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中南6省/区公立医院药品集中采购中标效果评价
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篇名: 中南6省/区公立医院药品集中采购中标效果评价
TITLE:
摘要: 目的:为进一步完善公立医院药品集中采购工作提供参考。方法:搜集2010-2014年湖北、广东、广西、海南、河南和湖南等中南6省/区药品集中采购中的药品通用名、中标企业、中标价格等中标数据,对各省/区中标企业的平均中标品规数、中标集中度(市场集中度中的绝对集中度)、中标价格分布及各省份同一品种药品中标价格差异等进行统计分析。结果:湖北、广东、广西、海南、河南和湖南6省/区中标品规数分别为13 852、5 071、23 518、11 462、17 796、13 742个;各省/区中标企业平均中标品规数分别为6.33、3.72、9.89、5.64、7.32、6.85个;前3强中标企业的中标集中度分别为3.20%、2.64%、3.14%、4.16%、2.06%、5.46%;各省/区中标药品价格主要集中在0.05~40.00元(60%以上);有13 132个(78.36%)药品在不同省/区的最高中标价格与最低中标价格的差异倍数在1倍之内;6省/区有12 136个(72.41%)药品中标价格的变异系数(CV)<0.2。结论:中南6省/区各省药品中标品规数过多,参与药品集中采购的中标企业集中度低,同一药品在不同省/区的中标价格不同。
ABSTRACT: OBJECTIVE: To provide reference for further improving centralized medicine procurement in public hospital. METHODS: The data of centralized medicine procurement in 2010-2014 were collected from 6 provinces/regions as Hubei, Guangdong, Guangxi, Hainan, Henan and Hunan, including generic name, bid winner and bid-winning price, etc. Statistical analysis was conducted for average number of bid-winning specifications, concentration ratio of the bid winners (absolute concentration ratio in market concentration), the distribution of bidding prices, and the difference of bidding price of same category in each province. RESULTS: The number of bid-winning specifications in Hubei, Guangdong, Guangxi, Hainan, Henan and Hunan were 13 852, 5 071, 23 518, 11 462, 17 796 and 13 742, respectively. The average number of bid-winning specifications in those provinces/regions were 6.33, 3.72, 9.89, 5.64, 7.32 and 6.85, respectively. The concentration ratio of top 3 bid winners were 3.20%, 2.64%, 3.14%, 4.16%, 2.06% and 5.46%, respectively. Bidding prices of 6 provinces/regions mainly concentrated in 0.05 to 40.00 yuan (over 60%). For 13 132 (78.36%) kinds of medicines in different provinces/regions, the highest bid price of to the lowest bid price was within 1 times. For 12 136(72.41%) kinds of medicines in 6 provinces/regions, the coefficient of variation (CV) of bidding price was less than 0.2. CONCLUSIONS: There are too many bid-winning specifications of 6 provinces/regions in central and southern China. The concentration ratio of the bid winners is in low level. There are lots of differences between the bidding price of same category in different provinces.
期刊: 2018年第29卷第15期
编辑: 袁姣,刘杨正,叶霖
AUTHORS: YUAN Jiao,LIU Yangzheng,YE Lin
关键字: 药品集中采购;中标集中度;中南6省/区;公立医院
KEYWORDS: Centralized medicine procurement; Concentration ratio of bidding; 6 Provinces/regions in central and southern China; Public hospital
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