Evaluation On The Effect Of The Implementation Of The Bidding And Purchasing Policies Of The Essential Drugs In Chongqing Province

ObjectiveThis study analysis the situation of Chongqing current bidding and purchasing of essential drugs policies’ specific implementation. The apply of accessibility, promotion of quality and rational drug use three indicators to evaluated the effect of the implementation, find existing problems and puts forward the corresponding policy recommendations provide a reference for further improvement of Chongqing centralized procurement of essential drugs policy.Methods1.Document analysis method: Query the literature of essential drug centralized bid procurement policy at home and abroad, clarify its basic theory, development, implementation and effects of the problems.2.In-depth interview method: Designed the interview outline, choose Chongqing medicine exchange, Health and Family Planning Commission Pharmaceutical Affairs, the pharmacy department of medical and health institutions,related management personnel of medicine production and distribution enterprise to one-to-one in-depth interviews, According to the Chongqing Municipal bidding and purchasing of essential drugs policy implementation to consult.3.Method of comparative analysis: Theoretical comparative analyze the drug procurement policy, to explore these patterns in the design of the system for the implementation of possible effects; after classifying and summarizing the related data of collected basic drug centralized bid procurement, have a descriptive comparison, analyze the implementation effect of Chongqing basic drug centralized bid procurement policy.4.Public policy assessment method: This research is mainly to adopt "target- effect" model, taking the prospection target of drug procurement policy into consideration and assessing the practical results objectively, and put forward reasonable proposals.Results1.The essential medicine procurement policy of Chongqing does a better way in most aspects of accessibility, the whole price declines. The average fee of primary level outpatient medicine decrease from 37.31 yuan in 2009 to 31.05 yuan in 2013, while generally speaking, there is still a possibility to get a lower price. It’s quite positive in medical supplements, the basic medicine delivery rate reaches to 92.9%, but purchasing some medicine which may cheap and in shortage do quite tough. From 2011 to 2013, the settlement portion of medicine purchasing dated 60 days keeps around 98% in a higher level. However, some medicinal institutes still can’ t pay in time.2.Talking about rational drug use,compared with the statistics 56.23% in 2009 before reformation, it shows a 6.5%decreasing to 49.70% in 2013. Meanwhile, the antibiotic recipes only take a small part. So we can conclude that the policy of concentrated invitation for bids provided for basic medicine in Chongqing push the rational drug use effectively, just in theory, due to the abuse phenomena existing in practical.3.Not only in the mechanism of price arrangement, but also by operation, Chongqing essential drug centralized bid procurement policy reflects "high quality and high price", the soaring price of lower-priced medicine embodies the protection for price and quality, but there are some problems hiding in the protection for lower-priced medicine.Conclusions1.Chongqing essential drug centralized bid procurement policy have progress in accessibility rational drug use and quality, this pattern are meaningful to generalize.2.Chongqing essential drug centralized bid procurement policy attach a positive effect on purchasing price,although the weakness of quality supervisor and the guarantee for medicine which are lower-priced and shortage.3.Chongqing essential drug centralized bid procurement policy can support the medical delivery basically, while the delivery system is still immaturity, large amounts of corporations match with few logistics, leading a hospital drug use confusion.4.Rational drug use among primary medical institutes achieve grades by Chongqing essential drug centralized bid procurement policy, however, some irrational medical practice, the tendency to purchase high-priced medicine and overdose, hasn’t contained completely.