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·药事管理·

“互联网+”背景下处方外流推进障碍与对策分析——基于利益

相关者视角 Δ

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吴 培 ，董晨东 ，茅宁莹 （1.中国药科大学国际医药商学院，南京 211198；2.华润三九医药股份有限公司，
广东 深圳 518110）
中图分类号 R951 文献标志码 A 文章编号 1001-0408（2021）12-1409-07
DOI 10.6039/j.issn.1001-0408.2021.12.01

摘 要 目的：为我国利用“互联网+医疗”推进处方外流进程提供参考。方法：基于利益相关者视角，构建“互联网+”背景下处方
外流的利益相关者模型，通过分析导致处方外流受阻的相关利益主体（医院、患者、政府、药店和第三方问诊平台等）及其诉求，对
“互联网+”背景下处方外流推进障碍及其成因作进一步梳理，并提出相关对策与建议。结果与结论：“互联网+医疗”通过提升患
者就诊途径中各环节的便捷性加速了处方外流的进程，但利用“互联网+医疗”继续推进处方外流仍存在处方来源、患者流量、配套
政策和体系建设等方面的障碍。其成因在于医院的经营压力和诊疗需求；处方外流承接方无法满足患者的治疗需求；政府监管和
体系建设难度较大；第三方问诊平台和网上药店的监管模式尚未成熟，平台技术研发仍需突破。在“互联网+”背景下继续推进处
方外流需要加强顶层设计，建立配套法规体系；打破地域限制，构建统一化、标准化的处方流转信息平台；制订医院处方外流考核
标准和激励机制；提升第三方平台和药店的处方承接能力；加强患者的宣传教育，增强其渠道认知和风险意识，最终形成各利益主
体共同发展、相互协作的处方外流探索模式，从而推进处方外流。
关键词 互联网+；处方外流；利益相关者；互联网+医疗；电子处方流转

Obstacles and Countermeasures Analysis of Hospital Prescription Outflow under the “Internet + ”
Background：From the Perspective of Stakeholders
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WU Pei ，DONG Chendong ，MAO Ningying（1. School of International Pharmaceutical Business，China
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Pharmaceutical University，Nanjing 211198，China；2. China Resources Sanjiu Medical & Pharmaceutical Co.，
Ltd.，Guangdong Shenzhen 518110，China）

ABSTRACT OBJECTIVE：To provide reference for accelerating the process of prescription outflow in China by using“Internet+
medicare”. METHODS：Based on stakeholder perspective，the stakeholder model of prescription outflow was constructed under the
background of“Internet + ”. By analyzing stakeholders （hospital，patient，government，drugstore and third-part consultation
platform）who impeded the prescription outflow and their demands，the obstacles and causes of promoting prescription outflow
under the background of“Internet + ”were summarized to put forward relevant countermeasures and suggestions. RESULTS &
CONCLUSIONS：“Internet+Medicare”accelerated the process of prescriptions outflow by improving the convenience in each links
of medical treatment，but there were still obstacles in prescription source，patient flow，supporting policies and system construction
to continue promoting prescription outflow. The reason lied in the pressure of hospital operation and the diagnosis demand of
doctors；the treatment demand of patients could not be satisfied by the receiving party of prescription outflow；the difficulty of
government supervision and system construction；immature supervision mode of the third-party consultation platform and online
pharmacies，and the platform technology research and development to be break through. To continue promoting prescription outflow
under the background of“Internet + ”needs to strengthen top-level design，establish supporting systems，break the regional
restrictions，build a unified and standardized prescription circulation information platform；formulate the prescription outflow
assessment standard and encouragement mechanism of hospital，enhance the ability of the third-part platforms and pharmacies to
undertake the prescription，strengthen the publicity and education of patients，enhance their channel awareness and risk awareness.
The exploration mode of prescription outflow in which all
Δ 基金项目：国家重大社科基金项目（No.15ZDB167）
stakeholders develop together and cooperate with each other，
＊硕士研究生。研究方向：医药产业政策。电话：025-86185038。
E-mail：cpuwupei@163.com is formed finally so as to promote the outflow of prescription.
# 通信作者：教授，博士生导师，博士。研究方向：医药产业政 KEYWORDS Internet+；Prescription outflow；Stakeholder；
策。电话：025-86185038。E-mail：mny523@126.com Internet+medical；Electronic prescription circulation

中国药房 2021年第32卷第12期 China Pharmacy 2021 Vol. 32 No. 12 ·1409 ·