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贵州省特殊药品管理机制中的问题研究

Research on the Problems of the Special Drugs Management System in Guizhou Province
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摘要 “双通道”管理制度打通了特殊药品供应的最后1公里,为特殊药品医保政策的全面落地提供了有力保障。“双通道”管理制度的实施提高了特殊药品的可及性和医保基金的社会效益,满足了参保患者对特殊药品的合理需求,切实减轻了患者的用药负担,提高了人民群众的满意度和获得感。但与此同时,特殊药品“双通道”管理制度在定点药店药品安全性、药品管理信息化建设、特殊药品政策宣传等方面还存在诸多亟待解决的问题。文章主要梳理了贵州省特殊药品管理及“双通道”管理的发展历程及政策实施现状,对现有特殊药品管理机制中存在的深层次问题进行探究,最后以问题为导向提出加强定点药店监管、信息化建设、配套政策供给等优化对策。 The"double-channel"system has opened up the las t kilometer of the supply of special drugs,providing a strong guarantee for the full implementation of the medical insurance policy for special drugs.The implementation of the"double-channel"system has improved the accessibility of special drugs and the social benefits of the medical insurance fund,met the reasonable needs of the insured patients for special drugs,effectively reduced the burden of patients'medication,and improved the satisfaction and sense of gain of the people.However,there are still many problems to be solved in the"doublechannel"management system of special drugs in terms of drug safety in designated pharmacies,drug management information construction,and policy publicity of special drugs.This paper mainly reviewed the development history and policy implementation status of special drug management system and"dual channel"management system in Guizhou Province,and explored the deeprooted problems in the existing special drug management mechanism.Finally,this paper puts forward optimization countermeasures such as strengthening the supervision of designated pharmacies,strengthening the information construction,and strengthening the supply of supporting policies.
作者 刘莉 刘成建 龙敏 黄艳 LIU Li;LIU Chengjian;LONG Min;HUANG Yan(Department of Medical Insurance,the First Affiliated Hospital of Guizhou University of Traditional Chinese Medicine,Guiyang Guizhou 550001,China)
出处 《中国卫生标准管理》 2024年第2期139-143,共5页 China Health Standard Management
基金 贵州省中医药管理局中医药、民族医药科学技术研究课题(QZYY-2023-125)。
关键词 特殊药品 药品管理 双通道 医保 定点药店 国家谈判药品 special drugs drug management double-channel medical insurance designated pharmacies national negotiation of medicines
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