中国药房2017，Vol.28Issue(18)：2463-2467,5.DOI:10.6039/j.issn.1001-0408.2017.18.05
基于国际经验的我国"医药分业"研究及启示
Study and Enlightenment on"Separation of Prescribing and Dispensing"in China Based on International Experiences
摘要
Abstract
OBJECTIVE:To provide reference for further promoting the implementation of"separation of prescribing and dis-pensing"policy which fit China's national conditions. METHODS:Based on literature review,informant interview,and filed in-vestigation the development of"separation of prescribing and dispensing"were compared between typical eastern and western coun-tries. Constraints of"separation of prescribing and dispensing"in China were explored,international successful experiences were summarized to inspire appropriate implementation of this policy in China. RESULTS & CONCLUSIONS:There are four con-straints in the implementation of"separation of prescribing and dispensing"in China. Firstly,the legal foundation is yet established for the professional development of pharmacists. Secondly,the medicine pricing and hospital financing systems are unreasonable. Thirdly,patients'ownership of prescriptions and right of dispensing options are monopolized by hospitals. Fourthly,safety of medi-cines use is yet ensured."Separation of prescribing and dispensing"should follow the rules of social and economic development and should be adjusted to adapt local conditions."Separation of prescribing and dispensing"policy itself may not help to achieve the objectives of cost containment and rational use of medicines. To achieve the intended objectives,legislation of Pharmacist Law should also be accelerated to clearly define the role of pharmacist and guide the behavior of prescribers with economic levers.关键词
医药分业/门诊药房/零售药店/国际经验/启示Key words
Separation of prescribing and dispensing/Outpatient pharmacy/Community pharmacy/International experience/Enlightenment分类
医药卫生引用本文复制引用
刘诗洋,黄智然,于凯,司文,孙静,刘远立..基于国际经验的我国"医药分业"研究及启示[J].中国药房,2017,28(18):2463-2467,5.基金项目
中央级公益性科研院所基本项目 （）
国家卫生计生委药政司委托研究课题(No.药政〔2016〕9号) （No.药政〔2016〕9号）
