【正文】 rogram Criteria: Patient Safety and Pharmacy Practice Standards,50,第五十頁，共六十四頁。,Patient Services The pharmacy must provide, on the Web site, a 24hour toll free number for patients who experience or believe they have experienced an adverse event involving their medication. The pharmacy must provide, on the Web site, the US street address of the pharmacy that dispenses prescription medications on behalf of (or through) the Web site. The pharmacy must provide, on the Web site, the US street address of the site’s corporate headquarters or primary place of business. The pharmacy must provide, on the Web site, instructions to patients describing how to submit complaints or concerns. The pharmacy must offer pharmacist medication consultation via secure means through the Web site, via telephone, or in person for walkin patients.,Program Criteria: Patient Safety and Pharmacy Practice Standards,51,第五十一頁，共六十四頁。,Professional Practices The pharmacy must attest and provide documentation to NABP that it obtains medications from US licensed wholesale drug distributors and/or US licensed or FDA registered pharmaceutical manufacturers. The pharmacy must maintain a currently registered domain name.,Program Criteria: Patient Safety and Pharmacy Practice Standards,52,第五十二頁，共六十四頁。,Upon receipt of the application form and supporting documentation, NABP staff will: Verify all necessary state pharmacy licenses are in good standing。 Verify the pharmacistincharge licenses are in good standing。 Evaluate the submitted supporting documents。 and Notify the applicant if discrepancies arise or clarification is needed.,Accreditation Process,53,第五十三頁，共六十四頁。,After review of the documentation, staff schedules an onsite survey of the pharmacy to evaluate the applicant39。s operations, policies and staff for compliance with the VIPPS criteria. surveys may be required: Upon notice of a complaint against a VIPPSaccredited pharmacy. At the request of a participant in the course of VIPPS accreditation suspension action. Resurveys of VIPPSaccredited pharmacies are required once every three years.,Accreditation Process,54,第五十四頁，共六十四頁。,Following review of the application materials, verification of submitted information and licensure, and survey, a written report will be sent to the pharmacy. If the review is satisfactory, a recommendation to award accreditation is submitted to NABP’s accreditation committee. Upon accreditation approval, a VIPPS Letter of Agreement to be signed by an authorized representative or agent of the entity will be sent to the pharmacy.,Accreditation Process,55,第五十五頁，共六十四頁。,Upon receipt of the executed Letter of Agreement and fee, NABP releases a code to the applicant which allows access to a secure area of the VIPPS Web site where the applicant may retrieve and download their VIPPS hyperlink Seal and carry out other administrative functions. Guidelines for the use of the Seal are included in the Letter of Agreement. The VIPPS accreditation is renewable annually following an update of the registration information and reverification of licensure status.,Accreditation Process,56,第五十六頁，共六十四頁。,只要善用網(wǎng)路特性及便利性，網(wǎng)路藥局不但可提供(t237。gōng)慢性病人另一個取藥、服務(wù)窗口，也可加速醫(yī)藥分業(yè)落實,臺灣網(wǎng)路購買處方藥之未來建議,57,第五十七頁，共六十四頁。,為了開放民眾上網(wǎng)買藥，美國目前採VIPPS 制度〔網(wǎng)路藥局認證規(guī)範(fàn)〕，即網(wǎng)路藥局必須先向主管機關(guān)申請，獲得認證後，才能在網(wǎng)路上(l249。 shɑng)提供民眾購藥服務(wù)；英國、德國計畫跟進，以認證制管理網(wǎng)路藥局。,臺灣網(wǎng)路購買處方藥之未來建議,58,第五十八頁，共六十四頁。,以臺灣的網(wǎng)路藥局為例，按照現(xiàn)有醫(yī)療相關(guān)法規(guī)，只再配合電子簽章法，提供專業(yè)人員電子憑證，網(wǎng)路藥局即可如一般(yībān)藥局，由專業(yè)人員執(zhí)業(yè)，提供服務(wù)。利用網(wǎng)路二十四小時開放的便利性、即時性，衛(wèi)生署不妨考慮先開放在地區(qū)或區(qū)域級以上醫(yī)療院所就醫(yī)的慢性病患，經(jīng)醫(yī)師評估病況穩(wěn)定的情況下，讓患者透過認證的合法網(wǎng)路藥局領(lǐng)藥，不但可防止病患舟車往返及等候的不便，網(wǎng)路藥局的便利性及專業(yè)認證，也可讓醫(yī)師放心釋出處方箋，加速醫(yī)藥分業(yè)的進展。,臺灣網(wǎng)路購買處方藥之未來建議,59,第五十九頁，共六十四頁。,網(wǎng)路藥局販售非法藥品及未經(jīng)處方的處方藥的弊端，其實在現(xiàn)實生活中，也一樣難以杜絕，必須從民眾衛(wèi)生教育著手。只是網(wǎng)路提供「匿名(n236。m237。ng)」服務(wù)，讓不願現(xiàn)身就醫(yī)的病患，例如性功能障礙、愛滋病患更喜歡利用網(wǎng)路買藥、尋求援助，因此，目前在網(wǎng)路非法流通的藥品仍以治療陽痿藥物「威而鋼」及減肥藥「讓你酷」為主，讓主管機關(guān)抓不勝抓。,臺灣網(wǎng)路購買處方藥之未來建議,60,第六十頁，共六十四頁。,網(wǎng)路醫(yī)療服務(wù)如雨後春筍，反映了民眾對醫(yī)療相關(guān)資訊需求殷切，但如何(rh233。)善用網(wǎng)路的便利性、可近性，提供民眾更充分的保健資訊及平安、有效的醫(yī)療服務(wù)，整體提升民眾的醫(yī)療知識，減少諱疾忌醫(yī)的狀況，發(fā)揮網(wǎng)路時代的正面效益，除了主管機關(guān)的管理以外，教育是另一個更長遠的重要課題。,臺灣網(wǎng)路購買處方藥之未來建議,61,第六十一頁，共六十四頁。,專業(yè)認證機構(gòu)的介入合法的網(wǎng)絡(luò)藥房可以 自願參加 開展國際合作加強對跨國藥品交易的管理 使用多種搜索(sōu suǒ)工具，提升搜索(sōu suǒ)才能，以增 強監(jiān)控和確認網(wǎng)站是否違法的才能 需要積極借鏡美國等國外先進的監(jiān)管經(jīng)驗,結(jié)論,62,第六十二頁，共六十四頁。,Thanks for your attention!,63,第六十三頁，共六十四頁。,內(nèi)容(n232。ir243。ng)總結(jié),數(shù)位資訊法律專題報告。1001元以上200元。持慢性病連續(xù)處方箋再次調(diào)劑領(lǐng)藥，須與上次領(lǐng)藥至少(zh236。shǎo)相隔二十一。63,第六十四頁，共六十四