医疗卫生机构使用基本药物的补贴机制探讨  

Subsidy Mechanism Design of Medical Institutions to Promote the Use of Essential Medicines

作　　者：常峰[1] 阮骥[1] 李思函[1] 

机构地区：[1]中国药科大学医药产业发展研究中心,南京211198

出　　处：《中国药房》2013年第20期1830-1833,共4页China Pharmacy

摘　　要：目的:为促进医疗卫生机构积极使用基本药物提供参考。方法:以"次均基本药物使用增量"作为指标,运用包含"标尺竞争"的委托代理模型分析一系列因素对激励医疗卫生机构积极使用基本药物的最优补贴机制和激励效果的影响。结果:最优补贴机制应由固定补贴和弹性补贴两方面构成,且补贴机制中的要素应根据一系列因素进行动态调整。结论:该补贴机制有助于提高医疗卫生机构使用基本药物的积极性。OBJECTIVE：To put forward policy and suggestions to promote the use of essential medicines in medical institutions positively.METHODS：Using ＂increment of essential medicines use per time＂ as indicators,the effects of a series of factors on optimal subsidy mechanism for motivating active use of essential medicines in medical institutions and its incentive effect were analyzed with principal-agent model containing ＂yardstick competition＂.RESULTS：Optimal subsidy mechanism shall be constituted by 2 aspects,as fixed subsidy and flexible subsidy.And the elements of subsidies mechanism should be adjusted dynamically based on a series of factors.CONCLUSIONS：The subsidy mechanism helps medical institutions to boost the enthusiasm of essential medicines use.

关 键 词：基本药物 使用 补贴 激励 委托代理 

分 类 号：R95[医药卫生—药学]