我国药品及医用耗材集中带量采购政策的实施现状及建议

目的 为完善我国药品及医用耗材(以下简称"耗材")集中带量采购(以下简称"集采")工作提供参考和建议.方法 检索2018年11月-2021年11月我国出台的药品及耗材集采相关政策文件,运用政策分析法并参照相关研究文献,分析我国集采政策的实施现状及问题.结果 与结论国家卫生健康部门和医疗保障部门通过激励和监督措施来保障医...

Implementation status and suggestions of centralized volume-based procurement policy for drugs and medical consumables in China

OBJECTIVE To provide reference and suggestions for improving the volume-based procurement of drugs and medical consumables(hereinafter referred to as“consumables”)in China.METHODS The relevant policy documents of centralized volume-based procurement of drugs and consumables published from November 2018 to November 2021 were retrieved;the implementation status and problems of centralized volume-based procurement of drugs and consumables in China were analyzed by using the policy analysis method and referring to relevant research literatures.RESULTS&CONCLUSIONS National health department and healthcare security administration guaranted the rational use of selected products in medical institutions through incentive and supervision measures;healthcare security administration should optimize the way of medical insurance payment,promote the medical institutions to control the fees by themselves,and conduct the credit evaluation of bidding and procurement;medical products administration should evaluate the consistency of drugs and supervise the quality of selected products.With the normalization of centralized volume-based procurement of drugs and consumables organized by the state and trans-regional alliance,the drug varieties and dosage forms included in centralized procurement were increasingly in line with the demand of Chinese pharmaceutical market.The price of most selected drugs decreased by more than 50%,and the decrease of consumables was significantly higher than that of drugs.The selected enterprises were mainly domestic generic drug enterprises,and domestic consumables had gradually become the competitors and substitute of imported consumables.However,there were still some problems such as repeated bidding and procurement in various alliances and provinces(autonomous regions and municipalities),unclear construction of compensation mechanism in medical institutions,inconsistent bidding and procurement rules and quality evaluation standards for consumables,low localization rate of some consumables,low innovation level and profitability of pharmaceutical enterprises and consumables manufacturers.Local centralized volume-based procurement should be encouraged,and the bidding and procurement rules and quality evaluation standards of“one product,one policy”should be gradually established.Great importance should be paid to the construction of compensation mechanism of medical institutions,standardize the dynamic adjustment of medical service prices;pharmaceutical enterprises and consumables manufacturers should increase research and development investment to transform into innovative and diversified enterprises,so as to improve the competitiveness of domestic drugs and consumables.