摘要
目的基于政策工具和政策目标2个维度,分析三明市取消中药饮片加成的政策文本特点,积累取消中药饮片加成经验,并提出思考。方法采用文献研究法并结合内容分析,构建政策工具和目标二维分析框架,对2013年1月—2023年4月三明市公开发表的有关取消中药饮片加成政策的26份政策文件进行编码分析。结果共计编码87条,需求型、供给型、环境型占比分别为16.09%、34.49%、49.42%,偏向于使用供给型和环境型政策工具;政策目标有一定倾向,“保证中药饮片质量”“完善中药饮片价格机制”“规范中药饮片使用”“强化组织实施,落实政府投入责任”占比分别为11.49%、39.08%、18.39%、31.03%。结论创新使用市场塑造等需求型工具,高质量推进饮片生产链发展;兼顾地域经济水平,将价格主动权归还市场,优化中药饮片行业市场结构,配合宣传措施,促进政策落实;改革药学人员人事薪酬制度,规范医疗行为。
Objective It analyzes the characteristics of the policy text of Sanming City on the basis of two dimen⁃sions,policy tools and policy objectives,to accumulate the experience of abolishing the increase in the price of tradi⁃tional Chinese medicine tablets in Sanming City,and puts forward some reflections.Methods Using literature re⁃search combined with content analysis,a two-dimensional analysis framework of policy tools and objectives was constructed to code 26 policy documents published publicly in Sanming City from January 2013-April 2023 regarding the policy of abolishing the markup on Chinese medicine tablets.Results A total of 87 articles were coded,with de⁃mand-type,supply-type and environment-type accounting for 16.09 per cent,34.49 per cent and 49.42 per cent respectively,with the overall distribution of policy tools favouring the use of supply-type and environment-type;and there was a certain tendency towards a certain policy objective,“ensuring the quality of Chinese medicine tablet”,“improving the price mechanism of Chinese medicine tablets”,“standardising the use of Chinese medicine tablets”,“strengthening the organisation and implementation,and implement the government’s responsibility to invest”ac⁃counted for 11.49%per cent,39.08 per cent,18.39 per cent and 31.03 per cent respectively.Conclusion Innovative use of demand-based tools,such as market shaping,to promote the development of the beverage production chain in a high quality manner;taking into account the level of the regional economy,returning the price initiative to the market,optimising the market structure of the traditional Chinese medicine beverage industry,and cooperating with publicity measures to promote the implementation of the policy;and reforming the personnel and remuneration system of the pharmacy staff and regulating medical practices.
作者
向瑶月
王玉伟
李瑞锋
刘旸
高媛
郑秋莹
王鸿蕴
Xiang Yaoyue;Wang Yuwei;Li Ruifeng(School of Management,Beijing University of Chinese Medicine,Beijing,100105,China)
出处
《中国医院管理》
2024年第4期39-43,共5页
Chinese Hospital Management
基金
国家中医药管理局专题研究项目(ZYZB-2023-436)。
关键词
中药饮片加成
政策文本
政策工具
三明市
markup price of traditional Chinese Medicine decoction pieces
policy texts
policy tools
Sanming
