药学门诊内涵延展、价值收费机制构建及人工智能赋能研究OA
Research on the Connotation Extension,Construction of Value-Based Reimbursement Mechanism,and Artificial Intelligence Empowerment of Pharmaceutical Care Clinics
目的 为药学门诊高质量、公平和可持续发展策略的制订提供参考.方法 系统梳理国内外相关文献、政策文件与专家共识,归纳、分析我国药学门诊服务内涵的延伸与演变及其价值收费机制的构建路径,并研究人工智能(AI)技术的赋能作用.结果 药学门诊服务内涵正向精准用药治疗、全周期健康管理及数字化服务创新延伸;价值收费机制已建立初步框架,但仍面临项目覆盖不全、价值认定不充分与医保支付滞后等挑战;AI技术在提升服务效率与质量方面展现潜力,但同时也伴随数据共享壁垒、算法公平性及人机责任界定等伦理与实践问题.结论 未来应通过完善分层动态定价与医保支付政策、制订AI技术应用标准与伦理指南,以及加强"药学+"复合型人才培养,推动药学门诊实现以患者为中心、以价值为导向的高质量发展.
Objective To provide a reference for the formulation of high-quality,equitable,and sustainable development strategies of pharmaceutical care clinics.Methods Relevant domestic and international literatures,policy documents,and expert consensuses were systematically sorted out to reviewed analyze,the extension and evolution of pharmaceutical care clinic services in China,the construction pathways of their value-based reimbursement mechanisms,and the empowering role of artificial intelligence(AI)technology.Results The connotation of pharmaceutical care clinic services was extending towards precision medication therapy,full-cycle health management,and digital service innovation.A preliminary framework for value-based reimbursement mechanism has been established,but it still challenges including incomplete service coverage,insufficient value recognition,and lagging medical insurance payments.AI technology showed potential in improving service efficiency and quality,yet it was also accompanied by ethical and practical issues such as data sharing barriers,algorithmic fairness,and the definition of human-machine responsibility.Conclusion In the future,development should focus on perfecting tiered dynamic pricing and medical insurance payment policies,formulating standards and ethical guidelines for AI technology application,and strengthening the cultivation of ″pharmacy+″interdisciplinary talents to promote the high-quality development of pharmaceutical care clinics within centered on patients and oriented by value.
张华;黄文海;张瑾;李坚军
浙江工业大学药学院,浙江 杭州 310005||浙江省医药健康产业集团有限公司,浙江 杭州 310016||杭州医学院药学院,浙江 杭州 310053杭州医学院药学院,浙江 杭州 310053浙江省宁波市精神病院,浙江 宁波 315042浙江工业大学药学院,浙江 杭州 310005
医药卫生
药学门诊人工智能服务收费价值医疗伦理公平性
pharmaceutical care clinicartificial intelligenceservice reimbursementvalue-based healthcareethicsequity
《中国药业》 2026 (6)
14-18,5
中国物流学会、中国物流与采购联合会研究课题[2024CSLKT3-354].
评论