医院互联网诊疗药品配送到家服务模式的建立与实践效果分析  

Establishment and Practical Effect Analysis of Drug Delivery Service Mode as Part of Internet Healthcare in Our Hospital

作　　者：陈浩[1] 张谦[1] 胡扬[1] 李建涛[1] 冯雷[1] 郑珊珊[1] 孙国强[2] 秦明伟[3] 张波[1] 杜小莉[1] CHEN Hao;ZHANG Qian;HU Yang;LI Jiantao;FENG Lei;ZHENG Shanshan;SUN Guoqiang;QIN Mingwei;ZHANG Bo;DU Xiaoli(Department of Pharmacy,Chinese Academy of Medical Sciences,Peking Union Medical College,Peking Union Medical College Hospital,Beijing 100730,China;Information Center,Chinese Academy of Medical Sciences,Peking Union Medical College,Peking Union Medical College Hospital,Beijing 100730,China;Telemedicine Center,Chinese Academy of Medical Sciences,Peking Union Medical College,Peking Union Medical College Hospital,Beijing 100730,China)

机构地区：[1]中国医学科学院北京协和医学院北京协和医院药剂科,北京100730 [2]中国医学科学院北京协和医学院北京协和医院信息中心,北京100730 [3]中国医学科学院北京协和医学院北京协和医院远程医学中心,北京100730

出　　处：《中国药学杂志》2025年第1期94-99,共6页Chinese Pharmaceutical Journal

基　　金：北京协和医院中央高水平医院临床科研专项资助(2022-PUMCH-B-058)。

摘　　要：目的建立和实践医院互联网诊疗药品配送到家服务模式,评价其实践效果,为打通互联网诊疗“最后一公里”,更好地服务患者提供经验与参考。方法基于国家相关法规要求及医院实际情况,设计药品配送流程,建立可配送药品目录,充分利用现有的信息技术和物流体系,通过全面、细致的制度建设及流程设计,开展药品配送服务。收集截至医院2024年4月30日发出的互联网药品订单,分析配送区域及药品配送到家服务产生的经济效益及社会效益。结果建立了具有医院特色的安全可控的互联网诊疗药品配送到家服务模式。截至2024年4月30日,累计配送药品94370单,覆盖全国31个省份。以距离最近的河北省患者进行估算,每位患者每次就诊可节省交通食宿费用约660元,该省患者累计节省1500余万元。结论互联网诊疗的开展有效解决了患者离院复诊难题。药品配送到家服务作为其中重要一环,不仅节约了患者的经济支出和时间成本,也保证了新型冠状病毒感染、甲型流感等疫情中患者治疗的连续性。随着医保脱卡结算范围的扩大,这一模式将为更多患者提供高效便捷的服务。OBJECTIVE To establish and implement the drug delivery service mode as part of internet healthcare in hospitals,and evaluate its practical effectiveness,in order to grand out the last mile of the internet patient service and provide valuable experience and reference for better serving patients.METHODS Based on the requirements of relevant national laws and regulations and the actual situation of our hospital,the drug delivery process was designed,and the distributable drug list was established.The drug delivery service was carried out by making full use of information technology and logistics system through comprehensive and detailed system construction and process design.Drug orders issued until April 30,2024 were collected and the economic and social benefits generated by the delivery of drug were analyzed.RESULTS A safe and controllable drug delivery service mode was established as part of the internet healthcare with the characteristics of hospitals.By April 30,2024,94370 drug orders had been distributed,covering 31 provinces and cities in China.Taking the closest patients from Hebei province as an example,each patient can save 660 yuan on transportation and accommodation expenses per visit,patients in this province have saved about a total of 15 million yuan in expenses.CONCLUSION The development of internet-based diagnosis and treatment effectively solves the problem of patient follow-up visits,and drug delivery is a key link in the process of internet healthcare.Sending drugs to the hands of patients not only saves the patient′s economic cost and time cost,but also ensures the continuity of patient treatment during epidemics such as COVID-19 and H1N1.With the expansion of the scope of online medical insurance settlement,this model will provide efficient and convenient services to more patients.

关 键 词：互联网诊疗 云药房 药品配送 

分 类 号：R95[医药卫生—药学]