Analysis of the shortage of drugs in national centralized volume-based procurement and countermeasures and suggestions
- VernacularTitle:国家集中带量采购药品的短缺情况分析与对策建议
- Author:
Deyu ZHOU
1
;
Liping KUAI
2
;
Dongyan XU
2
;
Lijuan TIAN
1
Author Information
1. School of Business Administration，Shenyang Pharmaceutical University，Shenyang 110016，China
2. Science and Technology Development Center，Chinese Pharmaceutical Association，Beijing 100022，China
- Publication Type:Journal Article
- Keywords:
drug shortage;
national centralized volume-based procurement;
centralized purchasing drugs;
supply support
- From:
China Pharmacy
2023;34(7):769-773
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE To analyze the situation and causes of the shortage of drugs in centralized volume-based procurement， and to put forward countermeasures and suggestions for optimizing centralized procurement rules and improving the drug shortage supply guarantee system. METHODS The shortage data of the first five batches of centralized purchasing drugs during January 2019 and December 2021 were collected from the Shortage Database of Chinese medicine economic information； descriptive statistical analysis was performed for shortage frequency， varieties and reasons. RESULTS & CONCLUSIONS After the first five batches of centralized volumetric procurement policy landed， the frequency of drug shortage reported for selected specifications and selected enterprises increased significantly， mainly drug shortage of selected enterprises. The shortage of some varieties from selected enterprises in the short term was obvious， and most of them were commonly used clinical drugs. The occurrence of drug shortages was affected by various links such as the production， circulation and use， and the main reasons were shortage or monopoly of raw materials. In order to ensure the drugs supply， the government should scientifically assess the risk of production interruption of enterprises， further optimize centralized procurement rules， improve the reporting system for drug shortages， and attach importance to the supply of key drugs； in addition， hospitals should take a variety of measures within the scopes of policies to flexibly respond to drug shortages so as to avoid delaying the treatment of patients.
