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| 基于政策工具的我国药品集中带量采购政策文本分析研究[1] |
| Text Analysis of centralized drug procurement policies in China based on policy tools |
| 投稿时间：2023-03-10 修订日期：2023-10-13 |
| DOI： |
| 中文关键词: 药品集中带量采购政策 政策工具 政策目标 文本分析 优化对策 |
| 英文关键词: centralized drug procurement policy policy tools policy objective text analysis optimization countermeasure |
| 基金项目:陕西省重点研发计划一般项目-基于物联网的西部地区农村老龄人群健康管理创新机制与智慧健康空间的应用研究[2023-YBSF-348]；空军军医大学快速响应课题-药品集中带量采购下参与者行为策略、实践效果及政策优化研究——基于供应链利益相关者视角 |
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| 中文摘要: |
| 目的：为我国药品集中带量采购政策的制定和优化提供依据。方法：运用政策工具理论，构建“政策工具—政策目标”二维政策分析框架，并以“政策编号－具体条款/章节－具体句段”的编码规则对政策进行分类编码，以此对2015年—2022年的国家层面药品集中带量采购政策文本进行分析。结果：在政策工具维度，环境性政策工具占比最多，供给型政策工具和需求型政策工具占比较少。 在政策目标维度中，以优化发展路径为目标的政策占比最多，以推动采购平台功能建设为目标的政策占比最少。结论：政策工具存在分布不均衡；强制性政策使用较多，引导激励性政策不足；推动采购平台功能完善的政策工具较少。应调整政策工具组合，优化供需两条线上的框架结构；调整政策约束与激励的天平，激发内外部正向推动力；以更多政策工具推动完善平台功能，提升信息化管理水平。 |
| 英文摘要: |
| Objective: To provide suggestion for the formulation and optimization of centralized drug procurement policies in China. Methods: Based on the theory of policy tools, this paper constructed the two-dimensional policy analysis framework of "policy tools-policy objectives", then classified and coded the coding rules of "policy number-specific terms / chapter-specific sentences" ,in order to analyse the national policy text at the improvement period of centralized drug procurement policy since 2015. Results: In the dimension of policy tools, environmental-type policy tools accounted for the largest proportion, while supply-based policy tools and demand-based policy tools account for relatively few. In the dimension of policy objectives, policies aiming at optimizing the development path accounted for the most proportion, and policies aimed at promoting the functional construction of the procurement platform accounted for the least proportion. Conclusion: The distribution of policy tools was imbalanced.Compulsory policies are used more, while the guiding and incentive policies are insufficient.And policies aimed at promoting the functional construction of the procurement platform accounted for the least proportion.It is proposed to adjust the policy tools and optimize the framework structure between the two lines of supplying and demanding，adjust the balance of policy between constraints and incentives to stimulate a inside and outside positive impetus,promote the functional improvement of the platform with more policy tools and improve the level of information management. |
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