我国短缺药品的采购方式及优化研究

Study on the Procurement Model and Optimization of Drug Shortage in China

目的:分析我国短缺药品的采购方式,为优化短缺药品采购政策提供建议。方法:从采购价格、采购量、采购周期等方面,分析短缺药品直接挂网、备案采购和带量采购方式存在的问题。结果:直接挂网和备案采购模式下,企业生产供应积极性有待提高,药品涨价和临床用量小所致的药品短缺问题难以解决;带量采购药品遴选标准不明晰,成交参考价的合理性有待商榷,药品采购量难以确定。结论:为做好短缺药品保供稳价工作,需明确短缺药品分类采购情形,合理制定短缺药品采购价格,确定短缺药品采购需求量。

Objective To analyze the procurement methods of drugs in shortage in China,and to provide suggestions for optimizing the procurement policy of drugs in shortage.Methods From the aspects of procurement price,procurement volume and procurement cycle,the problems of direct listing,filing procurement and volume-based procurement of drugs in shortage were analyzed.Results Under the direct listing and filing procurement modes,the enthusiasm of enterprises in production and supply should to be improved,and it was difficult to solve the problem of drug shortages due to price increase and small clinical dosage.The selection criteria for volume-based procurement of drugs were unclear,the reasonableness of the transaction reference price was open to question,and it was difficult to determine the quantity of drugs to be purchased.Conclusion In order to ensure the supply and stabilize the price of drugs in short supply,it is necessary to clarify the categorization and procurement,rationally set the procurement price and determine the procurement demand.