医院委托企业代煎代配中药存在的问题及对策

Problems and countermeasures about dispensing and decocting Chinese traditional medicine entrusted enterprise by hospital

中药汤剂是中医临床最常用的剂型。随着人们生活节奏的加快,患者选择代煎代配中药并快递到家越来越多,而医院由于场地和人员的限制,大部分会委托给中药饮片生产或经营企业进行中药的代煎代配。委托企业代煎代配中药存在账务、代煎代配中药质量、快递配送时效不能保证和流程中缺少发药交代等系列问题,给中医药的临床疗效带来很大隐患。因此,需要医院、卫生行政部门和药监部门共同建立有效的监管体系,加大监管力度,完善相关法规细则,提高代煎代配中药的质量,从而保证患者的用药安全和中医药的治疗效果。

Chinese medicine decoction is the most commonly used dosage form in Chinese medicine clinic. With the acceleration of people’s life rhythm, more and more patients choose to prepare Chinese medicines on behalf of the decoction and deliver them to their homes. However, due to the limitations of space and personnel, most hospitals will entrust Chinese medicine decoction pieces production or operation companies to carry out the decocting and preparation of Chinese medicines. There are a series of problems in entrusting enterprises to decocting and dispense Chinese medicines, such as accounting, the quality of decocting and dispense Chinese medicines, the inability to guarantee the timeliness of express delivery, and the lack of drug delivery account in the process, which brings great hidden dangers to the clinical efficacy of Chinese medicine. Therefore, it is necessary for hospitals, health administrative departments and drug regulatory departments to jointly establish an effective supervision system, strengthen supervision, improve relevant regulations and rules, and improve the quality of decoction and preparation of traditional Chinese medicine, so as to ensure the safety of patients’ medication and the therapeutic effect of traditional Chinese medicine.