基于药品质量提升的价格制度性影响因素分析pdf.doc

·药事管理· 基于药品质量提升的价格制度性影响因素分析 罗文华1 ，江滨2 ( 1. 浙江医药高等专科学校，浙江 宁波 315100; 2. 北京大学，北京 100083) 摘要: 目的 探索影响药品质量提升的价格制度性因素，促进药品质量与药品价格关联的合理性回归。方法 厘清药品质量 内涵、药品质量与药品价格关系，通过基于专家访谈的结果编制调查问卷并对药品价格 25 个制度性影响因素进行描述统计和 结构方程模型分析。结果 药品价格影响药品质量提升的问题，不是完全由药品价格规制所决定，药品商业贿赂、药品流通 环节多和费用多、能否进入医保报销目录、企业内部成本管理制度等问题是影响价格政策发挥作用的关键性因素。结论 价 格规制政策调整的方向，要以理顺企业内部成本管理制度为重点，对企业内部培训再教育、节能减排和仿制药质量一致性评 价等方面给予价格政策鼓励，可弥补医药企业提升药品质量动力不足的问题。 关键词: 药品; 质量提升; 价格; 影响因素 doi: 10. 11669 / cpj. 2015. 01. 021 中图分类号: Ｒ956 文献标志码: A 文章编号: 1001 － 2494( 2015) 01 － 0085 － 04 Analysis of Institutional Factors Influencing Drug Price in the Context of the Enhancement of Drug Quality LUO Wen-hua1 ，JIANG Bin2 ( 1. Zhejiang Pharmaceutical College，Ningbo 315100，China; 2. Peking University，Beijing 100083， China) ABSTＲACT: OBJECTIVE To explore the institutional pricing factors influencing the improvement of drug quality and stimulate the reasonable alignment of the drug quality and price. METHODS clarify the interrelationship between the connotations of drug quality， drug quality and drug price with the assistance of the questionnaire formulated according to the findings of structured interviews with the experts based on the descriptive statistical analysis and structural equation modeling analysis of the 25 institutional factors influencing drug prices. ＲESULTS The fact that drug price exerts impact on the improvement of drug quality is not a mere function of the drug pricing rules. Factors such as the business bribes in drug dealership，the large number of drug distribution links，the high fees and the ranking of pharmaceutical benefits scheme as well as the internal cost management of the enterprise are some of the key factors that af-fect the pricing policies. CONCLUSION The price regulations and policies should be adjusted with clarifying the internal cost man-agement policies as the focus. The pricing policies should be made to encourage the retraining initiatives，energy reservation and emis-sions reduction as well as