.
- [13] 陈昊.药品集中采购的优化与演进一致性评价阶段性成果背景下的上海实践[N].医药经济报,2018-06-21(F02).
- [14] 联合采购办公室.关于公布4+7城市药品集中采购中选结果的通知[EB/OL].(2018-12-17) [2019-03-24].http://www.smpaa.cn/gjsdcg/2018/12/17/8580.shtml.
- [15] 国家组织药品集中采购和使用试点工作小组办公室.国家医保局发布关于印发《国家组织药品集中采购和使用试点工作监测方案》的通知[EB/OL].(2019-03-18) [2019-04-17].http://www.sohu.com/a/303707301_1200-54728.
- [16] 新华社.减轻药费负担:国家医保局有关负责人就国家组织药品集中采购和使用试点方案答记者问[EB/OL].(2019-01-18) [2019-04-17].http://www.nhsa.gov.cn/art/2019/1/18/art_14_845.html.