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处方流转的影响因素分析及其平台构建的质性研究
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| 篇名： | 处方流转的影响因素分析及其平台构建的质性研究 |
| TITLE： | A qualitative study on the influencing factors of prescription circulation and its platform construction |
| 摘要： | 目的 探究“互联网+”处方流转的影响因素以及处方流转平台构建规范，为政府制定相关政策以及处方流转平台规范建设提供参考。方法选取四川省医疗机构处方流转过程中的利益相关者进行关键知情人访谈，并使用扎根理论对资料进行分析。结果处方流转的影响因素可归结为参与者因素、行政决策因素、信息技术因素三大方面。处方流转的影响因素主要在于药店准入退出机制、医保报销服务、配套政策情况和药学服务能力方面。在药店准入退出机制方面，应考虑药店资质、药学服务人员、药品配备和配送情况等，统一药店准入标准；在医保报销服务方面，应积极对接社会药店，实现定点药店流转处方医保报销；在配套政策方面，应注重构建处方流转顶层设计；在药学服务能力方面，应定期培训和考核药店执业药师用药咨询、处方审核等药学服务能力。结论参与者影响处方流转较多，药店准入退出机制和药学服务能力有待提升。处方流转平台建设类型多样，但各具优劣性。建议相关政府部门应提高药店准入门槛、跟进医保报销服务和配套政策、探索提升药学服务能力，主导并出台相关政策及措施，促进处方流转，使“互联网+”处方流转有序发展。 |
| ABSTRACT： | OBJECTIVE To explore the influential factors for “Internet +” prescription circulation and construction specifications of prescription circulation platform， so as to provide reference for the government to formulate relevant policies and standardized construction of prescription circulation platform. METHODS Stakeholders in the process of prescription circulation service in medical institutions in Sichuan province were selected to conduct key insider interviews， and grounded theory was used to analyze the data. RESULTS The influential factors of prescription circulation could be divided into three aspects： participant factor， administrative decision factor and information technology factor. The influential factors of prescription circulation mainly lay in pharmacy admission and withdrawal mechanism， medical insurance reimbursement service， supporting policies and pharmaceutical care ability. In terms of pharmacy admission and withdrawal mechanism， pharmacy qualification， pharmaceutical service personnel， drug allocation and distribution should be considered to unify pharmacy admission standards； in terms of medical insurance reimbursement service， it should actively connect with social pharmacies to realize the transfer of prescription medical insurance reimbursement from designated pharmacies； in terms of supporting policies， it should pay attention to the construction of the top-level design of prescription circulation； in terms of pharmaceutical care ability， regular training and assessment of licensed pharmacists should be performed in drug consultation， prescription review and other pharmaceutical care. CONCLUSIONS Participants have more influence on prescription circulation， and pharmacy admission and withdrawal mechanism and pharmaceutical care ability need to be improved. There are various types of prescription circulation platform construction， but each has its own advantages and disadvantages. It is suggested that relevant government departments should improve the access threshold of pharmacies， follow up medical insurance reimbursement services and supporting policies， and explore ways to improve pharmaceutical care capacity， leading and issuing relevant policies and measures to promote the prescription circulation service and make the “Internet +” prescription circulation develop in an orderly manner. |
| 期刊： | 2023年第34卷第11期 |
| 作者： | 郭一娇；刘德阳；唐晓蓉；胡明 |
| AUTHORS： | GUO Yijiao，LIU Deyang，TANG Xiaorong，HU Ming |
| 关键字： | 处方流转；药店准入退出；医保报销；药学服务 |
| KEYWORDS： | prescription circulation； pharmacy admission |
| 阅读数： | 125 次 |
| 本月下载数： | 4 次 |
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