我国电子处方服务模式现状与发展
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篇名: 我国电子处方服务模式现状与发展
TITLE: Status Quo and Development of Electronic Prescription Service Modes in China
摘要: 目的:为我国“互联网+”背景下电子处方服务模式的发展提供思路。方法:检索国家和各省地方政府部门、卫生健康委员会、药品监督管理局、医疗保障局等官方网站及相关网络资源(截至2020年6月),对电子处方服务模式相关政策、配套文件、实施现状等进行梳理与分析,并提出相关建议。结果:我国当前电子处方服务模式共有药品零售企业电子处方服务模式、医疗机构电子处方信息共享服务模式、互联网医院电子处方服务模式、医药电商电子处方服务模式等4种。药品零售企业电子处方服务模式试点覆盖省市范围最广,但卫生部门和医疗机构参与不足,尚未形成综合发力的格局。医疗机构电子处方信息共享服务模式主要为“梧州模式“”福州模式“”甘肃模式”3种典型示例,但在技术标准、准入条件、退出机制、执行流程等方面尚未形成统一规范,目前该模式仍处于小范围探索试点阶段。互联网医院电子处方服务模式受限于互联网医院医保支付的普及和对应规章制度的完善,目前还处于谨慎试点探索的阶段。医药电商电子处方服务模式法定服务范围内药品种类有限,同时目前电子处方服务的行业标准和法律法规均处于缺失状态。结论:电子处方服务模式作为创新服务模式,契合了药品零售行业、医疗机构和患者的现实需求。各试点模式均顺应了“互联网+”这一发展趋势,并崭露出强劲的发展势头,但总体来说尚处于积极探索初期,亟待围绕主导部门、利益相关机构、处方流转程序等进一步探索研究。
ABSTRACT: OBJECTIVE:To provide ideas for the development of electronic prescription (e-prescription)service mode under the background of “Internet+”. METHODS :Retrieving official websites and related online resources of the national and provincial governments,health committees ,medical products administration ,and medical security bureaus (up to Jun. 2020),relevant policies,supporting documents and implementation status of e-prescription service mode were sorted out and analyzed ,and the suggestions were put forward. RESULTS :Current e-prescription service modes included four modes ,such as pharmaceutical retail enterprise e-prescription service mode ,medical institution e-prescription information sharing service mode ,internet hospital e-prescription service mode ,and medical e-commerce e-prescription service mode. The pilot of e-prescription service mode of drug retail enterprises covered the widest range of provinces and cities ,but the participation of health departments and medical institutions was insufficient ,and the pattern of comprehensive power had not been formed. The medical institutions e-prescription information sharing service mode was mainly composed of three typical examples ,namely“Wuzhou mode ”,“Fuzhou mode ”and “Gansu mode ”. However ,it had not been unified in terms of technical standards ,access conditions ,exit mechanism and execution process,etc. At present ,this model was still in a small scope of exploration and pilot stage. The internet hospital e-prescription service mode was limited by the popularization of internet hospital medical insurance payment and the improvement of corresponding rules and regulations ,which was still at the stage of cautious pilot exploration. Medical e-commerce e-prescription service model was limited by the types of drugs within the legal service scope. Meanwhile ,the industry standards and regulations of e-prescription service were in the absence at present. CONCLUSIONS :As an innovative service mode ,the e-prescription service mode meets the real needs of the pharmaceutical retail industries ,medical institutions and patients. Each pilot mode conforms to the development trend of “Internet+”and shows a strong development momentum ,but overall it is still in the early stage of active exploration. It is urgent to further explore and research around the leading departments ,stakeholders and prescription transfer procedures.
期刊: 2021年第32卷第01期
作者: 刘德阳,王静,周乃彤,武志昂,胡明
AUTHORS: LIU Deyang ,WANG Jing,ZHOU Naitong ,WU Zhi ’ang,HU Ming
关键字: 互联网+;电子处方;服务模式;文献研究
KEYWORDS: Internet+;Electronic prescription ;Service mode ;Literature research
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