中图分类号 R95 文献标志码 A 文章编号 1001-0408（2021）20-2433-05

DOI 10.6039/j.issn.1001-0408.2021.20.01

摘 要 目的：为药品网络交易治理模式的相关研究和政策制定提供参考。方法：基于敏捷治理理念与药品网络交易的高度嵌合，分析现有药品网络交易模式的治理困境，从治理目标、治理工具、治理主体等3个角度提炼药品网络交易治理的优化路径。结果与结论：药品网络交易特有的复杂性和创新性为监管部门带来了诸多挑战，既表现为治理目标和治理工具上的难以选择，也表现为多元主体的加入打破了传统的单一监管模式。为进一步优化药品网络交易治理，有必要秉承敏捷治理理念，以更加积极的姿态介入市场，追求安全和效率的平衡;以更具弹性的工具应对风险，实现包容和审慎的统一;以更为多元的主体参与治理，形成政府、企业、社会共同发力的格局。

关键词 敏捷治理;药品;网络交易;治理模式

Analysis of the Governance Mode of Drug Network Transaction from the Perspective of Agile Governance

LIU Lin（Teaching and Research Department of Public Management， Party School of Chongqing Municipal Party Committee/Chongqing Administration College， Chongqing 400041， China）

ABSTRACT   OBJECTIVE： To provide reference for the related research and policy-making of drug network transaction governance model. METHODS： Based on the highly chimerism of agile governance concept and drug network transaction， the governance dilemma of the existing drug network transaction mode were analyzed， and the optimization path was refined from the perspectives of governance objectives， tools and subjects. RESULTS & CONCLUSIONS： The unique complexity and innovation of drug network transactions had brought many challenges to the regulatory authorities， which not only manifested that it was difficult to choose governance objectives and governance tools， but also manifested that the addition of multiple subjects had broken the traditional single supervision mode. In order to further optimize the governance of drug network transactions， it is necessary to adhere to the concept of agile governance， intervene in the market with a more positive attitude， and pursue the balance between safety and efficiency; respond to risks with more flexible tools， and achieve the unity of inclusiveness and prudence; participate in governance with more diversified subjects， and form a pattern of joint efforts of government， enterprises and society.

KEYWORDS   Agile governance; Drugs; Network transaction; Governance mode

随着互联网技术的迅猛发展，医药电商行业迅速崛起，并表现出爆发性增长态势。据报道，与2017年比较，2019年持有医药电商牌照的企业数量的涨幅高达91.9%，销售额上涨54.6%[1]。有学者指出，药品網络交易在减少交易成本、提高交易效率等方面具有独特优势;但是，该交易方式可能会借助互联网放大传统药品风险（如质量风险等），或者带来新的风险（如处方流转风险、医保支付风险等）[2-3]。敏捷治理（agile governance）为有效防范风险、促进产业发展提供了宝贵经验，构建起一种集高效能治理、弹性治理和共同治理于一体的新型治理模式。……