集中采购参与意愿、制药企业议价能力与药品市场绩效

doi:10.16381/j.cnki.issn1003-207x.2017.07.013

中国管理科学 ›› 2017, Vol. 25 ›› Issue (7): 113-122.doi: 10.16381/j.cnki.issn1003-207x.2017.07.013

集中采购参与意愿、制药企业议价能力与药品市场绩效

张新鑫¹, 侯文华², 申成霖³, 何强⁴

1. 天津理工大学管理学院, 天津 300384;
2. 南开大学商学院, 天津 300071;
3. 天津工业大学管理学院, 天津 300387;
4. 天津中医药大学管理学院, 天津 300073

收稿日期:2015-06-29 修回日期:2016-10-25 出版日期:2017-07-20 发布日期:2017-09-25
通讯作者: 申成霖(1975-),男(汉族),山东莒县人,天津工业大学管理学院,教授,硕士生导师,研究方向:创新及运营管理,E-mail:shenchnenglin@tjpu.edu.cn. E-mail:shenchnenglin@tjpu.edu.cn
基金资助:
国家社会科学基金项目（15BGL074）；天津市哲学社科规划项目（TJGL15-035）；天津市教委人文社科重大项目（2011ZD032）；天津市宣传文化"五个一批"人才培养工程（2015CR05）

Willingness to Participate in Group Procurement, Pharmaceutical Enterprises' Bargaining Power and Performance of Medicine Market

ZHANG Xin-xin¹, HOU Wen-hua², Shen Cheng-lin³, HE Qiang⁴

1. School of Management, Tianjin University of Technology, Tianjin 300384, China;
2. School of Business, Nankai University, Tianjin 300071, China;
3. School of Management, Tianjin Polytechnic University, Tianjin 300387, China;
4. School of Management, Tianjin University of Traditional Chinese Medicine, Tianjin 300073, China

Received:2015-06-29 Revised:2016-10-25 Online:2017-07-20 Published:2017-09-25

摘要/Abstract

摘要： 以现行的药品集中采购规制为背景，构建双寡头竞争制药企业与政府主导的集中采购平台间的双边纳什议价博弈模型，研究制药企业的定价策略、制药企业和集中采购平台的利润分配机制以及制药企业集中采购参与意愿的关键影响因素，探讨集中采购规制对药品价格、医疗机构采购成本、制药企业利润和药品市场配置效率的影响，得到如下主要研究结论：第一，集中采购规制能够降低药品的采购价格和医疗机构的采购成本，但不一定能够提高药品市场的配置效率；第二，若提高集中采购效率或适当降低议价能力，将有助于提高制药企业的集中采购参与意愿，但若竞争对手主动提高集中采购效率或降低议价能力，将会降低制药企业的集中采购参与意愿。第三，议价能力强的制药企业不一定总是获得高利润，企业最终的利润受到企业自身及竞争对手的议价能力、集中采购效率的共同影响；第四，集中采购规制并非总是损害制药企业的利润，在一定条件下，集中采购规制能实现两家制药企业的"双赢"。本研究对提高制药企业集中采购参与意愿，促进制药企业和集中采购平台间的协作，发挥集中采购优势，提高药品市场的配置效率具有现实意义。

关键词: 集中采购规制, 议价能力, 参与意愿, 双边议价博弈

Abstract: Based on the present group procurement regulation for medicines, a bilateral bargaining game between two competing pharmaceutical enterprises and one government-oriented procurement platform is proposed to investigate pharmaceutical enterprises' pricing strategies, profit allocation mechanisms between two enterprises and one procurement platform, and key factors influencing pharmaceutical enterprises' willingness to participate in group procurement. The impacts of group procurement regulation on pharmaceutical enterprises' pricing strategies, profits, providers' procurement costs as well as the allocation efficiency of the medicine market are also discussed. The main results are as follows: First, group procurement regulation for medicines will lower prices and the whole procurement costs for medical providers but does not necessarily improve the social welfare. Second, firm's willingness of participation in group procurement increases with its own group procurement efficiency and its rival's bargaining power, and decreases with its rival's group procurement efficiency and its own bargaining power; Third, a firm higher bargaining power does not necessarily gain higher profit. The final profits of firms depend on the combined factors including enterprise's bargaining power, group procurement efficiency, and its rival's bargaining power and group procurement efficiency. Last, group procurement regulation for medicines does not necessarily lead to lower profits for both pharmaceutical enterprises. On some conditions, two enterprises can achieve "Win-Win" under group procurement regulation. In a word, our results provide practical significances for enhancing pharmaceutical firms' willingness to participate in group procurement, promoting the coordination between pharmaceutical firms and the group procure organization, giving full paly to the advantage of group procurement, and improving the allocation efficiency of the medicine market.

Key words: group procurement regulation, bargaining power, willingness to participate, bilateral bargaining game

中图分类号:

F224.32

张新鑫, 侯文华, 申成霖, 何强. 集中采购参与意愿、制药企业议价能力与药品市场绩效[J]. 中国管理科学, 2017, 25(7): 113-122.

ZHANG Xin-xin, HOU Wen-hua, Shen Cheng-lin, HE Qiang. Willingness to Participate in Group Procurement, Pharmaceutical Enterprises' Bargaining Power and Performance of Medicine Market[J]. Chinese Journal of Management Science, 2017, 25(7): 113-122.

参考文献

[1] Healthcare Supply Chain Association (HSCA). A primer on group purchasing organizations: questions and answers [R].2011.

[2] 王列军,葛建华.医院药品集中采购政策的背景和演变 [J]. 中国卫生政策研究, 2009, 2(4):8-13.

[3] 何芬华,力晓蓉.中国药品集中招标采购历程的文献研究:1999-2010[J]. 中国卫生政策研究,2011, 4(4):64-70.

[4] 李宪法.政府主导的药品招标已难以为继[J]. 中国医院院长, 2013, (17):45.

[5] 高军,侯玉岭,赵一帆.药品集中招标采购给中国制药产业灾难性打击—全国人大代表刘群谈药价虚高背后的问题[N]. 首都医药, 2014, (7):35.

[6] 石文凯,王广平,刘人才.新医改政策对我国医药产业发展的影响分析[J]. 中国药业, 2011, 20(24):5-6.

[7] Burns L. The health care value chain: Producers, purchasers, and providers [M]. Boston:Jossey-Bass, 2002.

[8] Schneller E. The value of group purchasing in the healthcare supply chain [R]. Tempe,Arizona:Arizona State University, 2005.

[9] Burns L R, Lee J A. Hospital purchasing alliances: Utilization, services, and performance [J]. Health Care Manage Review, 2008, 33(3):203-215.

[10] Hu Qiaohai, Schwarz L. Controversial role of GPOs in healthcare-product supply chain [J]. Production and Operations Management, 2011, 20(1):1-15.

[11] Hu Qiaohai, Schwarz L, Uhan A. The impact of group purchasing organizations on healthcare-product supply chain [J]. Manufacturing & Service Operations Management, 2012, 14(1):7-23.

[12] 刘西国,王健.以系统论视角解析药品集中采购困境[J]. 中国卫生经济,2012, 31(6):20-22.

[13] 刘西国,王健,王镇.药品集中采购的制度性缺陷及解决途径[J]. 中国卫生经济, 2012, 31(3):33-34.

[14] 郭春丽.中国药品生产流通:体制现状、存在的问题及政策取向[J]. 经济学家, 2013, (9): 24-33.

[15] 王振平,方锐.药品采购"二次议价"的社会效用损失研究[J]. 价格理论与实践, 2013, (3):54-56.

[16] 陈波.完善政府定价机制推进药品阳光采购—广东医疗机构药品网上集中招标采购工作的理性思考[J]. 价格理论与实践, 2007,(12):22-24.

[17] 王强,毛华.集团采购组织在药品采购中的降价机制与发展阶段的经济学分析[J]. 中国卫生政策研究, 2011, 4(8): 66-70.

[18] 王增鑫,尹畅,刘西国,等.药品集中采购制度下药价虚高的成因与制约[J]. 中国卫生经济, 2014, 32(4):72-74.

[19] 陈富良,吴晓云.药品集中招标采购中的逆向选择问题解析—一个兼顾价格与质量的信号传递模型[J].宁夏社会科学, 2010, 59(2):45-48.

[20] Stefano C, Rosella L. Reconciling social and industrial goals: A bargaining model to pricing pharmaceuticals [R]. Working Paper,Universita Cattaneo,2005.

[21] 陈敬贤,马志强,孟庆峰. 线性量折扣方案下团购策略对渠道绩效的影响[J]. 中国管理科学, 2014, 22(1):110-119.

[22] 唐方成,池坤鹏. 双边网络环境下的网络团购定价策略研究[J]. 中国管理科学,2013, 21(3):185-192.

[23] Ganuza J, Llobet G, Dominguez B. R&D in the pharmaceutical industry: A world of small innovations [J]. Management Science, 2009, 55(4):539-551.

[24] Frutos M, Ornaghi C, Siotis G. Competition in the pharmaceutical industry: How do quality differences shape advertising strategies? [J]. Journal of Health Economics, 2013, 32(1):268-285.

[25] Nash J. The bargaining game [J]. Econometrica, 1950, 18(2):155-162.

[26] Osborne M, Rubinstein A. Bargaining and markets [M]. San Diego:Academic Press, 1990.

[27] 黎东生,王婕.药品集中招标采购制度对医药企业的影响分析[J]. 中国卫生事业管理,2014, (7):504-506.

集中采购参与意愿、制药企业议价能力与药品市场绩效

Willingness to Participate in Group Procurement, Pharmaceutical Enterprises' Bargaining Power and Performance of Medicine Market

PDF (PC)

可视化

被引次数

摘要/Abstract

引用本文

使用本文

参考文献

相关文章 2

Metrics

本文评价

推荐阅读 0

[1]	周品, 徐和, 陆芬. 存在议价能力和副产品协同生产的制造商最优产量决策[J]. 中国管理科学, 2020, 28(7): 156-163.
[2]	王卓, 吕本富, 董纪昌. 供应链内部的折扣博弈[J]. 中国管理科学, 2005, (5): 67-70.