| 引用本文: |
李大双,颜建周,白铭钰,等.抗菌药物实施国家集中带量采购的政策效果分析*[J].中国卫生经济,2023,42(5):17-21.[点击复制] |
LI Da-shuang,YAN Jian-zhou,BAI Ming-yu,et al.Analysis of the Policy Effect of National Drug Centralized Procurement for Antibacterial Drugs[J].CHINESE HEALTH ECONOMICS,2023,42(5):17-21.[点击复制] |
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| 摘要: |
| 目的：分析国家药品集中采购政策对中选抗菌药物销售额、销量、用药厂牌、用药频度、仿制药替代率、药品价格、日均费用和潜在节省费用的影响，探究抗菌药物国家药品集中采购实施效果并提出政策建议，为完善抗菌药物集采规则和配套政策提供参考。方法：选取第3批国家药品集中采购6个中选抗菌药物2020—2021年1~3季度的销售数据，描述性统计分析抗菌药物集采实施效果。结果：国家药品集中采购显著影响抗菌药物市场规模并重塑抗菌药物市场竞争格局；改变抗菌药物的用药行为和调整用药结构；影响中选品种各厂牌价格并显著降低用药费用。结论：抗菌药物集采取得了显著的政策效果，同时基于抗菌药物的特殊性需要重点关注国家药品集中采购政策效果与抗菌药物合理用药的关系。 |
| 关键词: 国家药品集中采购 抗菌药物 用药频度 用药费用 |
| DOI： |
| 投稿时间：2023-02-23 |
| 基金项目:教育部人文社会科学研究规划基金项目(22YJAZH126) |
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| Analysis of the Policy Effect of National Drug Centralized Procurement for Antibacterial Drugs |
| LI Da-shuang,YAN Jian-zhou,BAI Ming-yu,LI Xin-yu,SHAO Rong |
| (The Research Center of National Drug Policy &Ecosystem,China Pharmaceutical University,Nanjing 211198 ,China) |
| Abstract: |
| Objective: To analyze the impact of national drug centralized procurement policy on the sales volume，sales volume，drug brand，frequency of use，substitution rate of generic drugs，drug price，average daily cost and potential cost savings of selected antibacterial drugs，explore the implementation effect of centralized procurement of antibacterial drugs and put forward policy recommendations，so as to provide references for improving the rules and supporting policies of centralized procurement of antibacterial drugs. Methods: The sales data from the first quarter to the third quarter from 2020 to 2021 of 6 selected antibacterial drugs collected in the third batch were selected，and the implementation effect of centralized collection of antibacterial drugs was analyzed by descriptive statistics. Results: The national drug centralized procurement significantly affected the scale of the antibacterial drug market and reshaped the competitive pattern of the antibacterial drug market; change the behavior and structure of antibiotics; it will affect the price of each brand of the selected variety and significantly reduce the cost of medication. Conclusion: The centralized purchase of antibacterial drugs has achieved remarkable policy effects. Based on the particularity of antibacterial drugs，it is necessary to focus on the relationship between the effect of the national centralized purchase policy of drugs and the rational use of antibacterial drugs. |
| Key words: National Centralized Drug Procurement antibacterial drugs defined daily doses medication costs |
