建立乡镇医疗机构药品集中采购模式的探索和实践

Centralized Drug Purchasing Mode in Township Medical Institutions:Exploration and Practice

目的:为建立健全县、乡、村三级药品供应保障体系提供参考模式。方法:从机构设立、确定药品目录及采购价格、选择配送公司、加强药事管理等方面进行探索和实践。结果:由当地卫生行政部门成立专门机构,分别选定一家药品供应企业和配送企业,乡镇卫生院的所有药品向药品供应企业采购,再由配送企业配送到各个卫生院。结论:建立完善的乡镇卫生院(社区卫生服务中心)的药品集中供应体系是可行的,在此基础上可以建立县、乡、村三级药品供应保障体系。而完善的药品供应保障体系是国家基本药物制度得以顺利实施的基础。

OBJECTIVE： To provide reference for establishing and perfecting drug supply system at county, township and village levels. METHODS： The exploration and practice was conducted from aspects of establishing institutions, establishing drug list and drug purchasing prices, selecting distribution company, and strengthening pharmaceutical administration, etc. RESULTS： A drug supplier and a drug distribution enterprise should be respectively selected by the special agency established in local Medical Administrative Command, and all the drugs used in township hospitals should be purchased from that drug supplier then distributed by special drug distribution enterprise to the target hospitals. CONCLUSION： It is feasible to es- tablish a consummate centralized drug supply system for township hospitals （community health service centers）, based on which, the drug supply system at county, township and village levels can be established. A consummate drug supply system is the key for the smooth running of the system of national essential drugs.