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Administrative regulation-informed analysis of the developmental path of national volume-based procurement to improve drug accessibility in China

Bibliographic Data

ID22078992
AuthorsSongxin Lu (Shenzhen Polytechnic University), Xiangdong Liu (0000-0002-9303-5709, Macao Polytechnic University), Zhengzong Huang (0000-0002-0542-4860, Shenzhen Technology University, corresponding author), Zhiheng Zhou (0000-0003-4269-5173, Southern Medical University Shenzhen Hospital), Zehua Feng (0000-0002-6838-0893, Guangdong University of Technology)
Year2024
Volume12
Pages1342632-1342632
Publication date2024-07-10
Open AccessYes
TypeARTICLE
VenueFrontiers in Public Health (JOURNAL)
Journal identifiersISSN: 2296-2565 • E-ISSN: 2296-2565
PublisherFrontiers Media SA (PUBLISHER • CH)
DOI10.3389/fpubh.2024.1342632
PMID39050613
OpenAlexW4400513778
LanguageEN
Citations received1
References cited13

Introduction: The procurement of medicines via China's national volume-based procurement (NVBP) necessitates collaboration among various entities. This paper highlights the legal significance of the engagement of pharmaceutical companies, hospitals, and the National Healthcare Security Administration (NHSA) in improving drug accessibility. Methods: We conducted a numerical simulation using MATLAB to develop an evolutionary game model involving these three participants in NVBP. Results: Our findings indicate that the final evolutionary stabilization strategies are pharmaceutical companies actively participating, hospitals using bid-winning medicines, and the NHSA implementing a low-intensity intervention. The study reveals that the evolutionary outcomes for hospitals and pharmaceutical companies are significantly affected by factors such as NHSA's subsidy level and pharmaceutical companies' level of participation. However, NHSA's decision-making process is less influenced by these factors. Discussion: From a legal perspective, the successful implementation of NVBP, ensuring fairness and legality, requires adherence to relevant policies and regulations. The NHSA should employ statutory incentives and regulatory methods in formulating and adjusting NVBP policy to enable pharmaceutical companies, hospitals, and the NHSA to exercise their rights rationally within the legal framework of the game process

Business · China · Political science · Procurement · Health Systems, Economic Evaluations, Quality of Life · Healthcare Systems and Reforms · Law · Medicine · Pharmaceutical Economics and Policy · Marketing

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  • Evolutionary Games in Economics

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  • Improving access to medicines and beyond

    Open Access•Zheng Zhu, Quan Wang et al.•BMJ Global Health•2023

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    Open Access•Hongqiao Fu, Yi Lai et al.•Health Policy and Planning•2023

  • The impact of the national volume-based procurement policy on the use of policy-related drugs in Nanjing

    Open Access•Xiao Wang, Xuan He et al.•International Journal for Equity…•2023

Citations per year1
Citation span2025 - 2025 (1)
Highly citedNo

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