2000年-2018年6月国内药品集中采购研究的可视化分析

目的:探索我国药品集中采购领域的研究现状和研究热点,从中发现该领域发展中存在的问题,为进一步完善我国药品集中采购工作提供参考。方法:从中国知网、万方数据库和维普数据库中检索2000年-2018年6月我国药品集中采购领域的研究文献,利用可视化分析软件CiteSpace,对获得文献的发表时间、发文作者、研究机构及关键词等进行统计分析。结果:共有3 455篇文献纳入研究。我国药品集中采购领域的研究文献数量从2009年起呈现出明显的增长趋势,但作者和研究机构合作网络较为分散,且研究团队以高校和研究所为主,鲜有公立医院的研究团队。2009年前,该领域主要关注的问题是药品集中采购政策在我国实施的可行性分析和对药品集中采购制度分析及模式介绍;2009年进行"新医改"后研究者则更加关注基本药物集中采购实施效果评价和公立医院的合理用药;近年来新爆发的关键词有"药品价格改革""价格谈判""医保支付""药品短缺""三医联动""带量采购""供应保障"等,这也是最新的研究热点。结论:药品集中采购的研究重点随着国家政策的调整而不断改变,目前该领域的研究重点转向了药品带量采购模式及药品带量采购政策实施现状研究、医保支付标准改革研究、公立医院药品价格谈判和药品价格改革,以及在"三医联动"背景下完善药品供应保障体系的策略,探索缓解药品短缺和不合理用药的解决措施。未来在该领域应加强合作与学术交流,使多中心、多学科的合作模式成为主流;同时,公立医院应提升自身主体地位,积极参与相关课题的研究,从而促进建立健全药品供应保障体系,减轻人民群众医疗负担。

Visualization Analysis of Domestic Drug Centralized Procurement Study from 2000 to Jun. 2018

OBJECTIVE:To explore the situation and research hotspots of drug centralized procurement study,and to find existing problems in the development of this field so as to provide reference for further improving drug centralized procurement in China.METHODS:The literatures were retrieved from CNKI,Wanfang and VIP database during 2000-Jun.2018.CiteSpace software,which was a visualization software,was used to analyze statistically the publication time,author,research institution and keywords.RESULTS:A total of 3 455 literatures were included in the study.The number of literatures in this field had increased significantly since 2009.The author and institution cooperation network were scattered relatively.The research teams were mainly universities and research institutes,few of which were public hospitals.Before 2009,the scholars focused on feasibility analysis of the implementation of drug centralized procurement policy in China,analysis of centralized drug procurement system and model introduction.After New Medical Reform in 2009,great importance was attached to effect evaluation of essential medicine centralized procurement and rational drug use in public hospital.In recent year,the latest outbreak of the keywords were“drug pricing reform”“price negotiation”“medical insurance payment”“drug shortage”“tripartite linkage of medical institutions”“drug purchasing with quantity”“supply guarantee”and so on,which were the newest research hotspots.CONCLUSIONS:The research focus of drug centralized procurement is changing with the adjustment of national policy.At present,the focus of research in this field has shifted to the research on the mode and situation of drug purchasing with quantity,the reform of medical insurance payment standard,the negotiation of drug price in public hospitals and the reform of drug price.Under the background of“Tripartite Linkage of Medical Institutions”,the strategy of drug supply guarantee system was improved,and the countermeasures are explored to alleviate drug shortage and irrational drug use.are explored to alleviate drug shortage and irrational drug use.In the future,cooperation and academic exchanges should be strengthened in this field so as to make the multi-center and multi-disciplinary cooperation mode should become the mainstream.At the same time,public hospitals should enhance their main position and actively participate in research on related topics,so as to promote to establish and improve the drug supply guarantee system and reduce the medical burden of the public.