Study On The Patterns Of Our Country Public Hospital Drug Procurement

As is known to all,"drug prices artificially high" is a big problem for a long time in thefield of drug circulation in China. Public hospitals is the largest drug sales terminals in China,control the public hospital drug price to solve the problem of "drug prices artificially high" isparticularly important. And the drug procurement mode of public hospital is the key to publichospital drug price control link, therefore this article to public hospital drug procurement mode tostudy the breakthrough point, hopes to build an ideal mode of drug purchase, on the one hand cansolve the problems of public hospital drug procurement in our country, on the other hand providereference for solving the problem "drug prices artificially high". At present our country publichospital drug procurement mode existing in the "bidding, purchasing","the second negotiation","secondary promotion", etc., these problems are the important cause of the "drug prices artificiallyhigh". In this paper, on the basis of analyzing the mode of drug purchase of medical institutions athome and abroad, analyzed two public hospitals in Hong Kong and the basic drug drug purchasemodels, detailed analysis the advantages and defects of these two patterns. The key analysis todiscuss the two procurement mode, because the two models is in the study of domestic and foreignpublic hospital drug procurement, on the basis of longitudinal and transverse comparison,screening out the two modes. On the one hand, the two model implementation is successful, hascertain representativeness, and conforms to our country national condition, most likely to apply toour country public hospital drug procurement; On the other hand, the most important thing is thatsome advantages of this two models to solve the problems of public hospital drug procurement hasdirect use value for reference. Finally, in fully understand the advantages and defects on the basis of two modes the ideal model of drug purchase was put forward.This paper is divided into five chapters: the first chapter is the introduction part, mainlyintroduced this article research background, research purpose and significance, research literaturereview, research methods and main research content and frame, the innovation points anddeficiencies, etc; The second chapter is our country public hospital drug procurement modeanalysis, in this chapter, first of all, the development of China’s public hospital drug procurementmode is divided into four stages, and analyzes in detail the fourth stage of development of the fivetypes of innovative procurement model, then analyzes at present our country public hospital drugprocurement mode, points out that at present our country public hospital drug procurement modelof "bidding, purchasing","the second negotiation","secondary promotion", and expounds theproblem of harm, then analyzed the causes of the problem;The third chapter for the majordeveloped countries abroad mode of drug purchase of medical institutions analysis, this chapter ofthe United States, Germany, Britain, Japan, Singapore five mode of drug purchase of medicalinstitutions in the developed countries are analyzed, and in the summary of this chapter pointedout the mode of drug purchase of medical institutions in the developed countries of the common,and at the same time points out our country public hospital drug procurement mode reform shouldbe based on our country’s actual national condition, cannot blindly follow purchasing experienceof western developed countries, to find a suitable for China’s national conditions of drug purchasemodels and using for reference, the final build a with characteristic of our country public hospitaldrug procurement models; The fourth chapter is the Hong Kong public hospital drug procurementmode and analysis of essential medicines procurement mode in our country, this chapter analysesthe Hong Kong public hospital drug procurement mode and basic medicines procurement mode in our country, summarizes and analyzes the advantages and shortcomings of these two kinds ofmodel;The fifth chapter is an ideal drug purchase mode is put forward.The ideal pattern is a kind of improvement to our country existing public hospital drugprocurement mode,call it ideal mode, because the pattern on the one hand, draw lessons from thepublic hospitals in Hong Kong and two kinds of basic drugs drug purchase mode, the advantagesof solving the problems of our country public hospital drug procurement mode, at the same time, itovercomes the defect of the two modes. The ideal mode compared with the existing mode of drugpurchase basically has the following four aspects the characteristic:1, the government really takeback the right of drug purchase of medical institutions, and will dominate the whole process ofdrug procurement activities;2, the health care sector as governments drug procurementsupervision main body;3, abandon the past drug retail price suitable for way, a general drug saleszero rate, makes the hospital business income and drug sales is not directly tied to rooting out "thesecond negotiation","secondary promotion" survival of the soil;4, in the process of drug purchaseby means of electronic procurement.