Page 21 - 2019年1月第30卷第2期

2000年－2018年6月国内药品集中采购研究的可视化分析 Δ

宋璧麟 ，袁 姣 ，叶 霖 （1.华中科技大学同济医学院附属协和医院胃肠外科，武汉 430022；2.华中科技
1＊
1，2 #
2
大学同济医学院附属协和医院科研处，武汉 430022）
中图分类号 R95；G255.51 文献标志码 A 文章编号 1001-0408（2019）02-0160-05
DOI 10.6039/j.issn.1001-0408.2019.02.04

摘 要 目的：探索我国药品集中采购领域的研究现状和研究热点，从中发现该领域发展中存在的问题，为进一步完善我国药品
集中采购工作提供参考。方法：从中国知网、万方数据库和维普数据库中检索2000年－2018年6月我国药品集中采购领域的研
究文献，利用可视化分析软件CiteSpace，对获得文献的发表时间、发文作者、研究机构及关键词等进行统计分析。结果：共有3 455
篇文献纳入研究。我国药品集中采购领域的研究文献数量从2009年起呈现出明显的增长趋势，但作者和研究机构合作网络较为
分散，且研究团队以高校和研究所为主，鲜有公立医院的研究团队。2009年前，该领域主要关注的问题是药品集中采购政策在我
国实施的可行性分析和对药品集中采购制度分析及模式介绍；2009年进行“新医改”后研究者则更加关注基本药物集中采购实施
效果评价和公立医院的合理用药；近年来新爆发的关键词有“药品价格改革”“价格谈判”“医保支付”“药品短缺”“三医联动”“带量
采购”“供应保障”等，这也是最新的研究热点。结论：药品集中采购的研究重点随着国家政策的调整而不断改变，目前该领域的研
究重点转向了药品带量采购模式及药品带量采购政策实施现状研究、医保支付标准改革研究、公立医院药品价格谈判和药品价格
改革，以及在“三医联动”背景下完善药品供应保障体系的策略，探索缓解药品短缺和不合理用药的解决措施。未来在该领域应加
强合作与学术交流，使多中心、多学科的合作模式成为主流；同时，公立医院应提升自身主体地位，积极参与相关课题的研究，从而
促进建立健全药品供应保障体系，减轻人民群众医疗负担。
关键词 药品集中采购；文献计量学；可视化分析；可视化知识图谱

Visualization Analysis of Domestic Drug Centralized Procurement Study from 2000 to Jun. 2018
SONG Bilin ，YUAN Jiao ，YE Lin （1. Dept. of Gastrointestinal Surgery，Union Hospital，Tongji Medical
2
1，2
1
College，Huazhong University of Science and Technology，Wuhan 430022，China；2. Dept. of Scientific
Management，Union Hospital，Tongji Medical College，Huazhong University of Science and Technology，
Wuhan 430022，China）

ABSTRACT OBJECTIVE：To explore the situation and research hotspots of drug centralized procurement study，and to find
existing problems in the development of this field so as to provide reference for further improving drug centralized procurement in
China. METHODS：The literatures were retrieved from CNKI，Wanfang and VIP database during 2000-Jun. 2018. CiteSpace
software，which was a visualization software，was used to analyze statistically the publication time，author，research institution and
keywords. RESULTS：A total of 3 455 literatures were included in the study. The number of literatures in this field had increased
significantly since 2009. The author and institution cooperation network were scattered relatively. The research teams were mainly
universities and research institutes，few of which were public hospitals. Before 2009，the scholars focused on feasibility analysis of
the implementation of drug centralized procurement policy in China，analysis of centralized drug procurement system and model
introduction. After New Medical Reform in 2009，great importance was attached to effect evaluation of essential medicine
centralized procurement and rational drug use in public hospital. In recent year，the latest outbreak of the keywords were“drug
pricing reform”“price negotiation”“medical insurance payment”“drug shortage”“tripartite linkage of medical institutions”“drug
purchasing with quantity”“supply guarantee”and so on，which were the newest research hotspots. CONCLUSIONS：The research
focus of drug centralized procurement is changing with the adjustment of national policy. At present，the focus of research in this
field has shifted to the research on the mode and situation of drug purchasing with quantity，the reform of medical insurance
payment standard，the negotiation of drug price in public hospitals and the reform of drug price. Under the background of
“Tripartite Linkage of Medical Institutions”，the strategy of drug supply guarantee system was improved，and the countermeasures
are explored to alleviate drug shortage and irrational drug use.
Δ 基金项目：湖北省技术创新专项（软科学研究）项目（No.2018ADC
134）；湖北省知识创新专项（自然科学基金）项目（No.2016CFB356）；湖北 In the future，cooperation and academic exchanges should be
省卫生计生委青年人才项目（No.WJ2017Q023） strengthened in this field so as to make the multi-center and
＊ 护 师 。 研 究 方 向 ：护 理 管 理 、文 献 计 量 学 。 电 话 ：027- multi-disciplinary cooperation mode should become the
85351619。E-mail：xiehe1991@126.com mainstream. At the same time， public hospitals should
# 通信作者：副教授，硕士生导师，博士。研究方向：医院管理、文 enhance their main position and actively participate in research
献计量学。电话：027-85726139。E-mail：ylwhuhhust@hust.edu.cn

·160 · China Pharmacy 2019 Vol. 30 No. 2 中国药房 2019年第30卷第2期