徐培红+干荣富

摘 要 本文运用近5年上海地区样本医院药品购入数据，与全国22城市地区样本医院的增长幅度进行对比，并从用药大类的份额占比变化、医院使用领先药品及主要供应商位序、药品的来源构成与生产商的主打品种等维度研究分析医院用药品种的变化及厂商的竞争情况。上海地区样本医院无论在用药水平、临床品种选取或药品来源的选择等方面都有其特殊性，招标规范化与用药的合理性使合资药与国产药的竞争难分伯仲，销售领先的厂商及其主打品种的地位变化不大。随着分级诊疗的深入实施将会使基层医院用药品种增多与金额增大，或会影响二三级医院用药金额的增长幅度。

关键词 样本医院 医院用药 数据分析

中图分类号：F713.52 文献标识码：C 文章编号：1006-1533（2016）11-0052-05

Analysis of medication data of sample hospitals in Shanghai in 2015

XU Peihong1*， GAN Rongfu2**（1. Department of Pharmacy， Ruijin Hospital， School of Medicine， Shanghai Jiao Tong University， Shanghai 200025， China；

2. Sinopharm Group Co. Ltd.， Shanghai 200051， China）

ABSTRACT The change of varieties of drugs used in hospital and the competition status among manufacturers are studied by comparison of the data on the growth rate of total amount of drugs purchased in the sample hospitals in Shanghai in past 5 years with those in 22 sample hospitals in other urban areas of China in terms of the change of the share of drug categories， leading medicines in hospitals and the rank of their major suppliers， the sources of drugs and the manufacturers major varieties. The conclusion is that the hospitals in Shanghai have their particularity in terms of the level of medication， the selection of the clinical varieties and the source of the drugs. The standardization of bidding and the rational use of medicines make the joint-stock and home-made drugs near equals. The dominant positions in the market are difficult to be beaten for the leading pharmaceutical companies and their major varieties. With the implementation of grading diagnosis and treatment， the varieties and sales volume will increase in primary hospitals， and the growth rate in the tertiary and secondary hospitals may be affected.

KEY WORDS sample hospitals； hospital-use drugs； data analysis

上海早在新医改开始之际就被国家列入第1批医院体制改革17个试点城市之一，2016年初又被国务院列为第2批7个试点省市之一（第1批试点省市为4个）。上海的医院无论是在用药水平、临床使用品种选取或药品来源的选择等方面一直有其特殊性，在药品的集采上更有其与众不同的特点。本文数据取自中国医药工业信息中心PDB数据库。

1 上海地区样本医院用药分析[1-2]

1.1 上海地区样本医院与全国样本医院用药数据对比分析

统计近5年上海地区与全国22城市地区样本医院购入药品金额同比增长情况可以发现，上海地区样本医院购入药品总金额的增幅总体低于全国样本医院平均水平，但是到了2015年下半年突然发力，超过全国平均数3个百分点（图1）。……