Page 7 - 《中国药房》2023年22期
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·药事管理·
我国中药配方颗粒的政策工具分析及优化研究
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谭清立 ,李佳怡 ,林岱衡(1.广东药科大学医药商学院,广东 中山 528400;2.广东药科大学护理学院,
1, 2
广州 510310)
中图分类号 R95 文献标志码 A 文章编号 1001-0408(2023)22-2689-06
DOI 10.6039/j.issn.1001-0408.2023.22.01
摘 要 目的 解析我国中药配颗粒产业政策工具配置现状,为产业高质量发展提供理论参考。方法 基于政策工具视角,在国家
药品监督管理局、国家中医药管理局等国务院直属部门以及各省级政府的官方网站中,以“中药配方颗粒”为关键词进行检索,对
1993-2022年我国中药配方颗粒相关政策文件中的条款进行编码,进而对政策工具应用情况进行汇总、分类分析。结果与结论
最终共筛选出中药配方颗粒相关国家级文件12份、省级文件77份,共涉及556条政策条款。各类型政策工具中,环境型政策工具
的受重视程度最高,占比为 62.6%,需求型政策工具和供给型政策工具的使用比例较少,分别为 17.8% 和 19.6%。从政策工具来
看,当前政策文件中需求型政策工具的使用手段相对简单,各类政策手段受重视程度都较低;从政策目标来看,环境型、需求型和
供给型3种政策工具的使用比例不够平衡。建议提高需求型政策工具的使用比例,迎接国际竞争;重视供给型政策工具的使用,
严格把控产品质量;巩固环境型政策工具的使用,规范质量标准;在此基础上统筹全局,均衡使用各类政策工具,推动中药配方颗
粒产业的发展。
关键词 中药配方颗粒;政策工具;环境型;需求型;供给型
Analysis and optimization of policy tools for TCM formula granules in China
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TAN Qingli ,LI Jiayi ,LIN Daiheng(1. School of Medical Business, Guangdong Pharmaceutical University,
Guangdong Zhongshan 528400, China; 2. School of Nursing, Guangdong Pharmaceutical University, Guangzhou
510310, China)
ABSTRACT OBJECTIVE In order to analyze the current situation of policy tool allocation in China’s TCM formula granule
industry, and provide a theoretical basis for the high-quality development of the industry. METHODS Based on the perspective of
policy tools, “TCM formula granules” was used as the keyword to retrieve the official websites of departments directly under the
State Council such as the National Medical Products Administration and the National Administration of Traditional Chinese Medicine, as
well as provincial governments. The relevant clauses in the policy documents related to TCM formula granules in China from 1993
to 2022 were encoded, and then the application of policy tools was summarized and classified. RESULTS & CONCLUSIONS A
total of 12 national documents and 77 provincial documents were ultimately selected, involving 556 relevant policy clauses. It was
found that among the relevant policy tools, environmental policy tools had the highest degree of attention, accounting for 62.6%;
the proportions of demand-oriented policy tools and supply-oriented policy tools were less, accounting for 17.8% and 19.6%,
respectively. From the perspective of policy tools, the use of demand-oriented policy tools in current policy texts was relatively simple,
and various policy tools were given low attention; from the perspective of policy objectives, the proportion of use of environmental,
demand-oriented and supply-oriented policy tools were not balanced enough. It is suggested to increase the proportion of demand-
oriented policy tools to meet international competition; emphasize the use of supply-oriented policy tools to strictly control product
quality; consolidate the use of environmental policy tools to standardize quality standards. On this basis, we will coordinate the
overall situation, balance the use of various policy tools and promote the development of TCM formula granule industry.
KEYWORDS TCM formula granule; policy tool; environmental; demand-oriented; supply-oriented
中药配方颗粒作为传统汤剂的现代剂型,相较于传 景。随着行业发展日趋规范、监管体系愈发健全、市场
统汤剂,既可保证原有中药饮片的质量效果,满足临床 需求不断释放,我国中药配方颗粒市场将朝着更加完善
辨证用药,随证加减,又易于储存,方便服用且易于携 的方向稳步发展。确保中药质量,推进中药配方颗粒从
带,给医生和患者带来了诸多便利,具有良好的发展前 种植到炮制全流程规范化,推动新兴医药产业发展,对
促进我国经济增长、人民健康水平提高具有重要意义。
Δ 基金项目 广东软科学(面上和重点专题)项目(No.2019A10-
政策工具是指达成政策目标的手段。从20世纪50
1002068);广东省农村科技特派员项目(No.KTP20200162)
*第一作者 副教授。研究方向:医疗保障与医药卫生政策。E- 年代中期至今,国内外对于政策工具的理论研究趋于完
[1]
mail:tanql@vip.163.com 善。黄红华 认为,政策工具与行政体制改革和具体领
中国药房 2023年第34卷第22期 China Pharmacy 2023 Vol. 34 No. 22 · 2689 ·