Study on Chinas centralized quantity purchasing policy for drugs from the perspective of stakeholders - a textual analysis based on policy tools

Corresponding author: yinwenqiang, yinwq1969@126.com

DOI: 10.12201/bmr.202203.00006

•  

  Abstract: Objective: By analyzing the relevant policy texts of Chinas Centralized volume-based drug purchase, this paper discusses the key points and shortcomings of the existing policy tools, to provide a reference basis for the formulation and optimization of Chinas centralized drug procurement policy in the future. Methods: Using the content analysis method, 16 policies related to centralized quantity procurement of drugs were selected for the study and analyzed based on two dimensions of policy tools and stakeholders. Results: A total of 147 policy codes were selected from the dimension of policy tools, among which command and regulation tools accounted for 56.5% (83/147), incentive tools accounted for 3.4% (5/147), capacity-building tools accounted for 28.6% (42/147), system transformation tools accounted for 2.0% (3/147), information and persuasion tools accounted for 9.5% (14/147); A total of 323 policy codes were screened out from the stakeholder dimension, including 20.7% (67/323) drug manufacturers, 6.8% (22/323) drug distribution enterprises, 34.1% (110/323) government departments, 29.1% (94/323) medical institutions, and 9.3% (30/323) patients. Conclusion: The analysis found that the structure of policy tools is unbalanced, the pattern of stakeholders is not coordinated, and the coupling between policy tools and stakeholders is not strong. The use ratio of various policy tools should be optimized by taking into account the characteristics and development trend of centralized volume-based drug procurement policy; taking into account multiple stakeholders and enhancing the cohesiveness of stakeholders; promoting the effective combination of policy tools and stakeholders and improving the targeting accuracy of policies.

  Key words: Centralized volume-based drug purchase; Policy tools; Stakeholder; Policy analysis

  Submit time: 21 March 2022

  Copyright: The copyright holder for this preprint is the author/funder, who has granted biomedRxiv a license to display the preprint in perpetuity.
• html

• 图表

• Rong Hongguo, XING Ye-yiyi, dong yue, xia ruyu, SHANG Hong-cai, Liu jianping, FEI Yu-tong. Analysis of rational use of antibacterial drugs policies based on the perspective of policy tools. 2021. doi: 10.12201/bmr.202107.00021

  Sun Yan, Zhu Zheng, Yang Li. Influencing factors analysis on price reduction in national volume-based drug procurement.. 2022. doi: 10.12201/bmr.202203.00008

  Li Xinyu, Shao Rong, Bai Mingyu, Li Dashuang, Yan Jianzhou. Text Quantitative Analysis of Pediatric Drug Security policy-- A two-dimensional framework based on policy tools and policy goals. 2022. doi: 10.12201/bmr.202209.00016

  JiangMingzhu, Ying Xiaohua. Quantitative research of vaccine management policy in China - Text analysis based on policy instruments, policy subjects and policy points. 2022. doi: 10.12201/bmr.202212.00005

  Zhou lifang, Lv Haiyuan, Shao Jiaxian, Yin Wenqiang, Yu Yuncong, Ma Dongping, Chen Zhongming. A quantitative study of Chinas village clinic doctor policy since the new medical reform: based on policy tools, targets and strength. 2022. doi: 10.12201/bmr.202203.00011

  Huang Shi-song, sunshuyan. Research on the construction of elderly service system in China from the perspective of policy tools. 2022. doi: 10.12201/bmr.202210.00018

  ZENGXUHENG, ZHENGJI, LVJUN, NINGYULING, LIXIAOHONG. SWOT analysis on volume-based procurement of high-value medical consumables: A case of Shanghai. 2020. doi: 10.12201/bmr.202010.00841

  MA Wenwen, LI Chao-fan, LIU Cong-hui, SUN Qiang. Text quantitative analysis on China’s medical and prevention coordination policy: A three-dimensional framework based on policy tools, coordination levels and coordination mechanisms. 2022. doi: 10.12201/bmr.202209.00007

  gonghao, zhouluojing. Text analysis of internet medical policy in China based on Digital Mining. 2022. doi: 10.12201/bmr.202208.00005

  Li Hong-yu, Sun Qiang. Analysis of the impact of the Two Ballot System policy on drug supply in Shandong province. 2021. doi: 10.12201/bmr.202011.00015

• ID	Submit time	Number	Download
  1	2021-12-21	bmr.202203.00006V1	Download

• Public  Anonymous  To author only Submit Comments