CAJ | 학술논문

目的：解析基本药物集中采购过程中存在主要问题及其原因，并针对价格问题提出有效的解决方案，以确保基本药物的质量与正常供应，有效降低患者负担，保障患者用药安全。方法对6家三级医院的基本药物集中采购实施情况进行调查，对存在主要突出问题进行归纳分析，找出其内在原因并提出相应解决方案。结果基本药物集中采购工作进展较顺利，但在实施过程中也存在因实行最低价中标原则导致部份产品价格过低而产生药品质量与药品供应难以保障等诸多问题。结论基本药物集中采购的价格政策不能简单地以最低价中标，而应当科学地、全面地分析制定策略。建议实行平均价格区间内低价中标，适当放宽差率控制，既能降低药品价格，也能避免恶性竞争，药品质量和生产供应也得到保障，同时医疗机构也愿意更多地使用，从而真正减轻患者负担，缓解看病贵的难题。
목적：해석기본약물집중채구과정중존재주요문제급기원인，병침대개격문제제출유효적해결방안，이학보기본약물적질량여정상공응，유효강저환자부담，보장환자용약안전。방법대6가삼급의원적기본약물집중채구실시정황진행조사，대존재주요돌출문제진행귀납분석，조출기내재원인병제출상응해결방안。결과기본약물집중채구공작진전교순리，단재실시과정중야존재인실행최저개중표원칙도치부빈산품개격과저이산생약품질량여약품공응난이보장등제다문제。결론기본약물집중채구적개격정책불능간단지이최저개중표，이응당과학지、전면지분석제정책략。건의실행평균개격구간내저개중표，괄당방관차솔공제，기능강저약품개격，야능피면악성경쟁，약품질량화생산공응야득도보장，동시의료궤구야원의경다지사용，종이진정감경환자부담，완해간병귀적난제。
Objective To analysis the major problems and the causes in the process of centralized purchasing of national essen -tial drugs, and to give some effective solutions according to the price problems for ensuring the quality and regular supply of national es -sential drugs , decrease patients burden effectively and safeguard the medication safety of patients .Methods The implementation of cen-tralized purchasing of national essential drugs was investigated , the problems which were major and outstanding were analyzed to find out the internal causes and the effective solutions were given .Results The progression of centralized purchasing of national essential drugs was successfully in general .The implementation of the principle of winning of the bidding with the lowest bid price lead to excessive low price, which caused some problems such as lower quality or bad supplied of some national essential drugs .Conclusion The price policy of centralized purchasing of national essential drugs should not be instituted based on the lower price , more winning of biddings .It needed more scientific and overall perspective thoughts .It maybe solve the problems mentioned above by winning of the bidding with the lowest bid price in the interval average price , appropriately loosing the control of difference rate with the results of decreasing the drug price , avoiding cut-throat competition, ensuring the quality and supply of drugs , lightening the patients′burden, releasing the problem of high cost of getting medical treatment .