首页|基于参保者选择定点零售药店购药视角的国谈药"双通道"管理政策落实对策研究

基于参保者选择定点零售药店购药视角的国谈药"双通道"管理政策落实对策研究

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目的:基于国谈药"双通道"管理的政策背景,探讨各地参保者通过定点零售药店的购药选择及其影响因素,提出落实国谈药"双通道"的对策建议.方法:运用x2检验和模糊集定性比较分析(fsQCA)方法,分析个体因素(经济水平、健康状况等)和政策因素(政策宣传力度、政策落实程度)对参保者选择定点零售药店购药的影响组合.结果:共得出3种条件组合,即"个体因素与政策因素共同作用型""政策宣传与落实共同驱动型"和"政策落实主导型".结论:第一,应提高定点零售药店处方流转与药品供应的能力;第二,要加大"双通道"管理政策的信息传递力度;第三,构建以参保者为中心的协同管理体系.
Study on the Countermeasure of the"Dual-Channel"Management Policy Execution of National Negotiated Drugs Based on the Perspective of Drug Purchasing Selects of Insured Individuals in Designated Retail Pharmacies
Objective:In the context of the"dual-channel"management of national medicine,it analyzes the drug purchase selection and influencing factors of local employees in retail pharmacies,and puts forward policy suggestions for optimizing the"dual-channel"of national negotiation drugs.Methods:Using the fsQCA method,it analyzes the combination of individual factors(economic level,health status,et al.)and policy factors(policy promotion efforts,policy implementation degree)on patients'retail pharmacy purchasing selects.Results:Three combinations of conditions were obtained,namely"the type of individual and policy factors working together","the type of policy promotion and implementation driving together",and"the type of policy implementation leading".Conclusion:Firstly,improving the ability of prescription circulation and drug supply in designated retail pharmacies;secondly,strengthening the information release of the"dual-channel"management policy;thirdly,building a collaborative management system centered on insured individuals.

the"dual-channel management"policy of national negotiation drugsdesignated retail pharmaciesdrug purchasing selections

杜启霞、杨丽洁、徐爱军

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南京中医药大学卫生经济管理学院 江苏 南京 210023

江苏重大健康风险管理与中医药防控政策研究中心(南京中医药大学) 江苏 南京 210023

国谈药"双通道"管理政策 定点零售药店 购药选择

国家社会科学基金项目江苏省教育厅哲学社会科学重点研究基地项目江苏高校哲学社会科学研究一般项目江苏中医药传承创新发展研究基地2024年度开放课题南京市医疗保障局重点课题

2018VJX065JKFXFK-0012023SJYB0305JSZYYJD2024B05JSDY-2024F016

2024

中国卫生经济
中国卫生经济学会,卫生部卫生经济研究所

中国卫生经济

CSTPCDCHSSCD北大核心
影响因子：1.524
ISSN：1003-0743
年,卷(期)：2024.43(10)