2009—2020年国家基本药物制度政策文本研究  

Research on the policy texts of national essential medicine system from 2009 to 2020

作　　者：刘曦[1,2] 邓蒙[1] 刘伟 潘源[1] 徐婷婷[1] 冯启明 赵劲民[3] LIU Xi;DENG Meng;LIU Wei;PAN Yuan;XU Ting-ting;Feng Qi-ming;ZHAO Jin-min(Health and Health Policy Research Center of Guangxi Medical University,Nanning Guangxi 530021,China;Guangxi Medical College,Nanning Guangxi 530023,China;The First Affiliated Hospital of Guangxi Medical University,Nanning Guangxi 530021,China)

机构地区：[1]广西医科大学卫生与健康政策研究中心,广西南宁530021 [2]广西卫生职业技术学院,广西南宁530023 [3]广西医科大学第一附属医院,广西南宁530021

出　　处：《中国卫生政策研究》2021年第5期35-41,共7页Chinese Journal of Health Policy

基　　金：广西壮族自治区卫生健康委员会委托项目(03301219007D);广西高校中青年教师科研基础能力提升项目(2021KY1358)。

摘　　要：目的:从政策工具视角分析我国基本药物制度政策体系的特点与结构,为国家基本药物制度后续政策的优化调整提供参考。方法:对我国2009—2020年中央政府层面发布的与基本药物制度密切相关的政策文件进行梳理,基于政策工具视角,采用内容分析法,从基本政策工具(X维度)与政策发展过程(Y维度)对我国颁布的基本药物制度相关政策文件进行分析。结果:在X维度,需求型、供给型、环境型政策工具的使用比例分别为12.63%、16.16%、71.21%。在Y维度,政策规划、政策实施、政策监督与政策评价环节政策工具的使用比例分别为29.29%、46.46%、17.68%、6.57%。讨论:在基本政策工具维度,需求型政策工具使用不足,环境型政策工具应用较多;在政策发展过程维度,政策工具在政策规划和政策实施环节受到重视,在政策监督与政策评价环节未得到关注。建议:在政策设计上应加强需求型政策工具的应用,降低环境型政策工具的使用强度,并进一步优化政策工具内部结构,加强政策工具在政策监督与政策评价环节的实施力度,统筹和协调各政策工具在政策发展过程中的运用。Objective:Analyze the characteristics and structure of China s national essential medicine system from the perspective of policy tools,so as to provide reference for the optimization and adjustment of the follow-up policies of the national essential medicine system.Methods:This paper sorted out the policy documents that are closely related to the essential medicine system issued by the central government from 2009 to 2020.Based on the policy tools,the content analysis was used to analyze the policy documents related to the essential medicine system from the basic policy tools(X dimension)and policy development process(Y dimension).Results:In the X dimension,the usage frequency of policy tools,namely demand-based,supply-based and environment-based,is 12.63%,16.16%and 71.21%respectively.In the Y dimension,the usage frequency of tools of policy planning,policy implementation,policy supervision and policy evaluation is 29.29%,46.46%,17.68%and 6.57%respectively.Discussion:In the dimension of basic policy tools,demand-based policy tools are underused,while environment-based policy tools are frequently used.The internal structure of policy tools needs to be further optimized.In the dimension of policy development process,attention is paid to the policy planning and policy implementation,yet the policy supervision and policy evaluation are ignored.Suggestion:Further policy design needs strengthening the application of demand-based policy tools while reducing the use frequency of the environment-based policy tools.The internal structure of policy tools needs to be further optimized.More attention should be paid to the implementation of policy tools in policy supervision and policy evaluation and coordination of the application of policy tools in the process of policy development.

关 键 词：国家基本药物制度 政策文本 政策工具 

分 类 号：R197[医药卫生—卫生事业管理]