基本藥物論文：關(guān)于國(guó)家基本藥物制度配送模式對(duì)藥品流通環(huán)節(jié)影響

1、基本藥物論文：關(guān)于國(guó)家基本藥物制度配送模式對(duì)藥品流通環(huán)節(jié)影響的研究【中文摘要】為建立中國(guó)特色醫(yī)藥衛(wèi)生體制,逐步實(shí)現(xiàn)人人享有基本醫(yī)療衛(wèi)生服務(wù)的目標(biāo),中共中央、國(guó)務(wù)院向社會(huì)公布了關(guān)于深化醫(yī)藥衛(wèi)生體制改革的意見(jiàn),而實(shí)施國(guó)家基本藥物制度是深化醫(yī)藥衛(wèi)生體制改革近期五項(xiàng)重點(diǎn)工作之一。國(guó)家基本藥物配送作為實(shí)施國(guó)家基本藥物制度的一個(gè)重要環(huán)節(jié),對(duì)能否落實(shí)好國(guó)家基本藥物制度起著至關(guān)重要的作用。本課題首先對(duì)國(guó)家基本藥物在配送模式以及配送環(huán)節(jié)中存在的問(wèn)題進(jìn)行分析,在研究過(guò)程中發(fā)現(xiàn),按照國(guó)家基本藥物配送制度所構(gòu)建的藥品供應(yīng)保障體系進(jìn)行,將會(huì)對(duì)我國(guó)醫(yī)藥流通體系的改革發(fā)展起到巨大的推動(dòng)作用,會(huì)使流通行業(yè)的結(jié)構(gòu)發(fā)生兼并、重組

2、、整合等改變。而物流行業(yè)運(yùn)行水平的真正提高,卻在于現(xiàn)代物流能力的提高。盡管醫(yī)藥商業(yè)市場(chǎng)規(guī)模不斷壯大,但目前我國(guó)藥品流通市場(chǎng)還存在很多的弊端,并且醫(yī)藥流通行業(yè)的洗牌已經(jīng)處于白熱化。本課題通過(guò)對(duì)國(guó)家基本藥物制度配送模式的研究,來(lái)探討其對(duì)藥品流通環(huán)節(jié)影響?！居⑽恼縄n order to build up a healthcare system with Chinese characteristics and gradually realize the goal that everyone has the chance to enjoy the basic health service, the

3、Central Government has released to the public the document “On Deepening the Reform of Healthcare System”, with the practice of the national rules and regulations for essential medicine as one of recent five key tasks for deepening the reforming program of the healthcare system in this country.The d

4、istribution of the national essential medicines, as one of the important links in the practice of the national rules and regulations for essential medicines, is fundamental to the implementation of such systems.An analysis of the existing problems in the distribution modes and stages for the nationa

5、l essential medicine is first presented in this paper, and it is found that the supply of medicines based upon the national distribution system of essential medicine will be a great driving force for the reformation and development of Chinese medicine circulation, bringing about acquisition, restruc

6、turing and integration in the circulation industry.The improvement of the quality of logistics industry depends, to a large extent, on the enhancement of modern logistics capability.Although the market for medicine is developing, there indeed are many abuses and defects in the circulation of medicin

7、es, and the restructuring of the medical circulation industry is now at its white-hot stage.This paper through to the national system for basic drugs distribution mode of research, to discuss the influence of circulation of medicines.【關(guān)鍵詞】基本藥物 配送 藥品流通 物流【英文關(guān)鍵詞】essential medicine distribution circula

8、tion of medicines logistics【目錄】關(guān)于國(guó)家基本藥物制度配送模式對(duì)藥品流通環(huán)節(jié)影響的研究中文摘要4-5ABSTRACT51 緒論6-161.1 國(guó)家基本藥物配送概述國(guó)家基本藥物的定義配送的定義國(guó)家基本藥物配送制度設(shè)計(jì)的目的國(guó)家基本藥物配送制度設(shè)計(jì)的意義8-91.2 藥品流通概述藥品的定義藥品流通的定義物流的概述10-121.3 國(guó)家基本藥物制度發(fā)展歷程12-131.4 本課題研究的意義131.5 基本藥物配送制度的國(guó)內(nèi)外研究現(xiàn)狀13-151.6 本課題的研究?jī)?nèi)容和方法15-162 國(guó)家基本藥物制度配送模式的現(xiàn)狀研究16-312.1 國(guó)家基本藥物配送模式國(guó)家基本藥物生產(chǎn)

9、企業(yè)直接配送或者生產(chǎn)企業(yè)委托經(jīng)營(yíng)企業(yè)配送醫(yī)療機(jī)構(gòu)自行選擇配送企業(yè)混合型選擇配送企業(yè)根據(jù)配送級(jí)別不同將配送模式分為一級(jí)配送和二級(jí)配送由于各試點(diǎn)情況不同又涌現(xiàn)出一些個(gè)別模式19-202.2 國(guó)家基本藥物在配送過(guò)程中存在的問(wèn)題生產(chǎn)企業(yè)面臨的問(wèn)題國(guó)家基本藥物配送企業(yè)的評(píng)價(jià)標(biāo)準(zhǔn)不明確藥品流通企業(yè)布局不合理配套措施間銜接問(wèn)題地方主導(dǎo)配送形成的行政保護(hù)問(wèn)題配送費(fèi)用標(biāo)準(zhǔn)不明確商業(yè)公司動(dòng)力不足電子監(jiān)管缺失252.3 對(duì)國(guó)家基本藥物配送的建議加強(qiáng)對(duì)國(guó)家基本藥物配送環(huán)節(jié)的監(jiān)管做好統(tǒng)一配送措施與其他配套措施的銜接問(wèn)題執(zhí)行差別化的配送費(fèi)用配送費(fèi)用直接納入招標(biāo)價(jià)格內(nèi)擴(kuò)大國(guó)家基本藥物制度統(tǒng)一配送覆蓋面完善農(nóng)村”兩網(wǎng)”建設(shè)增強(qiáng)基本藥物配送企業(yè)的物流實(shí)力醫(yī)療機(jī)構(gòu)建立國(guó)家基本藥物的JIT采購(gòu)模式29-313 國(guó)家基本藥物配送模式對(duì)藥品流通發(fā)展的建議31-393.1 壯大配送網(wǎng)絡(luò)31-323.2 力推現(xiàn)代物流理念323.3 提高現(xiàn)代醫(yī)藥物