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Components Affecting Pharmaceutical Strategic Purchasing: A Scoping Review

机译：影响药品战略性采购的组成部分：范围回顾

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Pharmaceutical strategic purchasing is considered as a key to improve access to medicines especially for developing countries. The aim of this scoping review is to determine the most important components affecting pharmaceutical strategic purchasing. Here, we employed a comprehensive search strategy across PubMed, ProQuest, EBSCO, ISI Web of Science, Scopus, ScienceDirect, and Google Scholar for the terms related to medicines strategic purchasing. Among 13 included studies, 7 (53.85%) and 6 (46.15%) studies belonged to the developing and developed countries, respectively. Six main variables were emphasized as the effective variables on medicines strategic purchasing, including purchasing interventions, target group and service users, providers and suppliers of interventions, methods and motivations, price, and finally structure and organization. It seems that the insurance organizations of developing countries can achieve strategic purchasing only through the modification of the pharmaceutical pricing system and payment systems. Furthermore, they should pay attention to the real needs of target groups (demand) and modify the structure and organization as well as purchasing the most effective medicines from the best pharmaceutical providers.
机译：药品的战略采购被认为是改善药品供应的关键，特别是对于发展中国家而言。范围界定审查的目的是确定影响药品战略采购的最重要组成部分。在这里，我们在PubMed，ProQuest，EBSCO，ISI Web of Science，Scopus，ScienceDirect和Google Scholar中采用了全面的搜索策略，以查找与药品战略购买相关的术语。在13项纳入研究中，分别有7项（53.85％）和6项（46.15％）属于发展中国家和发达国家。强调了六个主要变量作为药品战略采购的有效变量，包括采购干预措施，目标群体和服务使用者，干预措施的提供者和提供者，方法和动机，价格以及最终的结构和组织。似乎发展中国家的保险组织只能通过修改药品定价系统和支付系统来实现战略性购买。此外，他们应关注目标群体的实际需求（需求），并修改结构和组织，并从最佳的药品供应商那里购买最有效的药品。

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