Obstacles and approaches for the implementation of external long-term prescription dispensing for chronic diseases

XU Yuan; JIN Chunlin; SONG Jie; HE Amei; CHEN Minxing

doi:10.6039/j.issn.1001-0408.2024.07.02

您当前的位置：

首页 >

文章列表页 >

Obstacles and approaches for the implementation of external long-term prescription dispensing for chronic diseases

更新时间：2025-09-25

- Obstacles and approaches for the implementation of external long-term prescription dispensing for chronic diseases
- ZHONGGUO YAOFANG Vol. 35, Issue 7, Pages: 778-782(2024)
- 作者机构：
  
  上海市卫生和健康发展研究中心（上海市医学科学技术情报研究所），上海　200031
- 作者简介：
- 基金信息：
- DOI：10.6039/j.issn.1001-0408.2024.07.02
  CLC： R951;R197
- Received：18 September 2023，
  
  Revised：2024-02-21，
  
  Accepted：21 February 2024，
  
  Published：15 April 2024
- 稿件说明：
移动端阅览
徐源,金春林,宋捷,等.慢性病长期用药处方外配的落地障碍和实现途径[J].中国药房,2024,35(07):778-782.

XU Yuan,JIN Chunlin,SONG Jie,et al.Obstacles and approaches for the implementation of external long-term prescription dispensing for chronic diseases[J].ZHONGGUO YAOFANG,2024,35(07):778-782.
徐源,金春林,宋捷,等.慢性病长期用药处方外配的落地障碍和实现途径[J].中国药房,2024,35(07):778-782. DOI： 10.6039/j.issn.1001-0408.2024.07.02.

XU Yuan,JIN Chunlin,SONG Jie,et al.Obstacles and approaches for the implementation of external long-term prescription dispensing for chronic diseases[J].ZHONGGUO YAOFANG,2024,35(07):778-782. DOI： 10.6039/j.issn.1001-0408.2024.07.02.

摘要

我国慢性病长期用药处方（以下简称“长处方”）政策逐步完善落实并开始鼓励长处方外配。长处方政策贯穿药品供应端、配备端、使用端及政策端，涉及医疗保障、卫生健康等政府部门及患者、医疗机构、定点零售药店等利益相关方。目前，要实现长处方外配存在以下问题：政策端药品目录不统一、监管各方需协同；配备端参与积极性和服务能力有待提高；使用端处方管理难度增加、流转平台有待完善。长处方政策的推进需要“三医”联动、多方参与和政策协同，其中，国谈药品“双通道”政策、药品集采及药店纳入门诊统筹管理均为慢性病长处方外配的落地起到了积极的推动作用。未来需在政策端完善配套政策、落实监管责任，配备端推进药品分级分类、提升服务能力，使用端完善电子处方流转平台、规范处方管理，以推动长处方外配落地执行。

Abstract

The policy of long-term prescription for chronic diseases in China is gradually being improved and implemented， and external long-term prescription dispensing is being encouraged. The long-term prescription policy runs through the links of drug supply， equipment， use and policy， involving government departments such as medical security and health， as well as stakeholders such as patients， medical institutions and designated detail pharmacies. There are still some problems in the external dispensing of long-term prescriptions， such as the disunity of drug catalogue and the need for coordination among regulatory parties in the policy link； the need to improve the participation enthusiasm and service ability in the equipment link； the increased difficulty of prescription management， the need to improve the circulation platform in the use link. The promotion of external long-term prescription policy requires health insurance， medical service， and the medicine industry co-development， multi-party participation， and policy coordination. Among them， the “dual channel” policy， the policy of centralized medicine procurement， and the pharmacy included in outpatient overall management policy have all played a positive role in promoting the implementation of external long-term prescription dispensing for chronic diseases. It is necessary to improve supporting policies and implement regulatory responsibilities in the policy link， promote drug classification and service capabilities in the equipment link， improve the electronic prescription circulation platform， and strengthen prescription management in use link， so as to promote the implementation of external long-term prescription dispensing.

关键词

Keywords

references

侯仲华 . 推进医保门诊慢性病用药处方外配的探索和思考 [J ] . 中国医疗保险， 2019 （ 7 ）： 40 - 42 .

HOU Z H . Exploration and consideration on promoting drug prescription allocation for chronic diseases in medical insurance outpatient clinic [J ] . China Health Insur ， 2019 （ 7 ）： 40 - 42 .

马健，郑建中，傅鸿鹏 . 国内外长处方服务对比研究 [J ] . 卫生经济研究， 2019 ， 36 （ 4 ）： 52 - 54 .

MA J ， ZHENG J Z ， FU H P . Comparative study on long-term prescription services at home and abroad [J ] . Health Econ Res ， 2019 ， 36 （ 4 ）： 52 - 54 .

曹伟灵，庄沿磊，叶陈丽，等 . 社区健康服务中心开展慢性病长期处方的现状及可行性研究 [J ] . 今日药学， 2020 ， 30 （ 8 ）： 573 - 576 .

CAO W L ， ZHUANG Y L ， YE C L ， et al . A study on the status and feasibility of long-term prescription for chronic diseases in community health service centers [J ] . China Ind Econ ， 2020 ， 30 （ 8 ）： 573 - 576 .

刘士勇，郗海香 . 基于高血压病诊疗实践的慢性病长处方签约服务的效果 [J ] . 慢性病学杂志， 2021 ， 22 （ 7 ）： 1058 - 1060 .

LIU S Y ， XI H X . The effectiveness of long-term prescription signing services for chronic diseases based on the diagnosis and treatment practice of hypertension [J ] . Chron Pathem J ， 2021 ， 22 （ 7 ）： 1058 - 1060 .

陈小青，陈伯梅，胡国彬，等 . 慢性病长处方管理模式的现状与未来发展 [J ] . 中医药管理杂志， 2021 ， 29 （ 20 ）： 229 - 231 .

CHEN X Q ， CHEN B M ， HU G B ， et al . Present situation and future development of long prescription management model for chronic diseases [J ] . J Tradit Chin Med Manag ， 2021 ， 29 （ 20 ）： 229 - 231 .

林其意，易春涛，黄涛，等 . 慢性病长处方政策对居民就诊费用及行为的影响 [J ] . 卫生经济研究， 2018 ， 35 （ 2 ）： 57 - 60 .

LIN Q Y ， YI C T ， HUANG T ， et al . The effect of long prescription policy of chronic diseases on the medical cost and behavior of residents [J ] . Health Econ Res ， 2018 ， 35 （ 2 ）： 57 - 60 .

宋芳，陈时龙，黄艳平，等 . 深圳市罗湖医院集团慢病长处方实施情况调查 [J ] . 中国药师， 2021 ， 24 （ 5 ）： 920 - 923 .

SONG F ， CHEN S L ， HUANG Y P ， et al . Investigation on the implementation of long-term prescriptions for chronic diseases in Shenzhen Luohu hospital group [J ] . China Pharm ， 2021 ， 24 （ 5 ）： 920 - 923 .

陈江飞，苗彩云 . 我国医疗机构处方外配有关问题及对策探讨：以浙江省为例 [J ] . 中国医疗保险， 2023 （ 8 ）： 66 - 69 .

CHEN J F ， MIAO C Y . Discussion on the problems and countermeasures of prescription dispensing of medical institutions in China：taking Zhejiang Province as an example [J ] . China Health Insur ， 2023 （ 8 ）： 66 - 69 .

范杨波，汪明 . 处方外配：实施之难及对策 [J ] . 中国社会保障， 2010 （ 9 ）： 82 - 83 .

FAN Y B ， WANG M . External prescription：difficulties in implementation and countermeasures [J ] . China Soc Secur ， 2010 （ 9 ）： 82 - 83 .

雷清强，陈天池，廖博玮，等 . 定点零售药店纳入医保门诊统筹管理实践比较分析 [J ] . 中国卫生政策研究， 2023 ， 16 （ 12 ）： 26 - 32 .

LEI Q Q ， CHEN T C ， LIAO B W ， et al . Comparative analysis of the management practice of including designated retail pharmacies in the outpatient pooling of basic medical insurance [J ] . Chin J Health Policy ， 2023 ， 16 （ 12 ）： 26 - 32 .

李梦蝶，石荣丽，沈凯，等 . “医+药”模式下的电子处方流转监管研究 [J ] . 中国药房， 2023 ， 34 （ 14 ）： 1665 - 1670 .

LI M D ， SHI R L ， SHEN K ， et al . Research on the regulation of electronic prescription circulation under the mode of “medical science+pharmacy ”[J ] . China Pharm ， 2023 ， 34 （ 14 ）： 1665 - 1670 .

Views

下载量

CSCD

Alert me when the article has been cited

提交

Tools

Publicity Resources

No data

Related Author

No data

Related Institution

No data

Address：8th Floor, Sihuan Building, No. 129 Daping Main Street, Yuzhong District, Chongqing, China Postal code：400042
Technical support is provided by Beijing Founder Electronics co., LTD 渝ICP备15012710号公网安备50010302001817
It is recommended to read the content of this site in Chrome&IE9+. Please switch to extreme mode in browser 360.
Cookies We use cookies to help provide and enhance our service and tailor content. By continuing, you agree to the use of cookies.

⁰