中国药物经济学2025，Vol.20Issue(2)：33-39,43,8.DOI:10.12010/j.issn.1673-5846.2025.02.006
全国中成药集中带量采购政策在某三甲综合医院的执行效果
Implementation Effect of Chinese Patent Medicine Purchased Policy Centrally in a Tertiary General Hospital
摘要
Abstract
Objective To analyze the implementation of the national centralized procurement of Chinese patent medicine policy(hereinafter referred to as"collective procurement")in a third class general hospital,and the labeling of selected drugs and the linkage of related policies,and provide suggestions for the improvement of collection system and hospital pharmaceutical management.Methods The usage,defined daily doses(DDDs),defined daily cost(DDC),collection progress and actual cost savings of selected Chinese patent medicine were compared and analyzed in the First People's Hospital of Nantong City before and after 6 months of centralized volume-based procurement.Statistics on the labeling of selected drug instructions,sorting out the inclusion of selected drugs in the national essential drug list,medical insurance drug list,the selection of large varieties of traditional Chinese medicine,traditional Chinese medicine protection varieties.Results After centralized volume-based procurement,4 new product specifications were added to 5 original varieties in the hospital,and DDC of the original varieties decreased,and the usage amount and DDDs were related to whether there were new specifications and dosage forms.The completion progress of collective mining was greatly affected by the agreed distribution amount,and the actual saving cost of collective mining totaled 116.04 million yuan.There are some problems in the instructions of selected Chinese patent medicine,such as vague expression,missing marks and inconsistent execution standards.The selected drugs are included in medical insurance,and Naoan and Xinkeshu are national essential drugs.5 of them are large varieties of traditional Chinese medicine and 4 are protected varieties of traditional Chinese medicine.Conclusion The national collection of Chinese patent medicine has effectively reduced the drug burden of patients,and it is recommended to refine and improve the collection rules,further standardize drug instructions,strengthen pharmaceutical management,improve the accuracy of reporting,and enhance the effect of policy implementation.关键词
集中带量采购/说明书/国家基药目录/医保药品目录/中药品种保护Key words
Centralized volume-based procurement/Drug instruction/National Essential Medicine List/Medical Insurance Drug List/Traditional Chinese medicine protection分类
药学引用本文复制引用
程娟娟,陆颖,戴春雷..全国中成药集中带量采购政策在某三甲综合医院的执行效果[J].中国药物经济学,2025,20(2):33-39,43,8.基金项目
南通市药物政策与药学服务课题(2023NTPA06) （2023NTPA06）
