ZHEWEIFA [2017] 73HAO
GESHIWEISHENGJISHENGWEI（JU）、SHICHANGJIANDUGUANLIJU（SHIPINYAOPINJIANGUANJU）、JINGXINWEI（JU）、RENLISHEBAOJU（SHEHUISHIWUBAOZHANGJU）、KEJIJU（WEI）、SHANGWUJU（WEI）、GUOSHUIJU、WUJIAJU：
GENJU《GUOWUYUANBANGONGTINGGUANYUJINYIBUGAIGEWANSHANYAOPINSHENGCHANLIUTONGSHIYONGZHENGCEDERUOGANYIJIAN》（GUOBANFA〔2017〕13HAO）HE《GUOWUYUANYIGAIBANGUANYUYINFAJINYIBUGAIGEWANSHANYAOPINSHENGCHANLIUTONGSHIYONGZHENGCEDERUOGANYIJIANRENWUFENGONGFANGANDETONGZHI》（GUOYIGAIBAN〔2017〕1HAO）YAOQIU，SHENGWEISHENGJISHENGWEIDENGBABUMENZHIDINGLE《ZHEJIANGSHENGGAIGEWANSHANYAOPINSHENGCHANLIUTONGSHIYONGZHENGCEZHONGDIANRENWU》。XIANYINFANIMEN，QINGRENZHENZUZHISHISHI。
SHENGWEISHENGJISHENGWEI SHENGSHIPINYAOPINJIANGUANJU SHENGJINGXINWEI
SHENGRENLISHEBAOTING SHENGKEJITING SHENGSHANGWUTING
SHENGGUOSHUIJU SHENGWUJIAJU
2017NIAN9YUE8RI
（CIJIANGONGKAIFABU）
浙江省改革完善药品生产流通使用政策重点任务
YI、YANJIUZHIDINGDEZHENGCEWENJIAN
1．ZHIDINGGUANYUJIAKUAITUIJINFANGZHIYAOZHILIANGHELIAOXIAOYIZHIXINGPINGJIAJIYAOPINSHANGSHIXUKECHIYOURENZHIDUSHIDIANGONGZUODESHISHIYIJIAN。（SHENGSHIPINYAOPINJIANGUANJUFUZE，YIWANCHENG）
2．ZHIDINGZHEJIANGSHENGYAOPINSHENGCHANLIUTONGFEIXINGJIANCHABANFA。（SHENGSHIPINYAOPINJIANGUANJUFUZE，2017NIAN12YUEDIQIANWANCHENG）
3．ZHIDINGZHEJIANGSHENGYAOPINSHENGCHANZHILIANGFENGXIANGUANLIBANFA。（SHENGSHIPINYAOPINJIANGUANJUFUZE，2017NIAN9YUEDIQIANWANCHENG）
4．ZHIDINGGUANYUJINYIBUMINGQUEYAOPINJINGYINGGUOCHENGDUOCANGXIETONGDENGYOUGUANSHIYIDETONGZHI。（SHENGSHIPINYAOPINJIANGUANJUFUZE，YIWANCHENG）
5．ZHIDINGGUANYUYAOPINJINGYINGQIYEDIANZICHUANDIYAOPINZHILIANGDANGANYOUGUANYAOQIUDETONGZHI（SHIXING）。（SHENGSHIPINYAOPINJIANGUANJUFUZE，YIWANCHENG）
6．ZHUANFAGUOJIASHIPINYAOPINJIANGUANZONGJUGUANYUQIYEJIANLIYAOPINCHUCHANGJIAGEXINXIKEZHUISUJIZHIYOUGUANYAOQIUDETONGZHI。（SHENGSHIPINYAOPINJIANGUANJUFUZE，2017NIAN12YUEDIQIANWANCHENG）
7．ZHUANFAGUOJIASHIPINYAOPINJIANGUANZONGJUGUANYUYIYAODAIBIAODENGJIBEIANYOUGUANSHIYIDETONGZHI。（SHENGSHIPINYAOPINJIANGUANJUFUZE，2017NIAN12YUEDIQIANWANCHENG）
8．ZHIDINGGUANYUZAIQUANSHENGGONGLIYILIAOJIGOUYAOPINCAIGOUZHONGTUIXING“LIANGPIAOZHI”DESHISHIYIJIAN。（SHENGWEISHENGJISHENGWEIFUZE，YIWANCHENG）
9．ZHIDINGGUANYUZHEJIANGSHENGDIERPIDABINGBAOXIANTESHUYAOPINDETONGZHI。（SHENGRENLISHEBAOTINGFUZE，2017NIAN12YUEDIQIANWANCHENG）
10．ZHIDINGGUANYUJIAKUAITUIJINYIYAOCHANYECHUANGXINFAZHANDESHISHIYIJIAN。（SHENGJINGXINWEIFUZE，YIWANCHENG）
11．ZHIDINGGUANYUJINYIBUTUIDONGYAOPINLIUTONGXINGYEGAIGEDETONGZHI。（SHENGSHANGWUTINGFUZE，2017NIAN10YUEDIQIANWANCHENG）
12．ZHIDINGGUANYUYAOQIUGEDIZUOHAOZHONGDIANYAOPINJIANKONGGONGZUODETONGZHI。（SHENGWEISHENGJISHENGWEIFUZE，YIWANCHENG）
13．ZHIDINGGUANYUZUOHAOYIYUANLINCHUANGLUJINGGUANLIGONGZUODETONGZHI。（SHENGWEISHENGJISHENGWEIFUZE，2017NIAN10YUEDIQIANWANCHENG）
ER、YAOPINSHENGCHANHUANJIEGAIGEZHONGDIANRENWU
1．TUIJINFANGZHIYAOZHILIANGHELIAOXIAOYIZHIXINGPINGJIAGONGZUO。GUOJIAJIBENYAOWUMULU（2012NIANBAN）ZHONG2007NIAN10YUE1RIQIANPIZHUNSHANGSHIDEHUAXUEYAOPINFANGZHIYAOKOUFUGUTIZHIJI，YINGZAI2018NIANDIQIANWANCHENGYIZHIXINGPINGJIA，QIZHONGXUKAIZHANLINCHUANGYOUXIAOXINGSHIYANHECUNZAITESHUQINGKUANGDEPINZHONG，YINGZAI2021NIANDIQIANWANCHENGYIZHIXINGPINGJIA。2017NIANZHUAJINTUIJINSHANGSHUPINZHONGDEYANJIUSHENBAO。（SHENGSHIPINYAOPINJIANGUANJUFUZE，CICHUZHILIEQIANTOUDANWEI，XIATONG）
2．KAIZHANYAOPINSHANGSHIXUKECHIYOURENZHIDUSHIDIANGONGZUO。XIHUAWANSHANZHENDUIYAOPINYANFAJIGOUHUOZHEKEYANRENYUANZUOWEICHIYOURENDEYAOPINZHUCESHENBAO、SHENGCHAN、LIUTONG、BULIANGFANYINGJIANCEDENGZHIDUXINGWENJIAN。CUJINSHENQINGRENJIJICANJIASHIDIAN，BAOZHANGSHANGSHICHANPINANQUANYOUXIAO。（SHENGSHIPINYAOPINJIANGUANJUFUZE）
3．JIAQIANGYAOPINSHENGCHANZHILIANGANQUANJIANGUAN。ANZHAOSHUDIJIANGUANYUANZE，QUANMIANKAIZHANYAOPINSHENGCHANQIYERICHANGJIANDUJIANCHA，ZHONGDIANWEIRAOXINGWEIGUIFAN、GONGYIHEGUI、SHUJUKEKAODENGFANGMIANDUCUQIYECHIXUHEGUI，DUIYANZHONGWEIFANYAOPINGMPDEYILVSHOUHUIYAOPINGMPZHENGSHU。ZUZHIKAIZHANQUANSHENGZHONGYAOYINPIAN、SHENGHUAYAOPINZHUANXIANGJIANCHA。JIADAFEIXINGJIANCHALIDU，QUANNIANWANCHENG18JIAYISHANGSHENGJIYAOPINSHENGCHANQIYEFEIXINGJIANCHAGONGZUO；JIJIKAIZHANYAOPINSHENGCHANFENGXIANHUISHANG，JINYIBUJIAQIANGYAOPINSHENGCHANFENGXIANFANGKONG。（SHENGSHIPINYAOPINJIANGUANJUFUZE）
4．JIAQIANGDUIMAZUIYAOPINHEJINGSHENYAOPINDEGUANLI。QUEDINGQUANSHENGMAZUIYAOPINHEJINGSHENYAOPINSHENGCHANJINGYINGQIYEDEJIANCHAPINCIHEZHONGDIAN，DUCHAGESHIQUANMIANWANCHENGJIANCHARENWU。ZUZHIKAIZHANQUANSHENGDIERLEIJINGSHENYAOPINZHUANXIANGJIANCHA。JIAQIANGMAZUIYAOPINHEJINGSHENYAOPINSHENGCHANJINGYINGZHUISUTIXIJIANSHE，JIJIWANCHENGSHENGTEYAOXITONGHEGUOJIASHIYAOZONGJUTESHUYAOPINXINXIXITONGDEDUIJIEGONGZUO。（SHENGSHIPINYAOPINJIANGUANJUFUZE）
5．JIJIPEIHEGUOJIAYOUGUANBUMENZUOHAOFANGZHIZHONGDAJIBINGSUOXUZHUANLIYAOPINDEYIFAQIANGZHIXUKEGONGZUO。（SHENGWEISHENGJISHENGWEI、SHENGJINGXINWEIGONGTONGFUZE）
6．JIADAYIYAOCHANYE“SANMING”QIYEPEIYULIDU，YINDAOYOUXIUQIYEJIADAJIANBINGZHONGZU、KUAGUOBINGGOULIDU，TISHENGQIYEHEXINJINGZHENGLI。JIAKUAITUIJINHUAXUEYUANLIAOYAOGAIZAOTISHENG，XIETONGWANSHANCHANPINZHUCE、ZHILIANG、JIENENG、HUANBAO、ANQUANSHENGCHANDENGBIAOZHUN，YANGESHICHANGZHUNRU，XINGCHENGSHICHANGDAOBIJIZHI，JIAKUAILUOHOUCHANNENGTUICHU。（SHENGJINGXINWEIFUZE）
7．SHISHIZENGPINZHONG、TIPINZHI、CHUANGPINPAI“SANPIN”ZHUANXIANGXINGDONG，JIAKUAITISHENGWOSHENGYIYAOCHANPINYINGXIANGLI。JIJIFAZHANTONGYONGMINGYAODAPINZHONG，GULIFAZHANFEICHUFANGYAO（OTC）HEYILIAOQIXIEZHIMINGPINPAI，PEIYUXINGCHENGYIPIQUYUPINPAI、YIPIPINPAISHIFANQIYEHEYIPIXIAOSHOUE10YIYUANYISHANGDEPINPAICHANPIN。CHONGFENFAHUIZHEJIANGSHENGZHONGYAOCHANYECHUANCHENGFAZHANZHANLVELIANMENGZUOYONG，TISHENGZHONGYAOCHANYEGUIMOHESHUIPING。（SHENGJINGXINWEIFUZE）
8．JIAQIANGJISHUCHUANGXIN，SHISHISHENGZHONGDIANYANFAJIHUADENGSHENGJIKEJIJIHUA，ZHICHIFUHETIAOJIANDEQIYE、GAOXIAO、KEYANYUANSUOZAIXINYAOCHUANGZHILINGYUKAIZHANYANFAHUODONG，TISHENGWOSHENGYIYAOCHANYECHUANGXINNENGLI。（SHENGKEJITINGFUZE）
SAN、YAOPINLIUTONGHUANJIEGAIGEZHONGDIANRENWU
1．ZHENGZHIYAOPINLIUTONGLINGYUTUCHUWENTI。ZUZHIKAIZHANQUANSHENGCHENGXIANGJIEHEBUYUNONGCUNDIQUXIAOYAODIAN、XIAOZHENSUOYAOPINZHILIANGZHENGZHI。JIADAFEIXINGJIANCHALIDU，QUANNIANWANCHENG40JIAYAOPINPIFAQIYEFEIXINGJIANCHAGONGZUO；JIANG“LIANGPIAOZHI”SHISHIQINGKUANGZUOWEIJIANCHANEIRONG。KAIZHANJIEZHONGDANWEIYIMIAOFEIXINGJIANCHAGONGZUO。（SHENGSHIPINYAOPINJIANGUANJUFUZE）
2．ANZHAOGUOJIASHIYAOZONGJUJIANLIDEYAOPINCHUCHANGJIAGEXINXIKEZHUISUJIZHI，DUIJIEGUOJIATONGYIDEKUABUMENJIAGEXINXIPINGTAI，JIXUDUCUQIYEJIANQUANYAOPINZHUISUTIXI。（SHENGSHIPINYAOPINJIANGUANJUFUZE）
3．GENJUSHANGWUBUBUSHU，KAIZHANLINGSHOUYAODIANFENLEIFENJIGUANLISHIDIAN。（SHENGSHANGWUTINGFUZE）
4．JIANQUANYAOPINJIAGEJIANCETIXI，CUJINYAOPINSHICHANGJIAGEXINXITOUMING。DUIXUBAOYUANCAILIAOJIAGEHEYAOPINCHUCHANGJIAGEDEYAOPINSHENGCHANQIYE，YAOYIFACHACHU，ZHUIJIUXIANGGUANZERENRENDEZEREN。QIANGHUAJINGZHENGBUCHONGFENYAOPINDECHUCHANG（KOUAN）JIAGE、SHIJIGOUXIAOJIAGEJIANCE，DUIJIAGEBIANDONGYICHANGHUOYUTONGPINZHONGJIAGECHAYIGUODADEYAOPIN，YAOJISHIYANJIUFENXI，BIYAOSHIKAIZHANCHENGBENZHUANXIANGDIAOCHA。（SHENGWUJIAJU、SHENGSHIPINYAOPINJIANGUANJU、SHENGGUOSHUIJUGONGTONGFUZE）
5．ZAIQUANSHENGGONGLIYILIAOJIGOUYAOPINCAIGOUZHONGTUIXING“LIANGPIAOZHI”，GULIQITAYILIAOJIGOUSHISHI“LIANGPIAOZHI”。QIDONGPEISONGGUANXIDIAOZHENGGONGZUO，ZHUBUTUIJINQUANQUYU、QUANPINZHONG、WUMANGDIANPEISONG。（SHENGWEISHENGJISHENGWEI、SHENGGUOSHUIJUGONGTONGFUZE）
6．JIXUTUIJINYAOPINCAIGOUXINPINGTAIJIANSHE，SHANGBANNIANSUOYOUGONGLIYILIAOJIGOUQUANBUJIERUXINPINGTAIKAIZHANCAIGOUHEJIESUANGONGZUO，SHIXIANQUANSHENGFUGAI。QUANMIANKAIZHANGONGLIYILIAOJIGOUYAOPINCAIGOUXINJIZHISHIDIANGONGZUO，TUIJINYAOPINDAILIANGCAIGOU、ZIZHUCAIGOU。（SHENGWEISHENGJISHENGWEIFUZE）
7．KUODAYIYONGHAOCAISHENGJIJIZHONGCAIGOUFANWEI，XINZENGSHENJINGWAIKEDENGSIDALEIYIYONGHAOCAI，GUIFANYANGGUANGCAIGOU，LIZHENGWANGSHANGCAIGOULVDADAO90%。（SHENGWEISHENGJISHENGWEIFUZE）
SI、YAOPINSHIYONGHUANJIEGAIGEZHONGDIANRENWU
1．GUANCHEZHIXINGXINBANZHEJIANGSHENGJIBENYILIAOBAOXIAN、GONGSHANGBAOXIANHESHENGYUBAOXIANYAOPINMULU。ZAIXINYILUNZHAOBIAOCAIGOUSHI，JIANGYIBAOMULUYAOPINNARUCAIGOUFANWEI。（SHENGRENLISHEBAOTING、SHENGWEISHENGJISHENGWEIGONGTONGFUZE）
2．GUANCHEZHIXING《RENLIZIYUANSHEHUIBAOZHANGBUGUANYUJIANG36ZHONGYAOPINNARUGUOJIAJIBENYILIAOBAOXIAN、GONGSHANGBAOXIANHESHENGYUBAOXIANYAOPINMULUYILEIFANWEIDETONGZHI》（RENSHEBUFA〔2017〕54HAO），BINGNARUSHENGJIZHONGZHAOBIAOCAIGOUPINGTAICAIGOU，GUAWANGCAIGOUJIAGEANGUOJIARENSHEBUZHIDINGDEYIBAOZHIFUBIAOZHUNZHIXING。（SHENGRENLISHEBAOTING、SHENGWEISHENGJISHENGWEIGONGTONGFUZE）
3．WANSHANZHEJIANGSHENGJIBENYILIAOBAOXIANYAOPINZHIFUBIAOZHUNJISUANPINGTAIJIANSHE，YUSHENGYAOXIECAIGOUPINGTAIDUIJIE，SHIXIANSHISHIHULIANHUTONG，JISHIZHUAQUJIAOYISHUJU，DONGTAIJIANCEYIBAOYAOPINYIJIACAIGOUQINGKUANG，ZIDONGSHENGCHENGYAOPINYIBAOZHIFUBIAOZHUN。（SHENGRENLISHEBAOTING、SHENGWEISHENGJISHENGWEIGONGTONGFUZE）
4．KAIZHANZHEJIANGSHENGDABINGBAOXIANYAOPINMULUTANPAN，NARUMULUYAOPINZHIJIEZAISHENGYAOXIECAIGOUPINGTAIGUAWANGCAIGOU。（SHENGRENLISHEBAOTING、SHENGWEISHENGJISHENGWEIGONGTONGFUZE）
5．GENJUSHANGWUBUBUSHU，KAIZHANYILIAOJIGOUCHUFANGXINXI、YIBAOJIESUANXINXIYUYAOPINLINGSHOUXIAOFEIXINXIGONGXIANGSHIDIAN。（SHENGSHANGWUTINGFUZE）
6．JIAKUAITUIJINGONGLIYIYUANLINCHUANGLUJINGGUANLI，QUANSHENGERJIYISHANGYIYUANQUANNIANKAIZHANLINCHUANGLUJINGBINGLISHUZHANCHUYUANZONGBINGLISHUDE35%YISHANG，BINGSHIXIANLINCHUANGLUJINGDIANZIHUAGUANLI。（SHENGWEISHENGJISHENGWEIFUZE）
7．YILIAOJIGOUJIANLIGAOJIAFUZHULEI、YINGYANGLEIYONGYAO、ZHONGCHENGYAOPINGGULINXUANJIZHIHEZHONGDIANGENZONGJIANKONGZHIDU，XIANZHILINCHUANGSHIYONGDEPINZHONGHEPINGUISHULIANG，JIANLIJIANQUANLINCHUANGSHIYONGZONGHEPINGJIATIXI，CONGYUANTOUSHANGJIAQIANGGUIFANHEGUANLI。HELISHIYONGZHONGYAO，JIAQIANGZHONGYAOYINPIANTIEJUNFEIYONGKONGZHI，WANSHANZHONGYAOCHUFANGDIANPINGZHIDU，JIADADUIWEIGUIXINGWEIDECHUFALIDU，TIGAOYILIAOJIGOUKEXUEYONGYAO、HELIYONGYAOSHUIPING。（SHENGWEISHENGJISHENGWEIFUZE）
8．SHENHUACHUFANGDIANPINGGONGZUO，SHIXIANQUANSHENGSANJIYISHANGYIYUANMENZHENQUANCHUFANGDIANPING，BINGZHUBUYANSHENDAOERJIYIYUAN。KAIZHANZHUYUANBINGLIKANGJUNYAOWULINCHUANGYINGYONGHEFUZHUYONGYAOZHUANXIANGDIANPING，YANGEGUIFANLINCHUANGYONGYAOXINGWEI，SHIXINGXINGYETONGBAOZHIDU，BUDUANTIGAOYAOWULINCHUANGYINGYONGGUANLISHUIPING。（SHENGWEISHENGJISHENGWEIFUZE）
9．JIAQIANGGONGLIYIYUANZIBANYAODIANZHILIZHENGDUN，ZHUBUQUXIAOGONGLIYIYUANZIBANYAODIAN。YANJINGONGLIYIYUANYISHENGBUKAICHUFANG、SIZIRANGHUANZHEDAOTEDINGCHANGSUOGOUMAIYAOPINHAOCAI。（SHENGWEISHENGJISHENGWEIFUZE）
10．YANGEKONGZHIYILIAOFEIYONGBUHELIZENGZHANG。QUANSHENGYILIAOZONGFEIYONGZENGZHANGKONGZHIMUBIAOSHANGXIANWEI10%，QIZHONG，SHENGSHILIANGJIGONGLIYIYUANYILIAOZONGFEIYONGZENGZHANGKONGZHIMUBIAOSHANGXIANWEI7%，XIANYUYILIAOZONGFEIYONGZENGZHANGKONGZHIMUBIAOSHANGXIANWEI10%（HUOTONGCHOUQUSANXIANGYIBAOCANBAORENYUANFASHENGDEQUANKOUJINGYILIAOFEIYONGZENGFUBUGAOYU10%）；GEJIGELEIGONGLIYILIAOJIGOUMENJIZHEN、CHUYUANJUNCIFEIYONGZENGZHANGKONGZHIMUBIAOSHANGXIANJUNWEI5%。CHENGSHIGONGLIYIYUANYAOZHANBI（BUHANZHONGYAOYINPIAN，HANCHUFANGWAIPEIYAOPINFEIYONG）ZONGTIJIANGDAO30%ZUOYOU，BAIYUANYILIAOSHOURU（BUHANYAOPINSHOURU）XIAOHAOWEISHENGCAILIAOJIANGDAO20YUANYIXIA，JIANCHAJIANYANZHANBI、YIBAOWAIZIFUFEIYONGTONGBISHIXIANXIAJIANG；XIANJIGONGLIYIYUANYAOZHANBI（BUHANZHONGYAOYINPIAN，HANCHUFANGWAIPEIYAOPINFEIYONG）、BAIYUANYILIAOSHOURU（BUHANYAOPINSHOURU）XIAOHAOWEISHENGCAILIAO、JIANCHAJIANYANZHANBI、YIBAOWAIZIFUFEIYONGTONGBISHIXIANXIAJIANG。WANSHANYIBAOZONGEYUSUANGUANLI，YIBAOJIJINZHICHUZENGZHANGKONGZHIZAI10%ZUOYOU。（SHENGWEISHENGJISHENGWEI、SHENGRENLISHEBAOTINGGONGTONGFUZE）
11．TUIJINYIANBINGZHONGFUFEIWEIZHUDEDUOYUANFUHEXINGYIBAOZHIFUFANGSHI，GULIKAIZHANANJIBINGZHENDUANXIANGGUANFENZU（DRGs）FUFEISHIDIAN。SUOYOUCHENGSHISHIXINGANBINGZHONGSHOUFEIDEBINGZHONGBUSHAOYU100GE。（SHENGRENLISHEBAOTING、SHENGWEISHENGJISHENGWEI、SHENGWUJIAJUGONGTONGFUZE）