医疗机构药学服务收费政策落地的关键挑战及优化策略  

Key Challenges and Optimization Strategies for the Implementation of Pharmaceutical Service Charging Policies in Medical Institutions

作　　者：闫婷 伍琳[1] 熊抚辰 陈永法[1] YAN Ting;WU Lin;XIONG Fuchen;CHEN Yongfa(School of International Pharmaceutical Business,China Pharmaceutical University,NanjingJiangsu211198,China;不详)

机构地区：[1]中国药科大学国际医药商学院,江苏南京211198

出　　处：《卫生经济研究》2025年第3期51-54,58,共5页

基　　金：中国药科大学国家执业药师发展研究中心资助项目“药学服务收费、控费研究”(ndrplc202301);国家级大学生创新创业训练计划项目“双重委托代理视角下医保支付对医生医疗服务行为的激励机制与效应研究”(202410316043Z);江苏高校哲学社会科学研究一般项目“双重委托代理视角下医保支付对医生医疗服务行为的激励机制与效应研究”(2022SJYB0073)。

摘　　要：目的:分析医疗机构药学服务收费政策落地的挑战,提出优化策略。方法:对药学服务关键利益主体进行半结构化访谈,调查对药学服务收费政策的认知情况。结果:利益相关者认为药学服务收费政策可以有效提升服务质量、增强药师的职业归属感,但政策落地在服务能力、价值证据、管理体系等方面面临挑战。结论:提升药学服务供给能力,积累价值评估证据,加强跨部门协同管理,立足我国实际促进药学服务收费政策的落地。Objective To analyze the challenges of the implementation of pharmaceutical service charging policies in medical institutions,and to propose optimization strategies.Methods Semi-structured interviews were conducted with key stakeholders of pharmacy services to investigate the knowledge of pharmaceutical service charging policies.Results Stakeholders believed that the pharmaceutical service charging policies could effectively improve service quality and enhance pharmacists'sense of professional belonging.However,the implementation of policies faced challenges in terms of service capacity,value evidence,and management systems.Conclusion It is necessary to enhance the supply capacity of pharmaceutical services,accumulate evidence of value assessment,strengthen cross-departmental collaborative management,and promote the implementation of the pharmaceutical service charging policies based on the actual situation in China.

关 键 词：药学服务收费政策 医疗机构 药师 

分 类 号：R95[医药卫生—药学]