目的:探讨开展生物药集采工作的特点、难点与政策进展。方法:基于文献综述,全面分析生物药集采的特点与难点,对生物药集采的政策思路进行分析。结果:生物药集采面临三个主要的困难因素,即临床可替代性问题、适应症难以自然外推问题以及产能保障问题。这些问题需要在政策设计中予以全面的考量,而已开展的胰岛素专项集采在上述方面进行了有益的探索,积累了经验。结论:生物药带量集采应根据该类药品的特点,进行科学合理的政策设计和实施。
Abstract
Objective: The paper attempts to explore the features, difficulties and policy progress of centralized purchasing of biological drugs with target quantity.Methods: Using the methods of literature review, the characteristics and difficulties of centralized purchasing of biological drugs were comprehensively analyzed, and the policy frame of the centralized purchasing of biological drugs were analyzed and elaborated.Results: Centralized purchasing of biological drugs with target quantity faces three major obstacles, i.e. clinical substitutability, the difficulty of natural extrapolation of indications and supply capacity problems. The insulin-specialized centralized procurement has conducted useful explorations and accumulated experience.Conclusion: Policies of the centralized purchasing of biological drugs should be scientifically and rationally designed and implemented based on the characteristics of biological drugs.
关键词
生物药 /
带量集采 /
政策设计
Key words
biological drugs /
purchasing with quantity /
policy design
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