优良药品采购的操作规范.docx
WHO/EDM/PAIVWSOrigina1.:Eng1.ishDistribution:Genera1.Work!Hea1.thOrganizationOrganisationmondia1.edeIaSantc世界卫生组织Operationa1.princip1.esforgoodpharmaceutica1.procurement优良药M选购操作规冠Essentia1.DrugsandMedicinesPo1.icyInteragencyPharmaceutica1.CoordinationGroupGeneva,1999基本药物政策机构向药物协调小组F1.内瓦，1999作者和编辑AuthorsandeditorsThecontentsofthisdocumentwereadaptedfrom:Chapter13:Managingprocurement.ManagementSciencesforHea1.th(MSH)inco1.1.aborationWiththeWor1.dHea1.thOrganization,ActionPrOgrammeonEssentudDrugs/ManaginggSu叩Msecondedition.Editeu1.byJ.D.Quick,J.RankinxR.IingzR.O,ConnorzI1.V.IIogerzei1.M.N.G.DukesandA.Garnett.Hartford,C:KumarianPress;1997.IhefirstdrafttextwaspreparedbyJ.Rankin'inco1.1.aborationwithJ.1.Quick-andS.MUZiki/AftCrinterna1.andexterna1.reviewthefina1.textwaseditedbyK.Wo1.deyesus,-D.A.Fres1.e,-G.Grayston-andH.V.Hogerzei1.-此文件改编自：选购管理(第13章)，医疗保健管理科学(MSH)与世界卫生组织(WHO)就基本药物的行动纲题K药品供应管理8其次版，由JDQuickJRankin.R1.iing.R.O,Conncr.H.V.Hogcrzci1.M.N.GDukcsandA.Garnct1.Harti'o111.C:库J1J瑞安(KUmarian)出版社：1997年.初稿由J.Rankin和JDQuick及S.Muziki合作完成,经内部及外部多方征求看法后，由K-Wo1.deyesus.D.A.Fres1.e.GGraysin及HAUIogerzeiI编辑定稿CAcknow1.edgements声明HiefbUowiiigpersonshavecontributedtotheda>e1.op>nettandrcviecofthisdocumentandtheiradviceandsupportaregratefu1.1.yachte1.edged:H.denBcsten(IDA,Amsterdam),.Chidarikire(Zimbabwe),Z.Csizcr(UNIDO,Vienna),J.Immanue1.(WHO/BCI,),M.Everard(UK),Gorc(Wor1.dBank),R-Govindaraj(Wor1.dBank),J.vanHaperen(UgandaEssentia1.DrugsSupportProgramme),B.vonIIofsten(Ango1.aIissentia1.DrugsProgramme),K.1.mbeck(Wor1.dBank),SJarreM(UN1.eH)K.deJoncheere(WIIOEUKO),KinShein(VHOSERO),E.Kko1.os(Cyprus),.Kochi(WHO/CDS),S.Kopp-Kube1.(WHOEDM),R1.aing(Boston)"RMedeS(PhamwchemieBV),TMerrick(Wor1.dBank),1.Mi1.Stien(W1.!OVAB)zK.Nair(WHOW1>RO),P.OII¢(ICRCGeneva),KPease(Wor1.dBank),I1.Pedersen(UNICEF),J.1.,ind(MSI;,France),C-Rambert(UNICEF),V.Remcdias(Copenhagen),I.E1Sabai(Egypt),H.Sandb1.adh(ICRC),C-Saunders(UNFPA),MseSay(CQ1.TUnOnWeaIthPharmaceutica1.Association),QShiSana(WHQ/C1.IS),the1.ate!,.Sodogandji(W1.IO/DAP),V.CoignezSter1.ing(Wor1.dBank),GSza1.av(WHO/SUP),Y.Tay1.er(Wor1.d1.knk),M.Tec1.eab(PHARMECOR,Eritrea),V.Vijayavcr1.(Wor1.dBank).以下人士参与了本文件的起草及评阅，现就他们的建议及支持致以谢意.(略)Acronymsandabbreviations首字母和缩略语BCTB1.OOdSafetyandC1.inica1.Iechno1.ogy血液平安和临床技术CDSCommunicab1.eDiseases传染性疾病QISIIca1.thSystemsandCommunityIIea1.th医疗保健体系和社区医疗保健DAPActionI,rogrammeonEssenUa1.Drugs基本药物行动纲要ECHOEquipmentforCharityHOSPitaISQvezeas侨民慈善医院设施ED1.EDMESSentia1.drugs1.ist基本药品书|：|IVpartmentof1.sentia1.Drugsan1.MediCineSPo1.icy星本药物政策部EURORegiona1.OfficeforEurope欧洲地区办事处FIP¾*FZGrationInternationa1.eI1Iiarmaceutique国际药物联介会ICRCInternationa1.CommitteeoftheRedCross国际红十字委员会IDAInternationa1.DiSpCnSaryAssociation国际药房联合会INNInternationa1.NonproprietarvName国际非g用2称国际非专利商品名)IPCIntcragcncyPharmaceutica1.CrdinationGroup机构间药勃协调小组MISManagementInformationSystem管理信息系统MSFMddBnsSansFrontiers没有国界的医生（法语MSHManagementSciencesforIIea1.th医疗保健管理科学SEARoRegiOna1.OfficeforSouth-EastAsia东南亚地区办(J逸SUPSupp1.yServices供应服务UNFPAUnitedNationsPopu1.ationFund联合国人口基金会UNICEFUnitedNationsChi1.dren'sFund联合国儿羽基金会UNIDOUnitedNationsIndustria1.Deve1.opment(.Organization联合国工业发展组织USA1.DUnitedStatesAgencyforInternationa1.Deve1.opment美国国际发展机构VABVaccinesandBio1.ogicaE长笛和生物制品WUOWor1.d1IcaIth(.Organization世界卫生组银WPRORegiOnaIOffiCefortheWesternPaCifiC西太平洋地区办事处COntentS书目Introduction序言1. Prob1.emstatement3I.问题的提出2. Strategicobjectivesforgoodpharmaceutica1.procrement72.优良药物选购的战略目标1. PrOCUrethemostCoStYffeCtiVedrugsintherightquantities72. Se1.ectre1.iab1.esupp1.iersofhigh-<ua1.ityproducts73. Ensuretime1.yde1.ivery.74. Achievethe1.owestpossib1.etota1.cost81 .适旗获得以符合价格效果比的药品2 .选择军兜的供应商购买优旗药品3 .保证刚好送药4 .达到有可能实现的最低总开支5 .Operationa1.princip1.esforgoodpharmaceutica1.procurement一一-9EfficientandTransparentManagement9DrugSe1.ectionand(Quantification11FinancingandCompetition13Supp1.ierSe1.ectionandQua1.ityAsSUranCe173.优良药品选前的操作规范高效利透亮的管理药品逸选和浆化（确定购买数;资金筹集和竞争供应商选择和质瞅保证4.Practica1.imp1.ementationissues一.一一一204.实际操作问题Bib1.iographyandfurtherreading25文献书目及进一步糊读（参阅书目IntroductionIntroduction序言Thisdocumentintroducesfourstrategicobjectivesandtwe1.veoperationa1.princip1.esforgoodpharmaceutica1.procurement.Iheseobjectivesandprincip1.eshavebeendeve1.opedandendorsedbytheInteragencyIJhannaeCUtiCaICoordinationGrOUP(IPC),invo1.vingthePiIarmaCeUtiCaIadvisersoftheUnitei1.NationsChi1.dren'sFUnd(UN1.CEF),theUnitedNationsPopu1.ationFund(UNPA),theWor1.dHea1.thOrganization(WHO)andtheWor1.dBank.木文件介绍了规范药品选购的4个战珞目标和12项操作原VA,这些R标和原则经过机恂间药物协调小加(IPC)的完善和认可，包括联合国儿政基金会，联合国人口基金会以及世界卫生组织和世界银行的药物专家也供应/诸多建1.1.Theaimofthisdocumentistoimprovepharmaceutica1.PrOeUrementpracticesincountriesSerVedbytheIIXJmembers.hescoperationa1.princip1.esforgoodpharmaceutic
