《关于规范药品零售企业配备使用执业药师的通知》及相关文件的解读与建议

Interpretation and Suggestions of Notice on Standardizing the Allocation and Use of Licensed Pharmacists in Drug Retail Enterprises and Related Documents

目的:解读《关于规范药品零售企业配备使用执业药师的通知》(以下简称"《通知》")及相关文件,并提出相关建议,为业界和决策部门提供参考。方法:简述《通知》出台背景和内容,以及相应的省级差异化配备政策存在的问题及实施中存在的难点,提出相关建议。结果与结论:《通知》主要内容有坚持执业药师政策,稳步提高执业药师配备水平,细化落实配备要求,强化监督检查责任落实;切实发挥执业药师作用,持续加强队伍建设。目前,我国多个省份药品监督管理局出台了具体的执业药师和药学技术人员差异化配备政策,主要分为4种方案,笔者认为山东、广东实行的药品零售企业分级分类办法最为科学。药品零售企业实行差异化配备卫生(药)系列职称药师确实能够在一定程度上缓解执业药师数量不足的问题,但缺点是不能如管理执业药师一样做到精准注册把控,易产生政策缝隙,导致继"执业药师‘挂证’现象"之后"卫生(药)系列职称药师‘挂证’现象"出现。建议省级药品监督管理部门尝试分级管理差异化配备方案;借鉴广东省关于执业药师和药学技术人员的管理经验,开发相关平台统一管理药学技术人员的信息;并加强与卫生健康和人力资源保障部门的沟通联动和人员信息甄别互推机制,共同解决执业药师素质的核心瓶颈问题。

OBJECTIVE:To unscramble the Notice on Standardizing the Allocation and Use of Licensed Pharmacists in Drug Retail Enterprises(called Notice for short)and related document,and to give some suggestions to provide reference for the industry and policy decision departments.METHODS:The background and content of Notice were described briefly;the problems existing in the corresponding provincial differentiated allocation policy and the difficulties existing in the implementation were analyzed to give some relevant suggestions.RESULTS&CONCLUSIONS:The main contents of Notice contained adhering to the policy of licensed pharmacists,steadily improving the allocation level of licensed pharmacists,refining and implementing the allocation requirements,and strengthening the implementation of supervision and inspection responsibilities;giving full play to the role of licensed pharmacists and continuously strengthening the team building.At present,drug administrations of many provinces in China have issued specific policies on the differentiated allocation of licensed pharmacists and pharmaceutical technicians,which are mainly divided into four schemes.The author believes that the classification method of drug retail enterprises implemented in Shandong and Guangdong provinces are the most scientific.The implementation of differentiated allocation of pharmacists with health(pharmacy)professional title in drug retail enterprises can alleviate the problem of insufficient licensed pharmacists to a certain extent,but the disadvantage is that it can not achieve accurate registration and control as well as the management of licensed pharmacists,which is easy to produce policy gaps;after the“affiliation licensed pharmacist’s certificate”phenomenon,the“certificate affiliation of pharmacist with health(pharmacy)professional title”phenomenon appeared.It is suggested that the provincial drug supervision and administration departments should try the differentiated allocation scheme of hierarchical management;learn from the management experience of licensed pharmacists and pharmaceutical technicians in Guangdong province,develop relevant platforms to manage the information of pharmaceutical technicians uniformly;strengthen the communication and interaction with the health and human resource security department as well as the mutual promotion mechanism of personnel information screening,so as to solve the core bottleneck of licensed pharmacists’quality.