美国可收费药学服务项目及收费实践

中图分类号 R951 文献标志码 A 文章编号 1001-0408（05）10-1161-05

DOI 10.609/j.issn.1001-0408.05.10.0

Practice billable pharmacy service programs and billing in the United States

YANG Lirong1，LIU Siyu2，WU Shushan3（1. 200127，China；2. Center， 05401，USA； 3. Pharmacy Administration and Clinical Pharmacy， Sciences， Peking ，Beijing ，China）

ABSTRACT OBJECTIVE To introduce the characteristics and practice billable pharmacy service programs in the United States，aiming to provide reference for the development clinical pharmacy service and the establishment corresponding billing criteria in China. METHODS By searching the ficial websites American Pharmacists Association，American Society HealthSystem Pharmacists，Centers for Medicare & Medicaid Services and Centers for Disease Control and Prevention，and the PubMed database，the contents American billable pharmacy service programs，corresponding service billing criteria，the approaches to being paid as pharmacists and the clinical practice evidence were summarized. RESULTS Current major billable pharmacy service programs implemented in the United States included medication therapy management，outpatient pharmacy service，transition care management，chronic disease management，annual wellness visits，as well as diabetes self-management training/education. Except for diabetes self-management training/education，which lacked robust data on practice outcomes，all other programs mentioned above were demonstrated to have positive impact on patient outcomes，reducing health care cost and/or generating revenues. The most common approaches for pharmacists to obtain reimbursement were“incident to”billing and using procedure codes. CONCLUSIONS Billable pharmacy practice programs in the United States are achieving progress in service specialization and billing standardization. China can learn from successful cases in the United States while considering its own national context， with the ultimate goal improving the overall health outcomes patients，so that pharmacy services can become an important part the medical service system.

KEYWORDS clinical pharmacy；pharmacy service；pharmacist；billing；United States

药学服务收费是加快药学服务高质量发展的重要环节。（剩余13420字）