意大利的社区药房:一个不可避免的不断增长的角色?
Livio Garattini1, Bruno Finazzi1
1Department of Health Policy, Institute for Pharmacological Research Mario Negri IRCCS, Milan, Italy.
British journal of clinical pharmacology
|December 5, 2025
概括
意大利意大利意大利意大利意大利意大利
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 药房实践 在药房实践中
背景情况:
- 自1978年以来,意大利的公共卫生系统,意大利国家卫生服务 (INHS) 已经整合了私人组织.
- 意大利的社区药房 (CPs),历来是私营实体,经历了重大的监管变化.
- 这些变化旨在使CP适应INHS框架内的不断变化的医疗保健需求.
研究的目的:
- 分析意大利社区药房的监管演变.
- 检查这些变化对INHS中CP的角色和服务的影响.
- 评估将私人药房纳入公共医疗保健的财务影响和潜在挑战.
主要方法:
- 审查影响意大利社区药房在新千年中的监管条款.
- 分析有关药店所有权,药品发行和服务提供的立法变化.
- 审查财政调整及其对意大利国家卫生服务的影响.
主要成果:
- 关键的监管转变包括取消"一个药剂师-一个药房"规则,并将所有权扩展到非药剂师.
- 社区药房越来越多地被认为是社区护理服务的提供者,而不仅仅是药物发行.
- 2024年新的分配利率导致INHS的支出增加.
结论:
- 社区药房准备好在INHS内在初级保健中发挥关键作用.
- INHS必须管理专注于利服务的私人提供商的潜在机会主义行为.
- 为了有效监管私营社区药房服务,INHS可能会承担高额交易成本.
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