我国药学服务收费探索与现状分析  

Exploration and Current Status Analysis of Pharmaceutical Service Fees in China

作　　者：杜姗[1,2] 李晋奇 杨勇[1,2] 陈岷 边原[1,2] 刘心霞 DU Shan;LI Jinqi;YANG Yong;CHEN Min;BIAN Yuan;LIU Xinxia(Department of Pharmacy,Sichuan Academy of Medical Sciences&Sichuan Provincial People's Hospital,Chengdu 610072,China;Personalized Drug Therapy Key Laboratory of Sichuan Province,School of Medicine,University of Electronic Science and Technology of China,Chengdu 610072,China)

机构地区：[1]四川省医学科学院·四川省人民医院药学部,成都610072 [2]电子科技大学医学院个体化药物治疗四川省重点实验室,成都610072

出　　处：《医药导报》2024年第9期1398-1404,共7页Herald of Medicine

基　　金：四川省人民医院青年人才基金资助项目(2022QN22);个体化药物治疗四川省重点实验室纵向课题(2021YB04);四川省科技厅重点研发计划(2021YFS0387)。

摘　　要：目的 总结中国药学服务收费的探索历程及现状,并结合国外实践进行分析,为中国药学服务收费相关政策的进一步完善提供参考。方法 检索国家及各省卫生健康委员会、医疗保障局的官方网站,归纳中国药学服务收费相关政策的变革及各省最新的药学服务收费政策。同时检索中国国家知识基础设施(CNKI)、维普中文科技期刊数据库、Pubmed等数据库,总结关于药学服务收费相关研究。结果 国内关于药学服务成本测算和收费标准的研究较多,但多集中在药房调剂服务,对具体药学服务的技术劳务价值探讨较少,国外这方面研究相对较多。目前国内共8个省和1个直辖市公布了药学类医疗服务价格项目,收费项目、收费标准、医疗保险支付比例及监测评估指标各有差异。结论 将药学服务收费纳入国家医疗服务价格体系是对药学服务转型和药师价值的认可,但尚在起步阶段,仍有完善和改进空间。Objective To summarize the exploration and current situation of pharmaceutical service fees in China,to analyze it in conjunction with practices in foreign countries,and to provide references for further improvement of pharmaceutical service fees in China.Methods The official websites of the National Health Commissi,National Healthcare Security Administration,and their provincial braches were retrieved to summarize the changes in policies in China and the latest pharmaceutical service fees policies in each province.At the same time,databases such as CNKI,VIP,and Pubmed were searched to summarize research on pharmaceutical service fees.Results There were some studies in China on the calculation of pharmaceutical service costs and fee standards,but they mostly focused on pharmacy dispensing services,with less discussion on the technical and labor value of specific pharmaceutical services,while international research in this area was relatively abundant.Currently,eight provinces and one municipality directly under the central government have issued medical service price items related to pharmaceutical service,with differences in fee items,fee standards,medical insurance payment ratios,and monitoring and evaluation indicators.Conclusions The inclusion of pharmaceutical services in the national medical pricing system recognizes the transformation of pharmaceutical services and the value of pharmacists.However,it is still in the early stages,and there is room for improvement and enhancement.

关 键 词：药学服务 成本测算 收费标准 医疗保险支付 药师价值 

分 类 号：R95[医药卫生—药学]