CAJ | 학술논문

以药品最高零售限价为主的药品价格规制机制失灵的根本原因应该从规制的源头即政府的作为找起。本文通过建立反映中央政府与地方政府在药品价格规制机制中作用的委托-代理模型对其行为进行分析,发现药品价格规制机制在当前考核体系下会对地方政府形成扭曲激励,地方政府因而会罔顾社会总福利的损失,消极应对中央政府的政令;当前中央政府与地方政府的财力分配格局,使得激励的扭曲效应在短期内无法消除。因此,中央政府应尽快放开药品价格管制、放弃药品价格最高零售限价政策,从改革政绩考核模式入手,并通过地方政府财政给付抵消现有机制内在的激励扭曲,让改革的成果真正惠及黎民百姓。
이약품최고령수한개위주적약품개격규제궤제실령적근본원인응해종규제적원두즉정부적작위조기。본문통과건립반영중앙정부여지방정부재약품개격규제궤제중작용적위탁-대리모형대기행위진행분석,발현약품개격규제궤제재당전고핵체계하회대지방정부형성뉴곡격려,지방정부인이회망고사회총복리적손실,소겁응대중앙정부적정령;당전중앙정부여지방정부적재력분배격국,사득격려적뉴곡효응재단기내무법소제。인차,중앙정부응진쾌방개약품개격관제、방기약품개격최고령수한개정책,종개혁정적고핵모식입수,병통과지방정부재정급부저소현유궤제내재적격려뉴곡,양개혁적성과진정혜급려민백성。
The fundamental reason for failure of pharmaceuticals price regulation mechanism based on a maximum retail price drug should be found beginning from regulation,that is action of government. By building a principal- agent model reflecting the effects of central government and local government in the mechanism of pharmaceuticals price regulation,this paper analyzes its behavior,finding the mechanism of pharmaceuticals price regulation will form distort incentives for local governments in the current system,and local government will disregard social welfare losses and negatively cope with the writ of the central government; the central government and local government＇s financial allocation pattern makes it impossible to eliminate the distort effects in the short- term incentive. Therefore,the central government should relax drug price control as soon as possible,give up the maximum retail price policy,and start from the reform of the performance evaluation model,in order to actually benefit common people,by giving financial payment to local government to offset existing intrinsic incentive twist.