上海药品带量采购相关问题研究(1)
摘 要 本文对上海药品带量采购的主要做法尤其是突出的亮点比如质量综合评价体系和采购结算流通进行总结和分析。发现上海药品带量采购真正实现了招采合一、带量采购，降价效果显著，有利于推动我国医药产业优化升级，鼓励生产企业提高自主创新能力，扶持流通企业做大做强；有利于实现医药分开，促进医院合理用药，并避免医药购销领域商业贿赂的发生；有利于触发和推动三医联动改革。但也存在一些问题，如短期内无法扩大推广、影响医院的现金流、对医保的资金垫付能力和支付方式的改进也提出了更高的要求。因此，笔者认为，上海带量采购采取渐进方式开展和推进的同时也需要三医联动同步配套实施。
关键词 药品 招标 带量采购 三医联动
中图分类号：R193.2 文献标识码：C 文章编号：1006-1533(2016)09-0058-04
Study on the issue related to Shanghai drug procurement with target quantity
WU Qirong
(School of International and Public Affairs， Shanghai Jiao Tong University，Shanghai 200030， China)
ABSTRACT This article summarizes and analyzes the major practices especially the outstanding highlights of Shanghai drug procurement with target quantity such as comprehensive evaluation index of quality， procurement and payment process. It is found that the combination of bidding with purchasing is successfully realized in Shanghai drug procurement with target quantity， which results in the obvious effect of price reduction and is of benefit to promoting the optimization and upgrade of the pharmaceutical industry， encouraging the independent innovation of the manufacturing enterprises， supporting the enlarging and strengthening of distribution enterprise. It is also helpful to realize the reform of medical care， promote the rational medication in clinic and avoid the commercial bribery in the field of medicine purchase-and-sell. It will also activate and promote the tripartite system reform. However， there exist some problems such as the limit of expand in a short time， the decrease of cash flow for hospitals， the higher requirement to the improvement of the advance payment ability and payment method of medical insurance funds. So this paper argues that Shanghai drug procurement with target quantity will be promoted step by step and at the same time the tripartite system reform should be simultaneously implemented.
KEY WORDS drug； bidding； purchase with target quantity； the tripartite system reform
上海从2010年起率先在全国实行由医保部门牵头进行药品招标采购工作，2013年《上海市“十二五”期间(2013-2015年)深化医药卫生体制改革实施方案》提出对“临床必需、用量大、个人自负费用高的药品”实行带量采购， 2014年1月上海市政府工作报告中首次将“试行部分药品带量采购”列入其中，同年12月，上海市医药集中招标采购事务管理所发布带量采购招标公告，首批3个试点品种阿莫西林、头孢呋辛酯和依那普利，均为口服常释剂型，中标结果于2015年4月28日发布并在5月13日发布执行通知，被认为“真正实现了药品带量采购”[1]，第二批试点的6个品种也正在招标中。本文将对上海第一批带量采购的主要做法和突出亮点进行分析，并对存在的问题提出对策和建议。
1 公开招标的方式
上海带量采购采取了公开招标的方式，在招标公告中明确了招标品种的具体规格和数量，分别是：阿莫西林(0.25 g/片，450万片；0.5 g/片，900万片)、头孢呋辛酯(0.25 g/片，3 000片)和依那普利(5 mg/片，850万片；10 mg/片，650万片)。这3个产品的生产企业数都在3家以上，属于用量大、市场竞争充分的产品。, http://www.100md.com(武奇蓉)
关键词 药品 招标 带量采购 三医联动
中图分类号：R193.2 文献标识码：C 文章编号：1006-1533(2016)09-0058-04
Study on the issue related to Shanghai drug procurement with target quantity
WU Qirong
(School of International and Public Affairs， Shanghai Jiao Tong University，Shanghai 200030， China)
ABSTRACT This article summarizes and analyzes the major practices especially the outstanding highlights of Shanghai drug procurement with target quantity such as comprehensive evaluation index of quality， procurement and payment process. It is found that the combination of bidding with purchasing is successfully realized in Shanghai drug procurement with target quantity， which results in the obvious effect of price reduction and is of benefit to promoting the optimization and upgrade of the pharmaceutical industry， encouraging the independent innovation of the manufacturing enterprises， supporting the enlarging and strengthening of distribution enterprise. It is also helpful to realize the reform of medical care， promote the rational medication in clinic and avoid the commercial bribery in the field of medicine purchase-and-sell. It will also activate and promote the tripartite system reform. However， there exist some problems such as the limit of expand in a short time， the decrease of cash flow for hospitals， the higher requirement to the improvement of the advance payment ability and payment method of medical insurance funds. So this paper argues that Shanghai drug procurement with target quantity will be promoted step by step and at the same time the tripartite system reform should be simultaneously implemented.
KEY WORDS drug； bidding； purchase with target quantity； the tripartite system reform
上海从2010年起率先在全国实行由医保部门牵头进行药品招标采购工作，2013年《上海市“十二五”期间(2013-2015年)深化医药卫生体制改革实施方案》提出对“临床必需、用量大、个人自负费用高的药品”实行带量采购， 2014年1月上海市政府工作报告中首次将“试行部分药品带量采购”列入其中，同年12月，上海市医药集中招标采购事务管理所发布带量采购招标公告，首批3个试点品种阿莫西林、头孢呋辛酯和依那普利，均为口服常释剂型，中标结果于2015年4月28日发布并在5月13日发布执行通知，被认为“真正实现了药品带量采购”[1]，第二批试点的6个品种也正在招标中。本文将对上海第一批带量采购的主要做法和突出亮点进行分析，并对存在的问题提出对策和建议。
1 公开招标的方式
上海带量采购采取了公开招标的方式，在招标公告中明确了招标品种的具体规格和数量，分别是：阿莫西林(0.25 g/片，450万片；0.5 g/片，900万片)、头孢呋辛酯(0.25 g/片，3 000片)和依那普利(5 mg/片，850万片；10 mg/片，650万片)。这3个产品的生产企业数都在3家以上，属于用量大、市场竞争充分的产品。, http://www.100md.com(武奇蓉)