天津高值医用耗材带量采购的实践及经验

Practice and Experience of Volume-based Procurement of High-value Medical Consumables in Tianjin

天津市在高值医用耗材带量采购方面走在全国前列,截至目前已牵头开展多批国家及地方联盟采购项目,包括人工晶体、冠脉支架、冠脉扩张球囊类产品和人工关节,采购成效显著,且采购规则不断有创新和突破。本文梳理了天津市高值医用耗材带量采购的实践历程,从意向采购量确定、分组规则、中选规则、分量规则、供应保障五个方面对比分析历次采购项目的规则演变,从中归纳发展规律和实践经验,即尊重临床选择权、扩大带量比例、适当合并分组、提高中选规则的科学性、提前考虑落地问题、开展联盟采购。同时,从规则设计和业务执行角度分别提出下一步工作建议,兼顾价格、质量、效率等因素,完善平台功能建设,实现区域性数据互通及采购成果共享,为全国其他地区开展高值医用耗材带量采购提供参考和借鉴。

Tianjin is at the forefront of China in the volume-based procurement of high-value medical consumables.Up to now,Tianjin has taken the lead in carrying out multiple batches of national and alliance procurement projects,including products of intraocular lens,coronary stent,coronary dilatation balloon and joint prosthesis,achieving remarkable procurement results and continuous innovation and breakthroughs in procurement rules.This paper illustrates the practice of volume-based procurement of high-value medical consumables in Tianjin,analyzes the rules of previous procurement projects from the confirmation of intended procurement,grouping rules,selection rules,volume allocation rules and supply guarantee,summarizes the law and practical experience,including respect of clinical choice,increasing proportion of volume-based purchase,proper combination of groups,rational selection rules,consideration of implementation in advance and carrying out alliance procurement.Meanwhile,the paper offers suggestions from two perspectives of rule design and implementation,taking into account of price,quality and effi ciency,etc.Also,the construction of platform should be improved,and the regional data and achievements of procurement should be shared.The paper provides reference for other regions of the country to carry out volume-based procurement of high-value medical consumables.