| 引用本文：管晓东, 张宇晴, 史录文.上海市药品带量采购分析和思考[J].中国卫生政策研究,2015,8(12):14-17 |
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| 上海市药品带量采购分析和思考 |
| 投稿时间：2015-08-14 修订日期：2015-09-20 PDF全文浏览 HTML全文浏览 |
| 管晓东1,2, 张宇晴1, 史录文1,2 |
1. 北京大学药学院 北京 100191;
2. 北京大学医药管理国际研究中心 北京 100191 |
| 摘要:本文通过对上海市药品带量采购相关文件资料进行分析,结合实地调研和访谈,从药品集中采购基本情况、带量采购试点药品范围和品种、企业资质认定、中标企业确定、药品配送和药款结算六个方面对上海市药品带量采购做法进行梳理总结,分析认为上海市真正实现了药品带量采购,通过建立科学的质量综合评价指标、设立药品采购专用账户、预付药品采购货款、加强平台服务和监管能力,有效保障带量采购机制运行。由此得出以下启示与建议:事权统一的职能部门是实现药品带量采购的重要保障,技术手段和平台建设是实现药品带量采购的基础条件,经济技术标的设置应当关注通用名药品个体属性,推进三医联动将有助于进一步扩大带量采购药品的范围。 |
| 关键词:药品集中采购 带量采购 预付 上海 |
| 基金项目:国家自然科学基金青年科学基金项目(71303011) |
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| Critical thinking and analysis of procurement of drugs with target quantity in Shanghai |
| GUAN Xiao-dong1,2, ZHANG Yu-qing1, SHI Lu-wen1,2 |
1. School of Pharmaceutical Sciences, Peking University, Beijing 100191, China;
2. International Research Center of Medicinal Administration, Peking University, Beijing 100191, China |
| Abstract:By analyzing relevant documents of procurement of drugs with target quantity in Shanghai, combined with onsite investigations and interviews, this paper summarizes the practice of procurement of drugs with target quantity in Shanghai from six aspects, namely the basic situation of centralized procurement, pilot scope and variety of procurement of drugs with target quantity, business qualification and certification, determination of successful bidder, drug distribution, and drug payment settlement. This paper argues that Shanghai has successfully implemented the policy of procurement of drugs with target quantity, by scientifically establishing a comprehensive evaluation index of quality, setting up private drug procurement accounts, prepaying drug procurement loans and strengthening platform services and regulatory capabilities, in order to effectively guarantee the operation of procurement of drugs with target quantity. From this case study of Shanghai, it can draw the following implications that in order to successfully achieve procurement of drugs with target quantity mechanism, setting up functional departments of unified authority is the most important guarantee, and using technical means and platform building is the basic conditions. Therefore, the setting up of economic and technical bidding should focus on the individual properties of generic drugs, and the promoting of tripartite system reform will help to further expand the scope of procurement of drugs with target quantity. |
| Key words:Centralized procurement of drugs Procurement of drugs with target quantity Prepaid Shanghai |
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