创新链/学科链/研发链/产业链

新药研发前沿动态 / 医药领域趋势进展

国家药品集中带量采购政策对某院抗精神分裂症药物使用情况的影响

The Impact of the National Centralized VolumeBased Procurement Policy on the Utilization of Antischizophrenic Drugs in a Certain Hospital

  • 摘要: 目的 分析国家药品集中带量采购(简称“集采”)政策的实施对皖西卫生职业学院附属医院抗精神分裂症药物使用的影响。方法 本研究提取国家集采实施前(2019年)及实施后(2020年)抗精神分裂症药品的数据,比较药品价格和销售情况。利用限定日剂量(defined daily dose,DDD)、用药频度(defined daily dose system,DDDs)和限定日费用(defined daily dose cost,DDDc)来评估使用频率和患者的费用负担。结果 集采周期内,药物使用总片数同比增加17.87%,使用总金额同比下降32.44%。其中,集采药品的使用量增加292.37%,金额下降11.10%;非集采药品的使用量降低14.42%,金额下降37.29%。门诊患者次均治疗费用与次均药品费用增幅分别为- 6.33%和- 6.61%;住院次均治疗费用增幅为2.92%;然而,门诊药占比、住院次均药品费用以及住院药占比增幅分别为- 0.30%,- 8.94%,- 11.53%。集采后,DDDs前3位为非中选的阿立哌唑口崩片(5 mg×20片)、中选的奥氮平片(5 mg×14片)和利培酮片(1 mg×30片);若干规格奥氮平片和利培酮片的DDDc降幅较大,其中降幅最大的为中选的利培酮片(1 mg×30片)。结论 国家集采药品政策效果显著,减轻了患者的经济压力,但抗精神分裂症集采药品的品种需增加。

     

    Abstract: Objective To analyze the impact of the implementation of the national centralized volume-based procurement(NCVBP) policy on the utilization of antischizophrenic drugs in the Affiliated Hospital of West Anhui Health Vocational College. Methods Data on antischizophrenic drugs before (2019) and after(2020) the implementation of the NCVBP policy were erxtracted, and drug prices and sales were compared. The utilization frequency and patients’ cost burden were evaluated by defined daily dose (DDD), defined daily dose system (DDDs), and defined daily dose cost (DDDc). Results During the NCVBP implementation period, the total number of tablets dispensed increased by 17.87% year-on-year, while the total amount used (monetary) decreased by 32.44% year-on-year. Specifically, the utilization of centrally procured drugs increased by 292.37%, whereas their total amount used decreased by 11.10%; the utilization of non-centrally procured drugs decreased by 14.42%, and their total amount used decreased by 37.29%. The average treatment cost and medication cost per outpatient visit decreased by 6.33% and 6.61%, respectively; the average hospitalization treatment cost per admission increased by 2.92%. However, the outpatient medication cost ratio, average hospitalization medication cost per admission, and hospitalization medication cost ratio decreased by 0.30%, 8.94%, and 11.53%, respectively. After NCVBP implementation, the top three drugs in terms of DDDs were nonselected aripiprazole orally disintegrating tablets (5 mg× 20 tablets), selected olanzapine tablets (5 mg× 14 tablets), and risperidone tablets (1 mg× 30 tablets), and the DDDc of several specifications of olanzapine tablets and risperidone tablets decreased significantly, with the largest decrease observed in the selected risperidone tablets (1 mg× 30 tablets). Conclusion The NCVBP policy has achieved remarkable results in reducing patients’ economic burden, yet with the need for more varieties of cetralized procurement antischizophrenic drugs.

     

/

返回文章
返回