我国基本药物制度课件.ppt

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Logo,Click to edit Master text styles,Second level,Third level,Fourth level,Fifth level,Click to edit Master title style,*,Company Logo,Click to edit Master text styles,Second level,Third level,Fourth level,Fifth level,Click to edit Master title style,*,Company Logo,Click to edit Master text styles,Second level,Third level,Fourth level,Fifth level,Click to edit Master title style,*,Click to edit Master text styles,Second level,Third level,Fourth level,Fifth level,*,Click to edit Master title style,Company Logo,Click to edit Master text styles,Second level,Third level,Fourth level,Fifth level,Click to edit Master title style,Company Logo,Click to edit Master text styles,Second level,Third level,Fourth level,Fifth level,Click to edit Master title style,*,Company Logo,Click to edit Master text styles,Second level,Third level,Fourth level,Fifth level,Click to edit Master title style,*,Company Logo,Click to edit Master text styles,Second level,Third level,Fourth level,Fifth level,Click to edit Master title style,*,Company Logo,Click to edit Master text styles,Second level,Third level,Fourth level,Fifth level,Click to edit Master title style,*,Company Logo,Click to edit Master text styles,Second level,Third level,Fourth level,Fifth level,Click to edit Master title style,*,Company Logo,Click to edit Master text styles,Second level,Third level,Fourth level,Fifth level,Click to edit Master title style,*,Company Logo,Click to edit Master text styles,Second level,Third level,Fourth level,Fifth level,Click to edit Master title style,*,Company Logo,Click to edit Master text styles,Second level,Third level,Fourth level,Fifth level,Click to edit Master title style,*,Company Logo,Click to edit Master text styles,Second level,Third level,Fourth level,Fifth level,Click to edit Master title styleCompany Logo,Click to edit Master text styles,Second level,Third level,Fourth level,Fifth level,Click to edit Master title style,*,Company Logo,Click to edit Master text styles,Second level,Third level,Fourth level,Fifth level,Click to edit Master title style,*,Click to edit Master text styles,Second level,Third level,Fourth level,Fifth level,*,Click to edit Master title style,Company Logo,Click to edit Master text styles,Second level,Third level,Fourth level,Fifth level,Click to edit Master title style,Company Logo,Click to edit Master text styles,Second level,Third level,Fourth level,Fifth level,Click to edit Master title style,*,Company Logo,Click to edit Master text styles,Second level,Third level,Fourth level,Fifth level,Click to edit Master title style,*,Company Logo,Click to edit Master text styles,Second level,Third level,Fourth level,Fifth level,Click to edit Master title style,*,Company Logo,Click to edit Master text styles,Second level,Third level,Fourth level,Fifth level,Click to edit Master title style,*,Company Logo,Click to edit Master text styles,Second level,Third level,Fourth level,Fifth level,Click to edit Master title style,*,Company Logo,Click 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Master title style,Company Logo,Click to edit Master text styles,Second level,Third level,Fourth level,Fifth level,Click to edit Master title style,*,Company Logo,Click to edit Master text styles,Second level,Third level,Fourth level,Fifth level,Click to edit Master title style,*,Company Logo,Click to edit Master text styles,Second level,Third level,Fourth level,Fifth level,Click to edit Master title style,*,Company Logo,Click to edit Master text styles,Second level,Third level,Fourth level,Fifth level,Click to edit Master title style,*,Company Logo,Click to edit Master text styles,Second level,Third level,Fourth level,Fifth level,Click to edit Master title style,*,Company Logo,Click to edit Master text styles,Second level,Third level,Fourth level,Fifth level,Click to edit Master title style,*,Company Logo,Click to edit Master text styles,Second level,Third level,Fourth level,Fifth level,Click to edit Master title style,*,Company Logo,Click to edit Master text styles,Second level,Third level,Fourth level,Fifth level,Click to edit Master title style,*,Company Logo,Click to edit Master text styles,Second level,Third level,Fourth level,Fifth level,Click to edit Master title style,*,Company Logo,Click to edit Master text styles,Second level,Third level,Fourth level,Fifth level,Click to edit Master title style,*,Company Logo,Click to edit Master text styles,Second level,Third level,Fourth level,Fifth level,Click to edit Master title style,*,Click to edit Master text styles,Second level,Third level,Fourth level,Fifth level,*,Click to edit Master title style,Company Logo,Click to edit Master text styles,Second level,Third level,Fourth level,Fifth level,Click to edit Master title style,Company LogoClick to edit Master text styles,Second level,Third level,Fourth level,Fifth level,Click to edit Master title style,*,Company Logo,Click to edit Master text styles,Second level,Third level,Fourth level,Fifth level,Click to edit Master title style,*,Company Logo,Click to edit Master text styles,Second level,Third level,Fourth level,Fifth level,Click to edit Master title style,*,Company Logo,Click to edit Master text styles,Second level,Third level,Fourth level,Fifth level,Click to edit Master title style,*,Company Logo,Click to edit Master text styles,Second level,Third level,Fourth level,Fifth level,Click to edit Master title style,*,Company Logo,Click to edit Master text styles,Second level,Third level,Fourth level,Fifth level,Click to edit Master title style,*,Company Logo,Click to edit Master text styles,Second level,Third level,Fourth level,Fifth level,Click to edit Master title style,*,Company Logo,Click to edit Master text styles,Second level,Third level,Fourth level,Fifth level,Click to edit Master title style,*,Company Logo,Click to edit Master text styles,Second level,Third level,Fourth level,Fifth level,Click to edit Master title style,*,Company Logo,Click to edit Master text styles,Second level,Third level,Fourth level,Fifth level,Click to edit Master title style,*,Company Logo,Click to edit Master text styles,Second level,Third level,Fourth level,Fifth level,Click to edit Master title style,*,Contents,基本药物制度的概念,1,基本药物目录的制定,2,基药实施过程中的问题,3,我们的建议,4,一 基本药物制度的概念,什么是国家基本药物制度？,中国国家基本药物制度是对,基本药物目录制定,、,生产供应,、,采购配送,、,合理使用,、,价格管理,、,支付报销,、,质量监管,、,监测评价,等多个环节实施有效管理的制度。,国家发改委、卫生部,(,卫计委,),等,9,部委于,2009,年,8,月,18,日,发布了,关于建立国家基本药物制度的实施意见,，这标志着我国建立国家基本药物制度工作正式实施。,Note,：与国家基本药物的区别。,二 国家基本药物目录的制定,(,一,),制定原则,(,二,),制定源流,(,三,),制定程序,注,:,格式转换不了,PPT,的框都给删除了,.,（三）制定程序,一、从国家基本药物专家库中，,随机抽取,，成立目录咨询专家组和目录评审专家组；,二、咨询专家组提出遴选意见，形成备选目录；,三、评审专家组投票，形成目录初稿；,四、征求有关部门意见，修改完善后形成送审稿,；,五、经国家基本药物工作委员会审核后，授权卫生部,(,现卫计委,),发布。,三 基药实施过程中存在的问题,1.,对基层医疗机构的,补偿不足,，形成,收支倒挂,。,（,1,）对于基层医疗机构来说，按照,零差价,销售基本药物后，药品收益会急剧下降，然而财政补贴不及时或不足，造成负债经营。,(2),由于医务人员的绩效工资改革尚未到位，,待遇降低，挫伤了医务人员的,工作积极性,。,