Research Of Centralist Tender For Drug Purchase Policy And Influence On Hospital Drug Usage In Shanghai

Centralist tender for drug purchase refers to a certain range of hospital drug used is purchased by centralist tender in order to optimize the allocation of drug resources. Centralist tender for drug purchase is one of the assorted policy made for promoting the reform of Medical Care System. The objective of the policy including criterion hospital drug purchase, prevent the unhealthy tendency in drug deal, control the unreasonable increase of medical expenses, and insure the quality, safety and effectivity of clinic medicine.The policy of Centralist tender for drug purchase is issued in 2000 and it now has implemented widely across the country. The policy is implemented in all kind of medicine institutions including provincel level, city level and distract level by variety methods, and it has being periodical effective.The experimental Centralist tender for drug purchase in Shanghai was implemented in September 2001, and the formal ones has been implemented since 2002. The Centralist tender for drug purchase in Shanghai has been implemented thirty times up to 2012.The study inductive analysis policy about Centralist tender for drug purchase and documents of influence on hospital drug usage. It also statistical analysis data on Shanghai sample hospitals’ drug usage around Centralist tender for drug purchase.The study find that Centralist tender for drug purchase doesn’t alter hospital’s DDDs(Daily defined doses), slow down the increase on hospital’s drug consumption sum, and reduce the DDDc(Daily Drug Cost) efficacious. The results also show that Centralist tender for drug purchase made remarkable positive effects on hospital drug usage and some negative effect because of certain faulty policy as well.The study find that the main influence factors of effect on hospital drug usage and Centralist tender for drug purchase include policy factor, drug quality, bidding results, execytuve period, drug price and specification. The researcher suggest that optimize the method of bid assessment and matched policy, extend the scope of Centralist tender for drug purchase, and actively explore new mode.