江苏快3开奖结果

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首都醫科大學附屬北京天壇醫院

常見問題

【醫藥分開綜合改革熱點問答之三】關于陽光采購及藥品供應

字號: + - 14

  1、SHENMESHIYANGGUANGCAIGOU?

  DA:“YANGGUANGCAIGOU”SHIWOSHIYAOPINCAIGOUDEYIZHONGXINJIZHI,SHIZAIYUANYAOPINJIZHONGCAIGOUGONGZUOJICHUSHANG,JIANCHIYISHIWEIDANWEIDEJIZHONGCAIGOUFANGXIANGHEZHILIANG、XUQIU、JIAGEXIANGTONGYIDECAIGOUYUANZE,JINYIBUMINGQUEGONGLIYILIAOJIGOUZAIYAOPINCAIGOUZHONGDEZHUTIDIWEI,ZAISHENHUAYIGAIGONGZUODEZONGTIKUANGJIAXIA,CHONGFENFAHUISHICHANGZAIZIYUANPEIZHIZHONGDEJUEDINGXINGZUOYONGHEGENGHAOFAHUIZHENGFUZUOYONG,XINGCHENGSHICHANGZHUDAOJIAGEDEJIZHI。TONGSHITONGGUOGONGKAITOUMING、DUOFANGTANPAN、DONGTAIDIAOZHENG、CHENGGUOGONGXIANGDECUOSHI,JIAQIANGZHENGFUZONGHEJIANGUAN,SHIXIANCAIGOUXINGWEIYANGGUANGTOUMING,JIAOYIGUOCHENGGONGPINGGUIFAN。

江苏快3开奖结果  2、YANGGUANGCAIGOUTONGGUONAXIECUOSHILAIJIANGDIYAOPINJIAGEDE?LAOBAIXINGNENGFOUCONGZHONGGANSHOUDAOYAOJIAJIANGDIDESHIHUI?

江苏快3开奖结果  DA:WEIJINYIBUJIANGDIYAOPINXUGAOJIAGE,ZHENDUISHICHANGGONGYINGCHONGZUDECHANGYONGYAOPIN,DONGTAILIANDONGQUANGUOSHENGJICAIGOUZUIDIJIAGEHEQUANSHIGONGLIYILIAOJIGOUCAIGOUJIAGE,YINDAOWOSHITONGLEIYAOPINJIAGESHIZHONGCHUYUQUANGUOJIAODISHUIPING。

江苏快3开奖结果  RUJIANGXUEZHIYAO“ATUOFATATINGGAIPIAN”,2015NIANZAIWOSHIXIAOSHOUDEZHUYAO2GEPINPAI(JINKOUCHANPIN“LIPUTUO”HEGUOCHANCHANPIN“ALE”)DECAIGOUJINEDA8.24YIYUAN,YANGGUANGCAIGOUHOUCAIGOUJIAGEFENBIEXIAJIANGLE9.76%HE11.47%,JINZHE2GEYAOPINJIUKEJIEYUECAIGOUFEIYONG8300WANYUAN。RUYONGYUXINNAOXUEGUANKANGNINGDE“QINGLVBIGELEIPIAN”,2015NIANZAIWOSHICAIGOUJINEZUIDUODE2GEPINPAI(JINKOUCHANPIN“BOLIWEI”HEGUOCHANCHANPIN“TAIJIA”)DECAIGOUJINEWEI8.31YIYUAN,YANGGUANGCAIGOUHOUCAIGOUJIAGEFENBIEXIAJIANGLE6.14%HE9.56%,CAIGOUFEIYONGKEJIEYUE6000WANYUAN。

江苏快3开奖结果  ZAICAIGOUJIEGUOZHENGSHIZHIXINGHOU,WOMENJIANGSHISHIGUANZHUQUANGUOQITASHENGJIYAOPINJIZHONGCAIGOUDEJIEGUO,ANLIUCHENGDONGTAIDIAOZHENGYAOPINDEZUIDICANKAOJIAGE,BINGZAICAIGOUPINGTAIZHONGSHEZHIJIAGEYUJINGGONGNENG,SHISHIYUJINGGUOGAOJIAGE。

  3、YAOPINZHILIANGGUANHUBAIXINGSHENGMINGJIANKANG,RUHEBAOZHANGYAOPINDEZHILIANGANQUAN?NENGBAOZHENGYAOPINDEZHILIANGBUXIAJIANGMA?

  DA:ZHILIANGANQUANSHIYAOPINSHENGCHANSHIYONGZUIJIBENDEYAOQIU,YESHIZUIZHONGYAODEYAOQIU。ZAIYANGGUANGCAIGOUGUOCHENGZHONG,WEISHENGJISHENGWEIJIANGYAOPINZHILIANGZUOWEIPINGJIAYAOPINDEDIYIYAOSU,DUICUNZAIFASHENGYANZHONGYAOHAISHIJIANZAOCHENGYANZHONGBULIANGSHEHUIYINGXIANGDEQIYE,ZAIBEIJINGDIQULVCIFABUYANZHONGWEIGUIGUANGGAODEQIYEHECHASHICUNZAIYANZHONGSHANGYEHUILUXINGWEIDEQIYE,YIJISHENGCHANHUANJIECHOUYANCUNZAIYANZHONGZHILIANGWENTIDEPINZHONG,SHIXINGYIPIAOFOUJUE,ZHIJIENARUBULIANGJILU。ZHIDINGLEBAOHAN11GEDAXIANGDEYAOPINZHILIANGBAIFENPINGJIATIXI,ZHEXIEZHIBIAOJIPINGJIAJIEGUO,DOUJIANGDUIYILIAOJIGOUYUYIGONGBU,BINGZAIYILIAOJIGOULINXUANBENDANWEIYONGYAOSHI,YAOQIUBIXUZHUZHONGCHANPINZHILIANG,CANZHAOZHILIANGFENZHI,GULIZHILIANGKEKAO、LIAOXIAOQUEQIEDEYAOPINCHIXUWENDINGDEGONGYING。

  SHIPINYAOPINJIANDUGUANLIJUJIADAYAOPINZHILIANGCHOUYANLIDU,TISHENGYAOPINZHILIANGJIANKONGNENGLI。YIFANGMIANDUINARUYIBAOMULUDEYAOPIN,JIGONGYINGJIAGEMINGXIANPIANDICUNZAIZHILIANGYINHUANDECHANPIN,KAIZHANZHONGDIANCHOUYANGONGZUO,QUANMIANJIANCEWOSHIZHUYAOGONGYINGQUDAOYAOPINZHILIANG。LINGYIFANGMIAN,YUWEISHENGJISHENGWEIJIANLIYAOPINJIAGEDIAOZHENGXINXIGOUTONGJIZHI,DUIJIANGJIAFUDUDIAOZHENGJIAODADEPINZHONG,KAIZHANYOUZHENDUIXINGDICHOUYANGONGZUO,JIANKONGCILEIYAOPINZHILIANG,BAOZHANGYAOPINJIAGEJIANGDIHOUZHILIANGBUJIANGDI。

  4、RUHESHIXIANJICENGYILIAOJIGOUYUDAYIYUANDEYAOPINMULUDUIJIE?SHIFOUSUOYOUERSANJIYILIAOJIGOUDECHANGYONGYAOPINDOUNENGZAISHEQUNADAO?

  DA:ANZHAOSHIZHENGFUGONGZUODEZONGTIBUSHU,YANGGUANGCAIGOUGONGZUOJIANCHIYIJICENGWEIZHONGDIAN,KUOCHONGJICENGYILIAOJIGOUYAOPINMULUPINZHONG。WOMENJIANGYUANJICENGYILIAOJIGOUYUERSANJIYIYUANDEYAOPINCAIGOUPINGTAIHEERWEIYI,TONGGUO“YIGEPINGTAI,SHANGXIALIANDONG”,SHIXIANJICENGYILIAOJIGOUYUERSANJIYIYUANCAIGOUMULUDESHANGXIAYIZHI,WEIFENJIZHENLIAOZHIDUDIANDINGJICHU,FANGBIANHUANZHEJIUYIQUYAO。

  JICENGJIGOUYUERSANJIDAYIYUANYAOPINSHANGXIALIANDONGHOU,JICENGFANYINGJIZHONGJIGEYAOPIN,RUYONGYUJIANGDIXUETANGDE“GEHUAZHI”(ERJIASHUANGGUAPIAN)YINYUANZHENGCEXIANZHIBUNENGJINRUJICENGYILIAOJIGOUXIAOSHOU,BENCIYANGGUANGCAIGOUHOUHUANZHEJUNKEZAIJIAMENKOUDEJICENGJIGOUJIUYIQUYAO,YUCITONGSHIHUANXIANGYOUYAOPINJIANGJIADAILAIDESHIHUI,RU“GEHUAZHI”DEJIANGJIAFUDUDADAOLE8.9%。

江苏快3开奖结果  CICIYIYAOFENKAIGAIGE,SHEQUYUDAYIYUANZAIKECAIGOUPINZHONGSHANGSHIXIANLETONGYI,SHEQUNENGGOUCAIGOUDAODAYIYUANDESUOYOUYAOPIN,JIAZHIQIANQISHIRENLISHEBAOJUYECHUTAILESHEQUYUDAYIYUANDEYIBAOBAOXIAOMULUTONGYIDELIHAOZHENGCE,XIANGXINZHELIANGXIANGZHENGCENENGGOUJIDADETUIJINWOSHIFENJIZHENLIAOGONGZUO,HUIYOUYUELAIYUEDUODEHUANZHEQIANWANGSHEQUJIUYI。

  但是,這并不等同于所有藥品均能在社區使用。藥品的使用在滿足患者需求的基礎上,同時還必須符合相關規定,開具藥品的醫師也必須具備相應的資質,也必須符合社區衛生服務機構的功能定位。即,在滿足患者的基礎上,社區衛生服務機構用藥必須堅持醫療質量與安全原則、堅持結合功能定位合理配備藥物原則、堅持基本藥物優先原則、堅持四類慢病(高血壓、糖尿病、冠心病、腦血管病等四類慢性疾病)藥物優先原則。

  YOUYUSHEQUYILIAOJIGOUDEYAOFANGCANGCHUMIANJIXIAO。DAGEBIFANGSHUO,SHEQUYILIAOJIGOUJIUSHIWOMENZHOUWEIDEBIANLIDIAN,RICHANGYONGPINZAIBIANLIDIANLIJIBENDOUKEYIMAIDAO。DANYOUYUBIANLIDIANDECANGCHUMIANJIXIAO,SHEBEISHESHISHAO,TAXIAOSHOUDESHANGPINZHONGLEIBIDINGBIDAXINGCHAOSHIDESHAO。

  JUTONGJI,SANJIYIYUANYAOPINPEIBEISHULIANGPINGJUNZAI800ZHONGZUOYOU,ERJIYIYUANYAOPINPEIBEISHULIANGPINGJUNZAI600ZHONGZUOYOU,SHEQUYIBANZAI300ZHONGZUOYOU,SUOYISHEQUYOUKENENGBUHUIJIANGQUANBUYAOPINPEIBEIQIQUAN。DANWEIFANGBIANHUANZHE,YAOQIUYILIANTIFANWEINEIDEMANBINGYAOPINMULUJINKENENGTONGYI。

江苏快3开奖结果  5、RUHEBAOZHENGDUANQUEYAOPINDEGONGYING?

  DA:BAOZHANGDUANQUEYAOPINGONGYINGSHIYIXIANGSHEJIDUOBUMENLIANDONGXIEZUODEGONGZUO。ZAIBENCIYAOPINYANGGUANGCAIGOUGUOCHENGZHONG,ZHENDUILINCHUANGJIUZHIBIXUQIEBUKETIDAIDEDIJIADUANQUEYAOPIN,SHIXINGZHIJIEGUAWANGCAIGOU,ZHIDUIQIYAOPINSHANGSHIHEFAXINGDECAILIAOYUYISHENHEGONGSHI,BUZAIDUIQIJIAGESHEZHIQUANGUOZUIDICANKAOJIA,QIEGONGYINGJIAGEKEGENJUSHICHANGGONGQIUGUANXIBIANHUASUISHIDIAOZHENG,HUANJIEGONGYINGJINZHANGDEWENTI。

  RULINCHUANGYOUYUJIAGETAIDIZAOCHENGQUEHUODEWEISHENGSUB12ZHUSHEYESUIRANCONG0.21YUAN/ZHIZHANGDAO1.3YUAN/ZHI,DANRENGSHUYUDIJIAYAOPINFANWEI,DUICILEICHANPINWOMENZAITONGGUOSHICHANGJIZHIGULIQIYEJIJIGONGHUO,BIMIANDIJIAYAOTUISHIFENGXIANDETONGSHI,YEJIANGXIETONGJIAGEBUMENDUIZHANGJIAYAOPINKAIZHANJINYIBUGENZONGDIAOCHA。

  ZAIRICHANGYAOPINCAIGOUZHONG,DUIYULINCHUANGBIXUDANSHICHANGDUANQUEDEYAOPIN,WOMENTIAOXUANLEJUYOUDAIBIAOXINGDEZONGHEYIYUAN、ZHUANKEYIYUANDENGJIANLILE15GEDUANQUEYAOPINJIANCEZHANDIAN,SHISHISHOUJIYAOPINDUANQUEQINGKUANG。

江苏快3开奖结果  SHISHIPINYAOPINJIANGUAN、WEISHENGJISHENG、FAZHANGAIGE、JINGJIXINXIWEIDENGBUMENJIANLIXIEZUOJIZHI,YIFANGMIANJIANLIDUANQUEYAOPINCHUBEIZHIDU,TONGGUOBUMENZHIJIANDEXINXIGOUTONG,ZHANGWODUANQUEYAOPINXINXI,JISHIDIAOZHENGYAOPINCHUBEIMULU,ZUOHAOYAOPINCHUBEIGONGZUO,BAOZHANGGONGYING。LINGYIFANGMIANXIEDIAOWOSHIJUYOUHEFAZIZHIDEQIYEPAICHANYIMANZULINCHUANGXUQIU,RUQIANQIXINZANGSHOUSHUBIXUDEYUJINGDANBAIJIUTONGGUOJINJIPAICHANYUYIJIEJUE。RUDUANGONGYAOPINSHEJIWOSHISHENGCHANQIYE,JIANGCAIQUGULIQIYEHUIFUSHENGCHANDENGCUOSHIBAOZHANGGONGYING。

  ZHENDUISHICHANGCHANGQIDUANQUEYAO,SHISHIPINYAOPINJIANDUGUANLIJUYISHICAIQUCUOSHI,GULIBENSHIQIYEJINXINGPINZHONGFANGZHI,ERSHITANSUOYUWAIDIZAICHANQIYEQIANDINGCHANGQIZHANLVEHEZUOXIEYIDEFANGSHI,BAOZHANGGONGYING。

江苏快3开奖结果  6、RUHELUOSHIHAOSILEIMANXINGBINGHUANZHE“CHANGCHUFANG”ZHENGCE?

  DA:MUQIAN,WOWEIYIJINGYINFALE《GUANYUZAIBENSHISHEQUWEISHENGFUWUJIGOUSHISHICHANGCHUFANGFUWUYOUGUANGONGZUODETONGZHI》(JINGWEIJICENG﹝2017﹞3HAO),YIQUEBAOYOUGUANZHENGCEDELUODI。SHOUXIAN,JICENGYILIAOJIGOUYAOJIANLIYIWEIHUJUMINJIANKANG、BAOZHENGYONGYAOANQUANDEYUANZE。QICI,HUANZHEYAOMANZUYIXIATIAOJIAN,YISHIHUANYOUSILEIMANXINGBINGQIEZHENDUANMINGQUE,BINGTIGONGERJIYISHANGYIYUANZHENDUANZHENGMINGSHUHUOMENZHEN/ZHUYUANBINGLI;ERSHIYIZAISHEQUWEISHENGFUWUJIGOUJIANLIJUMINDIANZIJIANKANGDANGAN,BINGQIANDINGJIATINGYISHENGQIANYUEFUWUXIEYI,JIESHOUQIANYUEJIATINGYISHENGFUWUTUANDUIJIANKANGGUANLI,QIANDING“SHENQINGCHANGCHUFANGZHIQINGTONGYISHU”BINGNENGZUNZHAOZHIXING;SANSHIZHILIAOFANGANMINGQUE,CHANGQIFUYONGCHANGCHUFANGYAOPINFANWEINEITONGYILEIYAOWU,SHIHEZAISHEQUWEISHENGFUWUJIGOUZHENLIAOHUOKEYI2GEYUENEIJUJIAYONGYAOZHILIAO。ZAIYOU,ZHIYEYISHIYAOANZHAO《ZHIYEYISHIFA》、《CHUFANGGUANLIBANFA》HE《ZHIYEYAOSHIZIGEZHIDUZANXINGGUIDING》HELINCHUANGZHENLIAOGUIFANYAOQIUTIGONGCHANGCHUFANGFUWU。

(文中內容來自北京市衛計委、北京市醫管局)