医疗服务定价和制药供应链协调合同在零加价药品政策下
Nan Zhou1, Shiyang Li2, Gang Zhao3
1College of Finance and Economics, Yangtze Normal University, Chongqing, China.
Frontiers in public health
|November 6, 2023
概括
使用游戏模型分析了国家对零附加值药物的政策和调整的医院费用. 更高的公共利益在医院可以矛盾地提高药品价格,同时降低服务费用为患者.
科学领域:
- 卫生经济学 卫生经济学
- 运营研究 运营研究
- 公共卫生政策 公共卫生政策
背景情况:
- 实施国家政策,以零加价的药品定价和公共医院的医疗服务费调整.
- 需要根据这些新政策分析制药供应链动态.
研究的目的:
- 为制药供应链 (药品供应商和公共医院) 构建游戏模型.
- 根据新的国家政策,确定最佳的医疗服务水平和定价.
- 分析医院公共利益对服务水平,价格和药物成本的影响.
- 设计一个协调合同,通过合作最大限度地提高社会福利.
主要方法:
- 制药供应链的游戏理论建模.
- 分析最佳的定价和服务水平.
- 研究医院公共利益的影响.
- 制定一个专门的协调合同.
主要成果:
- 在零增值药品政策下,增加医院公共利益可能会导致药品价格上.
- 尽管药品价格上,但增加公共利益可以降低医疗服务价格,从而降低患者的整体成本.
- 一个新的协调合同优化了制药供应链,以实现双方的利益.
- 当医院公共利益较高时,去中心化决策供应链的利比集中化供应链更高.
结论:
- 开发的协调合同为药物供应商,医院和患者提供了一个双赢的场景.
- 制药供应链没有有效的自我协调,尤其是高公共利益医院.
- 政策调整需要仔细考虑供应链相互作用和公共利益水平.
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