目的 为研究者和监管部门在提升医疗、医药、医保行业标准化工作协同发展方面提供参考建议。方法 基于医疗、医药、医保行业现行标准管理政策，对比“三医”标准制度体系、组织体系、技术体系差异，并进行分析。结果 医疗、医药、医保行业均建立相对完整的标准管理体系，但受多因素影响，标准管理体系存在不同。药品标准法规制度体系最为完整，医疗、药品行业主管部门发布的国家职业卫生标准、国家药品标准具有国家标准性质，并可组建标准管理技术组织。医保行业标准化工作仍处于起步阶段，标准管理体系有较大完善空间。结论 优化医疗医药标准技术体系，完善医疗器械标准制度体系，健全医疗保障标准管理体系，以及建立“三医”标准化联合工作机制等措施将有助于促进“三医”标准化协同发展。
Abstract
Objective To provide references and suggestions for researchers and regulatory authorities in promoting the coordinated development of health, pharmaceutical and medical insurance standardization work. Methods Based on the current standard management policies of health, pharmaceutical and medical insurance industries, the similarities and differences in regulatory, organizational, and technical management systems were compared and some special points were analyzed. Results Relatively complete standard management systems have been established in the health, pharmaceutical medical insurance industries, but there were differences in these systems due to various factors. The pharmaceutical standard regulatory system was the most comprehensive, with national occupational health standards and national drug standards, possessing the status of national standards, issued by industry regulatory authorities, and standard management technical organizations could be established by them. Standardization work in the medical insurance industry was still in its infancy, and there was considerable room for improvement in the standard management system. Conclusion In order to promote the development of the medical and health system, it is suggested to optimize the medical and pharmaceutical standard technology system, improve the construction of medical device standard regulatory system, accelerate the construction of the medical insurance standard management system, and establish the joint working mechanism for health, pharmaceutical and medical insurance.
关键词
卫生健康标准 /
药品标准 /
医疗器械标准 /
医疗保障 /
强制性 /
推荐性标准
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Key words
health standards /
pharmaceutical standards /
medical device /
medical insurance /
mandatory standards /
recommended
standards
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中图分类号：
R197.39
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