首页|取消中药饮片加成相关政策对中医药行业的SWOT-PEST分析

取消中药饮片加成相关政策对中医药行业的SWOT-PEST分析

扫码查看
通过SWOT-PEST整合模型、文献分析法和定性访谈法系统分析了取消中药饮片加成对中医药行业以及相关产业链的影响.从政治、经济、社会、技术 4 个方面分析了取消中药饮片加成的优势(①支持取消药品加成政策不断完善;具备试点经验.②报销中药饮片比例增加;中药种养殖成本降低,补贴力度增加.③中药饮片价格降低符合社会期待.④新技术革新有助于降低成本.)、劣势(①中药饮片因其自身属性的复杂性,相关经验不能完全适用.②政府补偿机制不健全,经费缺口增大,医院运营成本增加,降低医院饮片使用的积极性.③利润降低可能导致于中药产业链恶性发展.④种养殖优势技术未能全面推广;物联网建设不够完备.)、机会(①国家层面提出研究取消中药饮片加成相关工作.②药品集中带量采购,"带量采购、量价挂钩、招采合一",价格趋向合理.③人们对于中医的认可度不断提高,中药需求量增加.④中药种养殖业加速现代化转型;中医药国际化拓展市场空间.)与挑战(①推广试点城市经验的工作开展存在较大阻力,时机不成熟.②政府对于医院的财政补贴不足;因利益可能滋生新型行业腐败.③极大程度削弱执业药师的工作积极性;其余零售终端被迫转型.④各地区受多因素影响,其"道地药材"产量受限.),提出了进一步完善补偿机制、建立中药饮片科学合理支付体系和制定规范的薪酬制度、扩大群众对于使用接受中医药的意识基础等建议.
SWOT-PEST analysis of the policy of abolishing markups on decoction pieces in the TCM industry
This paper systematically analyzes the impact of abolishing markups on decoction pieces on the TCM industry and related industry chain through the integrated SWOT-PEST model,literature analysis and qualitative interview.Advantages,disadvantages,opportunities and challenges of abolishing markups on decoction pieces are analyzed from four aspects:politics,economy,society and technology.The following are advantages.1.Policies that support removing markups on decoction pieces are continuously improved and there are pilot experiences.2.The proportion of reimbursed decoction pieces has increased;breeding costs of Chinese medicinal herbs have been reduced,and subsidies have been increased.3.The price reduction of decoction pieces is in line with social expectations.4.New technological innovations help to reduce costs.The following are disadvantages.1.Because of the complexity of decoction pieces,the relevant experience can't be fully applied.2.The government's compensation mechanism is not perfect,and the gap of funding increases;increasing operating costs force hospital to reduce the use of decoction pieces.3.The decrease of profit may lead to the vicious development of TCM industry chain.4.The superior technology of breeding has not been fully promoted;the construction of Internet of Things is not complete.The following are opportunities.1.The related work of removing markups on decoction pieces is proposed at the national level.2.The price of drugs tends to be reasonable due to the centralized volume-based drug purchase whose measures are"volume-based purchase,the linking of quantity and price,and the integration of recruitment and purchase".3.People's recognition of traditional Chinese medicine is increasing,and the demand for traditional Chinese medicine is increasing.4.Modernized transformation of breeding industry of Chinese medicinal herbs has been accelerated;the internationalization of Chinese medicine expands the market.The following are challenges.1.The work of promoting the experience of pilot cities has great resistance and the time is not correct.2.Government financial subsidies for hospitals are insufficient;profits may breed new forms of industrial corruption.3.The enthusiasm of licensed pharmacists is greatly weakened;the remaining retail terminals are forced to transform.4.The yield of"genuine Chinese medicine materials"is limited by many factors in each region.Suggestions are put forward to further improve the compensation mechanism,establish a scientific and reasonable payment system for decoction pieces,formulate a standardized salary system,and expand people's awareness of acceptance and use of TCM.

abolish markups on decoction piecesSWOT-PEST modelpolicy analysis

赵冀校、孔国书、李瑞锋

展开 >

北京中医药大学管理学院,北京 102488

取消中药饮片加成 SWOT-PEST模型 政策分析

国家中医药管理局

BUCM-2023-KJ-GL-015

2024

卫生软科学
中国卫生经济学会,云南省卫生厅

卫生软科学

CSTPCD
影响因子:0.655
ISSN:1003-2800
年,卷(期):2024.38(7)
  • 20