Reform of Outpatient Mutual Aid Guarantee Method,Development of Retail Pharmacies, and Prescription Circulation

China Health Insurance ›› 2024, Vol. 0 ›› Issue (3) : 34-43.

China Health Insurance ›› 2024, Vol. 0 ›› Issue (3) : 34-43. DOI: 10.19546/j.issn.1674-3830.2024.3.006
Observation & Discussion

Reform of Outpatient Mutual Aid Guarantee Method,Development of Retail Pharmacies, and Prescription Circulation

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Abstract

The reform of employee's medical insurance outpatient mutual aid guarantee is a major initiative to improve the basic medical insurance system. This reform will include eligible designated retail pharmacies in outpatient reimbursement, bringing significant opportunities for the high-quality development of retail pharmacies. The key link in the reform of outpatient mutual aid and the high-quality development of retail pharmacies is the circulation of hospital prescriptions. We believe that the first main obstacle to prescription circulation is the division of departments in prescription management and drug use safety management, as well as the resulting conflicts of risk, responsibility, and interest. The second main obstacle is that the operation and management model of retail pharmacies still cannot adapt to the risk management requirements of prescriptions. To facilitate the circulation of prescriptions, first, it is necessary to adhere to the collaborative governance of the "medical insurance-hospitals-drugs", establish a full chain supervision mechanism for prescription management and drug use safety management, break departmental divisions, and fully respect the management requirements and interests of all parties involved. Secondly, retail pharmacies need to transform operating models, enhance pharmaceutical and commercial service capabilities, and adapt to the requirements of prescription circulation after the reform of outpatient mutual aid.

Key words

outpatient mutual aid / retail pharmacies / prescription circulation

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Reform of Outpatient Mutual Aid Guarantee Method,Development of Retail Pharmacies, and Prescription Circulation[J]. China Health Insurance. 2024, 0(3): 34-43 https://doi.org/10.19546/j.issn.1674-3830.2024.3.006

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