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Pharmacy service fees have made new progress! The National Medical Insurance Administration, the National Health Commission, and the State Food and Drug Administration issued documents to support pharmacists in collecting pharmacy service fees
.
In this regard, some licensed pharmacists in the industry reflected: "Support for collection, someone must give", "the position of pharmacists in pharmacies is quite embarrassing", "Some people think that doctors provide free services, which is their duty"
.
What are the challenges encountered in the implementation of pharmacy service fees? What efforts have been made by the relevant departments? Can licensed pharmacists enjoy this dividend? 01 New opportunities: 660,000 licensed pharmacists welcome benefits Recently, the National Health Insurance Administration made a clear reply
to the proposal of members of the National Committee of the Chinese People's Political Consultative Conference on comprehensively promoting the coordinated development of pharmaceutical services and medical security systems.
In the reply, the National Health Insurance Administration said that it will guide all localities to consider the cost and value of pharmaceutical services in the price of medical services, support the development of pharmaceutical services, and encourage pharmaceutical personnel to play an active role
in promoting rational drug use and reducing waste of resources.
The National Medical Insurance Administration is carrying out the preparation of national medical service price specifications, and on the basis of clarifying the boundaries of pharmaceutical medical services, it will study and improve the price items of pharmaceutical services with clear patient needs, specific service contents and objects, and clear technical routes, so as to support the healthy and orderly development of
pharmaceutical services.
At the same time, guide provinces with the capacity to take the lead in carrying out the pilot policy of
pharmaceutical service medical service price projects.
It is understood that at present, the pilot of pharmacy service fee has been piloted
in public hospitals in Fujian Province.
In April this year, the Fujian Provincial Medical Security Bureau issued the Notice on the Trial Implementation of the Pharmacy Service Charging Policy in Provincial Public Hospitals, and within one year from July 1, 2022, Fujian Provincial Public Hospitals will first explore the pharmacy service charging policy, clarify the price list of pharmacy medical service items in public hospitals, and "price"
15 clinical pharmacy services.
Encourage the innovation of pharmaceutical service models, focus on reflecting the value of pharmaceutical technology and labor, and establish an output-goal-oriented price management mechanism
for pharmaceutical medical services.
In addition to Fujian Province, many provinces and cities are also promoting the exploration
of pharmaceutical services.
For example, in order to strengthen the drug quality management level of retail pharmacies and improve the ability of pharmaceutical services, the Lanzhou Market Supervision Bureau is also actively carrying out research, supervision and training, and fully promoting the establishment of
demonstration pharmacies for health management pharmacy services in Lanzhou.
It can be seen from the above that the policy of pharmacy service fees has been implemented step by step, and more standardized preparations are about to be introduced
than the paper when it was first proposed.
In fact, the state's policy exploration of pharmacy service fees has never stopped
.
On July 15, the National Health Commission said that it would pass the "Pharmacist Law" to merge licensed pharmacists and hospital pharmacists for unified management, and support pharmacists to collect pharmacy service fees
。 On August 4, the State Food and Drug Administration stated in the "Letter on the Reply to Proposal No.
02186 of the Fifth Meeting of the 13th National Committee of the Chinese People's Political Consultative Conference" that it will further strengthen work research, timely summarize local practical experience, explore the formulation and timely introduction of implementation specifications for social pharmacies to carry out pharmaceutical services, discuss with the competent departments the work of medical insurance to pay pharmacy drug dispensing fees and pharmaceutical service fees, and actively promote licensed pharmacists to return to their positions in pharmaceutical services to provide high-quality pharmaceutical services
for the people 。 02 New challenge: let pharmacists eat this "cake" In this regard, many licensed pharmacists in the industry reflected: "Support for collection, someone has to give", "the position of pharmacists in pharmacies is quite embarrassing", "Some people think that doctors provide free services and are their due duty"
.
Judging from the voices of these pharmacists, whether the dividend of pharmacy service fees can be implemented depends on the change of consumers' concepts and the recognition and respect
for the value of licensed pharmacists in the whole industry, especially within retail pharmacies.
In this regard, the State Food and Drug Administration stated in the reply letter of "Proposal on Promoting the Development of Pharmacy Services by Social Pharmacy Pharmacies" that it will start from three aspects: formulating the implementation measures for pharmacy services for pharmacists in social pharmacies, carrying out training on pharmaceutical service skills for licensed pharmacists, and jointly formulating management measures for blood glucose testing in pharmacies, so that more people can realize the value of
licensed pharmacists.
In particular, the training of pharmacy service skills of licensed pharmacists is the embodiment
of the value of the professional competence of licensed pharmacists.
To facilitate the further study and participation of licensed pharmacists in skills training, and explore their ability
to replicate and transform into the provision of pharmacy services by licensed pharmacists in social pharmacies.
As for exploring the development of blood glucose testing and follow-up chronic disease management services in pharmacies, it is also an effort to
let more consumers recognize the value of licensed pharmacists.
As of the end of May 2022, the number of qualified pharmacists in the national professional qualification examination was 1.
35 million, the number of registered practitioners was 663,000, and the number of licensed pharmacists per 10,000 population was 4.
7
.
There were 605,000 licensed pharmacists registered in pharmaceutical retail enterprises, accounting for 91.
3%
of the total number of registrations.
It is not easy for a policy to go through a process of creating something from scratch from scratch to make the dividend benefit 660,000 people
.
The implementation of the policy takes time and also requires the joint efforts of the industry, whether it is a large chain, a small and medium-sized chain, an independent pharmacy, or an ordinary pharmacy clerk, it is an indispensable part
of the joint force of the industry.
As mentioned in the above-mentioned reply letter, the National Health Insurance Bureau is currently compiling specific price specifications for pharmaceutical services, which has clearly regulated more pharmaceutical service matters, and has also reassured many pharmacists who are looking forward to pharmaceutical service fees
.
03 New direction: make consumers' money "worth spending" It is foreseeable that "pharmacy service charges" will become a huge incremental "cake"
in the industry.
Whether it is for small and medium-sized pharmacies or large chains, it will be a major benefit, especially for licensed physicians, with the ability of professional "pharmacy services" and the support of medical insurance funds, the industry status and salary of licensed pharmacists may be significantly improved
.
The policy provides a favorable environment, and licensed pharmacists should also improve their professional ability to make customers feel that "the money is worth it"
.
With the continuous advancement of medical reform, the requirements for more licensed pharmacists have changed from "centering on ensuring drug supply" to "centering on providing pharmacy professional and technical services", which has given pharmacists the opportunity to discover, understand and improve themselves, and the value of pharmacists can be reflected and payment is also justified
.
It is necessary to change the inherent image
of the pharmacist.
Some insiders reflect that some people do not regard licensed pharmacists as professional service personnel in their concepts, and even appear that "pharmacists are a decoration, pharmacy employees sell drugs directly, and do not need to be reviewed by pharmacists", especially basic pharmaceutical services such as prescription dispensing and medication consultation, pharmacies sell drugs without going through the link of pharmacist service, pharmacists review medical orders are just formalities, customers have no consumption experience and feelings, naturally there is no way to collect pharmacy service fees
.
This is an important reason
hindering the implementation of pharmacy service fees.
However, the change of the general environment is not achieved overnight, and it also requires time and individual efforts
.
Moreover, at present, driven by the "dual channel" policy, the gold content of licensed pharmacists is gradually increasing
.
Up to now, judging from the "dual channel" declaration requirements issued by Guangdong, Shandong, Hebei, Jiangxi and other places, the staffing of 2 licensed pharmacists has become a "hard" indicator
.
In the future, pharmacists will become more and more valuable, but before that, more pharmacists will need to work hard to improve themselves and make their professional service capabilities worth these charges, so that pharmacy service fees can have a basis and stand
.
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