| 引用本文：李环, 张治国, 李程洪, 余鸣人, 刘红海, 刘淼, 黄梅香.我国各省医用耗材集中带量采购政策比较分析[J].中国卫生政策研究,2021,14(3):48-56 |
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| 我国各省医用耗材集中带量采购政策比较分析 |
| 投稿时间：2020-12-06 修订日期：2021-02-08 PDF全文浏览 HTML全文浏览 |
| 李环1, 张治国1,2, 李程洪1, 余鸣人1, 刘红海1, 刘淼1, 黄梅香1 |
1. 华中科技大学同济医学院医药卫生管理学院 湖北武汉 430030;
2. 湖北省卫生技术评估研究中心 湖北武汉 430030 |
| 摘要:目的：为完善我国医用耗材集中带量采购工作提供参考和建议。 方法：检索收集2019年7月1日—2020年10月1日我国各省出台的医用耗材集中带量采购相关政策，采用文献分析法和比较分析法进行归纳总结。 结果：各省在采购品种、采购量、分组规则、评审方法、价格降幅等方面存在差异。 结论：采购品种遴选标准应透明化；应统一分组规则，并构建竞争格局；应先质量评价，再竞价谈判；多举措并行，提高医疗机构积极性；应规范约定采购量和剩余采购量分配，杜绝二次议价；坚持政府主导，保证中选产品质量。 |
| 关键词:医用耗材 带量采购 分组规则 质量评价 |
| 基金项目:湖北省卫生计生委委托课题（0216516197）；湖北省卫生健康委委托课题（0216516223） |
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| Comparative analysis on China's volume-based procurement policy of medical consumables |
| LI Huan1, ZHANG Zhi-guo1,2, LI Cheng-hong1, YU Ming-ren1, LIU Hong-hai1, LIU Miao1, HUANG Mei-xiang1 |
1. School of Medicine and Health Management, Tongji Medical College, Huazhong University of Science and Technology, Wuhan Hubei 430030, China;
2. Hubei Provincial Research Center for Health Technology Assessment, Wuhan Hubei 430030, China |
| Abstract:Objective: To improve the volume-based procurement of medical consumables in China. Methods: By using literature review and comparative analysis, the policies associated with the volume-based procurement of medical consumables in all provinces in China during the period from July 1st, 2019 to October 1st, 2020 were collected. Results: The results revealed obvious differences in various provinces in terms of procurement varieties, procurement volume, grouping rules, evaluation methods and the price decline degree in each province. Conclusions: The selection criteria for procurement varieties should be transparent; grouping rules should be unified and a competition pattern should be established; quality assessment should be conducted before bidding and/or negotiation; multiple measures should be taken at the same time to incentivize healthcare institutions; the allocation of the negotiated purchase quantity and surplus volumes should be stipulated and standardized in order to avoid secondary price negotiation; and the procurement methods and mechanisms should adhere to the government-led principle to ensure the quality of selected products. |
| Key words:Medical consumables Volume-based procurement Grouping rule Quality assessment |
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