摘要
中药制剂作为中医药特色疗效在临床上的实际反映,不仅满足医院临床、科研和教学的需要,也对深化医药卫生体制改革、提高人民健康水平、促进经济发展起着重要作用。然而管理审批偏西药化、规模出现萎缩、临床与科研欠同步、区域发展失衡等问题却让中药制剂在矛盾中缓慢前进,这不仅阻碍了中药制剂在临床上的有效发挥,也为中药制剂现代化发展带来不利影响。经研究分析显示目前医疗机构中药制剂的现状中影响因素主要有法律法规欠完善、成本高于收益、制剂研发人才短缺。分析认为打破这一矛盾、提高中医临床疗效、促进中药制剂现代化发展的必要措施是:政府及相关部门通过调整审批政策、加速调剂使用、改革定价系统、纳入医保报销范畴、整合优势资源等方式加大政策扶持力度;医疗机构通过汲取传统与现代精髓、储备专业人才、开发特色制剂积极开展中药制剂研发工作;企业携手医院,优势互补,实现功能转型等方式迅速转化中药制剂成果应用于临床。
As the actual clinical reflecting of transform Chinese medicine special curative effect,Chinese medicine preparation not only satisfies the need of hospital clinic,scientific research and teaching,but also plays an important role in deepening medical and health system reform,improving people＇s health level and contributing to the economic growth. However,some problems about administration and approval（ tending to western medicine）,contraction of the scale,lack of synchronization for clinic and scientific research,and the imbalance of regional development make Chinese medicine preparation move forwards slowly in contradiction. It has not only reduced the effectiveness of the Chinese medicine preparation in hospital clinic,but also brought bad effect on modernized development of Chinese medicine preparation. Research shows that main influencing factors of status quo of Chinese medicine preparation in medical institution include imperfect laws and regulations,high cost than income,and shortage of talents in preparation research. The analysis indicated that the necessary measures to break the contradiction,improve clinical effect of Chinese medicine,and promote the modernization development of Chinese drugs preparation were as follows： government and related departments should strengthen the supporting force in policy by adjusting the examination and approval policy,speeding up dispensing use,reforming pricing system,including into medicare reimbursement,integrating advantage resources and so on; medical institution should actively carry out research and development of traditional Chinese Medicine through drawing the traditional and modern essence,reserving professional talents,and developing characteristic preparation; companies cooperate with hospitals for complementary advantages,which can rapidly transform Chinese medicine preparation into clinical practice.
出处
《中国中药杂志》
CAS
CSCD
北大核心
2015年第21期4117-4121,共5页
China Journal of Chinese Materia Medica
基金
国家"重大新药创制"科技重大专项(2013ZX09301307)
关键词
医疗机构
中药制剂
新药研发
临床疗效
medical institutions
Chinese drugs preparation
new drug research development
clinical effect
