CAJ | 학술논문

有效保障常用低价药品的供应，对于保障公众健康、维护社会公平以及顺利推进新医改都具有非常重要的意义。本文从公共治理理论中的治理工具分析角度出发，重点分析如何结合和优化多样化的政策工具的使用来综合确定常用低价药品的工具，即应用“志愿—强制—混合”治理工具分析框架，从志愿性(家庭与社区、志愿者、市场)、强制性(政府命令—控制型监管、成立公共企业、直接提供)和混合性治理工具(信息披露与规劝、补贴、产权拍卖、税收与使用者付费)等多个角度对保障常用低价药品的供给提出对策，最后提出了巧用价格杠杆、完善采购办法、建设药价信息披露机制以及确立政府补贴与产业政策战略四方面的具体政策建议，以此完善最近出台的相关最新政策内容，从而确立我国保障常用低价药品供应的总体战略。
유효보장상용저개약품적공응，대우보장공음건강、유호사회공평이급순리추진신의개도구유비상중요적의의。본문종공공치리이론중적치리공구분석각도출발，중점분석여하결합화우화다양화적정책공구적사용래종합학정상용저개약품적공구，즉응용“지원—강제—혼합”치리공구분석광가，종지원성(가정여사구、지원자、시장)、강제성(정부명령—공제형감관、성립공공기업、직접제공)화혼합성치리공구(신식피로여규권、보첩、산권박매、세수여사용자부비)등다개각도대보장상용저개약품적공급제출대책，최후제출료교용개격강간、완선채구판법、건설약개신식피로궤제이급학립정부보첩여산업정책전략사방면적구체정책건의，이차완선최근출태적상관최신정책내용，종이학립아국보장상용저개약품공응적총체전략。
The effective guarantee of the supply of low-price medicine in common use is of great significance for the protection of public health, the safeguard of social equality and the smooth progress of new healthcare reform. On the basis of the governance tools theory, the paper focuses on an analysis of approaches to combine and optimize the diverse utilization of governance tools in order to integrate the means of supply of the low-price medicine in com-mon use. In other words, the paper utilizes the ‘Voluntary-Directive-Mixed’ governance tools framework to provide possible solutions for the supply of low-price medicine in common use, namely, the locations of the voluntary tools ( household and community, volunteers, and market) , the directive tools ( government command-control regulation, establishment of public enterprises, and direct provision) , and the mixed tools ( information disclosure and advice, subsidies, auctions of property rights, tax and user charge) . Lastly the paper proposes specific policy suggestions in four aspects to confirm the total strategy of guaranteeing the supply of low-price medicine in common use:clever use of price leverage, improvements to procurement methods, establishment of an information disclosure system for medi-cine price, and a confirmation of government subsidies and industrial policy strategies.