| 引用本文：刘鹏, 曹蕗蕗.保障常用低价药品供应:基于治理工具角度的分析[J].中国卫生政策研究,2014,7(11):1-6 |
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| 保障常用低价药品供应:基于治理工具角度的分析 |
| 投稿时间：2014-10-09 修订日期：2014-10-24 PDF全文浏览 HTML全文浏览 |
| 刘鹏, 曹蕗蕗 |
| 中国人民大学公共管理学院 北京 100872 |
| 摘要:有效保障常用低价药品的供应,对于保障公众健康、维护社会公平以及顺利推进新医改都具有非常重要的意义。本文从公共治理理论中的治理工具分析角度出发,重点分析如何结合和优化多样化的政策工具的使用来综合确定常用低价药品的工具,即应用“志愿—强制—混合”治理工具分析框架,从志愿性(家庭与社区、志愿者、市场)、强制性(政府命令—控制型监管、成立公共企业、直接提供)和混合性治理工具(信息披露与规劝、补贴、产权拍卖、税收与使用者付费)等多个角度对保障常用低价药品的供给提出对策,最后提出了巧用价格杠杆、完善采购办法、建设药价信息披露机制以及确立政府补贴与产业政策战略四方面的具体政策建议,以此完善最近出台的相关最新政策内容,从而确立我国保障常用低价药品供应的总体战略。 |
| 关键词:低价药品供应 公共治理 治理工具 |
| 基金项目:国家自然科学基金(71103191);国家“985工程优势学科创新平台项目” |
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| How to guarantee the supply of low-price medicine in common use: Analysis from the perspective of governance tools |
| LIU Peng, CAO Lu-lu |
| School of Public Administration and Policy, Renmin University of China, Beijing 100872, China |
| Abstract:The effective guarantee of the supply of low-price medicine in common use is of great significance for the protection of public health, the safeguard of social equality and the smooth progress of new healthcare reform. On the basis of the governance tools theory, the paper focuses on an analysis of approaches to combine and optimize the diverse utilization of governance tools in order to integrate the means of supply of the low-price medicine in common use. In other words, the paper utilizes the ‘Voluntary-Directive-Mixed' governance tools framework to provide possible solutions for the supply of low-price medicine in common use, namely, the locations of the voluntary tools (household and community, volunteers, and market), the directive tools (government command-control regulation, establishment of public enterprises, and direct provision), and the mixed tools (information disclosure and advice, subsidies, auctions of property rights, tax and user charge). Lastly the paper proposes specific policy suggestions in four aspects to confirm the total strategy of guaranteeing the supply of low-price medicine in common use: clever use of price leverage, improvements to procurement methods, establishment of an information disclosure system for medicine price, and a confirmation of government subsidies and industrial policy strategies. |
| Key words:Supply of low-price medicine Public governance Governance |
| 摘要点击次数: 1948 全文下载次数: 1034 |
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