“两票制”药品流通领域改革探讨  

Investigation on “Two Tax Bill” Medicines Distribution Reform

作　　者：黄河[1] 孙静[1] 刘远立[1] 

机构地区：[1]中国医学科学院/北京协和医学院公共卫生学院,北京100730

出　　处：《中国药房》2017年第18期2456-2459,共4页China Pharmacy

基　　金：中央级公益性科研院所基本项目;国家卫生计生委药政司委托研究课题(No.药政[2016]9号)

摘　　要：目的:为"两票制"药品流通领域改革的进一步推行和完善提供参考。方法:基于文献研究及实地考察和调研等研究方法,对"两票制"政策在药品流通领域的实施效果和可能存在的问题进行系统整理、归纳和分析,并提出针对性的建议。结果与结论:"两票制"药品流通领域改革加速了药品流通环节的整合和重组,可有效整顿药品流通秩序,但尚未发现其抑制药价虚高的证据。故建议推行"两票制"改革应以保障药品供应为前提,确保偏远农村地区和临床急需药品、特别是有短缺风险药品的稳定供应;加强对税票的稽查工作;建立促进医院按时向供应商回款的长效机制;破除地方保护主义;建立高效的多部委协调监管机制。OBJECTIVE： To provide reference for further implementation and improvement of ＂Two Tax Bill＂ medicines distribution reform. METHODS： Literature review and field investigation were used to systematically sort out, summarize and analyze the effect of ＂Two Tax Bill＂ medicines distribution reform and potential problems. Corresponding policy suggestions were proposed. RESULTS ＆ CONCLUSIONS： The ＂Two Tax Bill＂ medicines distribution reform boosted the integration and re-combination of medicines distribution system, and effectively rectify the medicines distribution system. However, this study found no evidence of its effect on reducing the high medicines prices. We suggest that, the implementation of ＂Two Tax Bill＂ medicines distribution reform should firstly ensure the stable supply of medicines, especially the availability of essential medicines in rural remote areas, and those medicines with high risk of shortage. It is also suggested to strengthen the audit of tax receipts; establish long-term mechanism to promote on-time payment to suppliers by hospitals; break down local protection; set up efficient multi-ministerial coordination mechanism.

关 键 词：两票制 药品流通领域 改革 

分 类 号：R95[医药卫生—药学]