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是什么导致了不合理的药品价格?基于模糊集定性比较分析(fs-QCA)研究医疗服务提供对药品价格调控的影响。

What condition leads to an unreasonable pharmaceutical price? Impact research on the effect of medical service provision on pharmaceutical price regulation based on fuss-set QCA.

机构信息

School of Journalism, Fudan University, Shanghai, China.

School of Management, Fudan University, Shanghai, China.

出版信息

PLoS One. 2023 Apr 13;18(4):e0284129. doi: 10.1371/journal.pone.0284129. eCollection 2023.

Abstract

Given that the pharmaceutical market has experienced severe market failures, it is necessary that we regulate pharmaceutical prices for many countries. Toward ensuring that pharmaceutical price regulation is efficient, this study investigated the antecedents that lead to an unreasonable pharmaceutical price. Based on 33 case-study countries, this study utilized QCA to analyze the conditional configuration of unreasonable pharmaceutical prices from the perspective of medical service provision. The results showed that the causes of unreasonable pharmaceutical prices are configured by medical service provision, especially cost compensation systems and payment mechanism. This study's conclusions contribute to the research on pharmaceutical price regulation and the institution of medical service provision.

摘要

鉴于药品市场存在严重的市场失灵现象,许多国家都有必要对药品价格进行调控。为了确保药品价格调控的有效性,本研究调查了导致药品价格不合理的因素。本研究以 33 个案例国家为对象,运用组态分析法从医疗服务供给的角度分析了不合理药品价格的条件组态。结果表明,医疗服务供给,特别是成本补偿制度和支付机制,配置了不合理药品价格的成因。本研究的结论有助于药品价格调控和医疗服务供给制度的研究。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/51ff/10101374/8ebd71a25642/pone.0284129.g001.jpg

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