Logic Analysis and Research of China ’s Medicine Reform under the Construction of National Medicine Policy Framework ： Based on the Analysis of the Text of China ’s Medicine Policy in 2009-2019 / 中国药房

ABSTRACT

OBJECTIVE： To provide reference for improving China’s national medicine policy framework. METHODS： The medicine policy documents of 2009-April 2019 were collected， and then policy texts were categorized according to national medicine policy elements of WHO. According to the number and strength of policies， the construction of national medicine policy framework was analyzed. The main reform measures of different themes were extracted and summarized. On this basis， the logic of medicine reform in China was analyzed. RESULTS & CONCLUSIONS： National medicine policy framework has been established primarily， but it is not balanced， such as the number and intensity of policies on human resources and medicine financing are slightly inadequate. Analysis of China’s national medicine policy framework reveals that： （1） in the process of construction， “quality assurance” and “affordability” are the two main policy lines， and “quality improvement” and “cost reduction” are the two main policy objectives； （2） the construction of national medicine policy framework has a phased reform focus， and it has gone through a process from “demand-side reform” to “supply-side and demand-side reform”； （3） the importance of medicine procurement in the reform has been strengthened continuously. It is suggested to strengthen the balance of national medicine policy， improve human resources， medicine financing and rational medicine use policy construction； it is also suggested to strengthen top-level design， establish a multi-department collaborative decision-making and coordination mechanism， and enhance the coordination of medicine policies； in addition， the role of procurement links reform should be further played .