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传统上农村基层医疗卫生机构药品流通模式有集中招标模式和链状、集中交易市场、物流配送等非集中招标模式两种。随着国家基本药物制度逐步建立,规范的集中招标模式逐渐成为主要模式。目前农村基层医疗卫生机构药品流通,仍存在流通成本高、秩序混乱和基层配送不足、物流水平低等突出问题,需要进一步提高市场集中度,打破医院垄断,规范招标配送机制,提高物流水平,探索新流通模式。
Traditionally, the rural primary medical and health institutions have two types of drug distribution modes: centralized bidding mode and non-centralized bidding mode such as chain transaction, centralized transaction market and logistics and distribution. With the gradual establishment of the national essential drug system, the standardized centralized bidding model gradually becomes the main mode. At present, there are still outstanding problems such as the high circulation cost, the disorder of order and the inadequate distribution at the grass-roots level as well as the low level of logistics in the circulation of medicines in the rural primary health care institutions. There is still a need to further improve the market concentration, break the monopoly of hospitals, standardize the bidding and delivery mechanism, and improve the logistics level. New circulation mode.