| 许日祥,李姝婷,江伟,等.医疗机构实施药品采购“两票制”政策的效果研究:以安徽省某三级综合医院为例[J].安徽医药,2022,26(3):626-629. |
| 医疗机构实施药品采购“两票制”政策的效果研究:以安徽省某三级综合医院为例 |
| Assessment of the implementation effect of "two-invoice system" in medicine procurement: Take one tertiary comprehensive hospital in Anhui Province as an example |
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| DOI：10.3969/j.issn.1009-6469.2022.03.048 |
| 中文关键词: 药剂学管理 “两票制” 安徽省 三甲医院 药品价格 配送 |
| 英文关键词: Pharmacy administration "Two-invoice system" Anhui province Tertiary hospital Medicine price Distribution |
| 基金项目:国家自然科学基金资助项目( 71503006)；国家级大学生创新创业训练计划项目基金资助( 201810366057) |
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| 中文摘要: |
| 目的分析药品采购“两票制”实施对药品供应的影响，为政策的进一步推行以及促进相关政策发挥协同作用提供参考。方法采用数据分析法，选取具有代表性的安徽 XX附属医院作为研究对象，从该院医院信息系统导出 2015年 1月至 2018年 12月药品采购数据，分析政策实施对药品价格及医疗机构药品配送的影响；再通过关键人物访谈法，选取医疗机构和药品流通企业相关负责人共计 8人为受访者，了解“两票制”实施后对利益相关者的影响及政策实施中存在的问题等。结果在该医院近年来服务量不断提升引起药品需求增加的情形下，药品的配送率在此期间上升 1.04倍；该医院的药品配送企业和药品使用数量也在两票制实施之后呈现明显的下降趋势；两票制的实施导致 14种药品的价格出现不同幅度的上涨，日均药品费用(DDDc)涨幅中位数为 1.08倍。访谈结果表明，在“两票制”实施后，出现了因不满足政策要求而导致的药品短缺现象； |
| 英文摘要: |
| Objective To analyze the effects of the implementation of the "two-invoice system" on medicine procurement, and toprovide reference for further implementation of policies and promotion of synergies of related policies.Methods Data analysis wasused to select a representative affiliated hospital in Anhui Province as the research object, to export medicine procurement data between January 2015 and December 2018 from the hospital′s information system, and to analyze the influence of implementation of policies on medicine prices and medicine delivery of medical institutions. Then key-person interview was carried out to select a total of 8persons in charge of medical institutions and pharmaceutical companies as interviewees to know about the influence of the "two-invoice system" on stakeholders and the problems in policy implementation.Results Although the demand for medicines in the hospital increased in recent years due to the continuous increase in service volume, the medicine delivery rate had increased 1.04 times. The number of medicine delivery companies and medicine use had also shown a significant downward trend after the implementation of the "twoinvoice system". The implementation of the policy led to a rise in the prices of 14 medicines with the median increase in defined dailydrug costs (DDDc) of 1.08 times. The interview results showed that after the implementation of the policy, there existed medicines shortage due to the failure to meet the "two-invoice system" requirements. In addition, the cost of medicine operation and hospital serviceswas increased due to the implementation of the policy.Conclusions After the implementation of the "two-invoice system" in Anhui |
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