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零售药店参与慢性病管理:作用机理、国际借鉴与优化路径

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老龄化进程的加剧衍生出庞大的慢性病健康管理需求.近年来,具备便捷性与经济性优势的零售药店在慢性病管理领域的作用日益凸显,逐步成为慢性病防治的重要服务站点和载体.尤其是职工医保门诊共济保障改革将定点零售药店纳入门诊统筹报销,为药店的纵深发展提供了战略机遇.本文从慢性病患病人群的特征和需求切入,深入分析零售药店参与慢性病管理的作用机理.发达国家的实践呈现出多主体协同、分类分级管理、专业化药师培养、数字化服务四种创新机制,为我国提供了经验和借鉴.为进一步推进零售药店慢性病管理服务的转型升级,应从明确定位、培育人才、完善处方流转、创新服务方式、强化医保监管等方面优化发展路径.
Mechanisms,International Experience and Improvement Path of Retail Pharmacies in Chronic Disease Management
The intensification of the aging process has led to a substantial demand for health management of chronic disease.In recent years,retail pharmacies,with their convenience and cost-effectiveness,have increasingly demonstrated their role in chronic disease management,gradually becoming important service stations and platforms of chronic disease prevention and control.Particularly,the outpatient mutual aid guarantee reform under employees'medical insurance has incorporated designated retail pharmacies into reimbursement of outpatient pooling,providing strategic opportunities for the in-depth development of pharmacies.This paper analyzes the mechanisms of retail pharmacies'participation in chronic disease management,focusing on the characteristics and needs of the chronic disease patient group.Practice in developed countries presents four innovative mechanisms:multi-stakeholder collaboration,classified and graded management,specialized pharmacist training,and digital service,which offer valuable experience and lessons for China.To further promote the transformation and upgrading of chronic disease management services in retail pharmacies,it is essential to optimize development pathways by clarifying positioning,cultivating talents,improving prescription circulation,innovating service methods,and strengthening medical insurance regulation.

retail pharmacieschronic disease managementoutpatient fund pooling

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华南农业大学公共管理学院 广州 510642

零售药店 慢性病管理 门诊统筹

2024

中国医疗保险
中国医疗保险研究会

中国医疗保险

影响因子:0.492
ISSN:1674-3830
年,卷(期):2024.(11)