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中国药学(英文版) ›› 2018, Vol. 27 ›› Issue (11): 799-804.DOI: 10.5246/jcps.2018.11.080

• 【药事管理与临床药学专栏】 • 上一篇    下一篇

三明市药品限价采购政策效果研究

尹婷, 江滨*   

  1. 北京大学医学部 药学院 药事管理与临床药学系, 北京 100191
  • 收稿日期:2018-08-08 修回日期:2018-10-27 出版日期:2018-11-28 发布日期:2018-11-03
  • 通讯作者: Tel.: +86-13601100121, E-mail: binjiang@bjmu.edu.cn
  • 基金资助:

    China Medical Board (Grant No. 15-221).

Effects of drug procurement under cap price policy in Sanming

Ting Yin, Bin Jiang*   

  1. Department of Administrative and Clinical Pharmacy, School of Pharmaceutical Sciences, Peking University Health Science Center, Beijing 100191, China
  • Received:2018-08-08 Revised:2018-10-27 Online:2018-11-28 Published:2018-11-03
  • Contact: Tel.: +86-13601100121, E-mail: binjiang@bjmu.edu.cn
  • Supported by:

    China Medical Board (Grant No. 15-221).

摘要:

研究三明市药品限价采购政策的效果。通过对比福建省七八标和三明市第一次药品限价采购数据和实地调研,分析限价采购在品种、价格、供应、企业结构等方面的变化。结果发现: (1)限价采购后,采购品种和企业数量减少,品种和企业结构得到优化。(2)采购药品总体可以满足临床用药需求,但小部分药品存在断货现象。(3)药品价格总体下降,单价5元以上国产药品降幅约10%,进口药品降价少,单价低于3元的低价国产药品有一定涨幅。三明市药品限价采购政策在优化采购结构、控制药价虚高、完善产业结构等方面有明显成效,但也存在部分药品供应不足、进口原研药难降价等问题。

关键词: 药品限价采购, 药品招标, 政策效果, 三明

Abstract:

To study the effects of drug procurement under cap price policy (DPUCP) in Sanming, changes in drug category, price, availability and corporate structure were analyzed using purchasing data of the 7th and 8th centralized drug procurement in Fujian Province and the 1st drug procurement under cap price in Sanming, and a field investigation was conducted. (1) The amounts of bid-winning drugs and pharmaceutical makers decreased sharply, leading to optimization of drug category and supplier structure. (2) The procurement could meet clinical demands, though a small percentage of drugs were out of stock. (3) Drug prices fell in general, with 10% decline in domestic drugs with a unit package price over RMB 5 yuan, a slight price reduction in imported drugs, and some price increase in cheap domestic drugs with a unit package price under RMB 3 yuan. DPUCP policy in Sanming optimized procurement drug category and supplier structure, reduced price, and improved industrial structure. However, problems still existed, such as shortage of some drugs and little price reduction in imported and brand-name drugs.

Key words: Drug procurement, Drug bidding, Policy effect, Sanming

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