目的:分析基本药物供应保障体系政府和市场功能的兼容性及原因。方法:以制度经济学为基础,分析相关政策的协同性。结果:基本药物政策目标存在不兼容;招标政策不利于供应环节的竞争、弱化了价格信号的作用;供应政策减轻了生产企业的责任、使交易复杂化。结论:优化政府和市场功能的组合。使基本药物政策手段产生协同作用。是基本药物政策改革的关键。
Objective: To analyze the compatibility and reason of government and market's function of essential medicine's supply security system. Methods: Based on the institutional economics, synergistic effect of relevant policy was analyzed. Results: There was incompatible performance among the policy goals of essential medicine; the biding policy was harmful for competition of supply stage and weakened the role of price signal; the supply policy mitigated the responsibility of pharmaceutical manufacturer and made the transaction activity compleeated. Conclusion: The key to essential medicine's reform should optimize the combination of government and market' s function to generate the synergistic effect of essential medical policy measurement.