在马来西亚公共卫生保健环境中采购方法发生变化后,药品价格动态
Farahwahida Mohd Kasim1,2, Ernieda Hatah1, Lokhman Hakim Osman3
1Faculty of Pharmacy, Centre for Quality Management of Medicines, Universiti Kebangsaan Malaysia, Wilayah Persekutuan Kuala Lumpur, Malaysia.
PloS one
|January 13, 2026
概括
在马来西亚,合并采购和细分采购之间的转变.
科学领域:
- 公共卫生 公共卫生
- 卫生经济学 卫生经济学
- 制药采购 制药采购 制药采购
背景情况:
- 公共卫生采购通常使用聚合和细分方法.
- 采购方法的变化可能会影响药品价格,影响政策决策.
- 了解这些影响对于优化医疗保健资源配置至关重要.
研究的目的:
- 评估从聚合到细分 (P→S) 和细分到聚合 (S→P) 采购的转变对马来西亚药品价格的影响.
- 为了分析五年来八个治疗子组和73种药物的价格变化.
- 为公共卫生采购战略提供数据驱动的见解.
主要方法:
- 对马来西亚公共卫生部门151项比较性采购进行了五年后期分析.
- 使用产品价格指数来衡量采购组之间的价格变化.
- 雇佣了Pearson Chi-square和Mann-Whitney U测试来评估概率和价格指数 (p <0.05) 的差异.
主要成果:
- 细分到聚合 (S→P) 的转变显示,与聚合到细分 (P→S) (30.14%) (p < 0.0005) 相比,价格下降的比例显著更高 (79.49%).
- 在P→S组中,价格上的频率比S→P组 (15.38%) 高 (50.68%) (p < 0.0005).
- 在S→P组中,药物平均价格往往低于P→S组 (U=151,p < 0.0005).
结论:
- 从细分到聚合采购的转变与降低药品价格的可能性更大有关.
- 合并采购可能会节省成本,但最佳方法取决于具体需求.
- 调查结果支持明智的政策决策,以便在公共卫生领域有效采购药品.
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