| Objective:From the aspect of the bidding,purchasing,distribution of medicine,to evaluating the effects of implementing medicine centralized procurement policy for public hospitals in Hubei province to find the underlying problems,and provide reference for further completing the work of centralized medicine procurement.Methods:We collected the data from health and family planning commission of Hubei province and public resources trading center of Hubei province.First,collecting the data of China Approved Drug Names,regulations of the medicine,the bidding companies,biding price et al in centralized drug procurement about Hubei provinces.Next,collecting the data of China Approved Medicine Names,regulations of the medicine,the name of the hospital,the bidding companies,the total amount of purchases,the distribution amount,and drug attributes et al from 2013 to 2015.Using the method of descriptive statistics analysis and the absolute concentration(CRn)to analyze.Results:(1)In 2013,the number of regulations of the bidding medicine was 13852 in public hospital of Hubei.The number of chemical and biological products was 8518(61.49%).The number of bidding companies was 2190.According to Bain’s classification criteria,CR4=3.91%<30%,CR8=6.52%<40%,which belongs to competitive companies.The average bidding price is 87.21±707.27 yuan.(2)The rates of medicine centralized online procurement were 5.97%,17.21%and 41.80%,for public hospital in Hubei province from 2013 to 2015CAGR=164.61%.And the rates of public hospital participation are 47.23%,46.61%and 73.62%.Each involved in centralized medicine purchasing online bidding company,which purchases the average number of regulations of the medicine was 4.11,4.39 and 5.58,respectively.Companies ranked in the top 100 were 86(5.32%),86(5.61%)and 90(4.65%),respectively.Companies ranked in 500 after were 1337(82.68%),1384(83.02%)and 1632(84.83%).Each involved in centralized medicine purchasing online bidding company,the concentration of the top 4 companies were 4.03%,3.93%and 4.32%respectively,and the concentration of the top 4 companies were 7.08%、6.83%and 7.13%,respectively.According to Bain’s classification criteria,CR4<30%,CR8<40%,which belongs to competitive companies.The number of regulations of the centralized medicine procurement were 6652,7359 and 10783 for public hospital in Hubei province from 2013 to 2015.There were 16.17 billion yuan,54.74 billion yuan and 14288 million yuan for public hospital in Hubei province from 2013 to 2015.In chemical medicine and biological medicine,in the top three of the purchasing amount were antimicrobial drugs,the digestive system and nervous system drugs,and the compound growth rates were 1.94%,1.74%and 2.14%respectively.The average purchasing prices were 65.58±380.57,68.16±375.00 and 76.19±403.51.The price of purchasing medicine of second-class hospitals hanging network was mainly concentrated in the three classes of RMB 200.01-1000.00,100.01-200.00,and 30.01-40.00.The proportion of prices in these three classes was about 45%.(3)The number of regulations of the centralized essential medicine procurement were 1334(20.05%),1407(19.12%)and 3260(30.23%)for public hospital in Hubei province from 2013 to 2015.And the compound annual growth rate is 56.33%,which is higher than normal medicines.The number of essential medicines purchased online were 11.78 million(22.14%),31.09 million(19.69%)and 90.44 million(23.35%),CAGR=177.08%.There were 255 million yuan(15.75%),826 million yuan(15.09%)and 24.38 billion yuan(17.06%),and CAGR=209.45%for public hospital in Hubei province from 2013 to 2015.(4)From 2013 to 2015,the rates of Regulations of medicine centralized online procurement were 48.02%,53.17%and 77.84%,CAGR=27.32%.The participation rates of domestic companies were 81.47%,84.59%and 97.72%,respectively.The participation rates of import companies were 17.87%,17.87%and 19.39%,respectively.The number of the purchasing prices and the bidding prices difference online purchasing article records were 5180,7244 and 6459 respectively,and the difference rates were 15.66%,15.13%and 4.78%,respectively,for public hospital in Hubei province from 2013 to 2015.(5)The delivery rates are 45.77%,45.72%and 63.68%of public hospital in Hubei province from 2013 to 2015.CAGR=17.95%.The delivery rates are52.21%,47.92%and 60.29%,CAGR=7.46%in secondary public hospitals.The delivery rates are39.62%,44.10%and 66.51%,CAGR=29.56%in tertiary public hospitals.Conclusions:We find thecurrent status of medicine centralized bidding,purchasing and distribution in public hosptials of Hubei province is good.(1)The number of regulations of the bidding medicine are too many.The rate of concentration of the bidding companies is very low.(2)The rate of online centralized procurement increased year by year.The purchasing price range is relatively concentrated,high prices and low medicine exist side by side.There is a discrepancy between the price and the purchase price.The proportion of quantity and value of essential medicine centralized online procurement did not meet the policy requirements.(3)The delivery rates of medicine purchased online were different in different city(state)public hospitals.The rates of distribution are higher and higher in secondary and tertiary public hosptials in Hubei province. |
PDF Full Text Request