我国基本药物集中采购量价挂钩实施影响因素分析  

Influencing factors of quantity-based pricing in the essential medicines' centralized bidding procurement in China

作　　者：郭志刚[1] 洪冬喆 刘伊[1] 郭娜[1] 王宝敏[2] 韩晟[2] 史录文[1,2] 管晓东[1,2] 

机构地区：[1]北京大学药学院,北京100191 [2]北京大学医药管理国际研究中心,北京100191

出　　处：《中国卫生政策研究》2015年第12期1-6,共6页Chinese Journal of Health Policy

基　　金：国家自然科学基金青年科学基金(71303011)

摘　　要：目的:为完善我国基本药物集中采购工作和量价挂钩政策提供建议。方法:搜集基本药物集中招标采购文件和文献,结合文献研究和半结构化访谈法设计调研问卷。通过问卷调研和电话访谈,分析我国基本药物集中采购中量价挂钩政策实施相关影响因素。结果:量价挂钩定义需明确药品的剂型和规格,其主要影响因素有:采购区域范围、采购的药品类别、疾病与药品替代性、采购方式、采购周期、回款时间和结算方式、采购过程中的违规行为。建议:实施量价挂钩,需明确预测采购数量的主体和方式、营造量价挂钩价格合理形成的政策环境,取消药品中标价联动机制,严格执行回款期限、统一结算方式,加强省级药品采购平台的信息化建设,并做好部分药品量价挂钩试点工作,为量价挂钩的推广奠定基础。Objective： The paper aims to provide recommendations for improving the essential medicines＇ centralized bidding procurement and quantity-based pricing policy. Methods： Based on the documents and literature on essential medicines＇ centralized bidding procurement,we analyzed the factors which have a great impact on implementation of the quantity-based pricing in essential medicines＇ centralized procurement using the text research,semistructured interview questionnaire and on-phone interviews. Results： The quantity-based pricing needs to define a generic name and specific dosage form of drugs in the essential medicines＇ centralized procurement. Its implementation was mainly influenced by the following factors： the procurement area accessibility,the pharmaceuticals category,disease and drug alternative procurement methods and cycle,the payment and settlement time,and irregularities in the procurement process. Suggestions： During this implementation,we also need to clearly predict the quantity and procurement method,set up a proper policy environment for a quantity-based pricing,cancel the price linkage mechanism,strictly put into practice the payment deadline,employ a unique billing method and strengthen the information construction for the provincial centralized procurement platform. Some medicines＇ quantity-based pricing should be carried out in the chosen pilots for laying a good foundation for its promotion.

关 键 词：基本药物 集中采购 量价挂钩 带量采购 

分 类 号：R197[医药卫生—卫生事业管理]