我国紧密型县域医共体中心（云）药房政策与发展现状分析 点击下载
| 论文标题： | 我国紧密型县域医共体中心（云）药房政策与发展现状分析 |
| 英文标题： | |
| 中文摘要： | 目的 剖析我国紧密型县域医共体中心（云）药房的发展历程、现状与主要问题，为提升基层药品供应保障体系的整体效能提供参考。方法收集我国31个省（自治区、直辖市）县域医共体中心（云）药房相关政策文件与实践案例资料，采用政策文本分析与案例比较分析的质性研究法，纵向梳理与横向比较中心（云）药房的发展历程与现状，剖析现有问题并提出对策建议。结果与结论我国中心（云）药房发展历经“初期探索-试点扩围与机制深化-高位推动与地方响应”3个阶段。各地在遵循国家政策导向的基础上，围绕组织与法律形式、管理模式与制度建设等方面开展了多样化探索，但仍面临政策指引不足、药品协同与供应保障机制不完善、硬件设施与信息化建设存在短板，以及统计监测与成效评估体系有待加强等问题。建议我国中心（云）药房的建设工作应坚持以实现基本功能为导向，完善制度框架，因地制宜、分类建设，健全药品协同供应保障体系，强化信息化建设与专业能力支撑，统一评价标准、健全成效评估机制，以提升基层药品供应保障体系整体效能。 |
| 英文摘要： | OBJECTIVE To analyze the development history， current status， and major challenges of central （cloud） pharmacies within China’s close-knit county-level medical communities， and to provide references for improving the overall effectiveness of the primary-level pharmaceutical supply and support system.METHODS Policy documents and practical case data related to central （cloud） pharmacies in county-level medical communities from 31 provinces （autonomous regions and municipalities） in China were collected. A qualitative approach combining policy text analysis and comparative case analysis was employed to longitudinally trace and cross-sectionally compare the development history and current status of central （cloud） pharmacies， identify existing problems， and propose targeted recommendations. RESULTS &CONCLUSIONS The development of central （cloud） pharmacies in China has undergone three stages： initial exploration， pilot expansion and mechanism deepening， and high-level promotion with local responses. While adhering to national policy directives， various regions have conducted diverse explorations in organizational and legal forms， management models， and institutional frameworks. However， several challenges remain， including insufficient policy guidance， an imperfect mechanism for drug coordination and supply security， weaknesses in hardware infrastructure and information technology development， and the need to strengthen statistical monitoring and outcome evaluation systems. It is recommended that the construction of central （cloud） pharmacies should be oriented toward achieving their fundamental functions， improve the institutional framework， adopt differentiated construction models tailored to local conditions， enhance the coordinated drug supply and support system， strengthen information technology infrastructure and professional capacity building， unify evaluation standards， and improve performance assessment mechanisms， so as to elevate the overall effectiveness of the primary-level pharmaceutical supply and support system. |
| 期刊： | 2026年第37卷第16期 |
| 作者： | 谭珺铭；高田田；宋燕；左臣伟；邵蓉；颜建周 |
| 英文作者： | TAN Junming，GAO Tiantian，SONG Yan，ZUO Chenwei，SHAO Rong，YAN Jianzhou |
| 关键字： | 县域医共体；中心（云）药房；药品供应保障；基层医疗；分级诊疗；政策文本分析；案例分析 |
| KEYWORDS： | county-level medical community;central （cloud） pharmacy;drug supply guarantee;primary care;Hierarchical diagnosis and treatment;Policy text analysis;Case analysis |
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