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福建省厦门市实行药品统一招标采购已有两年,共进行了十六次公开招标活动,成效显著,基本达到降低药品“虚高定价”的目的,在确保药品质量的前题下,较好地纠正了医药购销中的不正之风,促进了医德医风建设,通过招标让利给了患者,减轻了患者的药费负担,推进了医药卫生体制改革的进程。但是,在药品统一招标采购工作中仍然存在着一些不尽人意的地方。本文就招标工作存在的问题与如何采取改进措施谈点意见,以供参考。一、存在的问题实行药品统一招标采购虽然取得了不少成绩,但作为一项新生事物,不可能一开始就尽善尽美,仍然会存在一些不足和问题,主要有以下几点:1、药品统一招标采购只确定了药品品种、规格、剂型和价格,没有数量,因此,中标单位生产（备货）心中无数,容易出现生产（备货）过少或过多的现象,生产（备货）过少会造成供货不及时,而过多则造成压库、资源浪费。2、药品统一招标采购中,中标单位虽让利幅度很大,但其利几乎都让给了患者。厦门市实行药品统一招标采购以来,中标药品价格与原批发价相比,平均降价幅度达30.15％,有的个别品种降价幅度高达92.56％,按厦门市药品采购统一招标委员会的规定,中标药品的最高零售价只能按实际中标价顺加20％。为此,从1999年10
Xiamen City, Fujian Province, a unified drug bidding has been implemented for two years, a total of 16 public bidding activities, with remarkable results, basically to reduce the drug “virtual high pricing” purposes, to ensure the quality of the drug before the title is better It rectified the unhealthy tendencies in the purchase and sale of medicines, promoted the construction of medical morality and medical ethics, gave profits to patients through bidding, reduced the patients’ medical expenses and promoted the reform of the medical and health system. However, there are still some unsatisfactory places in the unified bidding and purchasing of medicines. This article talks about the existing problems in bidding and how to take improvement measures for reference. First, the existing problems The implementation of a unified drug bidding Although a lot of achievements have been made, but as a new thing, can not be perfect from the beginning, there will still be some shortcomings and problems, mainly in the following points: 1, uniform drug bidding Therefore, the number of successful bidders in production (stocking) may be too small or too large for production (stocking). Too little production (stocking) may result in the supply of Not in time, and too much is caused by pressure, waste of resources. 2, a unified bidding and purchasing drugs, although the winning unit lottery profits, but its profits are almost given to the patients. Since the implementation of the unified drug bidding and purchasing in Xiamen City, the average price of the winning drug has been reduced by 30.15% compared with the original wholesale price. Some individual varieties have dropped by as much as 92.56%. According to the provisions of the Unified Bidding Committee for Drug Purchase in Xiamen Municipality, The highest retail price only according to the actual price plus plus 20%. To this end, from 1999 10