基于参保者选择定点零售药店购药视角的国谈药“双通道”管理政策落实对策研究  

Study on the Countermeasure of the"Dual-Channel"Management Policy Execution of National Negotiated Drugs Based on the Perspective of Drug Purchasing Selects of Insured Individuals in Designated Retail Pharmacies

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作  者:杜启霞 杨丽洁 徐爱军 Du Qixia;Yang Lijie;Xu Aijun(School of Health Economics and Management,Nanjing University of Traditional Chinese Medicine,Nanjing,Jiangsu,210023,China;不详)

机构地区:[1]南京中医药大学卫生经济管理学院,江苏南京210023 [2]江苏重大健康风险管理与中医药防控政策研究中心(南京中医药大学),江苏南京210023

出  处:《中国卫生经济》2024年第10期48-53,共6页Chinese Health Economics

基  金:国家社会科学基金项目(2018VJX065);江苏省教育厅哲学社会科学重点研究基地项目(JKFXFK-001);江苏高校哲学社会科学研究一般项目(2023SJYB0305);江苏中医药传承创新发展研究基地2024年度开放课题(JSZYYJD2024B05);南京市医疗保障局重点课题(JSDY-2024F016)。

摘  要:目的:基于国谈药“双通道”管理的政策背景,探讨各地参保者通过定点零售药店的购药选择及其影响因素,提出落实国谈药“双通道”的对策建议。方法:运用χ2检验和模糊集定性比较分析(fsQ CA)方法,分析个体因素(经济水平、健康状况等)和政策因素(政策宣传力度、政策落实程度)对参保者选择定点零售药店购药的影响组合。结果:共得出3种条件组合,即“个体因素与政策因素共同作用型”“政策宣传与落实共同驱动型”和“政策落实主导型”。结论:第一,应提高定点零售药店处方流转与药品供应的能力;第二,要加大“双通道”管理政策的信息传递力度;第三,构建以参保者为中心的协同管理体系。Objective:In the context of the"dual-channel"mnanagement of national medicine,it analyzes the drug purchase selection and influencing factors of local employees in retail pharmacies,and puts forward policy suggestions for optimizing the"dual-channel"of national negotiation drugs.Methods:Using the fsQCA method,it analyzes the combination of individual factors(economic level,health status,et al.)and policy factors(policy promotion efforts,policy implementation degree)on patients'retail pharmacy purchasing selects.Results:Three combinations of conditions were obtained,namely"the type of individual and policy factors working together","the type of policy promotion and implementation driving together",and"the type of policy implementation leading".Conclusion:Firstly,improving the ability of prescription circulation and drug supply in designated retail pharmacies;secondly,strengthening the information release of the"dual-channel"management policy;thirdly,building a collaborative management system centered on insured individuals.

关 键 词:国谈药“双通道”管理政策 定点零售药店 购药选择 

分 类 号:R1-9[医药卫生—公共卫生与预防医学] F840.684[经济管理—保险]

 

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