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Practice of billable pharmacy service programs and billing in the United States
- ZHONGGUO YAOFANG Vol. 36, Issue 10, Pages: 1161-1165(2025)
- 作者机构：
1.上海交通大学医学院附属仁济医院药学部，上海 200127
2.美国佛蒙特大学医学中心，美国 佛蒙特 05401
3.北京大学药学院药事管理与临床药学系，北京 100191
- 作者简介：
- 基金信息：
DOI：10.6039/j.issn.1001-0408.2025.10.02
CLC： R951Received：06 December 2024，
Revised：02 April 2025，
Accepted：17 April 2025，
Published：30 May 2025
- 稿件说明：
移动端阅览
杨莉榕,刘思雨,吴舒珊.美国可收费药学服务项目及收费实践[J].中国药房,2025,36(10):1161-1165.
YANG Lirong,LIU Siyu,WU Shushan.Practice of billable pharmacy service programs and billing in the United States[J].ZHONGGUO YAOFANG,2025,36(10):1161-1165.
杨莉榕,刘思雨,吴舒珊.美国可收费药学服务项目及收费实践[J].中国药房,2025,36(10):1161-1165. DOI： 10.6039/j.issn.1001-0408.2025.10.02.
YANG Lirong,LIU Siyu,WU Shushan.Practice of billable pharmacy service programs and billing in the United States[J].ZHONGGUO YAOFANG,2025,36(10):1161-1165. DOI： 10.6039/j.issn.1001-0408.2025.10.02.
摘要
目的
2
介绍美国可收费药学服务项目特点及实践情况，为我国开展临床药学服务并制定相应的收费标准提供参考。
方法
2
检索美国药师协会、美国医疗系统药师协会、美国联邦医疗保险和辅助服务中心、美国疾病控制与预防中心官方网站和PubMed数据库，总结美国可收费药学服务项目的服务内容、收费标准、药师获取服务费的方式及临床实践证据。
结果
2
美国可收费药学服务项目主要包括药物治疗管理、门诊药学服务、过渡医疗管理、慢病管理、年度健康检查、糖尿病自我管理培训与教育。除糖尿病自我管理培训与教育缺乏可靠的实践证据外，其余项目均有证据表明其对患者结局产生了积极影响，能节约医疗费用和（或）带来经济收益。药师最常见的获取服务费的方式为“incident to”和使用程序代码。
结论
2
美国的药学服务项目正逐步实现专业化和收费标准化。我国可借鉴其成功经验，结合国情，以提升患者整体健康结局为目标，促进药学服务成为医疗服务体系的重要组成部分。
Abstract
OBJECTIVE
2
To introduce the characteristics and practice of billable pharmacy service programs in the United States， aiming to provide reference for the development of clinical pharmacy service and the establishment of corresponding billing criteria in China.
METHODS
2
By searching the official websites of American Pharmacists Association， American Society of Health-System Pharmacists， Centers for Medicare & Medicaid Services and Centers for Disease Control and Prevention， and the PubMed database， the contents of American billable pharmacy service programs， corresponding service billing criteria， the approaches to being paid as pharmacists and the clinical practice evidence were summarized.
RESULTS
2
Current major billable pharmacy service programs implemented in the United States included medication therapy management， outpatient pharmacy service， transition of care management， chronic disease management， annual wellness visits， as well as diabetes self-management training/education. Except for diabetes self-management training/education， which lacked robust data on practice outcomes， all other programs mentioned above were demonstrated to have positive impact on patient outcomes， reducing health care cost and/or generating revenues. The most common approaches for pharmacists to obtain reimbursement were “incident to” billing and using procedure codes.
CONCLUSIONS
2
Billable pharmacy practice programs in the United States are achieving progress in service specialization and billing standardization. China can learn from successful cases in the United States while considering its own national context， with the ultimate goal of improving the overall health outcomes of patients， so that pharmacy services can become an important part of the medical service system.
关键词
Keywords
references
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