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国家卫生健康委办公厅 国家医保局办公室英亚体育印发长期处方管理规范(试行)的通知( 国卫办医发〔2021〕17号)
发布时间: 2021-08-13

国家卫生健康委办公厅? ?国家医保局办公室

英亚体育印发长期处方管理规范(试行)的通知

国卫办医发〔2021〕17号

gesheng、zizhiqu、zhixiashijixinjiangshengchanjianshebingtuanweishengjiankangwei、yibaoju:

weiguifanzhangqichufangguanli,tuijinfenjizhenliao,baozhangyiliaozhiliangheyiliaoanquan,manzumanxingbinghuanzhedezhangqiyongyaoxuqiu,guojiaweishengjiankangwei、guojiayibaojuzuzhizhidingle《zhangqichufangguanliguifan(shixing)》。xianyinfajinimen,qingzunzhaozhixing。

guojiaweishengjiankangweibangongting? ?guojiayibaojubangongshi

2021nian8yue10ri

长期处方管理规范

(试行)

第一章? ?总? ?则

diyitiao? ?weiguifanzhangqichufangguanli,tuijinfenjizhenliao,cujinheliyongyao,baozhangyiliaozhiliangheyiliaoanquan,genju《zhiyeyishifa》《yaopinguanlifa》《yiliaojigouguanlitiaoli》《mazuiyaopinhejingshenyaopinguanlitiaoli》《chufangguanlibanfa》《yiliaojigouyaoshiguanliguiding》dengxiangguanguiding,zhidingbenguifan。

diertiao? ?benguifansuochengzhangqichufangshizhijubeitiaojiandeyishianzhaoguiding,duifuhetiaojiandemanxingbinghuanzhekaijudechufangyongliangshidangzengjiadechufang。

disantiao? ?zhangqichufangshiyongyulinchuangzhenduanmingque、yongyaofanganwending、yicongxinglianghao、bingqingkongzhipingwen、xuzhangqiyaowuzhiliaodemanxingbinghuanzhe。

disitiao? ?zhiliaomanxingbingdeyibanchangyongyaopinkeyongyuzhangqichufang。

diwutiao? ?yiliaoyongduxingyaopin、fangshexingyaopin、yizhiduyaopin、mazuiyaopin、diyileihedierleijingshenyaopin、kangweishengwuyaowu(zhiliaojiehedengmanxingxijunzhenjunganranxingjibingdeyaowuchuwai),yijiduichucuntiaojianyouteshuyaoqiudeyaopinbudeyongyuzhangqichufang。

diliutiao? ?difangweishengjiankangxingzhengbumenyingdanggenjushijiqingkuang,zhidingzhangqichufangshiyongjibingbingzhongjizhangqichufangyongyaofanwei。

diqitiao? ?benguifanshiyongyuquanguogejigeleiyiliaojigoudezhangqichufangguanligongzuo。

guliyoujicengyiliaoweishengjigoukaijuzhangqichufang,bushiyizaijicengzhiliaodemanxingbingzhangqichufangyingdangyouerjiyishangyiliaojigoukaiju。

dibatiao? ?guojiaweishengjiankangweifuzequanguozhangqichufangdejianduguanligongzuo。

xianjiyishangdifangweishengjiankangxingzhengbumenfuzebenxingzhengquyuneizhangqichufangdejianduguanligongzuo。

第二章? ?组织管理

dijiutiao? ?yiliaojigouyingdanglvxingbenjigouzhangqichufangguanlidezhutizeren,jianlijianquanbenjigouzhangqichufangguanligongzuozhidu,baozhangyiliaozhiliangheyiliaoanquan,manzuhuanzheyongyaoxuqiu。

dishitiao? ?kaijuzhangqichufangdeyiliaojigou,yingdangpeibeijuyoupingguhuanzhebingqingnenglideyishi、nenggoushenhediaojizhangqichufangdeyaoshi(hanqitayaoxuejishurenyuan,xiatong)yijixiangyingdeshebeisheshidengtiaojian。

jicengyiliaoweishengjigoubujubeixiangyingtiaojiande,keyitongguoyuanchenghuizhen、hulianwangfuzhen、yiyuanhuizhendengtujingzaiyiliantineijubeitiaojiandeshangjiyiliaojigouzhidaoxiakaiju。

dishiyitiao? ?genjuhuanzhezhenliaoxuyao,zhangqichufangdechufangliangyibanzai4zhounei;genjumanxingbingtedian,bingqingwendingdehuanzheshidangyanzhang,zuizhangbuchaoguo12zhou。

chaoguo4zhoudezhangqichufang,yishiyingdangyangepinggu,qianghuahuanzhejiaoyu,bingzaibinglizhongjilu,huanzhetongguoqianzidengfangshiqueren。

dishiertiao? ?yiliaojigouyingdanganzhaoweishengjiankangxingzhengbumenzhidingdezhangqichufangshiyongjibingbingzhongjizhangqichufangyongyaofanwei,weifuhetiaojiandehuanzhetigongzhangqichufangfuwu。

dishisantiao? ?yiliaojigoukeyizaiputongneike、laonianyixue、quankeyixuedengkeshi,weihuanyouduozhongjibingdelaonianhuanzhetigong“yizhanshi”zhangqichufangfuwu,jiejuelaonianhuanzheduokeshijiuyiquyaowenti。

dishisitiao? ?yiliaojigoukaijuzhangqichufang,guliyouxianxuanzeguojiajibenyaowu、guojiazuzhijizhongcaigouzhongxuanyaopinyijiguojiayibaomuluyaopin。

dishiwutiao? ?jicengyiliaoweishengjigouyingdangjiaqiangzhangqichufangyongyaodepeibei,quebaohuanzhezhangqiyongyaokeji、wending。

dishiliutiao? ?difangweishengjiankangxingzhengbumenheyiliaojigoubudeyifeiyongkongzhi、yaozhanbi、jixiaokaohedengweiyouyingxiangzhangqichufangdekaiju。

difangweishengjiankangxingzhengbumenyingdangjiaqiangzhangqichufangdeshenhe、dianping、heliyongyaokaohedenggongzuo,zhangqichufangchanshengdeyaopinfeiyongbunarumenzhencijunfeiyong、menzhenyaopincijunfeiyongkaohe,qitakaohegongzuoyeyingdangshiqingkuangjiangzhangqichufangjinxingdanduguanli。

第三章? ?长期处方开具与终止

dishiqitiao? ?duitichuzhangqichufangshenqingdehuanzhe,yishibixuqinzizhenchabingduiqishifoufuhezhangqichufangtiaojianzuochupanduan。

yishizaizhenliaohuodongzhong,keyixiangfuhetiaojiandehuanzhezhudongtichuzhangqichufangjianyi。

dishibatiao? ?yishiyingdangxianghuanzheshuomingshiyongzhangqichufangdezhuyishixiang,bingyouqiziyuanxuanzeshifoushiyong;duibufuhetiaojiandehuanzhe,yingdangxianghuanzheshuomingyuanyin。

dishijiutiao? ?shoucikaijuzhangqichufangqian,yishiyingdangduihuanzhedejiwangshi、xianbingshi、yongyaofangan、yicongxing、bingqingkongzhiqingkuangdengjinxingquanmianpinggu,zaiquedingdangqianyongyaofangananquan、youxiao、wendingdeqingkuangxia,fangkeweihuanzhekaijuzhangqichufang。shoucikaijuzhangqichufang,yingdangzaihuanzhebinglizhongxiangxijiluyouguanxinxi。

diershitiao??? ?yuanzeshang,shoucizhangqichufangyingdangyouerjiyishangyiliaojigoujuyouyujibingxiangguanzhuanyedezhongjiyishangzhuanyejishuzhiwurenzhizigedeyishikaiju,huoyoujicengyiliaoweishengjigoujuyouzhongjiyishangzhuanyejishuzhiwurenzhizigedeyishikaiju。zaicikaijuzhangqichufangshi,yingdangyouerjiyishangyiliaojigoujibingxiangguanzhuanyeyishi,huojicengyiliaoweishengjigouyishikaiju。gulihuanzhetongguojicengyiliaoweishengjigouqianyuejiatingyishengkaijuzhangqichufang。

bianyuandiquhuotiaojianbujubeidediqukeshidangfangkuanyaoqiu,jutiyaoqiuyoushengjiweishengjiankangxingzhengbumengenjushijiqingkuanglingxingguiding。

diershiyitiao??? ?yishiyingdanggenjuhuanzhebinglixinxizhongdeshoucikaijudezhangqichufangxinxihejiankangdangan,duihuanzhejinxingpinggu。jingpinggurenweihuanzhebingqingwendingbingdadaozhangqiyongyaoguanlimubiaode,keyizaicikaijuzhangqichufang,bingzaihuanzhebinglizhongjilu;bufuhetiaojiande,zhongzhishiyongzhangqichufang。tingyonghouzaicishiyongzhangqichufangde,yingdanganzhaoshoucikaijuzhangqichufangjinxingguanli。

diershiertiao? ?chuxianyixiaqingkuang,xuyaozhongxinpingguhuanzhebingqing,panduanshifouzhongzhizhangqichufang:

(yi)huanzhezhangqiyongyaoguanliweidayuqimubiao;

(er)lihuanqitajibingxuqitayaowuzhiliao;

(san)huanzheyinrenheyuanyinzhuyuanzhiliao;

(si)qitaxuyaozhongzhizhangqichufangdeqingkuang。

diershisantiao? ?kaijuzhangqichufangdejicengyiliaoweishengjigouyushangjiyiyuanyaozuohaoxianjie,tongguoxinxihuashouduandengfangshijianlihuanzhechufangxinxigongxiangheliuzhuanjizhi。

diershisitiao? ?zhangqichufangyangshi、neirongyingdangfuhe《chufangguanlibanfa》zhongputongchufangguanlideyaoqiu。

第四章? ?长期处方调剂

diershiwutiao? ?yishikaijuzhangqichufanghou,huanzhekeyizizhuxuanzezaiyiliaojigouhuozheshehuilingshouyaodianjinxingdiaojiquyao。

diershiliutiao? ?yaoshiduizhangqichufangjinxingshenhe,bingduihuanzhejinxingyongyaozhidaoheyongyaojiaoyu,fafangyongyaojiaoyucailiao。jicengyiliaoweishengjigoubujubeitiaojiande,yingdangyouyiliantineishangjiyiyuandeyaoshitongguohulianwangyuanchengjinxingchufangshenhehuotigongyongyaozhidaofuwu。

diershiqitiao? ?yaoshizaishenhezhangqichufang、tigongzixunfuwu、diaojiyaopingongzuoshi,rufaxianyaowuzhiliaoxiangguanwentihuohuanzhecunzaiyongyaoanquanyinhuan,xuyaojinxingzhangqichufangdiaozheng、yaowuzhongzhengdengganyushi,yingdanglijiyuyishigoutongjinxingchuli。

diershibatiao? ?zhangqichufangyaopinyuanzeshangyouhuanzhebenrenlingqu。teshuqingkuangxia,yinxingdongbubiandengyuanyin,keyoushuxihuanzhejibenqingkuangderenyuan,chibenrenjihuanzheyouxiaoshenfenzhengjiandaiweilingqu,bingpeihezuohaoxiangyingquyaodengjijilu。gulitongguopeisongwuliuyanshendengfangshi,jiejuehuanzhequyaokunnanwenti。

第五章? ?长期处方用药管理

diershijiutiao? ?yiliaojigouyingdangduizhangqichufangdingqikaizhanhelixingpingjiagongzuo,chixutigaozhangqichufangheliyongyaoshuiping。

disanshitiao??? ?jicengyiliaoweishengjigouyingdangjiangbenjigoukaijudezhangqichufangxinxinaruhuanzhejiankangdangan,xiangxijiluhuanzhezhenliaoheyongyaojilu。jiatingyishengtuanduiyingdangduihuanzhejinxingdingqisuifangguanli,duihuanzhebingqingbianhua、yongyaoyicongxingheyaowubuliangfanyingdengjinxingpinggu,biyaoshijishidiaozhenghuozhongzhizhangqichufang,bingzaihuanzhejiankangdanganjibinglizhongzhuming。

disanshiyitiao? ?yiliaojigouyingdangjianlianquanyongyaojianceyubaogaozhidu。fashengyaopinyanzhongbuliangshijianhou,yingdangjijijiuzhihuanzhe,lijixiangyiwuheyaoxuebumenbaogao,zuohaoguanchayujilu。anzhaoyouguanguidingxiangyouguanbumenbaogaoyaopinbuliangfanyingdengxinxi。

disanshiertiao? ?yiliaojigouyingdangjiaqiangduishiyongzhangqichufanghuanzhedeyongyaojiaoyu,zengjiaqiheliyongyaozhishi,tigaoziwoyongyaoguanlinengliheyongyaoyicongxing,binggaozhihuanzhezaiyongyaoguochengzhongchuxianrenhebushi,yingdangjishijiuzhen。

disanshisantiao? ?yiliaojigouyingdangzhidaoshiyongzhangqichufanghuanzheduiyaowuzhiliaoxiaoguozhibiaojinxingziwojiancebingzuohaojilu。gulishiyongyiliaoqixieleichuandaishebei,tigaoyaowuzhiliaoxiaoguozhibiaojiancedexinxihuashuiping。zaibaozhangshujuheyinsianquandeqiantixia,keyitansuotongguojieruhulianwangdeyuanchengjianceshebeikaizhanjiance。

disanshisitiao? ?yiliaojigouyingdangzhidaoshiyongzhangqichufanghuanzhe,anzhaoyaoqiubaocunyaopin,quebaoyaopinzhiliang。

disanshiwutiao? ?yiliaojigouyingdangjiangzhangqichufanghuanzhedezhenliao,naruyiliaoguanlitongchouanpai,yangeluoshiyouguanjibingzhenliaoguifanyaoqiu,jiaqiangzhiliangkongzhiheguanli,baozhangyiliaozhiliangheyiliaoanquan。

disanshiliutiao? ?guliyoutiaojiandediqutongguokaisheweixingongzhonghao、huanzhekehuduandenghulianwangjiaohufangshihuotujing,fangbianhuanzhechaxunzhangqichufangxinxi、yaopinyongfayongliang、zhuyishixiangdeng。tansuokaizhanzhangqichufanghuanzhedeyongyaotixing、suifang、yongyaozixundengfuwu。

第六章? ?长期处方医保支付

disanshiqitiao? ?gediyibaobumenzhifuzhangqichufangkaijudefuheguidingdeyaopinfeiyong,buduidanzhangchufangdeshuliang、jinedengzuoxianzhi,canbaorenanguidingxiangshoudaiyu。

disanshibatiao? ?gedizaizhidingquyuzongeyusuanguanlishi,yingdangchongfenkaolvzhangqichufangyinsu。

disanshijiutiao? ?gediyibaobumenyingdangtigaojingbanfuwunengli,fangbiangeyiliaojigou、lingshouyaodianshuakajiesuan,weicanbaorentigongzhangqichufangyibaobaoxiaozixunfuwu。jiaqiangzhinengjiankong、zhinengshenhe,quebaoyaopinhelishiyong。

第七章? ?附? ?则

disishitiao? ?difangweishengjiankangxingzhengbumenyingdanghuitongyiliaobaozhangbumenzhidingxiaquneizhangqichufangguanlishishixizehoushishi。

disishiyitiao? ?hulianwangyiyuantigongzhangqichufangfuwu,yingdangjieheqiyituodeshitiyiliaojigoujubeidetiaojian,fuheyiliaojigouyaoshiguanli、hulianwangzhenliaoguanlixiangguanguidinghebenguifan,jiaqiangyiliaozhiliangheanquanjianguan。

disishiertiao? ?jicengyiliaoweishengjigou,shizhixiangzhenweishengyuan、shequweishengfuwuzhongxin(zhan)、cunweishengshi、yiwushi、menzhenbuhezhensuodeng。

disishisantiao? ?benguifanziyinfazhiriqishixing。

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