集中带量采购是党中央、国务院部署的重大改革任务。集中带量采购在降低药品和医用耗材价格、净化医疗行业生态、优化产业格局、提高产业集中度、增强企业竞争力、推动有效市场和有为政府更好结合、协同推进“三医联动”、深化医药体制改革、促进医药行业健康发展等方面发挥了重要作用。应当看到,集中带量采购制度在建立健全费用控制长效机制、加强与医保支付政策衔接、满足医生选择权和患者的多层次需求、完善评价和监督体系、推动产业创新发展、提高医疗机构和医生的积极性等方面仍有进一步提升的空间。下一步,应综合考虑价格、质量和创新等多目标的平衡,坚持分类采购,完善中标规则,健全医保支付制度,处理好中标产品与非中标产品的关系,保障群众多元化用药需求,积极完善和落实改革配套政策,充分调动医疗机构、医务人员、生产企业和患者等各方面的积极性。
<<Volume-Based Procurement (VBP) with quantity is a major reform task deployed by the Party Central Committee and the State Council. VBP plays an important role in reducing the price of drugs and medical consumables,purifying the ecology of the medical industry,optimizing the industrial structure,increasing industrial concentration,enhancing corporate competitiveness,promoting a better combination of an effective market and a promising government,and coordinating the promotion of the linkages among medical care,medical insurance and pharmaceutical industry,deepening the reform of the pharmaceutical system,and promoting the healthy development of the pharmaceutical industry. It should be noted that there is still room for further improvement in the VBP with quantity system in terms of establishing a sound long-term mechanism for cost control,strengthening the interface with health insurance payment policies,satisfying doctors’ right to choose and patients’ multi-level needs,improving the evaluation and supervision system,promoting industrial innovation and development,and enhancing the enthusiasm of medical institutions and doctors. The next step should be to consider the balance of multiple objectives such as price,quality and innovation,adhere to the classification of procurement,improve the rules of winning bids,improve the health insurance payment system,handle the relationship between bidding-winning and non-bidding-winning products,protect the diversified needs of people for drugs,actively improve and implement supporting policies for reform,and fully mobilize the enthusiasm of medical institutions,medical personnel,manufacturers and patients and other parties.
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