公立医院药品价格形成的市场机制模式选择及政策效应分析

Analysis on the Market Mechanism Model Selection and Policy Effect Formed by Drug Prices in Public Hospitals

目的:研究我国药品采购中各采购主体、不同医保支付方式和药品补偿政策产生的效应,分析合适的市场机制模式。方法:比较各政策组合实现药品价格、质量、可及性、医院收入和发展以及反腐五个目标的程度。结果:不合理的政策组合会制约药品采购政策效果。结论:没有全优的政策组合。充分发挥市场机制实际是要发挥医保机构参与谈判和价格形成的作用。配套以省为采购单位、实行药品零差率是当前相对理想的政府规制手段。

Objective： To analyze the suitable market mechanism model and the effectiveness caused by procurement matching dif- ferent medical insurance payment and drug compensation policy based on analyzing China＇s drug pt＇ocurement. Methods： Different policy combination were compared to realize the drug price, quality, accessibility, hospital income, development and anti-corruption. Results： Unreasonable policy combinations would restrict the effect of drug Procurement policy. Conclusion： There was no perfect pol- icy combination. Market mechanism should actually help medical insurance institutions anticipating the function of negotiation and price formation. Setting province as the unit and zero margin drug profit were relatively ideal means for goverument regulation.