中国药房2018，Vol.29Issue(3)：289-293,5.DOI:10.6039/j.issn.1001-0408.2018.03.01
基于财务视角的药品采购"两票制"改革思考
Reflections on the Reform of "Two-vote System" for Drug Purchase Based on Financial Perspective
乌婷 1陈俊岗 1吴君科2
作者信息
- 1. 西安外国语大学财务处, 西安 710128
- 2. 陕西省食品药品监督管理局, 西安 710065
- 折叠
摘要
Abstract
OBJECTIVE: To provide reference for China to comprehensively promote and perfect the "two-vote system" for drug purchase. METHODS: The effects of "two-vote system" on interested parties, the existing problems of drug purchase and its financial reasons were analyzed; the finance strategies were put forward to deal with the existing problems of drug purchase. RESULTS & CONCLUSIONS: "Two-vote system" has certain impact on drug production enterprises, drug circulation enterprises, public medical institutions and government drug supervision departments. At present, the existing problems of drug purchase mainly include that the mechanism of "drug to support hospital" has promoted the virtual-high price of drugs; drug enterprises pull drug sales by the way of rebate; hidden rules disrupt the circulation of drugs as "be subordinate to" "amateur performance". Financial reasons mainly include that the mode of "drug to support hospital" pursuit the maximization of its own interests unilaterally and ignore the drug cost burden of patients; some enterprises have poor investment, lack of R&D investment, have weak internal financial control measures, lack of social responsibility consciousness, rely on "be subordinate to" "amateur performance" profit, underestimate financial risk, etc. The drug production enterprises should adjust marketing model and reduce cost; drug circulation enterprises should predict positioning scientifically and expand profit space; public medical institutions should reform financial supply and reduce drug cost; government drug supervision departments should reduce the supervision cost and improve the comprehensive efficiency. Only by deepening the reform of the medical and health care system, improving the supporting measures for the "two-vote system" in drug purchase can the problems existing in the circulation of drugs be solved gradually.关键词
两票制/药品采购/财务管理/药品生产企业/药品流通企业/公立医疗机构/政府药品监管部门Key words
Two-vote system/Drug purchase/Financial management/Drug production enterprise/Drug circulation enterprise/Public medical institution/Government drug supervision departments分类
医药卫生引用本文复制引用
乌婷,陈俊岗,吴君科..基于财务视角的药品采购"两票制"改革思考[J].中国药房,2018,29(3):289-293,5.
