我国现行药品招标采购制度的经济学分析

Economic Analysis on Current Drug Bidding System in China

目的:就完善我国药品招标采购制度提出对策建议。方法:从药品招标采购制度的推行目的入手,分析药品招标采购制度的执行效果,并利用经济学中信息不对称理论分析其执行效果不佳的原因,然后与美国的招标采购制度进行比较。结果与结论:建议我国的招标采购制度采用为支付方代理的模式,收费采用向委托方收费的模式。规范药品流通渠道,降低药品价格,减轻患者负担是一项系统工程,非单一药品招标采购制度所能解决。

OBJECTIVE： To put forward strategies to evolve the current drug bidding system. METHODS： The objective and efficacy of the drug bidding system was analyzed; and the reasons for the poor efficacy of the system were analyzed using the information asymmetry theory in economics, and the system was compared with its US counterpart. RESULTS ＆ CONCLUSIONS： The drug bidding system in China should adopt such model in which the payers are chosen as agency and charge from the entrusting party. It is a systematic project to standardize drug circulation channels, reduce drug price and reduce the burden of patient, which can＇t be tackled by drug bidding system only.