中文摘要：

目的：分析基本药物定点生产的制度设计及关键问题。方法：通过理论研究、政策分析。剖析定点生产的制度设计．发现政策执行中的关键问题。结果：基本药物定点生产在协调和激励机制方面设计了相关制度。但是协调机制缺少对供应环节的控制：数量信息的不确定性减少了激励机制的作用；原料药、产能和供应网使交易复杂化。结论：加强定点生产供应环节的协调。通过网络信息系统减少基本药物数量的不确定性，发挥医药行业协会对原料价格和产能的监测作用。并通过中转配送的形式减少交易过程的复杂化。

英文摘要：

Objective： To analyze the institutional design and key issues of essential medicine designated production. Methods： It analyzed the institutional design and key issues based on theoretical and policy study. Results： The relevant institutional design included coordination and incentive mechanism. But coordination mechanism was short of control to supply activity; the quantity uncertainly weakened the role of incentive mechanism; bulk material, production capacity and supply network made the transaction activity complicated. Conclusion： Government should strengthen the coordination of supply activity, release the uncertainty of essential medicine＇s quantity by internet information system, monitor the bulk material＇s price and production capacity by the pharmaceutical industry association and reduce the complexity of transaction activity by the intermediate supply.