对广东省药品网上采购阳光工程的分析与建议

Analysis and Suggestion of Online Drug Procurement Sunshine Project in Guangdong Province

目的:为促进广东省药品网上采购阳光工程的全面改进和完善提供参考。方法:通过对我省药品网上采购阳光工程在实施过程中出现的问题进行分析,提出改进建议。结果与结论:我省药品网上采购阳光工程存在的问题包括医院药品加成定价、招标"为低价是取"、药品质量层次划分不合理、招标程序烦琐、中标品种规格过多和医院回款难等。建议应实行医药分离,制定合理的投标价格规则,制定综合评价药品质量的量化标准,减少集中招标药品数量,加强对医疗卫生机构的监管力度,使之真正成为缓解群众"看病难,看病贵"的一项阳光工程。

OBJECTIVE：To promote full improvement of online drug procurement sunshine project in Guangdong province.METHODS：The problems appeared in implementation process of medicine procurement sunshine project in Guangdong province was analyzed and made suggestions.RESULTS CONCLUSONS：The problems,including the pricing mechanism for hospital drug,the tender＂to put lowest price-seeking first＂,division-level of drug quality,cumbersome tender procedures,too much drugs specifications and the difficulty of hospital cash collection,were analyzed,Some proposal were put forwards,such as separation of dispensing from medicine,establishing reasonable rules of bidding price,developing comprehensive quantitative evaluation of drug quality standards and reducing the number of bidding drugs,strengthening the supervision of medical institutions for improvement.Drug procurement sunshine project in Guangdong province achieves initial success.There still are many defects,so we must vigorously improve to make it become an item of sunlight project which can really alleviate＂difficultly and high cost of getting medical service＂.