Evaluation And Research On The Implementation Of "Purchase With Quantity" Policy Of Shanghai Medical Insurance Drugs

For a long time,the high cost of medical treatment has been a prominent problem that has been strongly reflected by the people,and also an important subject faced by the reform of China’s medical and health system.The main policy measures for the supervision of drug procurement in China are to establish a centralized drug procurement system,which takes the province(region,city)as the unit for centralized supervision of drug circulation field.To this end,all regions began to explore a new model of centralized drug procurement and to correct the drawbacks of the implementation of the original centralized drug procurement policy.The purchase policy of medical insurance drugs comes into being.On the premise of guaranteeing the quality and supply,drug enterprises can fully compete with each other.Through the clear and guaranteed policy resources of drug purchase,more bidding space can be obtained to realize the "group purchase" of medical insurance drugs and return the price of drugs to a reasonable range.It is of great practical significance to make active explorations in ensuring drug supply,monitoring drug prices and improving drug quality.However,drug procurement in volume is still in the stage of exploration and implementation,and problems such as inadequate dynamic adjustment of volume and price,imperfect system and low participation of executor in policy implementation need to be studied and solved.Through the study of literature at home and abroad,found that as the traditional mode of drug centralized purchasing disadvantages highlighted increasingly,took quantity procurement policy to explore function also increasingly prominent,scholars from all walks of life from the quantity and price with quantity procurement executive main body,hook,quality supervision,purchase form for a lot of research,but actual execution problems with quantity procurement policy research is still inadequate.This article selects policy execution mature experience with the amount of Shanghai health care medicines procurement as a representative of the research object,the above amount of kelp procurement policy implementation as the breakthrough point,focus on health care medicines procurement policy execution problem,back in the drug centralized purchasing in Shanghai development course,classification and overview on policy implementation files,clarify quantities with health care purchasing policy for the enterprises to actualize Shanghai,government process reengineering theory research with quantity procurement policy transformation of the traditional drug centralized purchasing patterns,analysis with quantity of Shanghai health care medicines procurement policy content and implementation status.Based on medical care,WeiJian relevant personage,the agency and medicine enterprises interviews,the use of horn milt policy execution model,from the policy goals and standards,the allocation of resources,implementation methods,characteristics,value orientation and practitioners actuator system environment six elements,summed up the Shanghai medical insurance drugs with quantity procurement policy,policy goal respectively administrative cost control does not reach the designated position,the allocation of resources inadequate health care utilization,imperfect implementation rules of drug purchase,actuator goal deviation and implementation does not reach the designated position,executives participation aggrieved pharmaceutical industry development is not high,system environment,And analyze the causes of these difficulties.To this,this paper put forward the improvement with the amount of Shanghai health care medicines procurement policy implementation results suggest that around a perfect system,establish a long-term operating mode,department coordination management,strengthen the executive regulation,relying on the market,the enforcement role transformation,eliminate all parties concern,gather consensus from four aspects,put forward to explore with quantity purchases price link long-term operating mode,improve the system of centralized purchasing drugs,to ensure drug procurement market competition in full,the whole process tracking,set up scientific drug quality evaluation,strengthen the health care,tightness of collaborative governance WeiJian,drug safety,and so on department,improve the physician participation of medical institutions,So as to further improve the degree of maturity and execution of purchasing policy.In order to establish a scientific,reasonable and effective way to implement the drug policy of long-term medical insurance,it is necessary to provide theoretical and practical help to enrich the mode of centralized drug procurement.