摘要
取消药品加成是公立医院改革的重要内容之一,并将引起既有利益格局的重新调整。本文运用文献分析法、比较研究、利益相关者分析模型等方法,将取消药品加成政策的核心利益相关者界定为政府、公立医院及医务人员、医药企业和患者,构建了核心利益相关者的关系互动模型。通过对核心利益相关者的利益损益分析,从利益相关者角度提出以下建议:首先,政府应加强监管和财政投入;其次,完善医疗机构及其工作人员的激励约束机制;再次,完善药品定价机制和流通环节;最后,实现患者和民众对医药行业的社会监督。
The abolition of medicine markup is one of the important contents of public hospital reforms and will lead to readjustment of the existing interests pattern. By using literature analysis,comparative approach and stakeholder analysis model,the paper deemed the government,public hospitals,medical staffs,pharmaceutical enterprises and patients as five core stakeholders and constructed an interaction model out of them. Through gain and loss analysis of these parties,the paper is going to put forward some suggestions from the perspective of them： Firstly,the government should strengthen its supervision over public hospitals and increase financial investment; secondly,the incentive-restricted mechanism for public hospitals and their staffs should be improved; thirdly,medicine pricing mechanism and circulation should be improved; finally,social supervision from patients and the general public over medicine industry should be achieved.
出处
《现代医院》
2017年第11期1564-1570,共7页
Modern Hospitals
基金
湖北省教育厅重点项目(编号:D20131006)
