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青浦區貫徹執行《上海市實施國家基本藥物制度工作方案》問答
 
2011年1月31日

問;上海什么時候正式啟動實施國家基本藥物制度?

答:《上海市實施國家基本藥物制度工作方案(試行)》和《上海市基層醫療衛生機構增補藥物目錄》(2010版)于2010年12月13日正式發布,它標志著本市已正式開始啟動實施國家基本藥物制度。

問:實施國家基本藥物制度的目的是什么?

答:推進實施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,也是國家醫改方案中的一項重大戰略決策。國家基本藥物制度首先在政府舉辦的基層醫療衛生機構(各社區衛生服務中心)實施,其內容主要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,列入《國家基本藥物目錄(基層醫療機構使用部分)》(2009版)共有307種藥品。其中包括205種西藥、102種中成藥。

問:上海的基本藥物目錄包括哪些藥物?

上海的基本藥物目錄也已確定并正式公布。本市基本藥物目錄在全國基本藥物目錄的307種藥物基礎上,增加了符合上海經濟發展水平和市民用藥習慣的381種基本藥物,其中包括236種西藥、145種中成藥,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(詳見《上海市基層醫療衛生機構增補藥物目錄》(2010版),總共688種藥物,在全國各地方基本藥物目錄中種類居首。今后,上海的基層醫療衛生機構(各社區衛生服務中心)用藥將限定在基本藥物目錄內,執行不加價的零差率銷售。

問:上海什么時候正式實施?

答: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從2011年2月1日起開始實施國家基本藥物制度,政府舉辦的基層醫療衛生機構(各社區衛生服務中心)配備使用的藥品全部實施零差率銷售。自2011年3月16日起,本市政府舉辦的基層醫療衛生機構(各社區衛生服務中心)只能在國家基本藥物和本市增補藥物的范圍內配備使用藥品,全部實施零差率銷售。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。

我區的10家社區衛生服務中心分別為徐涇鎮社區衛生服務中心、趙巷鎮社區衛生服務中心、華新鎮社區衛生服務中心、重固鎮社區衛生服務中心、白鶴鎮社區衛生服務中心、朱家角鎮社區衛生服務中心、練塘鎮社區衛生服務中心、金澤鎮社區衛生服務中心、香花橋街道社區衛生服務中心和盈浦街道社區衛生服務中心。

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® 版權:盈浦街道社區衛生服務中心
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