探讨现有药价虚高、药品市场混乱和药品定价政策缺乏科学性等深层次原因,为解决“药品价格虚高”问题中所涉及的机制转化提供理论和方法学依据。方法:依据卫生统计学和卫生经济学等理论分析“药品价格虚高”问题的深层次原图。结果:药品是特殊的商品,表现在它具有其独特的需求结构,患者在接受医疗服务和药品时处于被动和从属地位,医生是患者的代理人,由于利益的驱动,医生往往会代理失灵。结论:对“药品价格虚高”问题的现况进行科学分析,有利于下一步继续构建系统动力学模型。
OBJECTIVE To investigate the root causes of the high price of medicine, disorder in the market of medicine and non-scientific policy in fixing the price of medicine, so as to provide scientific theory and method for the transformation of mechanism while solving the problem of high price of medicine. METHODS The theory of health statistics and health economics was used to find out the root causes for the problem —high price of medicine. RESULTS Medicine is a special kind of commodity for its unique structure of demands. Patients play a passive and subordinate role while receiving medical treatment. Doctors act as patients' agents, however, because of the motivation of commission of medicine, doctors will induce patients to make unreasonable purchase. CONCLUSION Make a scientific analysis of the problem and make preparations for the construction of system dynamics modeling.