31个省级行政区药学服务收费项目调查与分析  

Survey and analysis of the current status of pharmacy service charge projects in 31 Provinces level administrative regions

作　　者：蒋文硕 杨莉[1] 李草 刘腾[1] 钟安妮 陆浩 张宏亮[3] 赵志刚[1,2] JIANG Wenshuo;YANG Li;LI Cao;LIU Teng;ZHONG Anne;LU Hao;ZHANG Hongliang;ZHAO Zhigang(Department of Pharmacy,Beijing Tiantan Hospital,Capital Medical University,Beijing 100070,China;School of Pharmaceutical Sciences,Capital Medical University,Beijing 100069,China;Department of Pharmacy,the First Affiliated Hospital of Guangxi Medical University,Nanning,530021,China;Yi Zheng Hospital Management Development(Beijing)Center,Beijing 101399,China)

机构地区：[1]首都医科大学附属北京天坛医院药学部,北京100070 [2]首都医科大学药学院,北京100069 [3]广西医科大学第一附属医院药学部,南宁530021 [4]壹正医院管理发展(北京)中心,北京101399

出　　处：《临床药物治疗杂志》2025年第1期18-24,共7页Clinical Medication Journal

基　　金：北京药学会临床药学研究项目(LCYX-2022-24)。

摘　　要：目的汇总分析我国31个省级行政区药学服务项目设立情况,为药学服务收费项目的拓展和落地提供思路和依据。方法收集各省级行政单位医保部门、医政部门等官方网站发布的最新有关药学服务收费的政策文件,汇总归纳药学服务收费项目,分析各地区药学服务收费项目内涵与服务要求等。结果我国目前开展的药学服务项目可分为3大类(临床药学服务、药学辅助服务和综合药学服务),并细分为7小类。31个省级行政区有设立但项目总数有差异,广东省开展的项目总数最多,为66项;黑龙江和西藏自治区项目总数最少,为15项。各省级行政区对药学服务项目的服务要求不同,19个省份已建立由药师主导的门诊或住院药学服务的操作框架,其中4个省份要求必须建立用药记录。结论不同地区药学服务收费项目的发展情况不同,药学门诊、住院诊察服务等项目内涵在部分地区已基本完善,但其服务的投入和产出仍待进一步评价。Objective To systematically analyze the establishment of pharmaceutical service charge items across China's 31 provincial-level administrative regions,providing ideas and basis for the expansion and development of pharmacy service charging items.Methods The latest policy documents on pharmaceutical service charges were extracted from official portals of provincial medical insurance bureaus and health administrations.A content analysis framework was developed to classify identified service items,with comparative evaluation of regional variations in service definitions,connotations and requirements.Results The pharmaceutical service system comprises 3 major categories clinical pharmacy service projects,pharmaceutical auxiliary service projects,and comprehensive pharmacy service projects and further subdivided into 7 subcategories.All 31 provincial-level administrative regions have established pharmacy service items,but the total number varies.Guangdong Province has the highest number of service items(n=66),while Heilongjiang and Tibet have the fewest,with 15 items each.In 19 provinces,an operational framework for outpatient or inpatient pharmacy care services led by pharmacists has been established,with 4 provinces requiring mandatory medication records.Conclusion The development of pharmacy service charging items varies across different regions.Items such as pharmacy outpatient and inpatient consultation services are well-leveloped in some areas,but the systematic evaluation of service inputs and clinical outcomes remains limited.

关 键 词：药学服务 药学服务收费 收费项目 项目内涵 收费标准 

分 类 号：R951[医药卫生—药学]