国家组织药品带量采购政策的降价持续性研究
study of price reduction sustainability in national volume-based drug procurement
目的:分析国家组织药品带量采购政策降价的持续效果,探索集采药品价格稳定运行的措施;方法:使用国家组织药品集中采购综合服务平台全国医疗机构前五批集采药品的采购数据,利用拉氏价格指数和费式价格指数,描述集采药品的价格变化;结果:集采中选药品“断崖式”降价、降幅达到50%-85%,同通用名的未中选药品“波动式”降价、降幅达到10%-40%,且降价效应持久,部分药品中选后价格反而升高;结论:国家集采政策不仅可以持续、大幅降低中选药品价格,所产生的溢出效应也使得同通用名未中选药品价格有所降低。建议构建集采药品价格运行的监测预警体系从而加强药价监测,同时扩大药品集采范围。
Objectives: To analyze the continuous effect of the price reduction of the national drug procurement policy and explore measures for the stable operation of centralized drug prices. Methods: The procurement data of the first five batches of centralized drugs in medical institutions nationwide in the comprehensive service platform for centralized drug procurement were used to describe the price changes of centralized procurement drugs by using the Laspeyres price index and the Fisher price index. Results: The price reduction of selected drugs in centralized procurement reached 50%-85%, and the price reduction of unselected drugs with the same generic name reached 10%-40%, and the price reduction effect was long-lasting, and the price of some drugs increased after selection. Conclusion: The national centralized procurement policy can not only sustainably and significantly reduce the price of selected drugs, but also reduce the price of unselected drugs with the same generic name. It is recommended to build a monitoring and early warning system for the operation of centralized drug prices to strengthen drug price monitoring and expand the scope of centralized drug procurement.
王彪、贾韵、罗力、唐啸宇、张天天
药学经济学经济计划、经济管理
国家集采政策价格指数价格分析
National centralized drug procurement policyPrice indexPrice analysis
王彪,贾韵,罗力,唐啸宇,张天天.国家组织药品带量采购政策的降价持续性研究[EB/OL].(2023-03-01)[2025-08-18].https://www.biomedrxiv.org.cn/article/doi/bmr.202305.00008.点此复制
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