医院药品集中采购政策的背景和演变

ChineseJournalofHealthPolicy,April2009,Vol12No141321.1000102.100088,,,2000()(19931999),(20002004),(2005),;;;:R951:A:167422982(2009)0420008206BackgroundandevolutionofthegroupprocurementpolicyofdrugsforhospitalsWANGLie2jun1,GEJian2hua21.ResearchDepartmentofSocialDevelopment,DevelopmentResearchCenteroftheStateCouncil,Beijing100010,China2.SchoolofBusiness,ChinaUniversityofPoliticalScienceandLaw,Beijing100088,ChinaAbstractHospitalsaretheprimarydistributionchannelofdrugsinChinaanddrugshavebeenpurchasedseparatelybyindividualhospital.Facedbydisorderindrugproductionanddistribution,andsoaringdrugprices,someministriesbegantopushdrugbiddingorganizedbyprefecture(city)governments.Theevolutionofgrouppro2curementpolicyofdrugsforhospitalscanbedividedintothreephases:Spontaneousexperimentbylocalgovernment(19931999),Nationwidedrugbidding(20002004),Variousexplorationsbylocalgovernmentfornewwaysofgroupprocurement(2005present).Policyobjectivesexpandfromsingleoneoftoregulatedrugprocurementbe2haviorofhospitalstomultipleonesoftoputdrugdistributionintogoodorder,regulatedrugprices,removecorruptionindrugprocurement,alleviatethehealthexpenditureburdenofthemassesetc,withcuttingdownthedrugpricesastheforemost.KeywordsDrug,Procurement,Policy,Evolution,,,1,,20%;GMPGSP,,,1.1,,,,4684,83::,(19772),,,,E2mail:[e-mail]200942450%,,,17,5()20051102%[1],,,,112,,,,,,1,,016%,,,,,2005,,113,,200678144%[2],90%,,,,2090,,,40%[3],,,114,,,,,115,,20901996,2000,2005,200720%,60%19851996,1996,,:[426],;,;;,;,,9ChineseJournalofHealthPolicy,April2009,Vol12No14;2,1993,,211(19931999):2090,,,,,,208090,,1996,,,1993,7,22;1998,230,,;1999,,,8,[7],,212(20002004):2000,,()2001308,20043201999,20002([2000]16),,20007,,,,,,,2001,,()(,40%),,,200111,,([2001]308),,,,,(),,2004,,,([320]),,012009424,,2004,,,,,,2001,,213(2005):,,,,,,2005200512,(),,2006,,(),,,,()20062007,,(),2006,,15%,,,,,33112000([2000]16),2001308,16,16,,2004,320,,20032005,2004,,,,,2004,,312308(),,,,,,,,11ChineseJournalofHealthPolicy,April2009,Vol12No1420082008,(),,,,(),(),(),(),(),(),(),,()308,()(308,),,2004,,,,,3,1,313308(),,(),2004,,320(),,,,,()6,20082008()308,320,,308,,,,2000,320,80%(),,,,,314200016,2001308,,2004,,(212009424,GMP),23(1)3,,,(1)2005,,,,,()(),,(60%75%),,,2007,,,,:,3,,,,()11()+()+()6+()++():3,,(),,,[1].[Z].2006.[2].2007[R].2007[3].2006[M].:,2006.[4].[J].,2008,7(2):36237.[5],.[J].,2008,(6):3862387.[6].[J].,2008,(4):21224.[7].:[M].:,2005.[:2009203212:2009203219]()31