| 引用本文：何丽月, 刘心怡, 杨莉.药品福利管理试点实施现状及利益相关方的态度分析——以安徽省芜湖市为例[J].中国卫生政策研究,2018,11(12):19-23 |
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| 药品福利管理试点实施现状及利益相关方的态度分析——以安徽省芜湖市为例 |
| 投稿时间：2018-02-11 修订日期：2018-09-05 PDF全文浏览 HTML全文浏览 |
| 何丽月, 刘心怡, 杨莉 |
| 北京大学公共卫生学院 北京 100191 |
| 摘要:目的：了解安徽省芜湖市药品福利管理（Pharmacy Benefit Management，PBM）试点的开展现状、运作方式、利益相关方对PBM的态度、PBM实施的初步效果及存在问题，为PBM在我国的发展提供实证经验。方法：本文定性资料来源于关键人物深度访谈及重点流程观察，定量资料来源于机构统计报表，采用主题框架法结合描述性分析对PBM模式进行探讨。结果：试点地区PBM模式主要在社区卫生服务中心开展。开展后，药品种类增加，门诊量提高一倍，广受参与患者好评，一定程度上慢病患者回流基层并推进了基本公共卫生服务的开展。但利益相关方对其态度不一，其发展受多种因素的影响。结论：PBM能够提升基层药品可及性，在一定程度上促进慢病管理和医药分开，但其长期效果还需要更多的随访研究。 |
| 关键词:药品福利管理 慢病管理 利益相关者分析 |
| 基金项目:国家自然科学基金（71273016、71673004） |
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| Analysis on current situation and the stakeholder's attitude of PBM pilot in China: A case in Wuhu city of Anhui province |
| HE Li-yue, LIU Xin-yi, YANG Li |
| School of public health, Peking University, Beijing 100191, China |
| Abstract:Objective:To understand the present situation, operation mode, stakeholder's attitude, preliminary results and problems in Pharmacy Benefit Management (PBM) from pilot areas in China, and put forward corresponding suggestions. Methods:In this paper, we carried out an analysis of introduced PBM model after reviewing the existing literature, conducting interviews with key person in the pilot areas and process observation.Moreover, we combined all of the methods and techniques with quantitative analysis in order to find promising results. Results:We constructed a PBM model based on the information provided by the analysis mainly carried out in the piloting community health service centers. After launching the model, the number of drugs increased, the number of outpatients doubled, and the program was widely praised by the patients who joined it. To a certain extent, with the introduction of PBM model, patients with chronic diseases returned to the grassroots level and promoted the development of basic public health services. On the contrast, stakeholders showed different attitudes towards the program, and this inconsistency greatly affected its development through many factors. PBM promoted the management of chronic diseases and tiered care system in pilot areas, but some problems are still there. Conclusions:To a certain limit, PBM can improve the accessibility of drugs in primary health service centers and promote the management of chronic disease and separation of clinics from pharmacies. With the gradual elimination of drug-supporting medical system and the deepening of health insurance reform, PBM may play its positive role in improving service quality and controlling medical expenses. However, its long-term effect requires more follow-up studies. |
| Key words:Pharmacy Benefit Management Chronic disease management Stakeholder analysis |
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