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
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
杜启霞 1杨丽洁 1徐爱军2
作者信息
- 1. 南京中医药大学卫生经济管理学院 江苏 南京 210023
- 2. 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
- 折叠
摘要
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.
Abstract
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.
关键词
国谈药"双通道"管理政策/定点零售药店/购药选择Key words
the"dual-channel management"policy of national negotiation drugs/designated retail pharmacies/drug purchasing selections引用本文复制引用
基金项目
国家社会科学基金项目(2018VJX065)
江苏省教育厅哲学社会科学重点研究基地项目(JKFXFK-001)
江苏高校哲学社会科学研究一般项目(2023SJYB0305)
江苏中医药传承创新发展研究基地2024年度开放课题(JSZYYJD2024B05)
南京市医疗保障局重点课题(JSDY-2024F016)
出版年
2024
NETL
NSTL
万方数据