我国医保药品支付价格政策改革探讨.pdfVIP

·基本药物论坛· 我国医保药品支付价格政策改革探讨 1，2＊ 2 2 3 1# 王青宇 ，高 岩 ，刘 伟 ，郝 昕 ，杨 悦 （1.沈阳药科大学工商管理学院，沈阳 110016；2.郑州大学药 学院，郑州 450001；3.河南中医学院第一临床医学院，郑州 450008） 中图分类号 R95 文献标志码 A 文章编号 1001-0408（2015）21-2881-04 DOI 10.6039/j.issn. 1001-0408.2015.21.01 摘 要 目的：为我国政府制订医保药品支付价格提供政策建议。方法：阐述医保支付价格政策起源及其他国家实施该政策的效 果和出现的问题，在我国新医改背景下结合理论分析及实证研究探讨医保药品支付价格定价机制。结果：药品支付价格政策改革 将会对目前医药市场和医疗保险支付产生较大影响，对研发型制药企业的影响和冲击较大。该政策可节约医保资金中药品费用 支出，对卫生总费用是否降低有待进一步探索和实践。结论：建议医保政策实施时注意相关配套措施改革。政府应在药品可获得 性和鼓励药品研发创新性方面保持平衡。 关键词 支付价格；参考定价；药品定价机制 Research on the Payment Pricing Mechanism of Medicare Drugs 1，2 2 2 3 1 WANG Qing-yu ，GAO Yan ，LIU Wei ，HAO Xin ，YANG Yue （1.School of Business Administration ，Shenyang Pharmaceutical University ，110016，China ；2.School of Pharmacy ，Zhengzhou University ，Zhengzhou 450001， China ；3.The First Clinical Medical College ，Henan University of Chinese Traditional Medicine ，Zhengzhou 450008，China ） ABSTRACT OBJECTIVE ：To provide suggestions for the government decision of payment price of medicare drugs. METHODS ： Investigation was conducted for the beginning of payment price policy of medicare drugs ，effect of the implementation of policy in other countries and the encountered problems. The payment pricing mechanism was explored based on the combination of new medi- cal reform with theoretical analysis and empirical research. RESULTS ：The reform of payment pricing mechanism of medicare drugs will have effect on current drug price ，especially for RD oriented pharmaceutical industries. The policy can decrease drug expendi- ture in medicare expenditure ，and it is not sure whether it can decrease total medicare expenditure. CONCLUSIONS ：It is suggest- ed to notice the related measures and government should keep balance between drug availability and encouraging RD innovation. KEYWORDS