广西医疗机构集中带量采购药品遴选实施与管理专家共识OA

OBJECTIVE To formulate the Expert Consensus on the Implementation and Management of Drug Selection for Centralized Volume-Based Procurement in Medical Institutions of Guangxi(hereinafter referred to as the"Consensus"),and to provide decision-making support and practical guidance for the drug selection and management of centralized volume-based procurement(hereinafter referred to as"centralized procurement")drugs in medical institutions at all levels in Guangxi.METHODS A systematic review was conducted on the materials from previous batches of centralized procurement implemented in Guangxi.A comprehensive search was carried out for drug-related works and books,along with a systematic collation of guidelines on drug selection,expert consensus on centralized procurement,and policy documents.Through three rounds of specialized seminars,combined with existing evidence-based data and the practical drug selection experiences of medical institutions at various levels,this Consensus was formulated after thorough discussion and successive rounds of revision.RESULTS&CONCLUSIONS The Consensus systematically outlines the three key stages in the implementation of centralized procurement in medical institutions:procurement volume reporting,confirmation of agreed procurement volume,and procurement and usage implementation.It proposes drug selection strategies for centralized procurement based on multiple dimensions,including specifications,dosage forms,packaging materials,fill volume,and manufacturing enterprises.In response to practical challenges encountered in the selection process,corresponding countermeasures are proposed,such as establishing a regularized information reserve mechanism,strengthening information technology support,and implementing categorized selection approaches.The Consensus advocates for medical institutions to construct an integrated"policy,data,and quality"decision-making system to promote full-cycle management of centralized procurement.This Consensus will provide scientific and practical guidance for medical institutions at all levels in Guangxi in the drug selection of centralized procurement,facilitating the smooth implementation and sustainable development of centralized procurement policies at the institutional level.