利益相关者视角下中药饮片质量安全社会共治提升路径研究  

Research on Social Co-Governance of the Quality and Safety of Chinese Herbal Pieces Based on Stakeholder Perspective

作　　者：陈佳璐 田侃[2] 吴颖雄 CHEN Jialu;TIAN Kan;WU Yingxiong(School of Health Economics and Management,Nanjing University of Chinese Medicine,Nanjing 210023,China;School of Elderly Care Services and Management,Nanjing University of Chinese Medicine,Nanjing 210023,China)

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]南京中医药大学养老服务与管理学院,江苏南京210023

出　　处：《南京中医药大学学报（社会科学版）》2024年第6期411-418,共8页Journal of Nanjing University of Traditional Chinese Medicine(Social Science Edition)

基　　金：江苏省社会科学基金后期资助项目(20HQ019)。

摘　　要：近年来,我国中药饮片产业不断发展的同时,中药饮片质量安全问题也随之出现,党和政府尽管多次倡导通过多元社会主体共治来提高中药饮片质量安全,然而在实践中效果并不理想。通过对中药饮片质量安全社会共治的困境进行分析后发现,主体间利益冲突是导致中药饮片质量安全社会共治效果不佳的重要原因,因此引入利益相关者理论以分析中药饮片质量安全治理主体构成及其利益诉求,探究不同主体之间的利益冲突,在此基础上构建中药饮片质量安全社会共治的路径,包括建立政府跨部门协同治理机制,明确纵向层级间责任边界;加强企业采购与入库管理,与中药材种植户建立合作关系;履行企业社会责任,推动中药饮片优质优价;优化医疗机构采购方式,强化中药饮片质量管理;加强宣传普及,优化消费者投诉举报程序;减少行政干预,发挥行业协会自律作用。In recent years,while the business of Chinese herbal pieces continues to develop,the quality and safety of Chinese herbal pieces has also emerged as a problem.It is difficult for the single government to completely solve the problem of the quality and safety of Chinese herbal pieces in China,it is necessary for more stakeholders to participate in the governance,co-operate to promote the establishment of a social co-governance model for the quality and safety of Chinese herbal pieces and improve the quality and safety of Chinese herbal pieces.The paper elaborates on the necessity and dilemma of social co-governance of quality and safety of Chinese herbal pieces,and finds that the difficulty in resolving conflicts of interest among subjects is one of the reasons for the ineffectiveness of the social co-governance of the quality and safety of Chinese herbal pieces.So this paper introduces the stakeholder theory to analyse the subjects of governance of the quality and safety of Chinese herbal pieces and their interests,explores the conflicts of interests between different subjects and constructs a path to alleviate the conflict of interests between subjects in the governance of quality and safety of Chinese herbal pieces,i.e.establishing a cross-sectoral collaborative governance mechanism and clarifying the boundaries of responsibility between vertical levels;strengthening the management of corporate procurement and warehousing,establishing a cooperative relationship with herbal medicine growers;fulfilling corporate social responsibilities and promoting higher prices for better quality of Chinese herbal pieces;optimizing the procurement methods of medical institutions and strengthening the quality management of Chinese herbal pieces;strengthening knowledge dissemination and optimizing the consumer complaint reporting process;reducing administrative intervention and fulfilling the self-regulatory role of industry associations.In order to provide reference basis for the construction of the social co-governance model of

关 键 词：中药饮片质量 利益相关者理论 利益诉求 利益冲突 社会共治 协同治理 

分 类 号：D63[政治法律—政治学] C936[政治法律—中外政治制度]