| 引用本文：王强,陈文.基本药物政策问题的新制度经济学分析[J].中国卫生政策研究,2010,3(6):18-22 |
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| 基本药物政策问题的新制度经济学分析 |
| 投稿时间：2010-04-28 修订日期：2010-05-09 PDF全文浏览 HTML全文浏览 |
| 王强, 陈文 |
| 复旦大学公共卫生学院 |
| 摘要:运用新制度经济学合约、租值消散、交易费用等相关理论，将医生视为医生—医院—药商利益集团的主导者，从医生租值的角度分析了基本药物短缺等问题的经济学根源及供求机制。指出由于政府对医生服务价格的管制造成其租值损失，在各方寻租过程中，处于优势地位的医生选择通过药品销售对其服务租值进行弥补，进而导致医生对高租值药品的诱导使用和市场交易费用高企，最终造成上述政策问题。相应提出了医保总额预付、处方外配销售、使用决策规范等市场机制竞争性平抑药品租值等应对策略。 |
| 关键词:基本药物 租值 交易费用 新制度经济学 |
| 基金项目:卫生部政策法规司2008年立项卫生政策研究课题，国家卫生服务调查专题研究项目 |
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| Analysis on essential medicines policy with new institutional economics |
| WANG Qiang, CHEN Wen |
| School of Public Health, Fudan University |
| Abstract:Based on the theories of contract, rent dissipation and transaction costs in new institutional economics, the paper analyzed the supply and demand mechanism of the problems for essential medicines policy and revealed the routtine causes in economics, regarding the physician as the dominator of the interest group of physician, hospital and pharmaceutical, concluded that due to the restraint to the price of physician service, the rent of physician dissipated, relative stakeholders seek rent through drug selling, and physicians induced consumption of high price pharmaceuticals to compensate the service rent, then increased transaction costs and caused above problems. Finally, the paper raised the targeted strategies to solve the problems by lowering the rent, using the market mechanism such as insurance pre payment, selling more pharmaceuticals through drugstores, regulation of prescription, and so on. |
| Key words:Essential medicines Rent Transaction costs New institutional economics |
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