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机构地区:[1]北京中医药大学管理学院,北京100029 [2]北京工商大学文科实践中心,北京100048
出 处:《中国药房》2014年第29期2692-2695,共4页China Pharmacy
基 金:北京市教育委员会科研计划类重点课题(No.SZ201210011006);北京中医药大学在读研究生校级自主课题(No.53210100604222)
摘 要:目的:为优化药品流通供应链结构、促进医药流通领域改革等提供参考。方法:采用文献研究、企业实地调研和高校专家咨询相结合的方法,分析我国药品流通模式的缺点,并提出改革创新的对策和建议。结果与结论:当前,我国药品流通模式以业务自营/外包药品流通模式、市场集中交易模式、基本药物集中招标采购模式等为主,这些模式集中反映出药品供应链式结构中信息不对称、药品流通缺乏完整的监管体系、药品流通溯源困难等缺点。建议通过建立药品流通信息平台以增强流通信息可视化程度、转变医务人员补偿方式及正确引导处方外流以合理实现医药分开、完善药品监管体系以发挥市场中介组织服务作用、构建药品安全防火墙以实现药品可溯源性等措施,促进医药流通供应链的合理化。OBJECTIVE: To provide reference for optimizing the medicine supply chain and promoting the reform of drug circulation. METHODS : The characteristics of medicine circulation pattern in China were analyzed by the method of literature study, field investigation and university experts advising. The countermeasures and suggestions were put forward. RESULTS & CONCLU- SIONS: At present, there are mainly 3 kinds of medicine circulation patterns(self-business/outsourcing medicine circulation, centralized trading pattern, centralized bidding and purchasing pattern) in China. The patterns have reflected the problems which focus on information asymmetry in medicine supply chain, absence of monitoring system of medicine circulation, and poor drug traceabil- ity. In order to promote reasonable medicine supply chain, it is suggested to establish medicine information platform so as to enhance visualization of circulation information, change medical staff compensation method and guide the outflow of prescriptions so as to achieve the separation of clinic from pharmacy, improve medicine regulatory system so as to play the service role of market intermediaries, construct medicine security firewall so as to realize drug traceability.
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