摘要
目的:通过分析低价药集中挂网采购政策实施前后西药的采购量和种类的变化,探究集中挂网采购政策对低价药供应保障的影响,并在此基础上对改进药品供应保障政策体系提供科学依据和经验支持。方法:采用间断时间序列的方法,分析2014年3月—2017年3月山东省药品集中采购平台上西药采购量和种类的变化。结果:低价药集中挂网采购政策干预后,西药的采购量呈现上升趋势,且政策实施之后西药采购量比基线水平每月多增加253926.9个,差异有统计学意义(β2=253926.9,P<0.001)。同时西药的种类也在增加,且政策干预之后比政策干预前每月多增加307.48种(β2=307.48,P<0.0001),总体来看,西药的采购量和种类都比政策干预前有所增加。结论:低价药的集中挂网政策总体上解决了药品短缺的问题,在一定程度上满足了临床的用药需求,可以考虑在全部医疗机构中实施此政策,进一步解决基层医疗机构药品短缺的问题。
Objective: To analyze changes in quantity and quality of western medicines before and after the implementation of the low-priced drug centralized procurement policy, in order to explode the impact of the policy on the supply of low-priced drugs, and provide scientific suggestions for improving the drug supply security policy system. Methods: This paper uses the discontinuous time series model to analyze the changes in quantity and quality of western medicines procurement data collected from Shandong province s centralized drug procurement platform between March 2014 and March 2017. Results: After the intervention of the low-priced drug centralized procurement policy, the procurement volume of western medicines showed an upward trend, with an increase of 253 926.9 more than the baseline level after the implementation of the policy, showing a statistically significant difference (β 2=253 926.9, P <0.001 ). At the same time, the types of low-priced medicines also increased;after policy intervention, there were 307.48 more cases per month than before policy intervention (β 2=307.48, P <0.0001). In short, the purchase volume and types of western medicine purchase orders are higher than before the policy intervention. Conclusions: The low-priced drugs centralized procurement policy has generally solved the problem of drugs shortage and, to a certain extent, satisfied the clinical drug demand. Thus, this paper recommends the implementation of this policy in all medical institutions.
作者
段烁云
荣雪菁
孙强
DUAN Shuo-yun;RONG Xue-jing;SUN Qiang(School of Health Care Management,Shandong university,Jinan Shandong 250012,China;Key Laboratory of Health Economics and Policy Research of National Health Commission,Jinan Shandong 250012,China)
出处
《中国卫生政策研究》
CSCD
北大核心
2019年第2期22-26,共5页
Chinese Journal of Health Policy
基金
山东省卫生健康委员会委托课题
关键词
间断时间序列
低价药
效果评价
Discontinuous time series
Low-priced drugs
Effectiveness evaluation
