PHÂN TÍCH VIỆC THỰC HIỆN KẾT QUẢ ĐẤU THẦU THUỐC TẬP TRUNG TẠI SỞ Y TẾ HÀ NAM GIAI ĐOẠN 2019-2021

Abstract

Background: Local centralized drug bidding aims to meet the medication needs for treatment at the provincial level. Evaluating the implementation of the winning bids results is necessary to ensure an adequate and compliant drug supply through the bidding process. A comparison of item categories and the value of implemented winning bids in certain locations shows non-compliance with regulations. The Ha Nam Department of Health conducts bidding every two years, and utilizing the winning bids for a two-year period poses challenges in ensuring the implementation rate. Objectives: To determine the implementation rate of bidding results in the 2019-2021 period at healthcare facilities in the province of Ha Nam in terms of item categories and value based on specific indicators. Study population and methods: The list of winning bids in the 2019-2021 period from the Ha Nam Department of Health and the list of drugs by public units based on the results of centralized drug bidding in the 2019-2021 period. Employing a cross-sectional descriptive method. Results: The total number of winning bid items in the 2019-2021 period at the Ha Nam Department of Health was 1026, with 843 items implemented (82.16%) and 183 items not implemented (17.84%). The package of originator drugs or therapeutic equivalents achieved 81.03% of the item categories and 46.63% of the value. The generic drug package achieved 82.05% of the item categories and 57.08% of the value. Grade I hospitals achieved 77.45% of the item categories and 58.91% of the value; grade II hospitals achieved 69.80% of the item categories and 33.52% of the value; grade III hospitals achieved 78.11% of the item categories and 55.8% of the value. Certain pharmacological groups, such as antiparasitic and antibacterial drugs, cardiovascular drugs, and gastrointestinal drugs, had a high implementation rate in terms of item categories (77.27% - 88.24%) but a low implementation rate in terms of value (40.01% - 73.86%). Conclusion: The implementation rate of winning bid in term of item categories at the Ha Nam Department of Health in the 2019-2021 period was 82.16%, the implementation rate in term of value was 56.12%. The rate of implementation according to the results of the winning drug value is still low in public health facilities in the province, bidding packages, and effect groups.