河南省基于集中采购药品的配送模式现状考察

摘 要 目的：分析河南省药品市场供需结构、基本药物及低价药品配送状况，研究具体因素对配送的影响，提出对策和建议。 方法: 采用文献研究、德尔菲法、抽样调查等方法，分析药品配送模式对河南省药品配送的影响，并系统分析优化药品配送模式。结果: 集中采购药品配送模式等因素会影响药品配送的积极性及配送率。结论:集中采购药品应坚持基本药物优先原则和合理使用制度以提高企业配送积极性；在配送模式中采用双向选择配送模式为主，与集中配送模式、自主选择模式相结合的配送方式；并通过提升信息技术，完善配送的动态管理，提高配送效率。

Current Situation Research on Distribution Mode of Centralized Purchasing Drugs in Henan Province

ABSTRACT Objective: To analyze the structure of supply and demand, the distribution status of essential drugs and low cost drugs and the influencing factors in the distribution, and provide strategies and suggestions. Methods:The literature research, Delphi method, sampling survey and the other methods were used to analyze the effects of distribution pattern on the drug distribution in Henan, and then optimization measures were studied systematically.Results:The distribution mode of centralized purchasing drugs was the major influencing factor in the drug distribution rate and enthusiasm. Conclusion:The distribution of centralized purchasing drugs should stick to the principles of essential drugs priority and reasonable use in order to enhance the distribution enthusiasm of manufacturers. The distribution should base on the two way choice distribution mode and combine with the mode of centralized distribution and independent choice, meanwhile, the information technology should be improved to optimize dynamic management of distribution and promote the effectiveness of drug delivery.