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随着北京市医药卫生体制改革的不断加深,基层医疗机构的守门人角色和社区健康促进者的角色日益重要,合理用药将是其业务活动的重要方面。随着医疗保障事业的不断发展,越来越多的社区医疗机构被纳入到职工基本医疗保险、居民基本医疗保险、新农合的定点医疗机构而成为北京市基层基本医疗服务的主要提供者。北京市社区卫生机构的收入70%以上来自药品收入,有的机构甚至达到95%以上。这种情况下,控制不合理用药、控制药品资源的浪费,成为基层医疗卫生机构管理的重要环节。据调查,目前北京市对于基层卫生人才的配置标准包括全科医师、社区护士和防保人员,却没有对社区
With the continuous deepening of the medical and health system reform in Beijing, the role of gatekeepers and community health promoters in primary health care institutions is increasingly important. The rational use of drugs will be an important aspect of their business activities. With the continuous development of medical insurance, more and more community medical institutions have been included in the basic medical insurance for staff and workers, basic medical insurance for residents, and designated medical institutions of NCMS as the primary providers of primary basic medical services in Beijing. More than 70% of the incomes of community health agencies in Beijing come from pharmaceutical products, and some even reach over 95%. Under such circumstances, the control of irrational use of medicines and the control of waste of pharmaceutical resources have become an important link in the management of primary health care institutions. According to the survey, at present, the standards for the allocation of primary health personnel in Beijing include general practitioners, community nurses and protection workers,