我国护士处方权的内涵、特征及实现路径思考  

The connotation,characteristics and implementation paths of nurses′prescription rights in China

作　　者：林陶玉 田翀[2] 方鹏骞 Lin Taoyu;Tian Chong;Fang Pengqian(Nursing Department,Suzhou Branch of Xinhua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine(People′s Hospital of Suzhou New District),Suzhou 215129,China;College of Nursing,Tongji Medical College of Huazhong University of Science and Technology,Wuhan 430030,China;Institute of Health Policy and Management(Think Tank),Huazhong University of Science and Technology,Wuhan 430030,China)

机构地区：[1]上海交通大学医学院附属新华医院苏州分院(苏州高新区人民医院)护理部,苏州215129 [2]华中科技大学同济医学院护理学院,武汉430030 [3]华中科技大学健康政策与管理研究院(智库),武汉430030

出　　处：《中华医院管理杂志》2023年第6期431-436,共6页Chinese Journal of Hospital Administration

基　　金：苏州市医学重点扶持学科建设项目(SZFCXK202110);华中科技大学教学研究基金(2022151)。

摘　　要：授予执业护士处方权,改善患者初级保健服务可及性和临床结局已成为全球健康服务系统创新发展的必然选择。我国健康服务供需矛盾日益突出,迫切需要具备处方权的护理人才加入初级保健服务队伍。作者在厘清护士处方权内涵特征的基础上,论证分析护士处方权授予的需求和现实基础,以及面临的挑战,从国家制度体系建设和地方试点探索层面提出对实现路径的思考,旨在为推进我国护士处方权授予改革提供参考。It is already an inevitable choice for the innovative development of the global healthcare system to grant nurse practitioners the prescription rights,in an effort to improve the access to primary care services and clinical outcome of patients.The contradiction between supply and demand of health service in China is becoming increasingly prominent,making it urgent for nurses with prescription rights to join the primary healthcare team.On the basis of clarifying the connotation and characteristics of nurses′prescription rights,the authors demonstrated and analyzed the demands,realistic basis and challenges of nurses′prescription right granting,and put forward their thoughts on the feasible paths from the aspects of national system construction and local pilot exploration,aiming to provide reference for promoting the reform of nurses′prescription right granting in China.

关 键 词：护士 处方权 内涵特征 现实基础 实现路径 

分 类 号：R47[医药卫生—护理学]