引用本文: 徐源,陈珉惺,何江江,等.新形势下省级药品集中带量采购政策分析与完善建议*[J].中国卫生经济,2022,41(10):17-20.[点击复制] Xu Yuan,Chen Minxing,He Jiangjiang,et al.Analysis and Suggestions on Provincial Centralized Volume-based Procurement under New Situation[J].CHINESE HEALTH ECONOMICS,2022,41(10):17-20.[点击复制]
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新形势下省级药品集中带量采购政策分析与完善建议*
徐源,陈珉惺,何江江,宋捷,金春林
0
(上海市卫生和健康发展研究中心(上海市医学科学技术情 报研究所) 上海 200031)
摘要:
目的:梳理我国省级药品集中带量采购政策,分析其特点和主要问题,提出优化建议。方法:采用政策文献分析和专家咨询法,分析省级药品集中带量采购政策。结果:省级药品集中带量采购已全面铺开,品类宽度大于国家药品集中带量采购,纳入了相当比例的注射剂。大多依据药品原创性划分质量层次,分组规则有待规范,少数不区分质量层次的省级药品集中带量采购面临更高的质控要求;采用多种采购方式相结合的采购模式、最低中标与谈判议价相结合的中选规则, 限价标准不一;采购量分配比例与国家药品集中带量采购接近,进行了按降幅分配采购量探索。结论:省级药品集中带量采购以借鉴国家经验为主,未来要明确采购目标,修正药品采购乱象;完善采购规则,推进方案制定规范化;完善医保支付标准制定条件,推动医保角色转变。
关键词:  省级  药品集中带量采购  政策分析
DOI:
基金项目:上海市2022年度“科技创新行动计划”软科学研究项目(22692191900)
Analysis and Suggestions on Provincial Centralized Volume-based Procurement under New Situation
Xu Yuan,Chen Minxing,He Jiangjiang,Song Jie,Jin Chunlin
(Shanghai Health Development Research Center (Shanghai Medical Information Center), Shanghai, 200031 , China)
Abstract:
Objective: It summarizes provincial Volume-based Procurement (VBP), analyzes characteristics and problems, and puts forward suggestions. Methods: Policy and literature analysis and expert consultation are used to analyze the VBP policy. Results: Provincial-level VBP has been fully rolled out. The category width was larger, including a considerable proportion of injections. Grouping rules of most provincial VBP were according to originality which needed to be standardized, and few without quality levels distinguishing faced higher quality control requirements. Provincial VBP generally adopt combined procurement modes and bidding rules. The distribution proportion of purchasing quantity of provincial-level VBP is close to that of national-level VBP. The exploration of determining the purchase quantity according to the decline is carries out. Conclusion: Provincial VBP mainly draws lessons from national VBP. It is necessary to clear targets to correct the disorder of drug procurement, perfect purchase rules and standardize the formulation, improve the conditions for setting payment standards and promote the transformation of the role of medical insurance.
Key words:  provincial-level  centralized volume-based drug procurement  policy andlysis

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