基于主题框架分析法的广东省零售药店分级分类管理政策实施现状分析
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篇名: 基于主题框架分析法的广东省零售药店分级分类管理政策实施现状分析
TITLE: Analysis of the Implementation Status of the Classification Management Policies for Retail Pharmacies in Guangdong Province Based on Thematic Framework Analysis
摘要: 目的:为广东省顺利推行零售药店分级分类管理政策、相关部门科学监管零售药店助力。方法:采用关键人物访谈法,对广东省药品监管部门专家、零售药店负责人、高校相关政策研究专家共68位进行深度访谈,并采用主题框架分析法对质性访谈资料进行处理,就广东省零售药店分级分类管理政策的实施现状、存在的问题、建议进行汇总。结果与结论:广东省的零售药店分级分类管理政策实施情况总体良好,各级药品监管部门能够按照政策要求开展日常监管;零售药店能严格按照分级分类管理政策规范经营,并建立了较完善的质量管理体系。但仍存在政策执行难度较大、政策明确性不足,政府监管部门监管压力和监管风险增加,零售药店经营成本上升、经营压力增大,执业药师数量缺口大“、挂证”行为难查处,偏远地区药店生存困难、社会公众的用药便利性受到一定影响等问题。建议完善政策内容、出台相关配套措施,强化监管队伍建设,加大政策宣传,完善对执业药师“挂证”行为查处的方式方法,帮助零售药店开展多元化、连锁化经营等。政府相关部门应进一步完善政策内容,积极调整监管方式方法,使该项政策能更好地贯彻实施。
ABSTRACT: OBJECTIVE:To provide assistance for the smooth implementation of classification management policies of retail pharmacies in Guangdong province and the scientific supervision of retail pharmacies by relevant departments. METHODS :In this study,key interviews were conducted among 68 interviewees,involving experts from Guangdong drug regulatory department ,head of retail pharmacies and research experts on relevant policies of universities. The current situation ,problems and suggestions of the classification management policy of retail pharmacies in Guangdong province were summarized. RESULTS & CONCLUSIONS : The implementation of the classification management policies for retail pharmacies in Guangdong province operated well. Drug regulatory authorities at all levels could conduct daily supervision in accordance with policy requirements. Retail pharmacies operated in strict accordance with the classification management policy and established a relatively complete quality management system. However ,there were still problems such as difficulty in policy implementation ,insufficient policy clarity ,increased regulatory pressure and regulatory risks from government regulatory agencies ,rising operating costs and increasing pressure in retail pharmacies,the large gap of licensed pharmacists ,difficult to investigate and deal with “affiliation of certificate ”behavior,and difficult survival for remote pharmacies ,and the impact on the convenience of drug use of the public. It is suggested to improve the content of the policy ,introduce related supporting measures ,strengthen the construction of the supervisory team ,increase policy publicity,improve the ways and methods to investigate and deal with the “affiliation of certificate ”behavior of licensed pharmacists, and help retail pharmacies to diversify their operations and chain operations. It is recommended that relevant government departments should further improve the content of the policy and actively adjust the supervision methods to make the policy better implemented.
期刊: 2021年第32卷第12期
作者: 钟桂鸿,张茜,吴其聪,余清雅,刘佐仁
AUTHORS: ZHONG Guihong ,ZHANG Qian,WU Qicong ,YU Qingya ,LIU Zuoren
关键字: 广东省;零售药店;分级分类管理;政策实施现状;主题框架分析法
KEYWORDS: Guangdong province ; Retail pharmacies ;
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