“两票制”政策下我国药品配送模式研究——以福建、陕西为例

The study of the drug distribution system in China under the “two-receipt” drug purchasing policy A case of Fujian and Shaanxi Province

随着新医改的推行,我国在药品流通体系方面进行了一系列改革探索,但药品层层加价仍是药价居高不下的主要原因。为减少流通环节,国务院医改办提出在全国范围内推广并试行"两票制"。药品配送模式作为影响药品流通价格体系的重要环节,对"两票制"政策的具体落实将产生重要影响。本文将结合"两票制"政策,探讨我国典型配送模式。以福建省和陕西省为代表,对各模式的实施主体、实施形式进行概括,多方面分析各模式利弊所在,提出最优的配送方案,为我国下一阶段完善"两票制"提供政策建议。

In the progress of the new healthcare reform, China has carried out a series of reform exploration in the drug distribution system. But fluctuating markups of drugs are still the main cause of high drug price. In order to simplify the distribution procedure, the National Health and Family Planning Commission proposed to encourage the implementation of ＂two-receipt＂ system nationwide. As the important part of the price system of drug circulation, drug distribution system made a great impact on the implementation of ＂two-receipt＂ system policy. Focusing on two provinces namely Fujian and Shaanxi provinces, this paper will discuss the typical drug distribution system in china. This paper has evaluated the main body and operation pattern in the implementation of ＂two-receipt＂ system, and by analyzing the benefits and drawbacks, in the same provinces. It has put forward the optimized distribution mode and provided policy suggestions for strengthening the ＂two-receipt＂ distribution system.