分析我國(guó)基本藥物可及性規(guī)制中的經(jīng)濟(jì)性規(guī)制和社會(huì)性規(guī)制，發(fā)現(xiàn)單一的經(jīng)濟(jì)規(guī)制或社會(huì)規(guī)制不足以有效解決基本藥物可及性中的問(wèn)題，如經(jīng)濟(jì)性規(guī)制中的價(jià)格調(diào)控過(guò)程缺乏合適的補(bǔ)償機(jī)制導(dǎo)致基本藥物供需雙向短缺，“統(tǒng)購(gòu)統(tǒng)銷”缺乏明確的規(guī)章制度導(dǎo)致效率問(wèn)題的出現(xiàn)等；社會(huì)性規(guī)制中的基本藥物制度的有關(guān)規(guī)定不夠細(xì)化和明確及法律效力不夠，缺乏引導(dǎo)服從的獎(jiǎng)懲機(jī)制等。認(rèn)為經(jīng)濟(jì)規(guī)制與社會(huì)規(guī)制應(yīng)配合使用、協(xié)調(diào)進(jìn)行，“藥品降價(jià)”與“多渠道補(bǔ)償”配合、“統(tǒng)購(gòu)統(tǒng)銷”與強(qiáng)制性的法律法規(guī)配套，通過(guò)經(jīng)濟(jì)規(guī)制為社會(huì)規(guī)制的展開(kāi)準(zhǔn)備良好的市場(chǎng)環(huán)境。

To analyze the economic regulation and social regulation in the regulation mechanism of the accessibility to the essential drugs and find that it is not enough to solve the problems of the accessibility to essential drugs only by economic regulation or social regulation. For example, the lack of right compensatory mechanism during the price control in economic regulation could cause the bidirectional shortage of supply and demand for essential drugs and the lack of clear rules and regulations in “state monopoly over purchase and marketing” could bring the problem of inefficiency and so on. The law of essential drugs system in the social regulation is short of detailed and clear provisions, legal forces, and rewards and punishments system. Therefore, we consider that economic regulation and social regulation should be used in conjunction with coordinated, “drugs price reduction” should be in coordination with “multiple channel compensation”, “state monopoly over purchase and marketing” should be in coordination with strict rules and regulations, and economic regulation could provide a nice market circumstances for social regulation.