【履職好故事】熊智：加速推進“互聯網 ”醫療服務

新甘肅·甘肅經濟日報記者 李明娟

近年來，國傢出臺了一系列推進“互聯網 ”醫保相關政策，加速了“互聯網 ”醫保政策落地，多地互聯網診療服務已納入醫保支付。

熊智建議出臺相關政策，支持實現常見病、慢病線上購藥 醫保在線支付。建議發揮“互聯網 ”醫藥服務便民優勢，出臺促進處方流轉具體政策文件，牽頭搭建處方流轉平臺，讓處方能夠在醫院和藥店及第三方平臺之間安全流轉。

他調研發現，不少有購藥需求的患者受醫療機構資源緊張等因素影響，存在購藥、用藥困難問題，這類人群以中老年人居多，期待在線購藥也能實現醫保支付。

在實踐層面，目前全國部分省份出臺了具體細則，基本形成了“互聯網 ”醫療 藥品 醫保的全鏈條政策體系。在此背景下，希望省上相關部門能夠圍繞常見病、慢病在線購藥 醫保支付 配送到傢等出臺相應試點政策，實現患者及居民在試點藥店進行網上購藥 醫保結算，打造“互聯網 ”醫保支付的民生工程，更好地滿足廣大居民的健康需求。

2020年11月，國傢醫療保障局印發《關於積極推進“互聯網 ”醫療服務醫保支付工作的指導意見》，指出支持“互聯網 ”醫療復診處方流轉，探索定點醫療機構外購處方信息與定點零售藥店互聯互通，開展統籌地區間外購處方流轉相關功能模塊互認，實現“信息和處方多跑路，患者少跑腿”。

為更好地服務有固定用藥需求的患者復診購藥，建議甘肅加速推進處方流轉平臺建設，支持平臺藥店承接常見病、慢病患者處方，打通處方流轉“最後一公裡”。在此條件下，患者可攜帶處方在院外購藥，允許藥品零售企業和第三方平臺與政府部門許可的試點與醫聯體開展合作，出臺政策規范明確處方流轉中的安全性和各方責任問題，進一步推進醫藥分傢，切實解決群眾看病難、看病貴的問題。完善互聯網診療監管制度，兼顧醫療安全與線上復診可及性、便民性。

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