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目的:解决药品集中采购制度下药价虚高的现象。方法:从资源垄断的视角分析了药价虚高的成因。结果:发现医生对药品使用权的垄断是药价虚高的重要原因;政府对医疗服务定价权和药品集中采购权的垄断是根本原因。结论:在打击商业贿赂的同时,政府应放开医疗服务的定价权、约束医生药品的使用权、赋予医疗保险机构药品集中采购权。
Objective: To solve the phenomenon of drug price under the centralized purchasing system of medicines. Methods: From the perspective of resource monopoly, analyzed the causes of the high drug prices. Results: It is found that the monopoly of doctors on drug use rights is an important reason for the high drug prices. The government monopolizes the pricing power of medical services and centralized purchasing power of drugs. Conclusion: While cracking down on commercial bribery, the government should liberalize the pricing power of medical services, restrict the right to use doctors’ medicines, and give the medical insurance institutions centralized purchasing power of medicines.