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药品招标议价虚高现象的反合谋博弈分析
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| 篇名： | 药品招标议价虚高现象的反合谋博弈分析 |
| TITLE： | |
| 摘要： | 目的：为解决药品价格虚高问题、探索治理合谋行为的有效途径和措施提供参考。方法：基于博弈论，分析药品招投标阶段各利益相关者之间的利益关系，分别构建静态博弈和动态演化博弈模型。结果：合谋体实施合谋的概率与自身合理收益无关，但与合谋所获利益及药品监管部门信息封闭率成正比，与合谋体信息封闭率及药品监管部门监管力度、成功查处率成反比。结论：建议药品监管部门要增强监管力度，建立全省统一平台实行药品挂网采购并实时监控，提高执法人员的监管能力和道德素养，完善法律法规；对于医疗机构建议对医疗机构人员采取思想教育与惩罚机机制相结合，实施根据药品通用名进行的线上议价采购，防止其与药品生产企业联合串谋，虚高药价；招标单位要建立科学有效的规章制度，采用匿名形式防止合谋发生；与此同时需要将投标人数控制在适当竞争的范围内，以此保证市场供应，并应完善惩罚机制，降低其合谋欲望。 |
| ABSTRACT： | OBJECTIVE： To provide reference for solving virtual high drug price， and exploring effective ways and measures for collusion governance. METHODS： Based on the game theory， interest relationships among stakeholders in drug bidding stage were analyzed， and static game model and dynamic evolutionary game model were established. RESULTS： The probability of collusion in the conspiracy was not related to its own reasonable income， but it was direct proportional to the benefits of collusion and the information sealing rate of the department， inverse proportional to the information sealing rate of the collusion， supervision by department and successful investigation rate. CONCLUSIONS： It is recommended that the department should strengthen supervision and establish a unified platform for the province to purchase drug and monitor drug purchase in real time， improve the supervision and moral quality of law enforcement officers， enhance laws and regulations； for medical institutions， it is recommended to carry out ideological education and punishment mechanism for medical personnel， implement online bargaining procurement based on the generic name of the drug so as to prevent those from conspiring with drug manufactures to create a virtual high drug price. The bidding unit shall establish a scientific and effective rule and regulation. It is recommended that an anonymous form shall be implemented to prevent collusion. At the same time， it is necessary to control the number of bidders in the appropriate competition to ensure market supply and improve the punishment mechamism to reduce collusion desire. |
| 期刊： | 2018年第29卷第22期 |
| 作者： | 赵笑妍，石荣丽 |
| AUTHORS： | ZHAO Xiaoyan，SHI Rongli |
| 关键字： | 药品招投标；反合谋；博弈论 |
| KEYWORDS： | Drug bidding； Anti-collusion； Game theory |
| 阅读数： | 315 次 |
| 本月下载数： | 8 次 |
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