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集中带量采购背景下某院中标药品的短缺原因及对策

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目的 探讨集中带量采购背景下某院中标药品的短缺现状及原因,为保障中标药品的供应提供参考.方法 基于医院采购工作实践收集、汇总药品集中带量采购政策落地执行以来出现的中标药品短缺信息,结合文献研究法和非结构式访谈法分析中标药品短缺基本情况及原因.结果 该院 67 个中标药品中,购销合同期内 12 个中标药品出现短缺,短缺率达 17.91%.短缺原因主要有生产性短缺,药品定价与监管机制不完善,信息化建设不健全.结论 随着药品集中带量采购模式的持续推进,在集中带量采购药品定价与监管机制不断完善的基础上,医院可通过优化采购制度,加强中标企业供货能力评估,及时报送短缺药品信息,积极与医疗保障局和供应商沟通等方式保障中标药品的供应.
Causes and Countermeasures of Hospital Bid-Winning Drug Shortage in a Hospital Under the Background of Centralized Volume-Based Procurement
Objective To investigate the current situation and causes of bid-winning drug shortage under the background of centralized volume-based procurement,and to provide a reference for the supply guarantee of bid-winning drugs.Methods Based on the practice of hospital procurement work,the information of bid-winning drug shortage that has occurred since the implementation of drug centralized volume-based procurement was collected and summarized.Combining literature review and unstructured interviews,the basic situation and underlying causes of bid-winning drug shortage were analyzed.Results Among the 67 bid-winning drugs involved in the hospital,12 bid-winning drugs were in shortage during the purchase and sale contract period,with a shortage rate of 17.91%.The main causes of the shortage included productive shortage,imperfect drug pricing and regulatory mechanisms,and inadequate information technology construction.Conclusion With the continuous promotion of drug centralized volume-based procurement,and the continuous improvement of centralized drug pricing principles and regulatory mechanisms,the hospital can ensure the supply of bid-winning drugs by optimizing the procurement system,strengthening the supply capacity evaluation of bid-winning enterprises,timely reporting of shortage drug information,and actively communicating with the Healthcare Security Administration and suppliers.

centralized volume-based procurementbid-winning drugdrug shortagesupply guarantee

刘娟、黄长海、陈雯

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江苏省南京市浦口区星甸街道石桥社区卫生服务中心,江苏 南京 210000

集中带量采购 中标药品 药品短缺 供应保障

2024

中国药业
重庆市食品药品监督管理局

中国药业

CSTPCD
影响因子:1.369
ISSN:1006-4931
年,卷(期):2024.33(1)
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