带量采购政策对某院心血管药物原研药和仿制药使用影响  

Impact of volume-based purchasing policy on the use of branded and generic cardiovascular drugs in a hospital

作　　者：李青桐 万君 焦曙光 刘国成[2] 赵双 王翔宇[2] Li Qingtong;Wan Jun;Jiao Shuguang;Liu Guocheng;Zhao Shuang;Wang Xiangyu(School of Law and Public Management,China Three Gorges University,Yichang 443000,Hubei,P.R.China;Gezhouba Central Hospital of Sinopharm,the Third Clinical College of China Three Gorges University,Yichang 443000,Hubei,P.R.China)

机构地区：[1]三峡大学法学与公共管理学院,湖北宜昌443002 [2]三峡大学第三临床医学院国药葛洲坝中心医院,湖北宜昌443000

出　　处：《中国医院统计》2022年第5期377-382,387,共7页Chinese Journal of Hospital Statistics

摘　　要：目的分析带量采购政策对某三甲综合性医院心血管药物原研药和仿制药使用情况的影响,为仿制药的进一步使用及药物相关政策实施提供参考。方法选取该院的目标药物,对带量采购政策实施前与实施后原研药和仿制药使用数量及占比、销售金额及占比、用药频度(DDDs)、日均费用(DDDc)、仿制药替代率以及实际节省费用等数据进行分析。结果带量采购政策实施后,样本医院原研药单价无明显变化,仿制药单价呈下降趋势。原研药整体使用量较政策实施前增加,在原研药和仿制药共同用量中占比减少,仿制药整体较政策实施前使用量上升,在原研药和仿制药共同用量中占比增加。原研药整体销售金额下降,在原研药和仿制药共同销售金额中占比上升,仿制药整体销售金额下降,在原研药和仿制药共同销售金额中占比下降。目标药物DDDs整体基本增加,DDDc均减少。仿制药替代率基本上升,实际节省费用为307.56万元。结论带量采购政策实施后,样本医院部分患者用药负担切实减轻,节省了药品费用。Objective To analyze the impact of volume-based purchasing policy on the use of branded and generic cardiovascular drugs in a tertiary hospital,and to provide reference for the further use of generic drugs and the implementation of drug-related policies.Methods Object drugs of the hospital were selected to analyze the number and proportion of branded and generic cardiovascular drugs,consumption sum and proportion,defined daily doses(DDDs),defined daily dose cost(DDDc),the substitution rate of generic drugs,and actual cost savings before and after the implementation of quantitative purchasing policy.Results After the implementation of volume-based purchasing policy,there is no impact on the unit price of branded cardiovascular drugs in the sample hospital,while the unit price of generic drugs show a downward trend.Compared to the pre-policy period,the overall use of branded cardiovascular drugs increased and accounted for a smaller share of the common use,while generics did the opposite.Overall sales of branded drugs declined but increased as a percentage of common sales,while overall sales of generics declined but decreased as a percentage of common sales.DDDs of the object drugs basically increased overall and DDDc of both decreased.The substitution rate of generic drugs rose,with actual savings of 3.0756 million yuan.Conclusion After the implementation of volume-based purchasing policy in the sample hospital,the drug burden of some patients was effectively reduced and the drug cost was saved.

关 键 词：带量采购政策 心血管药物 原研药 仿制药 

分 类 号：R952[医药卫生—药学]