我国公立医院增设药事服务费浅见

On Additional Establishment of Pharmaceutical Services Fee in Public Hospital in China

目的:为我国公立医院增设药事服务费提供参考。方法:通过对药事服务费的定义和性质的思考,结合本地区的经济和消费水平分析药事服务费的收取方案、收取方式及标准。结果与结论:合理的收费方案应当是患者到药房取药时收取1次费用。门诊药事服务费在患者每人次诊断后随医药费缴纳,标准以5～8元为宜;住院药事服务费可在患者住院押金(预交款)里按每人日直接扣除或依报销比例自动结算,标准可参考门诊。在政府补偿机制到位的情况下,公立医院增设药事服务费是可行的。

OBJECTIVE： To provide reference for additional establishment of pharmaceutical services fee in public hospitals in China. METHODS： Through considering about the definition and character of pharmaceutical services fee, the program, way and standard of pharmaceutical service fee charge were analyzed on the basis of local economic and consumption level. RESULTS ＆ CONCLUSIONS： With reasonable fee-collecting program, pharmaceutical service fee should be collected for once when patients got to the pharmacy to get medicine. Every patient should pay for out-patient pharmaceutical service along with medical costs after diagnosis. Suitable pharmaceutical service fee should range from 5 yuan to 8 yuan. Inpatient pharmaceutical service fee can be paid autonomously by taking away from inpatient deposit （down payment） directly by per capita or reimbursement ratio. The standard of inpatient pharmaceutical service fee refers to out-patient department. When govemment compensation mechanisms have been put in the right place, additional establishment of pharmaceutical service fee in public hospital is feasible.