法學期刊.
  • 社群分享
論著名稱: 藥師執行中藥調劑業務與健保支付制度之法制問題
編著譯者: 余萬能
出版日期: 2017.10
刊登出處: 台灣/月旦醫事法報告第 12 期 /29-42 頁
頁  數: 9 點閱次數: 158
下載點數: 36 點 銷售明細: 權利金查詢 變更售價
授 權 者: 余萬能
關 鍵 詞: 中藥保險給付調劑醫療費用支付
中文摘要: 調劑屬醫療行為,藥師執行中藥之調劑,依法應修習,中藥課程達適當標準。由於中藥學在藥學教育課程及藥師考選制度科目上的占比尚有不足,以致常為中醫藥界詬病,全民健康保險甚至因此未能適法支付特約藥局之中藥調劑費用。由於全民健康保險中醫門診支付制度不同於西醫,中藥調劑未以醫療層級給付加成,支付標準亦遠低於西醫,與全民健康保險法定同病、同品質同酬之原則不合。建議審慎評估將 6 年制藥學教育完整納入中藥臨床治療用藥教育,整體規劃考試及後續執業繼續教育之社會學習,建立社區藥局及基層診所中藥調劑環境作業標準,以妥善合理規劃中醫藥健保支付制度。
英文關鍵詞: Traditional Chinese Medicinesinsurance benefitsdispensingpayment of medical expense
英文摘要: Dispensing is a medical behavior, and according to the law pharmacists who conduct dispensing Traditional Chinese Medicines (TCM) should received the training of TCM to meet appropriate standards. Dispensing TCM by pharmacists is often criticized by the Chinese medicine industry due to the insufficient proportion of Chinese material medica in the pharmacy education courses and the examination system for pharmacists. And the National Health Insurance even failed to pay the cost of TCM dispensing for contracted pharmacies. As the outpatient payment system of National Health Insurance hospital outpatient payment system is different for the Western medicine and Chinese medicine. Dispensing TCM is not paid at the medical level bonus, and the payment standards are also far lower than the Western medicine. This circumstance conflicts with the principles of equal payment for same nature of illness and the relative points shall reflect the cost of each medical service. It is recommended to carefully evaluate the six-year pharmacy education to be fully integrated with the clinical treatment of TCM, and the overall planning examination and follow-up practice of continuing education to be comprehensively planned. Operating standards of compounding TCM for community pharmacies and clinics should be established and properly and the National Health Insurance payment system for TCM should be schemed properly and reasonably.
目  次: 壹、為治療疾病所需之中藥應屬藥品管理
貳、中藥調劑為醫療行為之法規範
參、藥師執行中藥業務之法制
肆、全民健康保險之中醫支付制度
伍、中藥調劑在健保支付上之問題
陸、結語
相關法條:
相關判解:
    相關函釋:
      相關論著:
      返回功能列