美国门诊药学服务收费模式分析及对我国的借鉴与思考OA
Analysis of the Model of Outpatient Pharmaceutical Service Charge in the United States and Its Implications and Reflections for China
目的 为我国建立药学服务补偿机制提供参考.方法 分析美国门诊药学服务收费模式,结合我国门诊药学服务的发展现状,探索符合我国国情的药学服务收费模式并提出改革和优化策略.结果 当前,我国门诊药房已逐步构建起标准化的服务体系,但与药师劳动价值相符的补偿机制仍处于探索中.建议国内药学服务费改革将包括处方调剂、药学门诊、药物治疗管理等在内的门诊药学服务纳入基本医疗保险的报销范围,持续推行"医师-药师共管"模式建设,建立健全药学服务标准,从而为该项服务费的落地提供依据.结论 药学服务收费改革是药房转型升级的必经之路,也是彰显药师劳动价值的重要手段.药学服务标准及服务收费的设立,将更好地提高药师在医疗质量和患者用药安全方面工作的积极性.
Objective To provide a reference for establishing a compensation mechanism for pharmaceutical services in China.Methods The model of outpatient pharmaceutical service charge in the United States was analyzed,and in combination with the current development status of outpatient pharmacist services in China,a pharmaceutical service charge model that suits China's national conditions was explored,and the reform and optimization strategies were proposed.Results Currently,a standardized service system has gradually been established in China's outpatient pharmacies,but a compensation mechanism that reflects the labor value of pharmacists is still being explored.It is suggested that the reform of pharmaceutical service charge in China could include outpatient pharmaceutical services,such as prescription dispensing,pharmaceutical outpatient services,and medication management within the reimbursement scope of basic medical insurance,continuously promoting the ″physician-pharmacist co-management″ model,establishing and improving pharmaceutical service standards,in order to provide a basis for the implementation of pharmaceutical service charge.Conclusion The reform of pharmaceutical service charge is an essential path for the transformation and upgrading of pharmacies,and also an important means to demonstrate the labor value of pharmacists.The establishment of pharmaceutical service standards and service charges will better promote pharmacists' enthusiasm for medical quality and patients' medication safety.
王安琳;何翠苹;安卓玲
首都医科大学附属北京朝阳医院,北京 100020首都医科大学附属北京朝阳医院,北京 100020首都医科大学附属北京朝阳医院,北京 100020
医药卫生
药学服务费门诊药房药品调剂药学门诊药物治疗管理
pharmaceutical service chargeoutpatient pharmacymedication dispensingpharmacy clinicmedication management
《中国药业》 2026 (10)
1-5,5
首都医科大学附属北京朝阳医院临床研究孵化项目[CYFH202323].
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