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药品供应链不同分销渠道的药品质量监管策略。

Drugs quality supervision strategy of different distribution channels in pharmaceutical supply chain.

机构信息

School of Business, Shandong Normal University, Jinan, China.

Quality Research Center, Shandong Normal University, Jinan, China.

出版信息

Front Public Health. 2022 Oct 11;10:954371. doi: 10.3389/fpubh.2022.954371. eCollection 2022.

Abstract

Aiming at the dual-channel pharmaceutical supply chain, which consists of two distribution channels, offline medical institutions, and online e-commerce platforms, and taking into account the impact of different strategic choices made by relevant stakeholders on the drugs quality of different distribution channels, this article constructs an evolutionary game model involving the participation of government regulator, pharmaceutical enterprises, medical institutions, and pharmaceutical e-commerce companies. The stable equilibrium points of each participant's strategic choices are solved; the stability of strategic combination is analyzed by , and is used for simulation to verify the influence of each decision variable on the strategic choice of different participants. The results show that, first, the purpose of punishment is to ensure the drugs quality in the pharmaceutical supply chain, but when the fine is too high, it will restrain the economic behavior of pharmaceutical enterprises, which is not conducive to the performance of social responsibilities by other relevant participants. Second, the probability that government regulator strictly supervises the pharmaceutical supply chain and the probability that pharmaceutical enterprises provide high-quality drugs are negatively related to their additional cost. Third, whether medical institutions and pharmaceutical e-commerce companies choose inspection is affected by multiple factors such as inspection cost, sales price, and sales cost. Furthermore, when the penalty for non-inspection of pharmaceutical e-commerce companies is greater than the threshold , it can ensure that it chooses an inspection strategy. Finally, this article puts forward countermeasures and suggestions on the drugs quality supervision of different distribution channels in the pharmaceutical supply chain.

摘要

针对由线下医疗机构和线上电商平台两个分销渠道组成的双通道医药供应链,考虑到相关利益方的不同战略选择对不同分销渠道药品质量的影响,构建了包含政府监管者、制药企业、医疗机构和医药电商公司参与的演化博弈模型。求解了各参与方策略选择的稳定平衡点,利用 和 分析了策略组合的稳定性,并通过仿真验证了各决策变量对不同参与方策略选择的影响。结果表明:首先,惩罚的目的是保证医药供应链中的药品质量,但当罚款过高时,会抑制制药企业的经济行为,不利于其他相关参与者履行社会责任。其次,政府监管者严格监管医药供应链的概率和制药企业提供高质量药品的概率与其附加成本呈负相关。第三,医疗机构和医药电商公司是否选择检查受到检查成本、销售价格和销售成本等多个因素的影响。此外,当医药电商公司不检查的罚款大于阈值 时,可以确保其选择检查策略。最后,针对医药供应链不同分销渠道的药品质量监管提出了对策建议。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df2c/9593039/38c89173d41a/fpubh-10-954371-g0001.jpg

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