摘要
介绍了医药分业的定义、国外医药分业的目的和少数医院无门诊药房的原因。指出门诊药房从医院分离出去弊大于利,认为门诊药房从医院分离,难以达到预期目的,反而有损于医疗卫生事业的公益性;医药分离削弱、甚至取消了医院对医师不当处方和合理药物治疗等医疗行为的行政和技术监管与干预;医药分离不适合我国的国情,不符合我国卫生体制改革的精神,不利于医疗质量的提高,不利于病人安全、有效、经济用药,不利于调动医院广大药学技术人员的积极性,不利于医院药物治疗管理自动化的实现与信息的传递。建议医药结合的模式必须加强;保留门诊药房,加大监督力度;建立药品配送中心,完善社会化物流机制;加速非处方药药品的发展;在条件成熟后实施处方调剂费;高薪养廉,较大幅度提高医师职业的收入;解决当前医疗体系中分配不合理问题,适当提高挂号、手术、诊疗等收费标准,降低药品收入在医院总收入中所占的比例。
The article introduces the definition of separation of pharmacy from medical service, the purpose for separation of pharmacy from medical service in foreign countries and the reason why there are no pharmacy for outpatients in a few of hospital. It points out, there are much more disadvantage and less advantage for separating pharmacy for outpatients from hospital, it holds that it is hard to realize the purposes for separating pharmacy for outpatients from hospital, instead, doing so may impair the nature of public welfare of medical and health service; separation of pharmacy from medical service may weaken and even cancel the administrative and technical supervision and intervention from hospital towards medical behaviors such as physician' s improper prescriptions and reasonale medical treatment; separation of pharmacy from medical service does not suit to the specific situation in China, it is not in line with the spirit of reforming health system, it is not helpful for improving quality of medical service, it is not helpful for safe, effective and economic use of drugs to patients, it is not helpful to mobilize the motivation of many technical staff involved in drugs, it is not helpful to realize the automatic drug management and transmitting information. It is proposed that the pattern of combination drug with medical service must be strengthened; pharmacy for outpatients should be retained and the supervision should be strengthened; to establish drug distribution center and to improve the socialized goods - floating mechanism; to speed up the development of over - the -counter (OTC) drugs; when the condition permits, the regulation fee for prescription may be collected; honest and clean behavior are maintained by high salary, the income of physician should be increased relatively greatly; the current irrational distribution in medical system should be resolved, the standards for registration fee, operation fee and fees for diagnosis and treatment be increased properly, and the income proportion from drugs
出处
《中国医院》
2003年第4期50-54,共5页
Chinese Hospitals
关键词
医药分业
门诊药房
药事管理
医院管理
Separation of pharmacy from medical service, pharmacy for outpatients, drug affairs management
