推荐回答（1个）
首先，医 院和药 店的服务对象不同。医 院的服务对象是病 人，本着治 病救 人的原则，医 生给病 人开的药都是以能快速有效地治好其疾 病为目的，对药 物的药效等各方面的要求都比较高。因此，医 院所用的药，首先要考虑安全 性和有效 性，而具有这两种特性的药 物，在材料和制作工艺上往往会更加复杂，因此成本高了，价格也会相对增加。药 店的服务对象是大 众，只要你有需求，只要药 店有得卖，你都可以去买。药 店本身也会以买卖为前提，降低自己的成本，选择具有同样效果，但成本较低的药 物。
其次，医 院和药 店的运行体 制不同。医 院是政 府实行一定福利政策的社会公 益事业机构，为了让患 者放心看病、安心治 病，会在医 疗设施和医 务人员配备上下很多功夫，医 院在配备药物的时候也会经过很多环节，无形之中增加了成本，而且由于政 府对医 院的资 金投入有限，医 院对价格不具备灵 活 性。药 店是独立法 人的经济实体，采购药 物的成本和运行成本与医 院不同，也可以灵 活调整价格和营销策 略，实现薄利多销。
最后，医 院和药 店的药品结构不同。医 院不单单是给病 人开药，为了更好地预 防和治 疗疾 病，还需要不间断地研 制新 药，并且经过全方 位的临 床实 验，让新药得以发挥效果。此外，病 人在医 院开药，也得到了专业医 生的指导。考虑到这方面的成本，国 家也会相应地把医 院的药价调高一点。相比较之下，药 店就显得比较利益，多售卖成本低的药 物，以及常用 药，以量取胜，让消费者误以为药 店的药价格比医 院的便宜。
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