1.Implementation Effects,Risk Prediction and Policy Suggestion of"Two-invoice System"in the Field of Pharmaceutical Distribution in China
China Pharmacy 2018;29(8):1009-1014
OBJECTIVE:To provide policy suggestion for the effective implementation of"two-invoice system"policy in the field of pharmaceutical distribution in China. METHODS:By analyzing current mode and problems of pharmaceutical distribution in China,the implementation background of"two-invoice system"was understood.At the same time,main points of"two-invoice system"policy were reviewed and summarized;the effect of the policy promotion and the potential risks could be inferred,and the corresponding policy suggestions were put forward. RESULTS & CONCLUSIONS:At present,there are many problems in the field of pharmaceutical distribution in China,such as low concentration of industry,confusion of circulation order,numerous relevant parties of interest chain and endless violations. The implementation of"two-invoice system"has realized the consistency of invoice flow,logistics and cash flow,through clearly defining production enterprises,strengthening invoice management of circulation enterprises and public medical institutions,guaranteeing drug supply in remote areas, constructing information platform,compressing circulation link,integrating circulation enterprises,implementing"point to an area"completely. It is conducive to effectively improve regulatory efficiency of government departments and the concentration of pharmaceutical distribution industry,and is expected to reduce the virtual high drug price through linkage with other policies. The"two-invoice system"policy framework of provinces(regions,cities)is adjusted according to practical situation of different districts based on the national policy,corresponding practice and exploration have been carried out. The"two-invoice system"has its own adaptability in the implementation process,which may cause drug shortages,local protectionism and new interest chain. The author puts forward the countermeasures,such as timely assessment of the implementation of the"two-invoice system",taking various measures to ensure the supply of drugs,setting up appropriate policy transition period,and strengthening coordination and cooperation among relevant departments so as to response to potential risks during the implementation of the"two-invoice system"policy.
2.Logic Analysis and Research of China ’s Medicine Reform under the Construction of National Medicine Policy Framework : Based on the Analysis of the Text of China ’s Medicine Policy in 2009-2019
China Pharmacy 2019;30(14):1873-1880
OBJECTIVE: To provide reference for improving China’s national medicine policy framework. METHODS: The medicine policy documents of 2009-April 2019 were collected, and then policy texts were categorized according to national medicine policy elements of WHO. According to the number and strength of policies, the construction of national medicine policy framework was analyzed. The main reform measures of different themes were extracted and summarized. On this basis, the logic of medicine reform in China was analyzed. RESULTS & CONCLUSIONS: National medicine policy framework has been established primarily, but it is not balanced, such as the number and intensity of policies on human resources and medicine financing are slightly inadequate. Analysis of China’s national medicine policy framework reveals that: (1) in the process of construction, “quality assurance” and “affordability” are the two main policy lines, and “quality improvement” and “cost reduction” are the two main policy objectives; (2) the construction of national medicine policy framework has a phased reform focus, and it has gone through a process from “demand-side reform” to “supply-side and demand-side reform”; (3) the importance of medicine procurement in the reform has been strengthened continuously. It is suggested to strengthen the balance of national medicine policy, improve human resources, medicine financing and rational medicine use policy construction; it is also suggested to strengthen top-level design, establish a multi-department collaborative decision-making and coordination mechanism, and enhance the coordination of medicine policies; in addition, the role of procurement links reform should be further played .
3.Study on the Influencing Factors of Medical Staff's Behavior and Intention to Prevention and Treatment Integration in the Merged Medical Community from the Perspective of Social Cognitive Theory
Chinese Hospital Management 2024;44(2):40-45
Objective Based on social cognitive theory,to explore the main factors influencing the behavioral inten-tion of medical staff in merged medical community and the differences among county-township-village three levels medical staff.Methods The stratified random sampling was used to investigate the county-township-village three levels medical staff in merged county medical community,and multiple linear regression method and seemingly unrelated model(SUEST)were used to quantitatively analyze the influencing factors and differences among coun-ty-township-village three level medical staff's behavioral intention.Results The environmental factors including or-ganizational support(0.098),team integration(0.227),incentive mechanism(0.126)and individual factors including cognitive degree(0.118)and participation ability(0.053)can impact the behavioral intention of medical staff,and team integration has the greatest impact on the behavioral intention of medical staff at all levels.The incentive mecha-nism has more influence on the behavioral intention of medical staff at township(0.190)and county(0.165)level than village(0.083)level.Participation ability had more influence on the of village(0.187)level than township(0.129)and county(0.126)level.Cognition had a moderate effect,and organizational support had a smaller effect.Conclusion There are both similarities and differences in the influencing factors of medical staff's behavioral inten-tion,and targeted reforms should be carried out according to different characteristics.