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“医+药”模式下的电子处方流转监管研究
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| 篇名： | “医+药”模式下的电子处方流转监管研究 |
| TITLE： | Research on the regulation of electronic prescription circulation under the mode of “medical science + pharmacy” |
| 摘要： | 目的 为“医+药”模式下电子处方流转的监管提供参考意见。方法基于演化博弈理论，构建“医+药”模式下电子处方流转相关方（政府机关、互联网医院和第三方药品平台）的三方演化博弈模型，分析影响三方策略选择的因素，并进行仿真验证。结果与结论博弈各方的策略选择均受其余两方的影响。降低严格监管成本或增大对其余两方的惩罚力度，均可提升政府机关严格监管概率；提升名誉损失、加大惩罚力度、缩减选择不同策略时的成本差都将对互联网医院和第三方药品平台有规制和约束效果。建议政府机关可引入多元化监管模式，建立一体化“智慧监管+追溯”体系；重视声誉机制建设，促进各方协同联动；加大对违规行为的惩罚力度，并积极提供政策扶持，降低合规行为成本，从而促进“医+药”模式下电子处方流转的高质量发展。 |
| ABSTRACT： | OBJECTIVE To provide reference for the regulation of electronic prescription circulation under the mode of “medical science + pharmacy”. METHODS Based on evolutionary game theory， a tripartite evolutionary game model was constructed for related parties of electronic prescription circulation （government agencies， internet hospitals and third-party drug platforms） under the mode of “medical science + pharmacy”. The influential factors of the three parties’ strategy selection were analyzed and verified by simulation. RESULTS & CONCLUSIONS The strategic choices of all parties in the game were affected by the other two parties. Reducing the cost of strict supervision or increasing the punishment for the other two parties would increase the probability of strict supervision of government agencies. Enhancing reputation losses， increasing penalties， and reducing the cost difference when choosing different strategies would have regulatory and binding effects on internet hospitals and third-party drug platforms. It is suggested that government agencies can introduce diversified supervision mode and establish an integrated “intelligent supervision + traceability” system； pay attention to the construction of reputation mechanism， and promote the coordinated linkage of all parties； increase the punishment for violations， provide policy support， reduce the cost of compliance behavior to promote the high-quality development of electronic prescription circulation under the mode of “medical science + pharmacy”. |
| 期刊： | 2023年第34卷第14期 |
| 作者： | 李梦蝶；石荣丽；沈凯；吴桂萍 |
| AUTHORS： | LI Mengdie，SHI Rongli，SHEN Kai，WU Guiping |
| 关键字： | 电子处方流转；演化博弈；处方监管；互联网医院；第三方药品平台 |
| KEYWORDS： | electronic prescription circulation； evolutionary game； prescription regulation； internet hospital； third-party drug |
| 阅读数： | 113 次 |
| 本月下载数： | 42 次 |
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