摘要
首先,在全面搜集"两票制"政策国家和地方两个层面实施方案的基础上,运用文献分析法梳理实施"两票制"政策的政治逻辑,构建了分析国家和地方两个层面"两票制"实施方案的逻辑框架;然后,运用对比分析法比较其在主导部门、实施进程、是否与药品集中采购结合以及国内总代理是否视同生产企业等方面的异同,并总结了部分省份的创新与突破;最后,结合相关政策,探讨了"两票制"政策在实施过程中可能产生的问题,如生产流通企业规避行为、药品配送不及时等。针对上述问题,提出利用积极引导药品流通企业转型升级、信息化手段管理和验证票据以及因地制宜修改和完善地方"两票制"方案等建议。
Firstly,based on collecting the implementation plan of in pharmaceutical procurement at the national and local levels,the literature analysis is used to sort out the political logic and construct a framework for analysis.Secondly,comparative analysis is used to compare the similarities and differences in its leading departments,implementation processes,combining centralized procurement,and summarize the innovations and breakthroughs of some provinces.Finally,the problems that may arise during the implementation are explored,such as evasive behavior and untimely delivery.In response to the problems above,it is proposed to guide the transformation and upgrading of drug circulation enterprises,use information technology to manage and verify bills,and modify and improve local policies according to local conditions.
作者
熊康
陈昊
张治国
徐娟
XIONG Kang;CHEN Hao;ZHANG Zhi-guo(School of Medicine and Health Management,Tongji Medical College,Huazhong Universi.ty of Science and Technology,Wuhan,Hubei,430030,China)
出处
《中国医院管理》
北大核心
2019年第2期21-23,共3页
Chinese Hospital Management
基金
中央高校基本科研业务费专项资金资助项目(2017KFY XJJ159)
关键词
药品采购
两票制
公立医疗机构
pharmaceutical procurement
two-vote system
public medical institution
