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Quantitative analysis for reform policies of basic medical insurance designated retail pharmacies in China
- ZHONGGUO YAOFANG Vol. 35, Issue 6, Pages: 647-652(2024)
- 作者机构：
中国药科大学国际医药商学院，南京 211198
- 作者简介：
- 基金信息：
DOI：10.6039/j.issn.1001-0408.2024.06.02
CLC： R95Published：30 March 2024，
Received：21 August 2023，
Revised：02 March 2024，
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许洪皓,刘若颖,那昕等.我国基本医疗保险定点零售药店改革政策的量化分析 Δ[J].中国药房,2024,35(06):647-652.
XU Honghao,LIU Ruoying,NA Xin,et al.Quantitative analysis for reform policies of basic medical insurance designated retail pharmacies in China[J].ZHONGGUO YAOFANG,2024,35(06):647-652.
许洪皓,刘若颖,那昕等.我国基本医疗保险定点零售药店改革政策的量化分析 Δ[J].中国药房,2024,35(06):647-652. DOI： 10.6039/j.issn.1001-0408.2024.06.02.
XU Honghao,LIU Ruoying,NA Xin,et al.Quantitative analysis for reform policies of basic medical insurance designated retail pharmacies in China[J].ZHONGGUO YAOFANG,2024,35(06):647-652. DOI： 10.6039/j.issn.1001-0408.2024.06.02.
摘要
目的
2
梳理我国基本医疗保险定点零售药店（简称“定点零售药店”）改革政策，为门诊共济背景下该政策的完善提供参考。
方法
2
收集1998年12月至2023年6月来自国务院部委及其直属机构颁布的定点零售药店政策文本，采用内容分析法与社会网络分析法，构建基于政策主体、政策工具与政策过程的三维分析框架，对定点零售药店改革政策进行量化分析。结果与
结论
2
定点零售药店改革政策可大致分为萌芽起步、探索发展以及深化推进3个阶段。政策工具的使用以环境型工具为主，政策主体合作网络呈现“头-身-尾”链式结构。随着政策改革的推进，政策主体数量呈先下降后增长的趋势，政策发文数量呈现上升趋势，更强调药师体系建设、处方流转、医保支付以及“双通道”“门诊统筹”管理等工具的使用。建议在政策制定上，各政策主体应坚持顶层设计，重视不同发展阶段的特点，因地、因时调整政策工具的使用；并应加强部门间的合作交流，提高政策制定效率，实现政策协同，不断完善定点零售药店政策。
Abstract
OBJECTIVE
2
To sort out reform policy for basic medical insurance designated retail pharmacy （referred to as designated retail pharmacy） in China， and to provide reference for the improvement of the policy under the new situation of mutual-aid mechanism for covering outpatient bills.
METHODS
2
The policy texts on designated retail pharmacies issued by ministries and commissions of the State Council and departments directly under the State Council were collected from December 1998 to June 2023. The content analysis and social network analysis were adopted to construct a three-dimensional analytical framework based on the policy subject， the policy tool， and the policy process， in order to quantitatively analyze the policies on reforming designated retail pharmacies.
RESULTS&CONCLUSIONS
2
The reform policy of designated retail pharmacies can be roughly divided into three stages： germination， exploration and development， and in-depth promotion. The use of policy tools is dominated by environment-oriented tools， and the cooperation network of policy subjects presents a “head-body-tail” chain structure. With the advancement of policy reforms， the number of policy subjects showed a trend of decline followed by growth， the number of policy documents showed an upward trend， emphasizing the use of tools such as the construction of the pharmacist system， the flow of prescriptions， the payment of medical insurance， and the management of “dual-channels” and “outpatient co-ordination”. It is suggested that in terms of policy formulation， all policy subjects should adhere to top-level design， grasp the characteristics of the stage of policy development， and adjust the use of policy tools according to local and timely conditions； we should also strengthen cooperation and communication， improve policy formulation efficiency， achieve policy coordination， and continuously improve policies for designated retail pharmacies.
关键词
定点零售药店政策主体政策工具政策过程量化分析
Keywords
policy subjectspolicy toolspolicy processesquantitative analysis
references
张可人，何迅，燕小凡，等. 贵阳市医保定点零售药店空间分布及其相关因素研究[J]. 中国药房，2022，33（16）：1926-1930.
ZHANG K R，HE X，YAN X F，et al. Study on the spatial distribution and related factors of medical insurance designated retail pharmacies in Guiyang[J]. China Pharm，2022，33（16）：1926-1930.
张天天，刘炜，马振凯，等. 上海市零售药店的空间分布特征及集聚性分析[J]. 中国卫生资源，2019，22（4）：300-305.
ZHANG T T，LIU W，MA Z K，et al. Distribution characteristics and spatial clustering analysis of retail pharmacy in Shanghai[J]. Chin Health Resour，2019，22（4）：300-305.
吴晓悦，胡银环，李得和，等. 基本医疗保险定点零售药店的配置公平性分析：以深圳市为例[J]. 中国卫生政策研究，2021，14（4）：28-34.
WU X Y，HU Y H，LI D H，et al. Study on the allocation equity of medical insurance designated retail pharmacies in Shenzhen[J]. Chin J Health Policy，2021，14（4）：28-34.
李迎春，鲁卓林，高艳，等. 零售药店从业人员和家长对儿童OTC药品知识了解情况的调查与分析[J]. 中国药房，2021，32（23）：2917-2923.
LI Y C，LU Z L，GAO Y，et al. Investigation and analysis of the understanding of pharmacy practitioners in retail pharmacies and parents of children’s OTC drug know-ledge[J]. China Pharm，2021，32（23）：2917-2923.
许龙，徐敢，叶桦，等. 我国西部地区零售药店执业药师配备的灰色模型预测分析[J]. 中国药房，2023，34（20）：2545-2549.
XU L，XU G，YE H，et al. Grey model forecasting analysis of licensed pharmacist staffing in retail pharmacies in Western China[J]. China Pharm，2023，34（20）：2545-2549.
钟桂鸿，张茜，吴其聪，等. 基于主题框架分析法的广东省零售药店分级分类管理政策实施现状分析[J]. 中国药房，2021，32（12）：1421-1427.
ZHONG G H，ZHANG Q，WU Q C，et al. Analysis of the implementation status of the classification management policies for retail pharmacies in Guangdong province based on thematic framework analysis[J]. China Pharm，2021，32（12）：1421-1427.
王静，肖桂荣，孙国锐，等. “互联网+药品流通” 背景下成都市零售药店电子处方用药现状及合理性评价研究[J]. 中国循证医学杂志，2020，20（11）：1274-1279.
WANG J，XIAO G R，SUN G R，et al. Evaluation of the current situation and rationality of electronic prescription in retail pharmacies in Chengdu in the context of “internet+ drug circulation”[J]. Chin J Evid Based Med，2020，20（11）：1274-1279.
戴瑞明，张天天，顾原瑗，等. 全面协议化管理背景下的医疗保险定点零售药店履约考核指标体系构建[J]. 中国卫生资源，2020，23（5）：461-464.
DAI R M，ZHANG T T，GU Y Y，et al. Construction of performance evaluation index system of medical insu-rance designated retail pharmacies under the background of comprehensive agreement management[J]. Chin Health Resour，2020，23（5）：461-464.
蒙文鑫，蒋蓉. 江苏省国家谈判药品 “双通道” 管理政策比较研究[J]. 中国卫生政策研究，2022，15（7）：38-44.
MENG W X，JIANG R. Comparison study of “dual channel” management policies of nationally negotiated drugs in Jiangsu province[J]. Chin J Health Policy，2022，15（7）：38-44.
周志忍，蒋敏娟. 整体政府下的政策协同：理论与发达国家的当代实践[J]. 国家行政学院学报，2010（6）：28-33.
ZHOU Z R，JIANG M J. Policy coordination under the whole government：theory and contemporary practice in developed countries[J]. J Chin Acad Gov，2010（6）：28-33.
于琦，常江毅，邰杨芳，等. 我国卫生政策主体合作网络演化研究[J]. 中国卫生经济，2019，38（8）：5-11.
YU Q，CHANG J Y，TAI Y F，et al. Research on the evolution of Chinese health policy makers’ cooperation networks[J]. Chin Health Econ，2019，38（8）：5-11.
ROTHWELL R，ZEGVELD W. Industrial innovation and public policy：preparing for the 1980s and the 1990s[M].Santa Barbara：Greenwood Press，1981：187-200.
云昕，辛玲，刘莹，等. 优酷土豆并购案例分析：基于事件分析法和会计指标分析法[J]. 管理评论，2015，27（9）：231-240.
YUN X，XIN L，LIU Y，et al. Case study of the merger and acquisition between Youku and Tudou：based on event study methodology and accounting index analysis[J]. Manag Rev，2015，27（9）：231-240.
LIKAS A，VLASSIS N，VERBEEK J J. The global k-means clustering algorithm[J]. Pattern Recognit，2003，36（2）：451-461.
MAYHEW B H，LEVINGER R L. Size and the density of interaction in human aggregates[J]. Am J Sociol，1976，82（1）：86-110.
卢玮，林宝贤. 专业服务与科层权威的互惠：医务社会工作服务的社会网络分析[J]. 学术研究，2023（6）：74-80，96.
LU W，LIN B X. Reciprocity between professional service and bureaucratic authority：social network analysis of medical social work service[J]. Acad Res，2023（6）：74-80，96.
周园，李光萍. 基于社会网络分析的长江中游城市群专利转让网络结构研究[J]. 创新科技，2022，22（7）：67-80.
ZHOU Y，LI G P. Research on the patent transfer network structure of the urban agglomeration in the middle reaches of the Yangtze River based on social network analysis[J]. Innov Sci Technol，2022，22（7）：67-80.
彭纪生，孙文祥，仲为国. 中国技术创新政策演变与绩效实证研究：1978－2006[J]. 科研管理，2008，29（4）：134-150.
PENG J S，SUN W X，ZHONG W G. The evolution of Chinese technological and innovational policies and the empirical research on the performance：1978-2006[J]. Sci Res Manag，2008，29（4）：134-150.
石敏，徐梦丹，许星莹，等.我国医联体政策量化研究：基于政策目标、工具和力度的内容分析[J].中国卫生事业管理，2021，38（5）：352-356，374.
SHI M，XU M D，XU X Y，et al. Quantitative research on China’s medical alliance policies from content analysis based on policy targets，tools and strength[J]. Chin Health Service Manag，2021，38（5）：352-356，374.
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