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要药品集中采购制度未能达到预期目标,根本原因在于制度设计缺乏系统论视角,着眼点仅限于制度本身,未能综合考虑整个系统各部分间的整体性、层次性和逻辑性。只有探寻并清除其中的制度性障碍,理顺各相关部分的逻辑关系,创造和谐的系统环境,完善医院补偿机制,充分发挥保险机构监督职能,改革付费机制,完善招投标要素,这一制度才能走出目前的困境。
The fundamental reason for the failure to achieve the expected target of centralized drug purchasing system lies in the fact that the system design lacks a systematic view. The focus is only on the system itself, failing to comprehensively consider the wholeness, hierarchy and logic of all parts of the system. Only by exploring and removing the institutional obstacles, rationalizing the logical relations between the relevant parts, creating a harmonious system environment, improving the hospital compensation mechanism, giving full play to the supervisory function of insurance institutions, reforming the payment mechanism and improving the elements of bid inviting can the system be able Out of the current predicament.