公立医院落实国家药品集中采购的实践与思考

Practice and Consideration on Implementing National Drug Centralized Procurement in Public Hospitals

国家药品集中采购以降低药价为目的,带量采购、保证使用为模式,在11个城市试点执行。通过探索该政策在医院平稳落地的有效方案,经过实施效果分析,发现带量采购能有效降低医院运行成本,有助于解决"看病贵",但由于医院约定采购量压力、药店药价不统一等因素,患者集中在三级医院开药,影响分级诊疗推进,可能凸显"看病难"。带量采购政策的可持续发展,还需医改各环节的合理衔接和有效联动。

With the aim of lowering drug prices,with the mode of purchasing with quantity and guaranteeing the use of drugs,the centralized purchasing of national drugs has been carried out in 11 cities on a pilot scale. The paper explores the effective plan of the policy to landing smoothly in hospitals. Through the analysis of the implementation effect,it is found that the purchasing with quantity can effectively reduce the operating cost of hospitals and help to solve the problem of "expensive medical treatment". However,due to the pressure of agreed purchasing volume in hospitals and the inconsistency of drug prices in pharmacies and other factors,patients are concentrated in tertiary hospitals to prescribe drugs, which affects the promotion of hierarchical diagnosis and treatment, may highlight the difficulty of seeing a doctor. The sustainable development of purchasing policy with quantity still needs the rational connection and effective linkage of all links in the medical reform.