转型时期药品流通领域中的问题、成因及其治理

Problems ,Reasons and Govern of Pharmaceutical Circulation fields in Transformation Period

目前,中国药品流通体制改革已取得了阶段性成果,但药品流通领域中依然存在市场秩序混乱、药价虚高、监管缺失和产业集中度偏低等一系列问题。基于诺斯制度"适应性效率"的视角研究发现,在药品流通领域逐步建立健全各种制度的历程中严重忽视了制度的适应性效率。提高制度的适应性效率,需不断进行制度创新和改革,依法推进"医药分离",规范药品招标制度,构建协同配套的药品流通制度体系,注重药品流通领域正式制度与非正式制度的协同建设。

System reform of pharmaceutical circulation has got the stage achievement nowdays. But much more problems such as market disorder, pharmaceutical price higher, supervision absence and low indus- trial concentration exists pharmaceutical circulation fields. On account of North＇s Adaptive efficiency theo- ry system, the study found, serious neglect Adaptive efficiency theory system on the progress of establish- ment of all the system. To improve Adaptive efficiency system, we should continious advance to institution- al innovation and reform. Implement separation of medicine, regulation pharmaceutical bidding, establish- ment coordinate institutions for pharmaceutical circulation, place more important to the coordinate estab- lishment of formal systems and informal systems.