摘要
目的:系统梳理药品集中采购制度实施中的难点痛点,为促进集中带量采购政策的可持续发展提供参考。方法:基于政策执行系统模型及主题分析法,对不同利益相关者进行深度访谈。结果与结论:研究发现N省药品集中采购政策在政策目标和标准、政策资源、组织间的沟通、执行机构特点、政策系统环境及政策执行者的自身偏好6个方面存在若干问题,建议增加政策的灵活性和适应性,弥补政策缺位和漏洞;提高数字资源的质量和兼容性,补充人力资源缺口,保障物质资源供应;建立有效的省份间信息共享和部门间沟通协调机制;明确执行机构的主体定位,加强对政策执行过程的监管和评估,规范各方的行为和责任;关注医药市场的特点和需求,积极探索建立新政策机制以适应环境变化;平衡政策执行者的自身偏好,引导各方形成合理的期望和目标,促进政策执行效果提升。
Objective:The objective of this study is to system atically identify the challenges and issues in the implementation of the centralized drug procurement policies,and to find ways to a sustainable development of centralized drug procurement with an enhanced quality and efficiency.Methods:Policy implementation system model and thematic analysis method are adopted in this study to analyze in-depth interview results of various stakeholders.Results and Conclusions:Problems concerning six aspects of the centralized drug procurement policy in Province N are detected during the research,namely policy goals and standards,policy resources,communication among organizations,characteristics of executing agencies,policy system environment,and preferences of policy implementers.Accordingly,six suggestions are proposed:First,enhance policy flexibility and adaptability to address policy gaps and loopholes.Second,improve the quality and compatibility of digital resources to supplement the shortage of human resources,and ensure the supply of material resources.Third,establish effective inter-province information sharing and inter-departmental communication mechanisms.Fourth,clarify the main roles of executing agencies,strengthen policy execution oversight and evaluation,and standardize behaviors and responsibilities of all parties.Fifth,based on characteristics and demands of the pharmaceutical market,actively explore the establishment of new policy mechanisms to adapt to environmental changes.Sixth,balance the preferences of policy implementers,guide all parties to form reasonable expectations and goals,and promote the improvement of effectiveness of policy implementation.
作者
唐玉清
李胤铭
陈西卓
薛天琴
陈昊
TANG Yu-qing;LI Yin-ming;CHEN Xi-zhuo;XUE Tian-qin;CHEN Hao(School of Medicine and Health Management,Tongji Medical College of Huazhong University of Science&Technology,Wuhan Hubei 430000,China)
出处
《中国卫生政策研究》
CSCD
北大核心
2023年第9期29-35,共7页
Chinese Journal of Health Policy
基金
中央高校基本科研业务费资助项目(2019kfyXJJS171)。
关键词
药品集中采购
政策执行系统模型
主题分析法
Centralized drug procurement
Policy implementation system model
Thematic analysis