药品价格谈判国际经验与国内实践的比较研究

本文采用回顾性研究方法,通过文献检索不同国家或地区药品价格谈判的谈判主体、药品类型、药品准入机制、谈判环节和谈判结果等信息进行统计和分析。在国外,药品价格谈判机制已实施多年,许多国家已建立了比较完善的谈判制度,选取其中7个具有代表性的典型国家和地区进行统计分析,分别为加拿大、美国、澳大利亚、法国、德国、意大利、韩国。近年来,我国部分省市医疗保险部门进行了药品价格谈判的试点工作,在药品价格谈判结果实施方面积累了一些实践经验,选取其中6个实施结果较为成功的地区进行统计分析,分别为浙江、湖南、江苏、江西、成都、青岛。通过对国内外典型地区药品价格谈判机制统计结果进行对比分析,发现典型国家药品价格谈判机制更为成熟健全,国内地区与之相比仍存在一定差距,可借鉴国外的成功经验,结合实际情况,建立健全适合我国国情的药品价格谈判机制。

A comparative study of the drug negotiation mechanism in typical regions at home and abroad

With this retrospective study,we analyzed the negotiation subject,drug type,drug access mechanism,negotiation link and negotiation result of drug negotiation in typical regions at home and abroad.In foreign countries,drug negotiation mechanism has been implemented for many years,and many countries have established a relatively perfect negotiation system.We selected 8 typical countries and regions for which we statistically analyzed the negotiation subject,drug type,drug access mechanism,negotiation link and negotiation result of drug negotiation and these include the United States,Australia,Canada,France,Germany,Italy,South Korea and Taiwan.However,in recent years some Chinese medical insurance department carried out pilot works on drug negotiations,and they got some successful results of the implementation of practical experience.Eight typical Chinese regions were also selected for statistical analysis,and these include Zhejiang,Hunan,Jiangsu,Jiangxi,Chengdu and Qingdao.From the analysis of the comparison of drug negotiation mechanism in domestic and foreign typical regional,we found that foreign regional drug negotiation mechanism is more mature and perfect,while in the domestic areas the mechanism is still poor at a certain extent as compared to foreign countries.We should learn from the successful experience of foreign countries and also establish and improve the negotiation mechanism that is suitable for China''s national conditions.