我国公立医院药品采购工作的政策群评析——以S.市药品采购政策为例

Multi-policy Analysis of Chinese Drug Procurement in Public Hospitals

公立医院药品价格虚高和药品集中采购,是我国近年来医改的热点和难点问题。在市场化尚未成熟的阶段,建立"政府主导的集中采购"应是公立医院药品采购工作的最佳选择。S.市的案例表明,为更好地发挥政府主导的药品集中采购工作,应构建药品集中采购工作政策群,通过集中采购工作支撑政策系统、公立医院收入调整政策系统、行为规范政策系统、激励与监管政策系统等子政策系统间相互配合,达到医改的预期效果。

High prices of public hospital drugs and centralized procurement of drugs are two hot and difficult topics in Chinese recent health system reform discussion.When the market is not at the matured stage,establishing agovernment led centralized procurement should be the best choice.The case study in S.city indicates that,in order to better exert the functions of government led centralized procurement of drugs,multi-polices regarding centralized procurement of drugs need to be established,including the supporting policy system of centralized procurement of drugs,the public hospital income adjustment policy system,the behavioral normalization policy system,the motivation and supervision policy system and so on.The sub policy systems can interact closely with each other to achieve expected effectiveness of health system reform.