分析我國基本藥物可及性規(guī)制中的經(jīng)濟性規(guī)制和社會性規(guī)制，發(fā)現(xiàn)單一的經(jīng)濟規(guī)制或社會規(guī)制不足以有效解決基本藥物可及性中的問題，如經(jīng)濟性規(guī)制中的價格調控過程缺乏合適的補償機制導致基本藥物供需雙向短缺，“統(tǒng)購統(tǒng)銷”缺乏明確的規(guī)章制度導致效率問題的出現(xiàn)等；社會性規(guī)制中的基本藥物制度的有關規(guī)定不夠細化和明確及法律效力不夠，缺乏引導服從的獎懲機制等。認為經(jīng)濟規(guī)制與社會規(guī)制應配合使用、協(xié)調進行，“藥品降價”與“多渠道補償”配合、“統(tǒng)購統(tǒng)銷”與強制性的法律法規(guī)配套，通過經(jīng)濟規(guī)制為社會規(guī)制的展開準備良好的市場環(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.