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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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                 1*
          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
                             1, 2
                                           2
                    1
          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 ·
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