论文部分内容阅读
目的 分析湖北省第二类疫苗采购系统的建立和实施效果.方法 建立全省第二类疫苗采购系统平台,采用描述流行病学方法对第二类疫苗网上采购、分发数据进行分析.结果2017年1-10月全省县级疾病预防控制中心(CDC) 通过搭建的采购系统向直接挂网的生产企业发出的第二类疫苗订购数为7 390 359支(瓶),企业实际发货数占订购数的87. 71％,CDC收货数占企业发货数的93. 25％.2017年10月省级通过系统同时组织完成了2017-2018年度第二类疫苗集中采购,企业申报疫苗品种129个,其中审核通过121个,全部谈判议价成功; 在议价前交易的94个品种中,63. 83％ 的品种议价后价格降低,从11月开始县级CDC根据省级采购价格在系统上进行第二类疫苗采购.结论 湖北省第二类疫苗采取先县级网上采购后省级组织集中采购的方式是可行的、高效的.“,”Objective To evaluate the establishment and impact of a Category Ⅱ vaccine procurement system in Hubei province. Methods We established the Hubei Category Ⅱ vaccine procurement system platform and used descriptive epidemiological methods to analyze online data on Category Ⅱ vaccine procurement and distribution. Results From January to October 2017,county centers for disease control and prevention (CDCs) ordered 7 390 359 vials of Category Ⅱ vaccines from manufacturers through the online procurement system; manufacturers delivered 87. 71％ of procured vaccines,and CDCs received 93. 25％ of vaccines delivered by manufacturers. In October 2017,the provincial CDC completed the centralized procurement of Category Ⅱ vaccines for 2017-2018 through the system. Manufacturers applied for 129 vaccine products,121 of which were qualified for procurement following successful price negotiations. Prices for 63. 83％ of 94 traded products were reduced after negotiation. Starting in November, county CDCs purchased Category Ⅱ vaccines through the system using provincial procurement prices. Conclusions It was feasible and efficient to implement county-level online procurement of Category Ⅱ vaccines following provincial centralized procurement in Hubei province.