摘要
目的:为完善我国医用耗材集中带量采购工作提供参考和建议。方法:检索收集2019年7月1日—2020年10月1日我国各省出台的医用耗材集中带量采购相关政策,采用文献分析法和比较分析法进行归纳总结。结果:各省在采购品种、采购量、分组规则、评审方法、价格降幅等方面存在差异。结论:采购品种遴选标准应透明化;应统一分组规则,并构建竞争格局;应先质量评价,再竞价谈判;多举措并行,提高医疗机构积极性;应规范约定采购量和剩余采购量分配,杜绝二次议价;坚持政府主导,保证中选产品质量。
Objective:To improve the volume-based procurement of medical consumables in China.Methods:By using literature review and comparative analysis,the policies associated with the volume-based procurement of medical consumables in all provinces in China during the period from July 1st,2019 to October 1st,2020 were collected.Results:The results revealed obvious differences in various provinces in terms of procurement varieties,procurement volume,grouping rules,evaluation methods and the price decline degree in each province.Conclusions:The selection criteria for procurement varieties should be transparent;grouping rules should be unified and a competition pattern should be established;quality assessment should be conducted before bidding and/or negotiation;multiple measures should be taken at the same time to incentivize healthcare institutions;the allocation of the negotiated purchase quantity and surplus volumes should be stipulated and standardized in order to avoid secondary price negotiation;and the procurement methods and mechanisms should adhere to the government-led principle to ensure the quality of selected products.
作者
李环
张治国
李程洪
余鸣人
刘红海
刘淼
黄梅香
LI Huan;ZHANG Zhi-guo;LI Cheng-hong;YU Ming-ren;LIU Hong-hai;LIU Miao;HUANG Mei-xiang(School of Medicine and Health Management, Tongji Medical College, Huazhong University of Science and Technology, Wuhan Hubei 430030, China;Hubei Provincial Research Center for Health Technology Assessment, Wuhan Hubei 430030, China)
出处
《中国卫生政策研究》
CSCD
北大核心
2021年第3期48-56,共9页
Chinese Journal of Health Policy
基金
湖北省卫生计生委委托课题(0216516197)
湖北省卫生健康委委托课题(0216516223)。
关键词
医用耗材
带量采购
分组规则
质量评价
Medical consumables
Volume-based procurement
Grouping rule
Quality assessment
