| 引用本文：王彪, 张天天, 唐啸宇, 贾韵, 罗力.国家组织药品带量采购政策的降价持续性研究[J].中国卫生政策研究,2023,16(4):32-36 |
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| 国家组织药品带量采购政策的降价持续性研究 |
| 投稿时间：2023-03-02 修订日期：2023-03-30 PDF全文浏览 HTML全文浏览 |
| 王彪, 张天天, 唐啸宇, 贾韵, 罗力 |
| 复旦大学公共卫生学院 上海 200032 |
| 摘要:目的：分析国家组织药品带量采购政策降价的持续效果，探索集采药品价格稳定运行的措施。方法：基于国家组织药品集中采购综合服务平台全国医疗机构前五批集采药品的采购数据，利用拉氏价格指数和费式价格指数，描述集采药品的价格变化。结果：集采中选药品“断崖式”降价、降幅达50%~85%，同通用名的未中选药品“波动式”降价、降幅达10%~40%，且降价效应持久，部分药品中选后价格反而升高。结论：国家集采政策不仅可以持续、大幅降低中选药品价格，所产生的溢出效应也使得同通用名未中选药品价格有所降低。建议构建集采药品价格运行的监测预警体系，加强药价监测，扩大药品集采范围。 |
| 关键词:国家集采政策 价格指数 价格分析 |
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| A study on the sustainability of price reductions in national volume-based drug procurement policy |
| WANG Biao, ZHANG Tian-tian, TANG Xiao-yu, JIA Yun, LUO Li |
| School of Public Health, Fudan University， Shanghai 200032, China |
| Abstract:Objectives: To analyze the continuous effect of the price reduction of the national drug procurement policy and explore measures for the stable operation of centralized drug prices. Methods: The procurement data of the first five batches of centralized drugs in medical institutions nationwide in the comprehensive service platform for centralized drug procurement were used to describe the price changes of centralized procurement drugs by using the Laspeyres price index and the Fisher price index. Results: The price reduction of selected drugs in centralized procurement was huge, reaching 50%～85%, and the price reduction of unselected drugs with the same generic name experienced fluctuation, waving between 10% and 40%, with a long-lasting effect while the price of some drugs increased after being selected. Conclusion: The national centralized procurement policy can not only sustainably and significantly reduce the price of selected drugs, but also reduce the price of unselected drugs with the same generic name. It is recommended to build a monitoring and early warning system for the operation of centralized drug prices, so as to strengthen drug price monitoring and expand the scope of centralized drug procurement. |
| Key words:National centralized drug procurement policy Price index Price analysis |
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