南京市某医院药品集中招标采购对药品价格和医院收入的影响

The Effect of Drug Purchase by Centralized Bidding on Drug Price and Revenue of a Hospital,Nanjing

目的:探讨南京市某三甲医院药品集中招标采购对药品价格和医院收入的影响。方法:查询南京市某三甲医院西药库计算机管理系统2009-2015年全部药品管理信息,分类汇总并统计分析中标药品种数、价格、差价率等管理指标数据。结果:2009-2015年采购中标药品品种构成比呈逐年上升趋势;部分药品零售价在招标采购的情况下有一定程度降低,抗生素类具有较大的降价幅度;其中国产氟康唑注射液具有最大的降价幅度,达到了86.68%;合资或进口药品零售价显著高于国产药品(P<0.05),同时其降价幅度显著低于国产药品(P<0.05);中标药品和非中标药品的差价率均逐年降低,中标药品差价率年降幅显著高于非中标药品(P<0.05);中标药品购入金额占总购入金额的百分比逐年提升。结论:南京某医院药品集中招标采购能够有效降低药品价格,在一定程度上提升医院收入。

Objective： To investigate the effect of drug purchase by centralized bidding on drug price and revenue of a hospital in Nanjing.Methods： The information of pharmaceutical administration in computer management system from 2009 to 2015 at one top three hospital was inquired. Some management indicator including kinds,price,price differences rate and so on were classified,collected and statistically analyzed.Results： From 2009 to 2015,the drug variety constituent ratio showed an increasing trend year by year. The retail price of some drugs represented a certain extent of decrease. Antibiotics possessed a large extent of depreciation,and domestic fluconazole injection was the maximal with 86.68%. For joint- ventured and imported drugs,the retail price was significantly higher than domestic drugs（ P〈0. 05）,and the extent of depreciation was significantly lower than domestic drugs（ P〈0. 05）. The price differences rate of bidding drugs and unbidding drugs was reducing year by year. The price differences rate of bidding drugs annual degree of reduction was significantly higher than unbidding drugs（ P〈0. 05）. The ratio of purchase amount for bidding drugs of total purchase amount was increasing year by year. Conclusion： Drug purchase by centralized bidding can reduce drug price effectively and promote revenue of a hospital in Nanjing to some extent.