重读“大处方”

• 作 者: 解伟
• 出 处: 中国卫生
• 发表日期: 2007年05期
• 关键词: 大处方 量化标准 药房托管 药师 药品使用 单病种限价 药事委员会 药房 评价尺度 名优企业

“大处方”和滥检查是造成医药费用持续上涨、群众就医负担沉重的重要原因,但这个问题真正解决起来却十分棘手。目前“大处方”还是一个笼统的概念,社会上通常把药品多、金额大的处方统称为“大处方”。这种以数量、金额作为评价尺度和量化标准的办法既不科学也不严谨,自然也很难对“大处方”实施统一、有效的监管。

“Prescription ” and indiscriminate inspection is the main reason for the continuous rise of medical expenses and the heavy medical burden on the masses. But this problem is really tricky to solve. At present, the “big prescription” is still a general concept. In the society, the prescriptions for medicines and prescriptions are usually referred to as “prescriptions.” This method of using quantity and amount as evaluation criteria and quantitative criteria is neither scientific nor rigorous, and it is naturally very difficult to implement a unified and effective supervision over “prescription”.