Research About The Reform And Management Research In The Field Of Pharmaceutical Price In Guangdong Province

Research purpose The research analyzes the changes in drug market prices in Guangdong Province since the implementation of the policy of drug price liberalization and the reform of medical service prices in public hospitals at the county level in Guangdong Province.At the same time judges whether the reform has been expected by the policy,and what problems still exist.Finally,on this basis,put forward targeted,operational policy recommendations.Research methods The research mainly uses the literature research method,the investigation interview method,the data analysis method,the synthesis analysis method and so on.First,starting from the value chain of drugs,analyzed the price of drug bidding,wholesale price of drugs,the price of medical institutions and the price of drugs in retail drugstores after opening the price of drugs in June 2015 in Guangdong.The second is to make an empirical study on the effect of medical service price reform in county-level public hospitals in Guangdong Province,and analyze the reform results from the changes of hospital business volume,medical business income,patient pays ratio,financial compensation and so on.Results After drug price liberalize,Guangdong province drug market price fluctuates little overall,price order is overall stable.The price fluctuation is relatively small and the price is more stable in the process of drug bidding and purchasing.The increase of drug price in medical institutions is higher than that in social retail drugstores.Wholesale link price fluctuations,mainly to low-price drugs,shortage of drugs and exclusive production of drugs.There are still some drug prices continuing to rise.The reform of medical service prices in public hospitals at the county level in Guangdong Province has achieved certain results.First of all,hospital outpatient,inpatient business volume has increased,the role of county-level public hospitals in the regional medical service system has been further strengthened.Secondly,the service technical value of medical personnel is reflected.Thirdly,the situation of "replenishing medicine with medicine" in pilot county-level public hospitals is gradually reversed,the new compensation mechanism begins to be established,and the reform basically meets the policy expectations.However,there are still shortcomings in the reform,such as the continuous increase of patients’ diagnosis and treatment costs,the slight changes in hospital income structure,the lack of pertinence in price adjustment and compensation,and so on,which need to be further improved and improved.Policy recommendations Aspects of drug prices: The government should continue to strengthen the management of drug market prices and work together from all aspects of the drug value chain.First,optimize the examination and approval system for drug registration and strictly control the access links of drugs.Second,strengthen the supervision of drug production process and strictly control the quality of drug production.Third,rectify the circulation of drugs and continue to implement the two-vote system policy.Fourth,strengthen the supervision and inspection of drug prices and the enforcement of antimonopoly laws to maintain the market environment of drug prices.Fifth,to enhance the labor value of medical personnel and standardize the prescription behavior of doctors.In order to promote the formation of a new drug price formation mechanism,drug prices return to a reasonable.Aspects of the price of medical services: First,reform the pricing method of medical service items.Second,to ensure that the burden of patients without increasing the premise of dynamic adjustment of medical service charges.Third,strengthen cost monitoring and standardize medical behavior.Fourth,increase government investment and improve supporting policies for medical reform.Fifth,strengthen reform risk control.