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集采常态化背景下药品撤网的原因及对策分析
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| 篇名： | 集采常态化背景下药品撤网的原因及对策分析 |
| TITLE： | Analysis on the Reasons and Countermeasures of Drug Network Withdrawa l under the Background of the Nor- malization of Centralized Volume-based Procurement |
| 摘要： | 目的：为我国药品集中带量采购政策的优化与完善提供参考。方法：采用随机抽样的方式在全国范围内随机抽选6个省份，即河北、江苏、海南、河南、江西、云南，对其2018年1月1日－2020年11月30日的药品撤网信息进行汇总、分析。结果与结论：江苏省撤网产品数量最多，为6331个；云南省最少，为101个。产品价格因素是药品撤网的主导因素，占比达89.12％；其次是产品质量因素，占比为7.06％；再次是产品供应因素，占比为2.91％。当前我国药品撤网存在各地挂网药品撤网规定不统一、药品撤网行为主体不明确、各地药品采购平台信息难共享、药品挂网竞价规则不合理等问题。建议相关部门应推动药品撤网行为规范化、促进各省药品采购平台的信息共享、积极开展药品价格监测工作、支持企业基于成本合理定价、强化部门联动和药品供应保障，以完善我国药品集中带量采购制度。 |
| ABSTRACT： | OBJECTIVE：To provid e reference for the optimization and improvement of centralized volume-based procurement policy of drugs in China. METHODS ：Six provinces ，i.e. Hebei ，Jiangsu，Hainan，Henan，Jiangxi and Yunnan ，were randomly selected nationwide by random sampling to summarize and analyze the information of drug network withdrawal from Jan. 1st，2018 to Nov. 30th，2020. RESULTS & CONCLUSIONS ：Jiangsu province had the largest number of withdrawn products from the network，being 6 331；Yunnan province had the smallest ，being 101. Product price was the leading factor for drug network withdrawal，accounting for 89.12％；the second factor was product quality ，accounting for 7.06％；the third factor was the product supply，accounting for 2.91％. At present ，there were many problems in drug network withdrawal in China ，such as inconsistent withdrawal regulations in different regions ，unclear subjects of withdrawal behavior ，difficulty in sharing information of purchasing platforms in different regions ，unreasonable bidding rules of online drugs ，etc. Some suggestions are put forward to promote standardization of drug network withdrawal ，promote information sharing among provincial platforms ，actively develop drug price monitoring，support enterprises to make reasonable pricing based on cost ，strengthen departmental linkage and guarantee of drug supply so as to improve centralized volume-based procurement policy of drugs. |
| 期刊： | 2021年第32卷第24期 |
| 作者： | 沈艳，宋宝香，陆超 |
| AUTHORS： | SHEN Yan，SONG Baoxiang ，LU Chao |
| 关键字： | 药品；药品撤网；集中带量采购政策；供应保障 |
| KEYWORDS： | Drug；Drug network withdrawal ；Centralized volume-based procurement policy ；Supply guarantee |
| 阅读数： | 479 次 |
| 本月下载数： | 14 次 |
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