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| 投稿时间： 2014-09-01 最后修改时间： 2014-10-10 摘要点击次数: 3325 全文下载次数: 1646 |
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| 引用本文：毛宗福, 沈晓, 王全.我国医疗机构药品集中采购工作回顾性研究[J].中国卫生政策研究,2014,7(10):5-10 |
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| 毛宗福1, 沈晓2, 王全1 |
1. 武汉大学公共卫生学院/全球健康研究中心 湖北武汉 430071;
2. 武汉大学政治与公共管理学院 湖北武汉 430071 |
| 基金项目:国家卫生计生委药物政策司委托课题;湖北省人文社会科学重点基地专项资助课题(305276001) |
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| | 摘要:通过文献研究等方法,系统回顾我国医疗机构药品从分散采购到集中采购经历的萌芽阶段、初创阶段、调整阶段和深化阶段,梳理分析不同发展阶段的工作特点、取得的成效、存在的问题.针对当前药品采购面临的问题和挑战,提出改革和完善公立医院药品集中采购办法,坚持以省为单位集中采购的方向,坚持“四个有利于”的基本准则,全面破除“以药补医”机制,同步推进医保、流通、价格改革联动,加强综合服务和监管. | |
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关键词:医疗机构 药品 集中采购 改革
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| Retrospective study on drug's centralized purchasing system of healthcare institutions in China |
| MAO Zong-fu1, SHEN Xiao2, WANG Quan1 |
1. School of Public Health/Global Health Institute, Wuhan University, Wuhan Hubei 430071, China;
2. School of Political Science and Public Administration, Wuhan University, Wuhan Hubei 430071, China |
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| | Abstract:In this paper, a systematical and retrospective review was made on how the drug purchasing system of Chinese healthcare institutions has evolved from decentralized purchasing to centralized purchasing based on four stages as budding stage, initial stage, adjustment stage and deepening stage. In each stage, the working characteristics, achievements and problems have been analyzed. Targeting at the problems and challenges confronted with current drug purchasing, recommendations was made to reform and improve public hospitals' centralized purchasing system, such as persisting centralized purchasing online at provincial level, sticking to “four favorable” principles, breaking through the mechanism of compensating medical cost with drug-selling profits, promoting coordinated interaction reforms in healthcare insurances, distribution and pricing, strengthening comprehensive services and supervision, etc. | |
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