Background:Atherosclerotic cardiovascular disease remains the leading cause of death worldwide.This study aims to explore the impact of national volume-based procurement(NVBP)on Chinese patent medicines and provide ev...Background:Atherosclerotic cardiovascular disease remains the leading cause of death worldwide.This study aims to explore the impact of national volume-based procurement(NVBP)on Chinese patent medicines and provide evidence for improving policies and promoting rational drug use.Methods:The study was based on data from the China National Health Insurance Agency that spanned January 2019 to December 2020.Descriptive analysis was conducted using volume and expenditure as variables.Interrupted time series analysis was applied to further analyze Chinese patent medicines.Results:The unit prices of atorvastatin and rosuvastatin decreased by 25%-96%,whereas the prices of Zhibitai and Xuezhikang fluctuated slightly.The affordability is measured as the monthly expenditure on treatment divided by the daily wage.After policy implementation,the affordability of atorvastatin and rosuvastatin improved from 0.242 to 0.014 and from 0.247 to 0.019,respectively.The defined daily doses(DDDs)for atorvastatin and rosuvastatin also increased,whereas total expenditures decreased in hospitals of all levels.Both at the national level and at all levels of hospital,the policy had no significant impact on expenditures for Zhibitai and Xuezhikang and their defined daily doses.Conclusions:The NVBP saved costs in the short term by incorporating high-quality,widely used lipid-lowering drugs.Notably,the policy impacted lipid-lowering chemical drugs,whereas Chinese patent medicines remained largely unaffected.Doctors'use of Chinese patent medicines did not decline,highlighting the clinical specificity of these medicines.展开更多
Objective To quantitatively analyze the policy of centralized drug procurement centralized drug procurement in order to provide reference for the subsequent policy formulation and improvement.Methods Text mining metho...Objective To quantitatively analyze the policy of centralized drug procurement centralized drug procurement in order to provide reference for the subsequent policy formulation and improvement.Methods Text mining method was used to process 15 centralized drugs procurement policies issued at the national level during 2015-2022,and a PMC index evaluation model of centralized drug procurement policies was established.Then,15 centralized drug procurement policies were quantitatively analyzed from the overall and comparative perspective through an evaluation model.Results and Conclusion The average PMC index of 15 centralized drug procurement policies was 6.95,which was acceptable on the whole.Among them,eight were excellent and seven were acceptable.As to the first-order variables,the centralized drugs procurement policy still lacks incentives and constraints.The comparative results show that there are differences in the content and structure of policies,but they are strongly related to each other.Chinese centralized drug procurement policy has been basically formed,which is closely related to medical insurance and medical policies.However,it is still necessary to pay attention to the structure of the policy to ensure the elaboration of the policy content.展开更多
Objective To construct an index system for evaluating the policy effect of centralized drug procurement,and to provide reference for comprehensively and systematically evaluating the policy of centralized drug procure...Objective To construct an index system for evaluating the policy effect of centralized drug procurement,and to provide reference for comprehensively and systematically evaluating the policy of centralized drug procurement.Methods Through combing the policies and literature research,the focus and expected goal of China’s centralized drug procurement policy were clarified.On the basis of policy concerns,combined with some theories and the implementation of drug centralized procurement policy,a primary evaluation index system was constructed.The index system was determined by expert consultation,and the weight of each index was calculated by analytic hierarchy process.Results and Conclusion The questionnaire recovery rates of the two rounds of expert consultation were 88.23%and 100%,the coefficients of authority of experts were 0.86 and 0.80,and the expert coordination coefficients were 0.338 and 0.294,respectively.Finally,the evaluation index system for the policy of centralized drug procurement was established,which included 4 first-level indicators,10 second-level indicators and 23 third-level indicators.The evaluation index system constructed in this paper can not only make up for the deficiency of systematic evaluation of the policy effect of the current centralized drug procurement,but also provide reference for further improving this policy.展开更多
The centralized procurement of drugs in the medical system is a key link,which not only affects the economic effect of institutions,but also relates to the medical quality and patient safety.In the current era,central...The centralized procurement of drugs in the medical system is a key link,which not only affects the economic effect of institutions,but also relates to the medical quality and patient safety.In the current era,centralized drug procurement in hospitals can meet the needs of most patients;however,the specific steps of the work still need to be optimized.Starting from the level of hospital drug centralized procurement work,this paper discusses the policy background,analyzes the practice of drug centralized procurement in tertiary hospitals,and provides specific work management suggestions,aiming to improve work efficiency and serve as a reference for optimizing subsequent hospital drug centralized procurement work.展开更多
Objective: to analyze the application value of PDCA (Plan-do-check-act) management model in hospital centralized procurement quality management. Methods: from January 2019 to June 2020, our hospital began to apply PDC...Objective: to analyze the application value of PDCA (Plan-do-check-act) management model in hospital centralized procurement quality management. Methods: from January 2019 to June 2020, our hospital began to apply PDCA management model to the quality management of hospital centralized procurement. By using the basic process of planning-implementation-inspection-improvement, and establishing and further optimizing the procurement organization at the organizational level, further formulating and revising the procurement system for the procurement system, centralized procurement and organizing bidding at the operational level. Results: through the application of PDCA management mode, the procurement process can be optimized and necessary optimization can be made for the procurement process, with a significant overall effect. Through the application of PDCA, the procurement task was completed to 100%, and the procurement cost was saved by more than 11.70%, while the quality and satisfaction of the hospital demand department to the purchased products reached 99.67%. Conclusion: the application of PDCA management model in hospital centralized procurement is particularly critical to improve the quality of procurement, which can achieve the objectives of saving procurement costs, improving the quality of purchased products and procurement satisfaction.展开更多
With the continuous development of the domestic natural gas market and the increasing trend of group operation of city gas enterprises, each large and medium-sized gas group enterprise cannot achieve cost reduction, e...With the continuous development of the domestic natural gas market and the increasing trend of group operation of city gas enterprises, each large and medium-sized gas group enterprise cannot achieve cost reduction, efficiency improvement and market competitiveness without an efficient centralized procurement system. However, the centralized procurement mode of gas enterprises has gradually deepened from the simple bundle procurement to the standardized and scientific centralized procurement supply chain mode. Based on the summary and analysis of the material centralized purchase mode of a medium-sized city gas group in recent ten years, this paper further explores the idea of the construction of centralized purchase supply chain.展开更多
Objective To study the influence of national drug centralized procurement policy on pharmaceutical enterprises manufacturing generic drugs and original drugs,so as to provide a reference for them to make different str...Objective To study the influence of national drug centralized procurement policy on pharmaceutical enterprises manufacturing generic drugs and original drugs,so as to provide a reference for them to make different strategic choices.Methods Through the literature research on the related policies and the bidding data,the national drug centralized policies were studied systematically.Combined with the bid-winning price and price reduction range of the winning enterprises in the three rounds of centralized procurement,their difficulties,strategic choices and the winning factors were investigated.Besides,a model was established to clarify the optimal price of enterprises in the process of drug procurement.Results and Conclusion The strategic choices of enterprises in participating national drug centralized procurement are influenced by many factors such as the market share of the original varieties,active pharmaceutical ingredients(APIs)and cost.Therefore,corresponding strategies should be formulated according to the characteristics and interests of enterprises.展开更多
In order to implement the relevant provisions of the State-owned Assets Supervision and Administration Commission on the benchmarking of procurement management, improve the effectiveness of procurement, reduce procure...In order to implement the relevant provisions of the State-owned Assets Supervision and Administration Commission on the benchmarking of procurement management, improve the effectiveness of procurement, reduce procurement costs and control the risks of integrity in procurement, the Group Company will step by step promote centralized procurement, build a centralized procurement management system for the Group Company, build an information system for centralized procurement management, give full play to the advantages of overall procurement, strengthen implementation supervision, form a sustainable long-term mechanism for centralized procurement, promote the overall improvement of the procurement management capabilities of units at all levels of the Group Company, and organize member units and subordinate units to implement centralized and unified external procurement of materials, projects and services included in the centralized procurement catalog. The Company adheres to the principle of "overall management and control, platform operation, supervision and balance, intensive and efficient", implements the requirements of the Group Company from the aspects of organizational structure and functions, contract signing methods, business processes, data statistics and analysis, supplier management, inspection and supervision, assessment and evaluation, and establishes a centralized procurement management model. The unit and its subordinate units will hand over the items in the centralized procurement catalog to the centralized procurement platform for unified negotiation and procurement, which will bring into play the economies of scale, save procurement costs, simplify procurement process, reduce procurement risks and improve procurement efficiency.展开更多
Objective To analyze the impact of the first batch of centralized drug procurement on foreign pharmaceutical enterprises since the national centralized drug procurement policy has brought great impact on pharmaceutica...Objective To analyze the impact of the first batch of centralized drug procurement on foreign pharmaceutical enterprises since the national centralized drug procurement policy has brought great impact on pharmaceutical market,and put forward some suggestions on their marketing transformation in China.Methods Firstly,the documents of the drug centralized procurement were studied,and then the sales figures before and after the implementation of the policy were retrieved from MiNET.At the same time,the relevant business adjustment information of foreign pharmaceutical enterprises was collected for analysis.Results and Conclusion The sales of related products of foreign pharmaceutical enterprises have dropped sharply,so they have stripped off these products and reduced their staff.It is suggested that foreign pharmaceutical enterprises should adjust the structure of sales team,strengthen the layout of the market in the county,and accelerate the introduction of innovative drugs to cope with centralized drug procurement.展开更多
In the process of production and operation of modern enterprises, material procurement management is a necessary basic link in production. However, due to the limitations of management methods and technical means, inf...In the process of production and operation of modern enterprises, material procurement management is a necessary basic link in production. However, due to the limitations of management methods and technical means, information technology has certain deficiencies in the centralized material procurement management of modern enterprises, which has a relatively intuitive impact on the centralized material procurement management. Therefore, this paper takes the practical application of information technology in the centralized procurement management of modern enterprise materials as the breakthrough point, and fully analyzes the significance of information technology in the production, operation and management of modern enterprises. At the same time, it makes judgment and observation on the practical problems existing in the application of information technology in the centralized procurement management of materials as the main research content, so as to put forward targeted countermeasures and management methods, so as to ensure the orderly development of the centralized procurement management of materials in modern enterprises and lay a solid foundation for the stable development of subsequent enterprises.展开更多
目的系统评价医用耗材集采政策对我国患者住院费用的影响。方法计算机检索PubMed、Web of Science核心合集、Scopus、CNKI、CBM和WanFang Data数据库,搜集医用耗材集采政策对我国患者住院费用影响的相关研究,检索时限均为2000年1月1日至...目的系统评价医用耗材集采政策对我国患者住院费用的影响。方法计算机检索PubMed、Web of Science核心合集、Scopus、CNKI、CBM和WanFang Data数据库,搜集医用耗材集采政策对我国患者住院费用影响的相关研究,检索时限均为2000年1月1日至2025年5月13日。由2名研究者独立筛选文献、提取资料并评价纳入研究的偏倚风险后,使用Stata 17.0软件进行Meta分析。结果Meta分析结果显示:医用耗材集采政策实施后患者次均住院总费用下降[SMD=-4.754,95%CI(-7.434,-2.075),P<0.001];亚组分析结果显示冠状动脉支架(冠脉支架)[SMD=-0.721,95%CI(-1.040,-0.402),P<0.001]和人工晶体[SMD=-0.660,95%CI(-0.984,-0.337),P<0.001]集采后患者次均住院总费用均下降,人工关节集采后患者次均住院总费用降幅较大[SMD=-10.344,95%CI(-15.147,-5.540),P<0.001]。结论我国从患者视角开展的医用耗材集采政策实施效果评估证据主要集中在经济发达省市,中等质量的证据表明人工关节集采后患者次均住院总费用降幅最大,冠脉支架和人工晶体集采政策实施后患者次均住院总费用均降低,建议未来进一步扩大集采范围。展开更多
基金funded by the Beijing Natural Science Foundation(grant number 9232010)Capital's Funds for Health Improvement and Research(grant number 2022-2-4079).
文摘Background:Atherosclerotic cardiovascular disease remains the leading cause of death worldwide.This study aims to explore the impact of national volume-based procurement(NVBP)on Chinese patent medicines and provide evidence for improving policies and promoting rational drug use.Methods:The study was based on data from the China National Health Insurance Agency that spanned January 2019 to December 2020.Descriptive analysis was conducted using volume and expenditure as variables.Interrupted time series analysis was applied to further analyze Chinese patent medicines.Results:The unit prices of atorvastatin and rosuvastatin decreased by 25%-96%,whereas the prices of Zhibitai and Xuezhikang fluctuated slightly.The affordability is measured as the monthly expenditure on treatment divided by the daily wage.After policy implementation,the affordability of atorvastatin and rosuvastatin improved from 0.242 to 0.014 and from 0.247 to 0.019,respectively.The defined daily doses(DDDs)for atorvastatin and rosuvastatin also increased,whereas total expenditures decreased in hospitals of all levels.Both at the national level and at all levels of hospital,the policy had no significant impact on expenditures for Zhibitai and Xuezhikang and their defined daily doses.Conclusions:The NVBP saved costs in the short term by incorporating high-quality,widely used lipid-lowering drugs.Notably,the policy impacted lipid-lowering chemical drugs,whereas Chinese patent medicines remained largely unaffected.Doctors'use of Chinese patent medicines did not decline,highlighting the clinical specificity of these medicines.
文摘Objective To quantitatively analyze the policy of centralized drug procurement centralized drug procurement in order to provide reference for the subsequent policy formulation and improvement.Methods Text mining method was used to process 15 centralized drugs procurement policies issued at the national level during 2015-2022,and a PMC index evaluation model of centralized drug procurement policies was established.Then,15 centralized drug procurement policies were quantitatively analyzed from the overall and comparative perspective through an evaluation model.Results and Conclusion The average PMC index of 15 centralized drug procurement policies was 6.95,which was acceptable on the whole.Among them,eight were excellent and seven were acceptable.As to the first-order variables,the centralized drugs procurement policy still lacks incentives and constraints.The comparative results show that there are differences in the content and structure of policies,but they are strongly related to each other.Chinese centralized drug procurement policy has been basically formed,which is closely related to medical insurance and medical policies.However,it is still necessary to pay attention to the structure of the policy to ensure the elaboration of the policy content.
文摘Objective To construct an index system for evaluating the policy effect of centralized drug procurement,and to provide reference for comprehensively and systematically evaluating the policy of centralized drug procurement.Methods Through combing the policies and literature research,the focus and expected goal of China’s centralized drug procurement policy were clarified.On the basis of policy concerns,combined with some theories and the implementation of drug centralized procurement policy,a primary evaluation index system was constructed.The index system was determined by expert consultation,and the weight of each index was calculated by analytic hierarchy process.Results and Conclusion The questionnaire recovery rates of the two rounds of expert consultation were 88.23%and 100%,the coefficients of authority of experts were 0.86 and 0.80,and the expert coordination coefficients were 0.338 and 0.294,respectively.Finally,the evaluation index system for the policy of centralized drug procurement was established,which included 4 first-level indicators,10 second-level indicators and 23 third-level indicators.The evaluation index system constructed in this paper can not only make up for the deficiency of systematic evaluation of the policy effect of the current centralized drug procurement,but also provide reference for further improving this policy.
文摘The centralized procurement of drugs in the medical system is a key link,which not only affects the economic effect of institutions,but also relates to the medical quality and patient safety.In the current era,centralized drug procurement in hospitals can meet the needs of most patients;however,the specific steps of the work still need to be optimized.Starting from the level of hospital drug centralized procurement work,this paper discusses the policy background,analyzes the practice of drug centralized procurement in tertiary hospitals,and provides specific work management suggestions,aiming to improve work efficiency and serve as a reference for optimizing subsequent hospital drug centralized procurement work.
文摘Objective: to analyze the application value of PDCA (Plan-do-check-act) management model in hospital centralized procurement quality management. Methods: from January 2019 to June 2020, our hospital began to apply PDCA management model to the quality management of hospital centralized procurement. By using the basic process of planning-implementation-inspection-improvement, and establishing and further optimizing the procurement organization at the organizational level, further formulating and revising the procurement system for the procurement system, centralized procurement and organizing bidding at the operational level. Results: through the application of PDCA management mode, the procurement process can be optimized and necessary optimization can be made for the procurement process, with a significant overall effect. Through the application of PDCA, the procurement task was completed to 100%, and the procurement cost was saved by more than 11.70%, while the quality and satisfaction of the hospital demand department to the purchased products reached 99.67%. Conclusion: the application of PDCA management model in hospital centralized procurement is particularly critical to improve the quality of procurement, which can achieve the objectives of saving procurement costs, improving the quality of purchased products and procurement satisfaction.
文摘With the continuous development of the domestic natural gas market and the increasing trend of group operation of city gas enterprises, each large and medium-sized gas group enterprise cannot achieve cost reduction, efficiency improvement and market competitiveness without an efficient centralized procurement system. However, the centralized procurement mode of gas enterprises has gradually deepened from the simple bundle procurement to the standardized and scientific centralized procurement supply chain mode. Based on the summary and analysis of the material centralized purchase mode of a medium-sized city gas group in recent ten years, this paper further explores the idea of the construction of centralized purchase supply chain.
文摘Objective To study the influence of national drug centralized procurement policy on pharmaceutical enterprises manufacturing generic drugs and original drugs,so as to provide a reference for them to make different strategic choices.Methods Through the literature research on the related policies and the bidding data,the national drug centralized policies were studied systematically.Combined with the bid-winning price and price reduction range of the winning enterprises in the three rounds of centralized procurement,their difficulties,strategic choices and the winning factors were investigated.Besides,a model was established to clarify the optimal price of enterprises in the process of drug procurement.Results and Conclusion The strategic choices of enterprises in participating national drug centralized procurement are influenced by many factors such as the market share of the original varieties,active pharmaceutical ingredients(APIs)and cost.Therefore,corresponding strategies should be formulated according to the characteristics and interests of enterprises.
文摘In order to implement the relevant provisions of the State-owned Assets Supervision and Administration Commission on the benchmarking of procurement management, improve the effectiveness of procurement, reduce procurement costs and control the risks of integrity in procurement, the Group Company will step by step promote centralized procurement, build a centralized procurement management system for the Group Company, build an information system for centralized procurement management, give full play to the advantages of overall procurement, strengthen implementation supervision, form a sustainable long-term mechanism for centralized procurement, promote the overall improvement of the procurement management capabilities of units at all levels of the Group Company, and organize member units and subordinate units to implement centralized and unified external procurement of materials, projects and services included in the centralized procurement catalog. The Company adheres to the principle of "overall management and control, platform operation, supervision and balance, intensive and efficient", implements the requirements of the Group Company from the aspects of organizational structure and functions, contract signing methods, business processes, data statistics and analysis, supplier management, inspection and supervision, assessment and evaluation, and establishes a centralized procurement management model. The unit and its subordinate units will hand over the items in the centralized procurement catalog to the centralized procurement platform for unified negotiation and procurement, which will bring into play the economies of scale, save procurement costs, simplify procurement process, reduce procurement risks and improve procurement efficiency.
基金Research Topic on Science and Technology Plan Project of Liaoning Province-Transformation and protection of scientific and technological achievements(2017401021).
文摘Objective To analyze the impact of the first batch of centralized drug procurement on foreign pharmaceutical enterprises since the national centralized drug procurement policy has brought great impact on pharmaceutical market,and put forward some suggestions on their marketing transformation in China.Methods Firstly,the documents of the drug centralized procurement were studied,and then the sales figures before and after the implementation of the policy were retrieved from MiNET.At the same time,the relevant business adjustment information of foreign pharmaceutical enterprises was collected for analysis.Results and Conclusion The sales of related products of foreign pharmaceutical enterprises have dropped sharply,so they have stripped off these products and reduced their staff.It is suggested that foreign pharmaceutical enterprises should adjust the structure of sales team,strengthen the layout of the market in the county,and accelerate the introduction of innovative drugs to cope with centralized drug procurement.
文摘In the process of production and operation of modern enterprises, material procurement management is a necessary basic link in production. However, due to the limitations of management methods and technical means, information technology has certain deficiencies in the centralized material procurement management of modern enterprises, which has a relatively intuitive impact on the centralized material procurement management. Therefore, this paper takes the practical application of information technology in the centralized procurement management of modern enterprise materials as the breakthrough point, and fully analyzes the significance of information technology in the production, operation and management of modern enterprises. At the same time, it makes judgment and observation on the practical problems existing in the application of information technology in the centralized procurement management of materials as the main research content, so as to put forward targeted countermeasures and management methods, so as to ensure the orderly development of the centralized procurement management of materials in modern enterprises and lay a solid foundation for the stable development of subsequent enterprises.
文摘目的系统评价医用耗材集采政策对我国患者住院费用的影响。方法计算机检索PubMed、Web of Science核心合集、Scopus、CNKI、CBM和WanFang Data数据库,搜集医用耗材集采政策对我国患者住院费用影响的相关研究,检索时限均为2000年1月1日至2025年5月13日。由2名研究者独立筛选文献、提取资料并评价纳入研究的偏倚风险后,使用Stata 17.0软件进行Meta分析。结果Meta分析结果显示:医用耗材集采政策实施后患者次均住院总费用下降[SMD=-4.754,95%CI(-7.434,-2.075),P<0.001];亚组分析结果显示冠状动脉支架(冠脉支架)[SMD=-0.721,95%CI(-1.040,-0.402),P<0.001]和人工晶体[SMD=-0.660,95%CI(-0.984,-0.337),P<0.001]集采后患者次均住院总费用均下降,人工关节集采后患者次均住院总费用降幅较大[SMD=-10.344,95%CI(-15.147,-5.540),P<0.001]。结论我国从患者视角开展的医用耗材集采政策实施效果评估证据主要集中在经济发达省市,中等质量的证据表明人工关节集采后患者次均住院总费用降幅最大,冠脉支架和人工晶体集采政策实施后患者次均住院总费用均降低,建议未来进一步扩大集采范围。
