管理评论

管理评论 ›› 2023, Vol. 35 ›› Issue (10): 268-282.

• 组织与战略管理 • 上一篇    下一篇

药品带量采购政策下民营医院参与机制研究

岳殿民1, 骆雨晴1, 吴晓丹1, 俞天智2   

  1. 1. 河北工业大学经济管理学院, 天津 300401;
    2. 天津医科大学总医院, 天津 300052)
  • 收稿日期:2021-06-04 出版日期:2023-10-28 发布日期:2023-11-27
  • 通讯作者: 吴晓丹(通讯作者)，河北工业大学经济管理学院教授，博士生导师，博士。
  • 作者简介:岳殿民，河北工业大学经济管理学院教授，硕士生导师，博士；骆雨晴，河北工业大学经济管理学院博士研究生；俞天智，天津医科大学总医院副研究员，博士。
  • 基金资助:
    国家社会科学基金一般项目（23BGL023）；河北省教育厅人文社会科学研究重大课题攻关项目（ZD202210；ZD202305）。

To Join or Not: Private Hospitals under the Volume-based Procurement Policy

Yue Dianmin1, Luo Yuqing1, Wu Xiaodan1, Yu Tianzhi2   

  1. 1. School of Economics and Management, Hebei University of Technology, Tianjin 300401;
    2. Tianjin Medical University General Hospital, Tianjin 300052
  • Received:2021-06-04 Online:2023-10-28 Published:2023-11-27

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摘要： 民营医院参与药品带量采购逐渐成为进一步降低药价、提高人民群众用药可及性的关键。本文构建考虑民营医院价格敏感度与谈判能力的药品制造商、集中采购平台与医院的动态博弈模型，旨在研究带量采购政策下公开、不公开价格时民营医院参与机制。研究表明，相较公开带采价格，不公开时民营医院采购价格及成本较高，导致其参与意愿提升，同时该情形下公立医院药价下降且社会福利增加；无论价格是否公开，民营医院直接谈判成本高于某阈值时其参与带量采购意愿提升，但不公开时阈值低于公开情形。上述结论对完善带量采购政策、激励民营医院参与具有重要借鉴价值。

关键词: 带量采购, 民营医院, 参与意愿, 价格公开机制

Abstract: With the growing quantity of private hospitals, their participation in the volume-based procurement policy is critical for further reducing medicine prices and improving people’s access to medicine. This paper develops a model of dynamic game among medicine manufacturers, GPO and hospitals, in which private hospitals’ price sensitivity and negotiation ability are considered. Our analysis examines engagement strategies of private hospitals when the price is open or not open under the volume-based procurement policy. The research shows that, compared with the open selected price of volume-based procurement, private hospitals’ purchasing price and cost are higher when the price is not open, which leads to an increase of their willingness to join the policy. At the same time, the medicine price of public hospitals decreases and social welfare increases. Whether the price is open or not, the willingness of private hospitals to join volume-based procurement increases when the direct negotiation cost is higher than a certain threshold, but the threshold is lower when it is not open. The above conclusions have important reference value for improving the volume-based procurement policy and encouraging private hospitals to participate.

Key words: volume-based procurement, private hospitals, willingness to join, price disclosure mechanism