基于SWOT分析的公立医院药事服务费政策研究

Research on Pharmaceutical Care Charge Policy Based on SWOT Analysis Method

目的:构建公立医院运行成本尤其是药事服务成本补偿机制。方法:运用SWOT分析法,对公立医院药事服务费政策优势与劣势、机会与威胁进行分析。结果:药事服务费政策具有体现临床药师劳务价值、合理补偿药事服务成本、促进药学服务能力提升、控制医药费用不合理增长等优势,同时面临催生某些不规范药学服务行为的劣势。药事服务费政策面临诸多机遇,如:宝贵的试点经验、药学服务项目和标准的确立、药品流通领域改革的正式启动,同时社会公众对药学服务认知程度偏低、药事服务成本与定价机制尚未建立等也成为威胁因素。结论:实施药事服务费政策是一项系统工程,需依靠政府、医院和社会共同推进。

Objective To build public hospital running cost especially pharmaceutical service cost compensation mechanism. Methods SWOT analysis was used. Results Pharmaceutical service fee policy has the value of clinical pharmacist services, phar- maceutical services cost reasonable compensation, improve pharmacy service capacity, and control the irrational growth of medical cost and other advantages, facing the disadvantage of non - standard pharmacy service behavior at the same time. The pharmaceu- tical service fee policy faces many opportunities, such as： the pilot experience, the establishment of pharmacy services and the standard, officially launched the field of drug circulation reform, while the low level of awareness of pharmacy services of China~ public and the unestablished pharmacy service cost and pricing mechanism were also threats. Conclusion Pharmaceutical affairs service charge policy be born is a systematic project, need to rely on the government, hospitals, social advance.