社区慢性病长处方模式实施现状及问题

The implementation status of the long-term prescription

为缓解慢性病患者"配药难、配药繁"现状,促进分级诊疗,我国多地开始实施慢性病长处方政策。目前对长处方的定义及长处方实施病种等没有完全统一标准。文章通过对长处方实施现状及效果进行综述,发现目前长处方实施中存在的问题,提出完善处方开具、审核、调配、发药、健康教育等环节,保证治疗安全性,同时健全医保等配套政策有助于慢性病长处方的进一步推广。

In order to alleviate the"difficulty and annoyance in dispensing medicine"of patients with chronic diseases and promote hierarchical healthcare system,the policy of long-term prescription for chronic diseases has been implemented in the country.This article summarizes the current status and effectiveness of implementation of the long-term prescription,and explores the existing problems.The improvement of prescription formulation,review,deployment,distribution of drugs,health education and other issues to ensure the safety of treatment are discussed.Meanwhile,we suggest that the relevant supporting policies of medical insurance should be improved to further promote the long-term prescription.