[1]王书平,孙 雯,吴 迪,等.紧密型县域医共体药物协同政策研究[J].卫生经济研究,2024,41(03):15-18.
 WANG Shuping,SUN Wen,WU Di,et al.Study on Drug Collaboration Policy of Compact County-level Medical Community[J].Journal Press of Health Economics Research,2024,41(03):15-18.
点击复制

紧密型县域医共体药物协同政策研究
分享到:

卫生经济研究[ISSN:1004-7778/CN:33-1056/F]

卷:
41
期数:
2024年03期
页码:
15-18
栏目:
政策视野
出版日期:
2024-02-28

文章信息/Info

Title:
Study on Drug Collaboration Policy of Compact County-level Medical Community
作者:
王书平1孙 雯2吴 迪3甘 戈1黄二丹1张丽芳1
1.国家卫生健康委卫生发展研究中心,北京 100191
2.广西医科大学附属肿瘤医院,广西 南宁 530000
3.东南大学附属中大医院,江苏 南京 210000
Author(s):
WANG Shuping SUN Wen WU Di GAN Ge HUANG Erdan ZHANG Lifang
National Health Development Research Center, Beijing 100191, China
关键词:
紧密型县域医共体药品协同管理
Keywords:
compact county-level medical community drug collaboration management
分类号:
R197
文献标志码:
A
摘要:
为提升基层医疗服务能力,促进患者有序就医,国家明确规定紧密型县域医共体实行药物协同政策,但目前大部分紧密型县域医共体存在药物不协同现象,主要归因于基本药物目录、财政投入、医保目录、集采药品使用和药事管理相关规定限制基层用药品种。对此,应从药物管理角度出发,以患者为中心、重大慢性病管理为主导,将紧密型县域医共体视为一个服务整体来管理、监督和考核用药情况,从而更好地落实药物协同政策。
Abstract:
In order to promote the capacity of primary health care institutions and the orderly medical treatment for patients, the state clearly stipulates that compact county-level medical community should implement drug collaboration policy. However, there is a lack of drug collaboration in most compact county-level medical communities, mainly due to essential medicines list, financial investment, medical insurance reimbursement list, use of centralized procurement of drugs, and pharmaceutical management regulations that restrict the types of drugs used at the primary health care institutions. In this regard, in order to better implement drug collaboration policy, it is necessary to start from the perspective of drug management, with patient-centered and major chronic disease management as the main focus, and regard compact county-level medical community as a service whole to manage, supervise, and assess drug use.

参考文献/References:

[1] 王书平,黄二丹.面向未来的我国整合型医疗卫生服务体系的核心及关键点[J].卫生经济研究,2023,40(07):5-8.
[2] De S D,Adam T.Systems thinking for health systems strengthening[J].Public Health,2009,125(02):117-118.
[3] 王书平,曾宇琦,潘斐斐,等.天津市整合型服务体系的构建、成效及问题分析[J].卫生软科学,2022,36(11):5-9.
[4] 窦蓉蓉,邵思泉.濉溪县充分利用信息化,赋能县域紧密型医共体建设[J].中国乡村医药,2023,30(05):64-65.
[5] 汪圳.南京市城镇职工医保门诊慢性病管理现状研究[D].南京:东南大学,2018.
[6] 张丽成,高明,封宇飞,等.国家基本药物目录中COPD治疗药品的调整建议[J].中国药房,2023,34(16):1931-1935.
[7] 刘涛,赵械雄,付如,等.高血压患者药物依从性影响因素的研究进展[J].中华高血压杂志,2023,31(08):785-790.
[8] 何敏,张小影,方袁媛.基层医疗机构合理用药管理系统应用和效果评价[J].临床合理用药杂志,2021,14(28):152-154.
[9] 张丹. J市L区药品安全协同治理问题研究[D].济南:中共山东省委党校,2022.

相似文献/References:

[1]陈新平.药品及耗材零差率改革对省级医院运行的影响与对策[J].卫生经济研究,2016,(05):42.
[2]姚奕婷,陈元栋,张远妮,等.广东省公立医院取消药品、医用耗材加成的效果研究[J].卫生经济研究,2020,(12):32.
 YAO YI-ting,CHEN Yuan-dong,ZHANG Yuan-ni,et al.Study on the Effect of Canceling the Addition of Drugs and Medical Consumables in Public Hospitals in Guangdong Province[J].Journal Press of Health Economics Research,2020,(03):32.
[3]欧阳明,李紫薇,高 明,等.深圳GPO模式及其对我国药品采购管理体制改革的启示[J].卫生经济研究,2022,39(9):53.
 OUYANG Ming,LI Ziwei,GAO Ming,et al.Drug Group Purchasing Organization (GPO) Model in Shenzhen and Its Enlightenment for the Reform of Drug Procurement Management System in China[J].Journal Press of Health Economics Research,2022,39(03):53.
[4]谭华伟,陈迎春.紧密型县域医共体对医保患者住院成本分担的效应研究 ——基于双重差分法的实证经验[J].卫生经济研究,2023,40(8):45.
 TAN Huawei,CHEN Yingchun.Study on the Effects of Compact County-level Medical Community Reform on Hospitalization Cost-sharing for Medical Insurance Patients ——Empirical Experience based on Double Difference Method[J].Journal Press of Health Economics Research,2023,40(03):45.
[5]钱雨昕,王艳翚,姚峥嵘,等.政府在药品价格形成机制中的价值选择及路径优化研究[J].卫生经济研究,2023,40(11):30.
 QIAN Yuxin,WANG Yanhui,YAO Zhengrong,et al.Value Choice and Path Optimization of the Government in Drug Price Formation Mechanism[J].Journal Press of Health Economics Research,2023,40(03):30.
[6]邓 蒙,冯启明,彭 蓉.广西紧密型县域医共体试点地区乡镇卫生院运行效率研究 ——基于Bootstrap-DEA和Tobit模型[J].卫生经济研究,2024,41(04):14.
 DENG Meng,FENG Qiming,PENG Rong.Study on the Operational Efficiency of Township Health Centers in the Pilot Areas of Compact County-level Medical Community in Guangxi ——Based on Bootstrap-DEA and Tobit Model[J].Journal Press of Health Economics Research,2024,41(03):14.
[7]周春泥,谢瑞瑾,马玉龙,等.安徽省紧密型县域医共体经济运行效率及其影响因素研究 ——基于三阶段DEA和Tobit回归分析[J].卫生经济研究,2024,41(07):15.
 ZHOU Chunni,XIE Ruijin,MA Yulong,et al.Study on the Economic Operation Efficiency and its Influencing Factors of Compact County-level Medical Community in Anhui Province ——Based on Three-stage DEA Model and Tobit Regression Analysis[J].Journal Press of Health Economics Research,2024,41(03):15.
[8]兰 珍,刘 婧,陈火旺,等.紧密型县域医共体医防融合促进慢病管理研究 ——以福建省三明市为例[J].卫生经济研究,2024,41(11):74.
 LAN Zhen,LIU Jing,CHEN Huowang,et al.Study on Promoting Chronic Disease Management by the Integration of Medical Care and Prevention in Compact County-level Medical Community ——Taking Sanming City of Fujian Province as an Example[J].Journal Press of Health Economics Research,2024,41(03):74.

更新日期/Last Update: 2024-02-28