基于价格指数的安徽省药品集采政策实施效果比较研究.docxVIP

□ 政策与评估? POLICYANDEVALUATION 《中国卫生经济》第42卷 第6期（总第484期）2023年6月 基于价格指数的安徽省药品集采政策实施效果比较研究 李淑娟① , 胡 剑① , 李 育① 摘 要 目的：比较不同药品集采政策对安徽省药品价格下降的影响。方法：利用安徽省医保局成立前后5年的药品采 购数据，采用链式拉氏价格指数模型比较了不同采购政策下的省级药品价格指数和不同采购政策对价格指数的贡献率。结 果：实现了2018—2022年安徽省药品集中采购价格的动态分析和预测，固定了安徽省药品采购指数数据样本，以此作为后续 5年常态化指数测算样本。医保局成立后组织实施的药品集中带量采购政策，与传统的药品集中招标采购政策比较，价格指数 有显著下降，不同政策对价格下降的影响程度依次为：国家集中采购、集中采购扩围品种梯度降价、省级集中采购、国家医 保目录入围谈判和省级重点药物监控政策，最主要的影响因素在于承诺采购量和谈判目录范围的大小。结论：药品带量采购 政策有利于控制药品费用，节约医保基金，有必要通过省市联盟等方式扩大承诺采购量和增加集中采购药品目录范围，尤其 是扩大中成药和生物制品的集中采购范围和地区覆盖。 关键词 药品集中带量采购；政策实施效果评估；价格指数；安徽 中图分类号 R1-9；R19-0 文献标志码 A 文章编号 11003-0743（2023）06-0013-04 Comparative Comparative Study on the Implementation Effect of Drug Centralized Procurement Policy in Anhui Province Based on Price Index/LIShu-juan, HUJian, LIYu, et al.//Chinese Health Economics, 2023,42(6):13-16 Abstract Objective: To compare the effects of different drug procurement policies on drug price decline in Anhui Province. Methods:The drug procurement data of Anhui Medical Insurance Bureau in the past five years were used to compare the provincial drug price index under different procurement policies and the contribution rate of different procurement policies to the price index based on chain pull price index mode. Results:The price of centralized procurement of drugs in Anhui Province from2018to2022 was dynamically analyzed and predicted, and the data sample of drug procurement index in Anhui Province was fixed, which was used as the sample of normalized index calculation in the following five years. After the establishment of the Medical Insurance BuI reau, the price indexof the centralized drug procurement policy with quantity has decreased significantly compared with the traditionI al centralized drug procurement policy by bidding, and the impact of different policies on price decline areas follows:national centralized procurement, centralized procurement expansion variety gradie