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1、医疗机构中药制剂现状研究及发展对策［摘要］屮药制剂作为屮医药特色疗效在临床上的实际反映，不仅满足医院临床、科研和教学的需要，也对深化医药卫生体制改革、提高人民健康水平、促进经济发展起着重要作用。然而管理审批偏西药化、规模出现萎缩、临床与科研欠同步、区域发展失衡等问题却让中笏制剂在矛盾中缓慢前进，这不仅阻碍了中药制剂在临床上的有效发挥，也为中药制剂现代化发展带来不利影响。经研究分析显示目前医疗机构屮药制剂的现状屮影响因素主要有法律法规欠完善、成本高于收益、制剂研发人才短缺。分析认为打破这一矛盾、提高中医临床疗效、促进中药制剂现代化
2、发展的必要措施是：政府及相关部门通过调整审批政策、加速调剂使用、改革定价系统、纳入医保报销范畴、整合优势资源等方式加大政策扶持力度；医疗机构通过汲取传统与现代精髓、储备专业人才、开发特色制剂积极开展屮药制剂研发工作；企业携手医院，优势互补，实现功能转型等方式迅速转化中药制剂成果应用于临床。［关键词］医疗机构；中药制剂；新药研发；临床疗效［Abstract］AstheactualclinicalreflectingoftransformChinesemedicinespecialcurativeeffect,Chinesemedi
3、cinepreparationnotonlysatisfiestheneedofhospitalclinic,scientificresearchandteaching,butalsoplaysanimportsntroleindeepeningmedicalandhealthsystemreform,improvingpeople7shealth1evelandcontributingtotheeconomicgrowth.However,someproblemsaboutadministrationandapproval(t
4、endingtowesternmedicine),contractionofthescale,lackofsynchronizationforclinicandscientificresearch,andtheimbalaneeofregionaldevelopmentmakeChinesemedicinepreparationmoveforwardsslowlyincontradiction.IthasnotonlyreducedtheeffectivenessoftheChinesemedicinepreparationin
5、hospitalclinic,butalsobroughtbadeffectonmodernizeddevelopmentofChinesemedicinepreparation.ResearchshowsthatmaininfluencingfactorsofstatusquoofChinesemedicinepreparationinmedicalinstitutionincludeimperfectlawsandregulations,highcostthanincome,andshortageoftalentsinpre
6、parationresearch.Theanalysisindicatedthatthenecessarymeasurestobreakthecontradiction,improveclinicaleffectofChinesemedicine,andpromotethemodernizationdevelopmentofChinesedrugspreparationwereasfollows:governmentandrelateddepartmentsshouldsiren^thenthesupportingforcein
7、policybyadjustingtheexaminationandapprovalpolicy,speedingupdispensinguse,reformingpricingsystem,includingintomedicarereimbursement,integratingadvantageresourcesandsoon；medicalinstitutionshouldactivelycarryoutresearchanddevelopmentoftraditionalChineseMedicinethroughdr
8、awingthetraditionalandmodernessence,reservingprofessionaltalents,withhospitalsforcomplementaryadvantages,whichcanrapidlytransformCh
