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國務院辦公廳關于推動藥品集中帶量采購工作常態化制度化開展的意見
2021-03-01

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gesheng、zizhiqu、zhixiashirenminzhengfu,guowuyuangebuwei、gezhishujigou:

  yaopinjizhongdailiangcaigoushixietongtuijinyiyaofuwugonggeicegaigedezhongyaojucuo。dangdeshijiudayilai,anzhaodangzhongyang、guowuyuanjuecebushu,yaopinjizhongdailiangcaigougaigequdemingxianchengxiao,zaizengjinminshengfuzhi、tuidongsanyiliandonggaige、cujinyiyaoxingyejiankangfazhandengfangmianfahuilezhongyaozuoyong。weituidongyaopinjizhongdailiangcaigougongzuochangtaihuazhiduhuakaizhan,jingguowuyuantongyi,xiantichuruxiayijian。

  一、總體要求

  (yi)zhidaosixiang。yixijinpingxinshidaizhongguoteseshehuizhuyisixiangweizhidao,quanmianguanchedangdeshijiudaheshijiujieerzhong、sanzhong、sizhong、wuzhongquanhuijingshen,jianchiyirenminweizhongxindefazhansixiang,wanshanyishichangweizhudaodeyaopinjiagexingchengjizhi,fahuiyibaojijinzhanlvexinggoumaizuoyong,tuidongyaopinjizhongdailiangcaigougongzuochangtaihuazhiduhuakaizhan,jianquanzhengfuzuzhi、lianmengcaigou、pingtaicaozuodegongzuojizhi,jiakuaixingchengquanguotongyikaifangdeyaopinjizhongcaigoushichang,yindaoyaopinjiagehuiguihelishuiping,youlijianqingqunzhongyongyaofudan,cujinyiyaoxingyejiankangfazhan,tuidonggongliyiliaojigougaige,genghaobaozhangrenminqunzhongbingyousuoyi。

  (er)jibenyuanze。yishijianchixuqiudaoxiang,zhiliangyouxian。genjulinchuangyongyaoxuqiu,jieheyibaojijinhehuanzhechengshounengli,heliquedingjizhongdailiangcaigouyaopinfanwei,baozhangyaopinzhilianghegongying,manzurenminqunzhongjibenyiliaoyongyaoxuqiu。ershijianchishichangzhudao,cujinjingzheng。jianligongkaitoumingdeshichangjingzhengjizhi,yindaoqiyeyichengbenhezhiliangweijichukaizhangongpingjingzheng,wanshanshichangfaxianjiagedejizhi。sanshijianchizhaocaiheyi,liangjiaguagou。mingquecaigouliang,yilianghuanjia、quebaoshiyong,changtongcaigou、shiyong、jiesuandenghuanjie,youxiaozhiliyaopinhuikou。sishijianchizhengcexianjie,bumenxietong。wanshanyaopinzhiliangjianguan、shengchangongying、liutongpeisong、yiliaofuwu、yibaozhifu、shichangjianguandengpeitaozhengce,jiaqiangbumenliandong,zhuzhonggaigexitongjicheng、xietonggaoxiao,yuyaopinjizhongdailiangcaigouzhiduxianghuzhichi、xianghucujin。

  二、明確覆蓋范圍

  (san)yaopinfanwei。anzhaobaojiben、baolinchuangdeyuanze,zhongdianjiangjibenyibaoyaopinmuluneiyongliangda、caigoujinegaodeyaopinnarucaigoufanwei,zhubufugaiguoneishangshidelinchuangbixu、zhiliangkekaodegeleiyaopin,zuodaoyingcaijincai。duitongguo(hanshitongtongguo,xiatong)fangzhiyaozhiliangheliaoxiaoyizhixingpingjia(yixiajianchengyizhixingpingjia)deyaopinyouxiannarucaigoufanwei。fuhetiaojiandeyaopindadaoyidingshulianghuojine,jiqidongjizhongdailiangcaigou。jijitansuo“gueryao”、duanqueyaodeshiyicaigoufangshi,cujingongyingwending。

  (si)qiyefanwei。yiqudejizhongdailiangcaigoufanweineiyaopinzhucezhengshudeshangshixukechiyouren(yaopinshangshixukechiyourenweijingwaiqiyede,youqiyizhao《zhonghuarenmingongheguoyaopinguanlifa》zhidinglvxingyaopinshangshixukechiyourenyiwudezhongguojingneideqiyefaren),zaizhiliangbiaozhun、shengchannengli、gongyingwendingxingdengfangmiandadaojizhongdailiangcaigouyaoqiude,yuanzeshangjunkecanjia。canjiajizhongdailiangcaigoudeqiyeyingduiyaopinzhilianghegongyingbaozhangzuochuchengnuo。

  (wu)yiliaojigoufanwei。suoyougongliyiliaojigou(hanjunduiyiliaojigou,xiatong)junyingcanjiayaopinjizhongdailiangcaigou,yibaodingdianshehuibanyiliaojigouhedingdianyaodiananzhaodingdianxieyiguanlideyaoqiucanzhaozhixing。

  三、完善采購規則

  (liu)heliquedingcaigouliang。yaopincaigouliangjishugenjuyiliaojigoubaosongdexuqiuliang,jieheshangniandushiyongliang、linchuangshiyongzhuangkuangheyiliaojishujinbudengyinsujinxingheding。yuedingcaigoubiligenjuyaopinlinchuangshiyongtezheng、shichangjingzhenggejuhezhongxuanqiyeshuliangdengheliqueding,bingzaibaozhangzhilianghegongying、fangfanlongduandeqiantixiajinkenengtigao。yuedingcaigoulianggenjucaigouliangjishuheyuedingcaigoubiliqueding,zaicaigouwenshuzhonggongkai。guligongliyiliaojigouduiyaopinshijixuqiuliangchaochuyuedingcaigouliangyiwaidebufen,youxiancaigouzhongxuanchanpin,yeketongguoshengjiyaopinjizhongcaigoupingtaicaigouqitajiageshiyideguawangpinzhong。

  (qi)wanshanjingzhengguize。duitongguoyizhixingpingjiadefangzhiyao、yuanyanyaohecanbizhijibushezhizhiliangfenzu,zhijieyitongyongmingweijingzhengdanyuankaizhanjizhongdailiangcaigou,budeshezhibaohuxinghuoqishixingtiaokuan。duiyizhixingpingjiashangweifugaideyaopinpinzhong,yaomingquecaigouzhiliangyaoqiu,tansuojianlijiyudashujudelinchuangshiyongzonghepingjiatixi,tongtongyongmingyaopinfenzuyuanzeshangbuchaoguo2ge。anzhaohelichabijiaguanxi,jianglinchuanggongxiaoleisidetongtongyongmingyaopintongyigeiyaotujingdebutongjixing、guige、baozhuangjiqicaigoulianghebing,cujinjingzheng。tansuoduishiyingzhenghuogongnengzhuzhixiangsidebutongtongyongmingyaopinhebingkaizhanjizhongdailiangcaigou。guawangyaopintongguoyizhixingpingjiadefangzhiyaoshuliangchaoguo3gede,zaiquebaogongyingdeqiantixia,jizhongdailiangcaigoubuzaixuanyongweitongguoyizhixingpingjiadechanpin。

  (ba)youhuazhongxuanguize。jiyuxianyoushichangjiagequedingcaigouyaopinzuigaoyouxiaoshenbaojiadengruweitiaojian。genjushichangjingzhenggeju、gongyingnengliquedingkezhongxuanqiyeshuliang,tixianguimoxiaoyingheyouxiaojingzheng。qiyeziyuancanyu、zizhubaojia。tongguozhilianghejiagejingzhengchanshengzhongxuanqiyehezhongxuanjiage。zhongxuanjieguoyingtixianliangjiaguagouyuanze,mingquegejiazhongxuanqiyedeyuedingcaigouliang。tongtongyongmingyaopinyouduojiazhongxuanqiyede,jiagechayiyinggongyunheli。genjuzhongxuanqiyeshuliangheliquedingcaigouxieyiqi。

  (jiu)yangezunshouxieyi。gefangyingyangezunshoufalvfaguihexieyiyueding,luoshizhongxuanjieguo,yifaxiangyouquanli、lvxingyiwubingchengdanxiangyingzeren。caigouxieyiqimanhou,yingzhuyanyuwendingshichangyuqi、wendingjiageshuiping、wendinglinchuangyongyao,zonghekaolvzhiliangkekao、gongyingwending、xinyongyouliang、linchuangxuqiudengyinsu,jianchizhaocaiheyi、liangjiaguagou,yifayiguiquedinggongyingqiye、yuedingcaigoulianghecaigouxieyiqi;gongqiuguanxiheshichanggejufashengzhongdabianhuade,ketongguojingjia、yijia、tanpan、xunjiadengfangshi,chanshengzhongxuanqiye、zhongxuanjiage、yuedingcaigoulianghecaigouxieyiqi。

  四、強化保障措施

  (shi)jiaqiangzhiliangbaozhang。yangeyaopinzhiliangruweibiaozhun,qianghuazhongxuanqiyebaozhengchanpinzhiliangdezhutizeren。luoshidifangzhengfushudijianguanzeren,jiangzhongxuanyaopinlieruzhongdianjianguanpinzhong,anzhao“zuiyanjindebiaozhun、zuiyangedejianguan、zuiyanlidechufa、zuiyansudewenze”yaoqiu,jiaqiangshengchan、liutong、shiyongdequanliantiaozhiliangjianguan。yiliaojigouyingjiaqiangzhongxuanyaopinbuliangfanyingjiance,faxianyisibuliangfanyingjishianchengxubaogao。wanshanbumenxiediaohejianguanxinxigoutongjizhi,jiakuaituijinyaopinshengchanliutongshiyongquanguochengzhuisutixijianshe,jibenshixianzhongxuanyaopinquanchengkechaxun、kezhuisu。yifayiguichuzhiyaopinzhiliangwenti。

  (shiyi)zuohaogongyingpeisong。zhongxuanqiyeyingzuohaoshichangfengxianyupanhefangfan,anzhaocaigouhetongzuzhiyaopinshengchan,anyaoqiubaogaochanneng、kucunhegongyingdengqingkuang,quebaozaicaigouzhouqineijishimanzuyiliaojigoudezhongxuanyaopincaigouxuqiu。zhongxuanyaopinyouzhongxuanqiyezizhuweituopeisongqiyepeisonghuozixingpeisong,peisongfeiyongyouzhongxuanqiyechengdan。peisongfangyingjubeiyaopinpeisongxiangyingzizhihewanbeideyaopinliutongzhuisutixi,younenglifugaixieyigongyingdiqu,jishixiangyingyiliaojigoucaigoudingdanbingpeisongdaowei。jiaqiangpianyuandiqupeisongbaozhang。chuxianwufajishigongyingde,chubukekangliyinsuwai,zhongxuanqiyeyingchengdanxiangyingzerenheyoucichanshengdesuoyoufeiyong,fouzejiangbeishiweishixinweiyuexingwei。

  (shier)quebaoyouxianshiyong。yiliaojigouyinggenjulinchuangyongyaoxuqiuyouxianshiyongzhongxuanyaopin,bingancaigouhetongwanchengyuedingcaigouliang。yiliaojigouzaiyishengchufangxinxixitongzhongshedingyouxiantuijianxuanyongjizhongdailiangcaigoupinzhongdechengxu,linchuangyishiantongyongmingkaijuchufang,yaoxuerenyuanjiaqiangchufangshenhehediaopei。jiangyiliaojigoucaigouheshiyongzhongxuanyaopinqingkuangnarugongliyiliaojigoujixiaokaohe、yiliaojigoufuzerenmubiaozerenkaohefanwei,bingzuoweiyibaozongezhibiaozhidingdezhongyaoyiju。

  五、完善配套政策

  (shisan)gaijinjiesuanfangshi。yiliaojigouyingchengdancaigoujiesuanzhutizeren,ancaigouhetongyuqiyejishijieqingyaokuan,jieqingshijianbudechaoguojiaohuoyanshouhegehouciyuedi。zaiyibaojijinzongeyusuanjichushang,jianliyaopinjizhongdailiangcaigouyufujizhi,yibaojijinanbudiyunianduyuedingcaigoujinede30%zhuanxiangyufugeiyiliaojigou,zhihouanzhaoyiliaojigoucaigoujindu,congyiliaojigoushenqingbofudeyiliaofeiyongzhongzhubuchongdiyufujin。zailuoshiyiliaojigoucaigoujiesuanzhutizerendeqiantixia,tansuotongguozaishengjiyaopinjizhongcaigoujigousheliyaopindianzijiesuanzhongxindengfangshi,tuijinyibaojijinyuyiyaoqiyezhijiejiesuan。yibaojingbanjigouduiyiliaojigoushenqingjiesuandeyiliaofeiyongyaojishishenhe,bingzuezhifuheliyiliaofeiyong。

  (shisi)zuohaozhongxuanjiageyuyibaozhifubiaozhunxietong。duiyibaomuluneidejizhongdailiangcaigouyaopin,yizhongxuanjiageweijizhunquedingyibaozhifubiaozhun。duitongtongyongmingxiadeyuanyanyao、canbizhiji、tongguoyizhixingpingjiadefangzhiyao,shixingtongyiyibaozhifubiaozhun。duiweitongguoyizhixingpingjiadefangzhiyao,yibaozhifubiaozhunbudegaoyutongtongyongmingxiayitongguoyizhixingpingjiadeyaopin。

  (shiwu)wanshanduiyiliaojigoudejilijizhi。duiyinjizhongdailiangcaigoujieyuedeyibaozijin,anzhaoxiangguanguidinggeiyuyiliaojigoujieyuliuyongjili。zaijizhongdailiangcaigoufugaideyaopinpinzhongduo、jineda、shejiyiliaojigouduodeqingkuangxia,yaokaizhanyiliaofuwujiagedongtaidiaozhengpinggu,fuhetiaojiandejishidiaozhengyiliaofuwujiage。dingdianyiliaojigouyingwanshanneibukaohebanfahexinchoujizhi,cujinlinchuangyishiheyaoxuerenyuanheliyongyao,guliyouxianshiyongzhongxuanchanpin。

  六、健全運行機制

  (shiliu)wanshanyaopinjizhongcaigoupingtaigongneng。shengjiyaopinjizhongcaigoujigouyaoyituoyaopinjizhongcaigoupingtai,yiyibaozhifuweijichu,zaiyaopinjizhongcaigouzhuguanbumenlingdaoxia,duizhaobiao、caigou、jiaoyi、jiesuanjinxingguanli,tigaotoumingdu。shengyufanweineisuoyougongliyiliaojigouyingzaibensheng(zizhiqu、zhixiashi)yaopinjizhongcaigoupingtaishangcaigouquanbusuoxuyaopin。jiaqiangyaopinjizhongcaigoupingtaiguifanhuajianshe,tongyijibencaozuoguize、gongzuoliuchengheyaopinguawangchewangbiaozhun,tongyiyibaoyaopinfenleihedaima,tongyiyaopincaigouxinxibiaozhun,shixianshengjiyaopinjizhongcaigouxinxihulianhutong,jiakuaixingchengquanguotongyikaifangdeyaopinjizhongcaigoushichang,jianlijianquanyiyaojiagehezhaocaixinyongpingjiazhidu,yifayiguishixingquanwangdongtaishouxinjiliheshixinchengjie。cujinyibaoxinxipingtai、guojiayaopingongyingbaozhangzongheguanlixinxipingtai、quyuquanminjiankangxinxipingtaihequanguoxinyongxinxigongxiangpingtaixinxigongxiang。

  (shiqi)jianquanlianmengcaigoujizhi。anzhaozhengfuzuzhi、lianmengcaigou、pingtaicaozuodeyaoqiu,tuijingoujianquyuxing、quanguoxinglianmengcaigoujizhi。yiliaobaozhangbumenhuitongyouguanbumenzhidaohuozuzhixiangguandiquheyiliaojigouxingchengyaopinjizhongcaigoulianmeng,jiaqianggongzuoxiediao,bushuluoshizhongdianrenwu;lianmengdiquyaopinjizhongcaigoujigougongtongchenglikuaquyulianhecaigoubangongshi,daibiaolianmengdiquyiliaojigoushishiyaopinjizhongdailiangcaigou,zuzhibingducuzhixingcaigoujieguo。jinyibuwanshanguojiazuzhiyaopinjizhongdailiangcaigoudechangtaihua、zhuanyehuayunzuojizhi,youshanghaishiyiyaojizhongzhaobiaocaigoushiwuguanlisuochengdanguojiazuzhiyaopinlianhecaigoubangongshirichanggongzuobingfuzejutishishi。

  七、強化組織保障

  (shiba)jiaqiangzuzhilingdao。guojiayibaoju、guojiaweishengjiankangwei、guojiayaojianju、gongyehexinxihuabuyaowanshanyaopinjizhongdailiangcaigougongzuojizhi,xianghuxiediao、miqiepeihe。guojiayibaojuyaoqieshidanfuqiyaopinjizhongdailiangcaigougongzuochangtaihuazhiduhuakaizhandetongchouxiediaoheducuzhidaozeren,wanshanxiangguanzhengcecuoshi,shishikaizhanjiancefenxi、dudaojiancha、zongjiepinggu。caizhengbu、shangwubu、shichangjianguanzongjudengyouguanbumenyaojiaqiangzhengcexietonghegongzuopeihe,xingchengheli。difangrenminzhengfuyaojiaqiangduibendiquyaopinjizhongdailiangcaigougongzuodezuzhilingdao,shenruluoshigexiangzhengcecuoshi,jijikaizhantansuochuangxin,quebaoyaopinjizhongdailiangcaigougongzuoyouxutuijin。

  (shijiu)fenjikaizhangongzuo。guojiazuzhiduibufentongguoyizhixingpingjiadeyaopinkaizhanjizhongdailiangcaigou,genjushichangqingkuangkaizhanzhuanxiangcaigou,zhidaogedikaizhancaigougongzuo。gesheng(zizhiqu、zhixiashi)duibenquyuneichuguojiazuzhijizhongdailiangcaigoufanweiyiwaideyaopindulihuoyuqitashengfenzuchenglianmengkaizhanjizhongdailiangcaigou,bingzhidaojubeitiaojiandedishijitongchoudiqukaizhancaigougongzuo。dishijitongchoudiquyinggenjusuozaisheng(zizhiqu、zhixiashi)anpai,jiushangjizuzhijizhongdailiangcaigoufanweiyiwaideyaopindulihuoyuqitadiquzuchenglianmengkaizhanjizhongdailiangcaigou。duishangweinaruzhengfuzuzhijizhongdailiangcaigoufanweideyaopin,yiliaojigoukezaishengjiyaopinjizhongcaigoupingtaishangzizhuhuoweituokaizhancaigou。jizhongdailiangcaigouzhongxuanjiageyingjishibaoshangjiyiyaojiagezhuguanbumenbeian。

  (ershi)zuohaoxuanchuanyindao。gediqugeyouguanbumenyaoquanmianzhunquejieduyaopinjizhongdailiangcaigouzhengce,dalixuanchuanjizhongdailiangcaigouqudedechengxiao、dianxinganli、chuangxinzuofa,yijibuduanzengqiangrenminqunzhonghuodegan、xingfugan、anquangandezhongyaozuoyong。chongfenfahuiyiwurenyuanzailinchuangyongyaozhongdezuoyong,zuohaojieshiyindaogongzuo。wanshanzhongdayuqingjianceheyingduichuzhijizhi,zhudonghuiyingshehuiguanqie,ningjushehuigongshi,yingzaolianghaoyulunfenwei。



guowuyuanbangongting

2021nian1yue22ri



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