芜湖某区多家医院国家组织药品集中采购实施效果评价研究

On the Evaluation of the Implementation Effect of National-organized Centralized Drug Procurement in Several Hospitals of Wuhu

目的:了解第一批国家组织药品集中采购(以下简称"国家药品集采")政策在芜湖某区多家医院的实施情况,为本区推动后续中选药品的合理使用及完善各项医保政策提供参考。方法:收集芜湖某区多家医院第一批国家药品集采政策执行前后的中选与同种非中选药物的相关信息。结果:第一批国家药品集采在3家医院使用的11个中选品种的单价(片/袋/支)相较原使用品种平均降价70.94%,最高降幅达98.80%;中选品种采购完成百分比104.13%~591.53%,平均配送率为89.78%,销售完成率在89.00%~415.25%;非中选药品采购金额占比由9.03%降低为0.17%,销售金额占比由6.96%降低为0.27%;住院次均费用及医保基金支出均降低。结论:芜湖某区多家医院首批国家药品集采工作的实施取得了一定效果,切实减轻了患者的用药负担,有效节省了医保基金,促进了医院合理用药。

Objective:To understand the implementation of the policy of the first batch of national-organized centralized drug procurement(hereinafter referred to as "national centralized drug procurement") in several hospitals in Wuhu area, and provide references for promoting the rational use of selected drugs and improving various medical insurance policies in the district. Methods:The relevant information on selected drugs and the same non-selected drugs before and after the implementation of the policy of the first batch of national centralized drug procurement from several hospitals in Wuhu area was collected. Results:The unit price(tablet/bag/potion) of 11 selected varieties used in the first batch of the national centralized drug procurement in 3 hospitals had decreased by 70.94% on average and the highest decline had reached 98.80% compared with the original varieties. The procurement completion ratio of selected varieties was 104.13%-591.53%, the average distribution rate was 89.78%, and the sales completion rate was 89.00%-415.25%. The proportion of procurement sum of non-selected drugs had decreased from 9.03% to 0.17%, and the proportion of sales sum had decreased from 6.96% to 0.27%. The average hospitalization cost and the expenditure of medical insurance fund decreased. Conclusion:The implementation of the first batch of national centralized drug procurement in several hospitals in Wuhu area has achieved certain effects, really reduced the economic burden of patients, effectively saved the medical insurance fund and promoted the rational drug use in hospitals.