Page 7 - 《中国药房》2025年16期

·指南与共识·

深圳市医疗机构住院患者外购药品闭环管理专家共识
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《深圳市医疗机构住院患者外购药品闭环管理专家共识》编写组

中图分类号 R95 文献标志码 A 文章编号 1001-0408（2025）16-1953-05
DOI 10.6039/j.issn.1001-0408.2025.16.01

摘 要 目的 为深圳市医疗机构住院患者外购药品的闭环管理提供参考，从而提高深圳市医疗机构药事管理整体水平。方法
以“外购药品”“外配药品”“外购处方”“外配处方”“闭环管理”及其对应的英文术语为关键词检索国内外相关指南、专家共识、专题
综述和政策文件等，结合深圳市医疗机构外购药品管理实践经验起草《深圳市医疗机构住院患者外购药品闭环管理专家共识》（简
称《共识》）初稿，经过2次问卷调查和4次专家研讨会形成《共识》推荐意见。结果与结论 《共识》涵盖外购药品定义及使用条件、
管理组织和信息化建设、目录调整原则、目录制定流程、处方开具和调剂、回院验收流程、在院使用流程和安全性管理、居家药学服
务、监督管理、零售药店处方调剂和零售药店遴选原则10个方面的内容，有助于完善深圳市医疗机构外购药品管理体系。
关键词 外购药品；住院患者；信息化管理；闭环管理

Expert consensus on closed-loop management of externally purchased medications for inpatients in
Shenzhen medical institutions
Writing Group of Expert Consensus on Closed-loop Management of Externally Purchased Medications for
Inpatients in Shenzhen Medical Institutions

ABSTRACT OBJECTIVE To provide reference for the closed-loop management of externally purchased medications for
inpatients in medical institutions in Shenzhen， thus improve the overall level of pharmaceutical affairs management in medical
institutions in Shenzhen. METHODS The relevant guidelines， expert consensus， thematic reviews and policy documents were
conducted using keywords such as “ externally purchased drugs”“externally distributed drugs”“externally purchased prescriptions”
“externally distributed prescriptions”“closed-loop management” and their corresponding English terms. The initial draft of the
Consensus on Closed-loop Management of Externally Purchased Medications for Inpatients in Shenzhen Medical Institutions
（shortened for Consensus） was drafted based on the practical experience of the management of externally purchased drugs in
medical institutions in Shenzhen. After two questionnaire surveys and four expert symposiums， the Consensus recommendation
opinions were formed. RESULTS & CONCLUSION The Consensus covers 10 aspects， including the definition and usage
conditions of externally purchased drugs， management organization and informatization construction， principles for catalogue
adjustment， catalogue formulation process， prescription issuance and dispensing， return-to-hospital acceptance process， hospital use
process and safety management， home pharmaceutical services， supervision and management， as well as principles for prescription
dispensing in retail pharmacies and selection of retail pharmacies. It contributes to the improvement of the management of externally
purchased medications in medical institution in Shenzhen.
KEYWORDS externally purchased medications； inpatients； information management； closed-loop management

药物治疗是临床治疗疾病的基本手段，也是应用最 进合理用药的意见》（国卫医发〔2020〕2号）强调，医疗机
[1]
广泛的治疗方法之一。《关于加强医疗机构药事管理促 构须“突出药品临床价值，提升药品供应保障能力”。
但在药事管理法规和医疗机构考核指标压力下，受医疗
Δ 基金项目 广东省医院协会医院药学科研专项基金项目（No.
YSGL202204） 机构新药引进流程时间较长、部分患者对原研药或特定
＊第一作者 阙富昌：主管药师，硕士。研究方向：药事管理。电
品牌药品有偏好等因素的影响，各医疗机构基本用药供
话：0755-81206167。E-mail：quefch@mail.sysu.edu.cn
应目录难以满足所有患者的用药需求，因此外购药品在
# 通信作者 周本杰：主任药师，博士。研究方向：药事管理、中药
新制剂研发。电话：0755-81206167。E-mail：zhoubj163@163.com 医疗实践中具有一定的临床需求性和存在必要性 [2―3] 。

中国药房 2025年第36卷第16期 China Pharmacy 2025 Vol. 36 No. 16 · 1953 ·