頁籤選單縮合
題名 | 醫藥分業單軌制--韓國經驗=Korean Experiences of the Separation of Dispensing from Prescription |
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作者姓名(中文) | 范曉瑄; 林亮光; | 書刊名 | 藥學雜誌 |
卷期 | 32:3=128 2016.09[民105.09] |
頁次 | 頁22-28 |
分類號 | 412.2 |
關鍵詞 | 醫藥分業; 處方釋出; 社區藥局; |
語文 | 中文(Chinese) |
中文摘要 | 台灣自86年 (1997年) 實施醫藥分業。然而迄今已過了19年,台灣實施的是當年衛 生署獨創的醫藥分業雙軌制,診所開業醫師可以聘請藥師調劑,醫院以門診病人相關 醫療費用與藥費為主要收入來源,處方箋釋出低落,台灣在醫藥分業的進展,足足落 後先進國家多年。反觀鄰近的韓國,在2000年正式實施醫藥分業,起步比台灣晚,但 卻實施的非常成功,處方箋釋出率將近100%,我們可從韓國立法實施的過程來探究 其成功的原因。 早在1963年,韓國就開啟推動醫藥分業的規畫,這當中經歷立法、小規模試辦計 畫及各式團體的協商,仍未有明顯的成效,最後的關鍵卻是在1998-2000年這兩年之 間,由於醫、藥、政府、民間四方充分溝通,立法規範明確,加上配套措施如健保給 付制度、藥價調整政策、家庭醫師/藥師制度、夜間診療等同步實施,輔以韓國民族 性格執行力強,讓政府的決心能夠充分落實。曾幾何時,從以前韓國推動醫藥分業藥 要向台灣取經,到現在我們反過來要汲取韓國經驗,這正是我們應該反思的課題。 |
英文摘要 | Taiwan has implemented the separation system of dispensing from prescription since 1997. In the past 19 years, the unique double-track system enabled doctors to hire pharmacists to dispense in their own clinics, and hospitals rely mainly on medical consultation and out-patient medicinal expenses as income, which makes the separation system trail behind developed countries due to low release rate of prescriptions. Compared to South Korea, who has started the separation system since 2000 and made the separation successful by achieving a 100% release rate of prescriptions even though they started later than Taiwan. We can learn from South Korea's successful experiences by examining its legislative implementation and promotions. South Korea initiated the separation program in 1963, starting with legislation, small-scale pilot projects, and collective agreements between groups, which did not turn out as effectively. In the pivotal period between 1998 to 2000, based on constructive communication between medical practitioners, pharmaceutical groups, government, and the civil associations, along with effective legislation, full support measures including the health care system, reimbursement policy of drug price, family doctor system, family pharmacist system, and supporting system of evening/night clinics, and the aggressive Korean nature pushed the government to implement the separation of dispensing from prescription. There was a time that South Korea had to learn from the separation experiences from Taiwan, but now, it's time for Taiwan to look into South Korean's system and to learn something from it. It's a lesson we need to reflect on and a matter worth pondering. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。