Study Progress of Theories and Strategies on Setting up the Dispensing Fee at Home and Abroad_Chinese Journal of Evidence-Based Medicine

Authors：

ZHENG Xiaohua ¹ , HU Jinliang ¹ , ZHANG Lianshuai ² , CHEN Shan ²

1. Sichuan Medical Science Academy & Sichuan People’s Hospital, Chengdu 610072, China;2. School of Management of Chengdu University of TCM, Chengdu 610075, China;

Corresponding author：

Keywords：

Dispensing fee; Compensation to public hospital; Cancellation of drug addition selling policy; Separation of prescribing and dispensing; Charge strategy

DOI：

10.7507/1672-2531.20110147

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

Objective 　To understand the basis and status of setting up the dispensing fee at home and abroad, and to ascertain the scope of dispensing service, so as to offer references to the setting up and implement of dispensing fee in China.
Methods 　According to the evidence-based principle, the descriptive method was adopted to demonstrate the basis of setting up the dispensing fee. The different definition, payment mode and standard were compared at home and abroad.
Results 　Separation of prescribing and dispensing was the basis of setting up the dispensing fee. In western countries, the charge of dispensing fee was almost at the same level, though its definition and scope were different among countries. It was more reasonable to determine the level of dispensing fee according to the visiting frequency, compared with the price, the number and the type of drugs in the prescription.
Conclusion 　China’s calculation of dispensing fee should be based on the prescription fee, the cost of drug administration and store. Dispensing fee should be implemented in the pilot hospitals firstly. Institutions providing primary health care services (rural health clinics, community health service centers etc) which follow a policy of “separating revenue from expenditures” may not adopt the dispensing fee temporarily. In urban hospitals, it is advisable to promote the separation of prescribing and dispensing gradually and bring pharmacists to provide prescription auditing, dispensing and advisory services. For retail pharmacies, pharmacists should be gradually fully staffed as one of the necessary conditions for operating. Performance evaluation of pharmacist’s services and pharmacy administration also should be developed.

Citation： ZHENG Xiaohua,HU Jinliang,ZHANG Lianshuai,CHEN Shan. Study Progress of Theories and Strategies on Setting up the Dispensing Fee at Home and Abroad. Chinese Journal of Evidence-Based Medicine, 2011, 11(8): 868-872. doi: 10.7507/1672-2531.20110147 Copy

1.	4 Ikegami N, Campbell JC. Health care reform in Japan: the virtues of muddling through. Health Aff (Millwood) , 1999, 18(3): 56-75.
2.	5 Hepler CD, Strand LM. Opportunities and responsibilities in pharmaceutical care. Am J Hosp Pharm , 1990, 47(3): 533-543.
3.	7 Chou YJ, Yip WC, Lee CH, et al . Impact of separating drug prescribing and dispensing on provider behaviour: Taiwan's experience. Health Policy Plan , 2003, 18(3): 316-329.
4.	15 Aoki R, Shiragami M. Reasonable dispensing fee for patients. Yakugaku Zasshi , 2009, 129(2): 247-252.
5.	16 Aoki R, Shiragami M. Reasonable dispensing fee for patients. Yakugaku Zasshi , 2009, 129(2): 247-252.
6.	中共中央国务院关于深化医药卫生体制改革的意见. [2009-4-6]. Available at: http://www.moh.gov.cn/publicfiles/business/htmlfiles/mohzcfgs/s7846/200904/39847.htm.
7.	Irish eyes smiling as dispensing fees are lifted. Canadian Medical Association or its licensors, 2009-1-20(2).
8.	Niesz H, O’Neil R. Medicaid and pharmacy assistance program pharmacy dispensing fees and reimbursement history. Available at: http://www.cga.ct.gov/2004/rpt/2004-R-0890.htm.
9.	What is a dispensing fee? The Ontario Pharmacists Association. Available at: http://www.opatoday.com/OPA-N-DispensingFees.asp.
10.	Department of Health and Mental Hygiene. Medicaid Dispensing Fee Survey and Analysis. US: 2006.
11.	刘利群, 王迪飞, 张新平. 药事服务费用水平及其影响因素分析. 医学与社会, 2009, 22(6): 7-8.
12.	吕景睿, 王迪飞, 张新平. 我国药事服务费项目设置分析. 医学与社会, 2009, 22(8): 10-13.
13.	吴可, 万劼, 韩晟, 等. 我国药事服务费概念初探. 药品评价, 2010, 7(2): 6-9.
14.	Country doctor in U.K. New Dispensing Fee Scale for DispensingDoctors. (2009/4/12). [2009-3-15]. Available at: http://countrydoc-tor.co.uk/education/dispensing/Dispensing%20-%20New%20dis-pensing%20fee%20scale.html.
15.	Kentucky legislative research commission. The Kentucky Medical Assistance Program’s Dispensing Fee Reimbursement to Pharmacist. U.S: 1979.
16.	U.S. Centers for Disease Control and Prevention. South Africa draft new dispensing fee. [2009-4-22]. Available at: http://www.thebody.com/content/news/art23522.html.
17.	台湾中央保险局. 全民健康保健医疗费用支付标准修正. [2009-4-15]. Available at: http:// www.nhi.gov.tw/information/law_de-tail.asp? Bulletin_ID=918&menu=1&menu_id=9.
18.	台湾中央保险局. 全民健康保健医疗费用支付标准修正(西医部分). [2009-4-15]. Available at: http://www.nhi.gov.tw/informa-tion/bulletin_file/896_W0950059861-A4.doc.
19.	吴可, 史录文. 调剂费收费方式的国际经验介绍. 药品评价, 2010, 7(2): 9-11.
20.	海沙尔江, 赵志刚. 日本社会药房的调剂报酬介绍. 药品评价, 2010, 7(2): 17-19.
21.	刘文彬, 李跃平. 关于我国设立药事服务费的思考与建议. 福建医科大学学报(社会科学版), 2010, 11(3): 9-12.
22.	韩容, 海沙尔江. 美国全国调剂成本研究对我国设立药事服务费的启示. 药品评价, 2010, 7(2): 22-24.
23.	李全斌, 乔明艳, 钱宏波, 等. 设立药事服务费存在的问题及建议. 中南药学, 2010, 8(5): 396-397.
24.	庄将协, 庄妹, 郑国勇, 等. 药事管理与药事服务费探讨. 海峡药学, 2010, 22(4): 202-204.

1. 4 Ikegami N, Campbell JC. Health care reform in Japan: the virtues of muddling through. Health Aff (Millwood) , 1999, 18(3): 56-75.
2. 5 Hepler CD, Strand LM. Opportunities and responsibilities in pharmaceutical care. Am J Hosp Pharm , 1990, 47(3): 533-543.
3. 7 Chou YJ, Yip WC, Lee CH, et al . Impact of separating drug prescribing and dispensing on provider behaviour: Taiwan's experience. Health Policy Plan , 2003, 18(3): 316-329.
4. 15 Aoki R, Shiragami M. Reasonable dispensing fee for patients. Yakugaku Zasshi , 2009, 129(2): 247-252.
5. 16 Aoki R, Shiragami M. Reasonable dispensing fee for patients. Yakugaku Zasshi , 2009, 129(2): 247-252.
6. 中共中央国务院关于深化医药卫生体制改革的意见. [2009-4-6]. Available at: http://www.moh.gov.cn/publicfiles/business/htmlfiles/mohzcfgs/s7846/200904/39847.htm.
7. Irish eyes smiling as dispensing fees are lifted. Canadian Medical Association or its licensors, 2009-1-20(2).
8. Niesz H, O’Neil R. Medicaid and pharmacy assistance program pharmacy dispensing fees and reimbursement history. Available at: http://www.cga.ct.gov/2004/rpt/2004-R-0890.htm.
9. What is a dispensing fee? The Ontario Pharmacists Association. Available at: http://www.opatoday.com/OPA-N-DispensingFees.asp.
10. Department of Health and Mental Hygiene. Medicaid Dispensing Fee Survey and Analysis. US: 2006.
11. 刘利群, 王迪飞, 张新平. 药事服务费用水平及其影响因素分析. 医学与社会, 2009, 22(6): 7-8.
12. 吕景睿, 王迪飞, 张新平. 我国药事服务费项目设置分析. 医学与社会, 2009, 22(8): 10-13.
13. 吴可, 万劼, 韩晟, 等. 我国药事服务费概念初探. 药品评价, 2010, 7(2): 6-9.
14. Country doctor in U.K. New Dispensing Fee Scale for DispensingDoctors. (2009/4/12). [2009-3-15]. Available at: http://countrydoc-tor.co.uk/education/dispensing/Dispensing%20-%20New%20dis-pensing%20fee%20scale.html.
15. Kentucky legislative research commission. The Kentucky Medical Assistance Program’s Dispensing Fee Reimbursement to Pharmacist. U.S: 1979.
16. U.S. Centers for Disease Control and Prevention. South Africa draft new dispensing fee. [2009-4-22]. Available at: http://www.thebody.com/content/news/art23522.html.
17. 台湾中央保险局. 全民健康保健医疗费用支付标准修正. [2009-4-15]. Available at: http:// www.nhi.gov.tw/information/law_de-tail.asp? Bulletin_ID=918&menu=1&menu_id=9.
18. 台湾中央保险局. 全民健康保健医疗费用支付标准修正(西医部分). [2009-4-15]. Available at: http://www.nhi.gov.tw/informa-tion/bulletin_file/896_W0950059861-A4.doc.
19. 吴可, 史录文. 调剂费收费方式的国际经验介绍. 药品评价, 2010, 7(2): 9-11.
20. 海沙尔江, 赵志刚. 日本社会药房的调剂报酬介绍. 药品评价, 2010, 7(2): 17-19.
21. 刘文彬, 李跃平. 关于我国设立药事服务费的思考与建议. 福建医科大学学报(社会科学版), 2010, 11(3): 9-12.
22. 韩容, 海沙尔江. 美国全国调剂成本研究对我国设立药事服务费的启示. 药品评价, 2010, 7(2): 22-24.
23. 李全斌, 乔明艳, 钱宏波, 等. 设立药事服务费存在的问题及建议. 中南药学, 2010, 8(5): 396-397.
24. 庄将协, 庄妹, 郑国勇, 等. 药事管理与药事服务费探讨. 海峡药学, 2010, 22(4): 202-204.

Chinese Journal of Evidence-Based Medicine

Study Progress of Theories and Strategies on Setting up the Dispensing Fee at Home and Abroad

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Next Article

Format

Content