摘要
目的:了解国家组织药品集中带量采购在儿童专科医院的实施现状,分析存在的困难和问题,为今后集中带量采购政策的完善提供参考。方法:利用Excel对本案例医院信息系统中国家集中带量采购执行2年期间(2020-2021年国家药品带量采购试点扩围、第三批)中选药品及相关药品的采购数据和销售数据进行统计分析,调查案例医院国家集中带量采购政策落实情况。利用Excel对国家药品带量采购试点扩围到第五批全国药品集中采购中选品种供应清单中口服类药品进行统计,为完善国家集中带量采购儿童用药需求提供参考。结果:案例医院在试点扩围及第三批采购周期内虽能完成涉及中选药品的约定采购量,节约药品费用,但部分中选品种可替代药品在集中带量采购实施后费用依然增长。试点扩围到第五批国家集中带量采购全国中选品种清单中适宜儿童使用的口服类药品(散剂、分散片、颗粒剂、口服液等)仅占3.25%。儿童用药在执行国家集中带量采购政策时主要的困难和问题体现在中选药品的剂型、规格不适宜;中选药品说明书缺乏儿童用药信息或内容不规范;中选品种可替代药品参考监测范围中部分药品在儿童用药时不能完全被替代。结论:建议集采中选结果中能够针对儿童患者增加适宜的口服剂型和规格;同时规范中选药品说明书监管,鼓励中选企业健全儿童患者用药信息;医保部门在可替代药品采购监测和数据报送中,兼顾儿童患者用药需求。
Objective:To investigate the implementation status of centralized drug quantity purchase in children’s hospitals organized by the state,analyze the existing difficulties and problems,so as to provide reference for the improvement of centralized drug quantity purchase policy in the future.Methods:Excel was used to perform statistical analysis on procurement and sales data of selected drugs and related drugs during the two-year implementation of national centralized drug quantity purchase in the case hospital information system(from 2020 to 2021,the expansion of the National Drug Procurement Pilot and the third batch),and to investigate the implementation of the national centralized drug quantity purchase policy in the case hospital.Excel was used to make statistics on oral drugs included in the supply list of selected varieties in the fifth batch of national centralized drug procurement,and to provide a basis for improving the needs of centralized drug procurement in China.Results:Although the case hospital could complete the agreed purchase amount of selected drugs and save drug costs in the pilot expansion and the third batch procurement cycle,the cost of some selected alternative drugs still increased after the implementation of centralized procurement.Only 3.25%of the oral drugs suitable for children(powder,dispersible tablets,granules,oral liquid)were included in the fifth batch of the national list of selected varieties.The main difficulties and problems in the implementation of the national policy on the centralized drug procurement for children were reflected in the dosage forms and specifications of the selected drugs.The instructions of the selected drugs lack information about children’s medication or the contents were not standard.Some drugs in the reference monitoring range can’t be completely replaced when children taking drugs.Conclusion:It is suggested that oral dosage forms and specifications suitable for children should be added to the selected results.Meanwhile,the management of selected drug instructions should be standardized,and the medication information for children should be improved by the selected enterprises.In the monitoring and data submission of alternative drugs procurement,the medication needs of children should be seriously taken into account.
作者
马瑞娟
黄伟
段彦彦
陶兴茹
张胜男
Ma Ruijuan;Huang Wei;Duan Yanyan;Tao Xingru;Zhang Shengnan(Children’s Hospital Affiliated to Zhengzhou University,Henan Children’s Hospital,Zhengzhou Children’s Hospital,Zhengzhou 450053,China)
出处
《儿科药学杂志》
CAS
2023年第6期19-22,共4页
Journal of Pediatric Pharmacy
关键词
药品集中带量采购
中选药品
儿童专科医院
问题
建议
centralized drug quantity purchase
selected drug
children’s hospital
problems
suggestions
