国际上药事服务费的推行已有半个世纪,而我国在此次医疗卫生体制改革中首次提出此概念,为此各方围绕“药事服务费”的定义、收费项目、成本计算、收费方式及水平等内容展开研究与探讨。综合各方结论与成果,得出在我国收取药事服务费是必然的趋势,然而具体实践过程中,关键在于政府层面的准确定位、配套政策出台、引导与监督以及民众 The implementation of international medical service fee has been for half a century, and our country put forward this concept for the first time in this medical and health system reform. Therefore, all parties revolve around the definition of “medical service fee ”, the fee items and the cost calculation , Fees and levels of content such as research and discussion. According to the conclusions and achievements of all parties, it is an inevitable trend to charge the medical service fee in our country. However, in practice, the key lies in the accurate positioning of the government level, the introduction of supporting policies, guidance and supervision,