Accessibility of national-organized centralized procurement of proton pump inhibitors at medical institu-tions nationwide
OBJECTIVE To explore the accessibility of national-organized centralized procurement of proton pump inhibitors(PPIs)nationwide to provide references for evaluating the implementation outcome of national centralized procurement policy.METHODS The previous five batches of nationally procured PPIs were utilized as research objects.According to the standard survey scheme of World Health Organization/Health Action International(WHO/HAI),over 900 secondary/tertiary public gen-eral hospitals in 31 provincial-level administrative regions of China were surveyed from four dimensions of availability rate,defined daily dose cost(DDDc),defined daily doses(DDDs)and affordability.RESULTS After an implementation of national central-ized procurement policy,availability of PPIs significantly improved with a rising trend of batch by batch.At the same time,avail-ability of PPIs at tertiary hospitals was significantly higher than that at secondary hospitals and availability was higher in more developed areas;DDDs of PPIs jumped sharply by 6 634.40％).And DDDs and spikes of pantoprazole sodium enteric-coated tablets and esomeprazole magnesium enteric-coated tablets ranked at the forefront;DDDc of PPIs dropped by an average decline of 83.73％while DDDs of most PPIs rose;for both rural and urban residents,affordability of PPIs has improved obviously and Chinese residents enjoyed better affordability for most PPIs.CONCLUSION After an implementation of national centralized pro-curement policy,both availability and DDDs of PPIs have significantly improved while DDDc has significantly lowered with a greater affordability.National centralized procurement policy has greatly improved the accessibility of PPIs.Public general hospi-tals have achieved remarkable outcomes in implementing the national centralized procurement policy.
NETL
NSTL
万方数据
