健康发展与政策研究2025，Vol.28Issue(1)：73-79,7.DOI:10.12458/HDPR.202406028
药品集中带量采购对乡镇卫生院胰岛素门诊使用影响分析:以山东省某市为例
Impact of centralized volume-based insulin procurement on outpatient use in township health centers:a case study from a city in Shandong Province
摘要
Abstract
Objective Guided by policy objectives,this study aims to explore the impact of centralized volume-based insulin procurement on outpatient use in township health centers,providing a basis for evaluating the policy's implementation effectiveness.Methods Electronic data on outpatient prescriptions were collected from six township health centers in a city in Shandong Province from May 2021 to May 2023.Descriptive statistics and an interrupted time series model were used to analyze the change of three indicators—defined daily doses(DDDs)of insulin,number of diabetes outpatient visits and average outpatient cost per visit—before and after the implementation of insulin centralized procurement policy on May 31,2022.Results The interrupted time series model showed the centralized volume-based insulin procurement had a significant immediate impact on all three indicators,The DDDs of insulin increased notably(β2=5 507.532,P＜0.05),number of diabetes outpatient visits rose markedly(β2=359.795,P＜0.05),while the average outpatient cost per visit decreased sharply(β2=-20.634,P=0.002).Following policy implementation,the upward trend in the average outpatient cost per visit nearly disappeared(β1+β3=0.267,P＜0.05).Conclusions Driven by the centralized volume-based insulin procurement policy,the volume effect of selected insulin has been evident,reducing economic burdens for grassroots patients and improving insulin accessibility.This has released the potential medication demand among diabetes patients,encouraging more patients to seek care at the grassroots level and facilitating the effective implementation of the tiered healthcare policy.关键词
国家集中带量采购政策/胰岛素/中断时间序列分析Key words
national volume-based procurement policy/insulin/interrupted time series analysis分类
医药卫生引用本文复制引用
沈莉婷,张庆利,樊智鑫,沙森林,孙强,杨鹏..药品集中带量采购对乡镇卫生院胰岛素门诊使用影响分析:以山东省某市为例[J].健康发展与政策研究,2025,28(1):73-79,7.基金项目
国家重点研发计划项目(2020YFC2006505) （2020YFC2006505）
