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基本藥物制度政策解讀
 
2010年12月31日

1、什么是基本藥物制度?包括哪些主要內容?

    國家基本藥物制度是維護人民群眾健康、保障公眾基本用藥權益而確立的一項重大國家醫藥衛生政策,是國家藥品政策的核心和藥品供應保障體系的基礎,涉及基本藥物遴選、生產、流通、使用、定價、報銷、監測評價等多個環節。國家基本藥物制度首先在政府舉辦的基層醫療衛生機構實施,主要內容包括國家基本藥物目錄的遴選調整、生產供應保障、集中招標采購和統一配送、零差率銷售、全部配備使用、醫保報銷、財政補償、質量安全監管以及績效評估等相關政策辦法。

 2、國家基本藥物目錄(基層醫療機構使用部分)和上海市基層醫療衛生機構增補藥物目錄各有多少種?主要涵蓋哪些種類?

    《國家基本藥物目錄(基層醫療機構使用部分)》(2009版)包括205種西藥、102種中成藥及頒布國家標準的中藥飲片。《上海市基層醫療衛生機構增補藥物目錄》(2010版)包括381種藥品(其中西藥236種、中成藥145種)。主要涵蓋抗微生物藥、解熱鎮痛藥、心血管系統藥、呼吸系統藥、消化系統藥、激素及影響內分泌藥、維生素礦物質類藥、血液系統藥等24類藥品。

 3、基本藥物制度實施后,本市社區衛生服務中心配備使用藥品范圍?

    基本藥物制度實施后,本市社區衛生服務中心將只能在國家基本藥物和本市基層醫療衛生機構增補藥物的范圍內配備使用藥品。確因病情需要,患者還可以使用基層醫療衛生機構開具的處方外購藥。

 4、本市何時開始執行基本藥物零差率政策?

    為確保本市基本藥物制度的平穩實施和順利銜接,根據《上海市實施國家基本藥物制度工作方案(試行)》,本市政府舉辦的基層醫療衛生機構將在全市基本藥物集中采購工作結束后統一實施基本藥物的零差率銷售。屆時,本市社區衛生服務中心將只能在國家基本藥物和本市基層醫療衛生機構增補藥物的范圍內配備使用藥品。社區衛生服務中心配備使用的藥品全部實施零差率銷售,這將進一步減輕本市患者醫藥費用負擔,讓人民群眾真正從基本藥物制度的實施中得到實惠。

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® 版權:盈浦街道社區衛生服務中心
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