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題名 | 醫療人員對藥品聯標作業之認知調查=A Survey of the Understanding of the Joint Pharmaceutical Procurement Procedures by the Medical Staff |
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作者 | 陳怡靜; 陳如慧; 林映州; 陳立奇; Chen, I-chin; Chen, Ju-whei; Lin, Ying-chou; Chen, Lih-chi; |
期刊 | 藥學雜誌 |
出版日期 | 20160900 |
卷期 | 32:3=128 2016.09[民105.09] |
頁次 | 頁142-148 |
分類號 | 419.45 |
語文 | chi |
關鍵詞 | 藥品採購; 聯合招標; 政府採購法; Pharmaceutical procurement; Joint pharmaceutical procurement; Government procurement law; |
中文摘要 | 目的:公立醫院藉由藥品聯合招標方式,「以量制價」,降低購入成本,惟聯合 招標「以量制價」策略雖普為人知,但在醫院藥品聯合招標過程只有部份藥師及醫師 參與其中,醫療人員在過程中參與較少,對於藥品聯標作業之認知無從得知。本研究 期望透過醫療人員對藥品聯標認知題項之探討,來了解醫院聯合招標的現況問題,並 針對問題點提出建議,進而提升整體滿意度及藥品品質,提供公立醫院藥品聯合招標 作業之參考。 方法:於2015年間,透過會議討論方式設計問卷,完成問卷信度、專家效度並經 人體試驗倫理委員會議審查後,以網路問卷方式,調查500名醫療人員 (70位醫師、 210位護理師、85位醫技人員、135位行政人員) 對於藥品聯標之認知及建議。 結果:83.6%的受訪者認為自己不了解藥品聯標作業;55.2%的受訪者認為藥品採 聯合招標模式不太有利於醫院降低藥品採購成本;6成以上的受訪者認為藥品採聯合 招標模式對於管控藥品採購品項數較無關聯、對於提高藥品供貨穩定度不太有幫助。 72.8%的受訪者認為自己對於健保的「三同政策」不太了解。45.2%的受訪者認為藥 品採購宜採公開招標,23.8%認為宜採選擇性招標;79.6%認為藥品決標方式宜採最 有利標決標。以開放式問題詢問受訪者對於藥品聯合招標作業的建議,44名受訪者填 覆意見,有54.5%之受訪者認為藥品聯合招標作業除價格外,亦應注重品質。 結論:相較於其他類醫事人員,仍以醫師及藥師對於此招標作業模式較了解,對 於健保「三同政策」對藥品價格等關聯性也較清楚。但若要落實藥品聯標模式之推 動,實需各類人員共同了解及實行分層負責,才可達到有效推動之目標,進而提升整 體滿意度及藥品品質,增加醫院的醫藥照護品質及競爭力。 |
英文摘要 | Objective: Public hospitals generally adopt the volume purchase in the drug procurement to lower the purchase cost. The concept of volume purchase is well understood by most people; however, only a few people are involved in the procurement process, thus the detail is poorly understood by medical staff. This aims to survey the understanding of the joint pharmaceutical procurement by medical staff in order to identify barriers to the current practice and make recommendations in hope to increase the overall satisfaction and improve the quality of the procurement. The study result could be a useful reference to other hospitals. Methods: In 2015, 500 hospital staffs were surveyed online. These included 70 physicians, 210 nurses, 85 supporting medical professionals, and 135 administrative personnel. The questionnaire was tested for reliability and validity and approved by the institutional review board (IRB) prior to conducting the study. Results: 83.6% of respondents did not understand the joint pharmaceutical procurement, 55.2% felt the current procurement did not lower the purchase cost, and over 60% felt the procurement did not help to control the hospital drug formulary size nor the stability of drug supplies. 72.8% of respondents did not understand the three-same policy promoted by the National Health Insurance. 45.2% agreed that the procurement should be open tendering, 23.8% preferred the selective tendering and 79.6% chose the most advantageous tendering. In regards to open-ended questions, 44 respondents answered and 54.5% expressed that pharmaceutical procurement should emphasize on the drug price and the quality. Conclusions: In comparison to other medical personnel, physicians and pharmacists seem to know more about the pharmaceutical procurement and how the three-same policy affects the drug price. In order to achieve a successful procurement, all hospital staffs should understand the purpose of the joint procurement and execute related tasks accordingly. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。