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药事服务费改革：内涵解析及政策选择
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| 篇名： | 药事服务费改革：内涵解析及政策选择 |
| TITLE： | |
| 摘要： | 目的：在全国公立医院全面取消药品加成的新医改形势下，为我国药事服务费的改革提供政策选择。方法：对新医改以来药事服务费改革的现状及基本特征进行概述，通过对药事服务费内涵进行多元视角辨析，对药事服务费内涵进行了重新界定，提出针对药事服务费和临床药学服务费改革的破解之道。结果：新医改以来，关于设立药事服务费的理论探讨虽较多，但改革实践未出成果。药事服务费的内涵应细分，将“药事服务费”作为医院所提供的公共服务成本补偿内容，并另设“临床药学服务费”，作为专业性技术服务成本补偿内容，根据服务性质的不同进行相应的政策设计。结论：建议将“药事服务费”，作为一揽子费用，在医疗服务价格动态调整中解决；将“临床药学服务费”按照单独的项目，进行独立核定，纳入标准收费项目。同时，鼓励地方试点，将临床药学服务的收费纳入国家收费目录，并研究制订国家标准；调整药学人员的绩效管理模式，以推动药学学科的健康发展。 |
| ABSTRACT： | OBJECTIVE： To provide policy selection for pharmacy service fee reform in China under New Health Reform that drug addition in public hospitals is abolished completely throughout the country. METHODS： The situation and general characteristics of pharmacy service fee reform were summarized since New Health Reform. The multi-dimension of pharmacy service fee was analyzed to define the connotation of pharmacy service fee again. The solution to pharmacy service fee and clinical pharmaceutical care fee reform were put forward. RESULTS： There were many theoretical discussions on the establishment of pharmacy service fee since New Medical Reform， but no achievements had been made in reform practice. The connotation of pharmacy service fee should be subdivided， and the “pharmacy service fee” should be used as the content of the cost compensation for the public service provided by the hospital； “clinical pharmaceutical care fee” should be set up as the cost compensation content of the professional technical service； according to the different natures of the service， the corresponding policy could be designed. CONCLUSIONS： It is suggested that “pharmacy service fee”， as lump sum fee， could be solved in the dynamic adjustment of medical service price；“clinical pharmaceutical care fee” should be approved independently and included in the standard charge items according to the individual project. At the same time， local pilot is encouraged， the charge of clinical pharmaceutical care is included in the national charge catalogue， and national standards are studied and formulated. The performance management model of pharmaceutical personnel can be adjusted to promote the healthy development of pharmacy subject. |
| 期刊： | 2018年第29卷第6期 |
| 作者： | 张静，王虎峰 |
| AUTHORS： | ZHANG Jing，WANG Hufeng |
| 关键字： | 药学服务；药事服务费；临床药学服务费；新医改；政策 |
| KEYWORDS： | Pharmaceutical care； Pharmacy service fee； Clinical pharmaceutical care fee； New Health Reform； Policy |
| 阅读数： | 716 次 |
| 本月下载数： | 25 次 |
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